Food Consumption Score FCS

128 because most commodities are purchased from the market, an easier access to commodities, as well as the higher cash income levels – and, therefore, a better purchasing power – compared to rural areas and among the Kuchi . Apart from limited purchasing power to afford protein-rich and micronutrient- rich foods, poor dietary habits due to limited nutrition awareness of the importance of vegetables and fruits may also likely play a role in the commonly low consumption of vegetables among the rural and Kuchi households where vegetables are believed to be cultivated and available many months a year. Households in some regions of Afghanistan are particularly prone to poor dietary diversity. The reasons for this probably relate to issues of availability, security and access. In the central highlands, northeast and west regions, more than half of the population consume a diet of minimal diversity. More than 70 percent of households in Badakhshan, Daykundi, Ghor, Bamyan and Badghis provinces consume diets with low dietary diversity. Table 8.7: Dietary Diversity Score mean and percentage of households with low dietary diversity and lack of consumption of selected food groups, by residence and region and sex of household head Residence and region Dietary Low In the past week household and sex of household Diversity Dietary did not consume any head Score Diversity meateggs dairy vegetables Score Mean Percentage Percentage Percentage Percentage National 5.0 36.4 32.4 36.0 36.5 Residence Urban 5.7 20.0 21.6 40.4 14.8 Rural 4.8 41.7 35.7 36.1 43.6 Kuchi 5.0 40.8 36.6 12.5 40.7 Region Central 5.7 19.7 23.0 35.9 18.2 Central Highland 4.3 55.7 45.4 32.4 75.5 Eastern 5.7 16.1 34.0 25.5 8.7 North 5.0 37.7 21.3 38.7 44.2 North-east 4.5 54.2 45.0 39.5 55.4 South-east 5.3 30.7 46.1 30.4 11.9 South-west 5.4 28.2 33.9 39.4 10.7 West 4.5 52.0 30.8 38.7 53.0 Sex of household head Male 5.1 36.2 32.2 35.8 36.3 Female 4.1 63.2 48.2 54.1 55.1

8.6.2 Food Consumption Score FCS

As explained in section 8.1, the Food Consumption Sore FCS combines food diversity and food frequency the number of days each food group is consumed, weighted by the relative nutritional importance of different food groups. Nationally, only 41 percent of the households were found to have acceptable food consumption, while 23 percent have poor food consumption and 36 percent borderline food consumption Table 8.8. Households with borderline food consumption are vulnerable to slipping into the poor food 129 consumption group if their situation were to deteriorate. By the same token there is an opportunity to raise their level to acceptable consumption with the right set of interventions. Kuchi households have relatively better food consumption than households in urban and rural areas, with a lower proportion of poor consumption households 11 percent than among the urban 16 percent and rural counterparts 26 percent. There are substantial differences in terms of food consumption by region. North-east and central highlands regions have higher levels of poor food consumption, with more than one third of households having poor food consumption. The proportion of poor food consumption households is substantially higher among female-headed households compared to male-headed households 51 percent and 23 percent, respectively. Table 8.8: Households, by food consumption group, and by residence and region and sex of household head in percentages Residence and region Poor Borderline Acceptable and sex of household =28 28 - 42 42 head National 23.1 35.9 41.1 Residence Urban 16.1 38.1 45.8 Rural 26.3 34.8 38.9 Kuchi 11.0 39.4 49.6 Region Central 12.1 40.2 47.6 Central Highland 33.3 26.4 40.3 Eastern 3.8 41.0 55.2 North 28.9 37.5 33.6 North-east 38.1 28.6 33.3 South-east 20.9 40.1 39.0 South-west 24.9 40.4 34.7 West 25.6 33.2 41.2 Sex of household head Male 22.8 35.9 41.3 Female 51.4 28.0 20.5 Households with a poor consumption patterns tend to eat almost no fruits, dairy products and meateggs, and nutrient-rich foods such as pulses only occasionally. Their diet predominantly consists of wheat, oil and sugar only. Households with borderline consumption eat fruits, dairy products, meateggs and pulses on average one day a week of each item. Households with acceptable food consumption eat meateggs and pulses approximately two days per week, while dairy products four days a week Table 8.9 . 130 Table 8.9: Average number of days of protein consumption in the household, by food consumption group Food consumption Average number of days household consumed group protein-foods during past 7 days Meateggs Dairy product Meateggs or Pulses dairy product Total 1.3 2.4 3.3 1.3 Poor =28 0.4 0.2 0.6 0.5 Borderline 28 - 42 1.1 1.4 2.4 1.2 Acceptable 42 2.0 4.5 5.8 1.8 It should be emphasised that it is not possible to assess trend information for the FCS, although the FCS was reported in the NRVA 2011-12 report. This is due to substantial differences in the food security module between the ALCS 2014 and the NRVA 2011-12 and the way the data for the FCS were collected. The data are therefore not comparable and the conclusion that the food security situation has significantly deteriorated or improved on the basis of the FCS calculation is not valid. To allow trend analysis of the FCS it is recommended to include a standard FCS module in each ALCS data collection round.

8.6.3 Household Hunger Scale HHS