Health
Afghanistan among 10 countries with highest maternal and infant mortality rates
Global progress in reducing deaths of pregnant women, mothers and babies has flatlined for eight years due to decreasing investments in maternal and newborn health, according to a new report from the United Nations (UN).
The report shows that over 4.5 million women and babies die every year during pregnancy, childbirth or the first weeks after birth - equivalent to 1 death happening every 7 seconds - mostly from preventable or treatable causes if proper care was available.
“Pregnant women and newborns continue to die at unacceptably high rates worldwide, and the COVID-19 pandemic has created further setbacks to providing them with the healthcare they need,” said Dr Anshu Banerjee, Director of Maternal, Newborn, Child and Adolescent Health and Ageing at the World Health Organization (WHO).
“If we wish to see different results, we must do things differently. More and smarter investments in primary healthcare are needed now so that every woman and baby - no matter where they live - has the best chance of health and survival.”
The report meanwhile ranked Afghanistan among the 10 countries with the highest number of deaths in 2020.
India had the most maternal deaths, stillbirths and newborn deaths globally, with 788,000. Afghanistan was ranked number nine, with 95,000 deaths.
Overall, the report shows that progress in improving survival has stagnated since 2015, with around 290,000 maternal deaths each year, 1.9 million stillbirths – babies who die after 28 weeks of pregnancy – and a staggering 2.3 million newborn deaths, which are deaths in the first month of life.
The report states that funding shortfalls and underinvestment in primary healthcare can devastate survival prospects. For instance, while prematurity is now the leading cause of all under-five deaths globally, less than a third of countries report having sufficient newborn care units to treat small and sick babies. Meanwhile, around two thirds of emergency childbirth facilities in sub-Saharan Africa are not considered fully functional – meaning they lack essential resources like medicines and supplies, water, electricity or staffing for 24-hour care.
In the worst-affected countries in Sub-Saharan Africa and Central and Southern Asia – the regions with the greatest burden of newborn and maternal deaths - fewer than 60% of women receive even four, of WHO’s recommended eight, antenatal checks.
"The death of any woman or young girl during pregnancy or childbirth is a serious violation of their human rights,” said Dr Julitta Onabanjo, Director of the Technical Division at the United Nations Population Fund (UNFPA).
To increase survival rates, women and babies must have quality, affordable healthcare before, during and after childbirth, the agencies say, as well as access to family planning services, the UN stated.
More skilled and motivated health workers, especially midwives, are needed, alongside essential medicines and supplies, safe water, and reliable electricity. The report stresses that interventions should especially target the poorest women and those in vulnerable situations who are most likely to miss out on lifesaving care – including through critical subnational planning and investments.
Health
Afghanistan’s health ministry convenes urgent meeting on disease outbreak in Parwan
Haqqani ordered specialized health teams to be deployed to the affected area and ordered a follow up meeting to be convened with World Health Organization representatives and other health partners.
The Islamic Emirate of Afghanistan (IEA) called an urgent meeting Sunday of senior health-care officials to address the outbreak of acute diarrhea in the Kafshan Valley of Ghurbund district in Parwan province.
This comes after concerns were raised last week by Parwan officials who confirmed that over 500 people had come down with a mystery illness.
Hekmatullah Shamim, the governor’s spokesman, said the affected people had all fallen ill over four-days.
The IEA’s Ministry of Health sent officials to the affected area and blood samples were taken from patients for analysis.
In a statement issued Sunday by the ministry, the deputy minister for health services Mawlawi Abdulwali Haqqani called the meeting, which was attended by central directors from the ministry, representatives from the infectious disease hospital and other experts.
Haqqani ordered specialized health teams to be deployed to the affected area and ordered a follow up meeting to be convened with World Health Organization representatives and other health partners.
The teams deployed to the area will focus on raising public awareness, assessing the health status of patients, and ensuring the provision of comprehensive medical facilities for both patients and local residents.
“These efforts are critical to facilitate urgent interventions necessary to mitigate the outbreak,” the statement read.
According to the World Health Organization (WHO), Afghanistan is grappling with significant health challenges marked by a fragile healthcare system and unequal access to services, particularly in rural areas.
In their latest report published last week, the Health Cluster Afghanistan Bulletin for August 2024, the WHO said there is a looming threat of disease outbreaks, including acute watery diarrhea (AWD), measles, Crimean Congo Hemorrhagic Fever (CCHF), dengue fever, COVID-19, pertussis (whooping cough), and malaria.
In August 2024, a total of 402,920 cases of acute diarrheal disease were reported, representing 14.6 percent of total consultations.
Out of the total acute diarrheal disease cases, 23,801 new AWD, with dehydration, cases were reported in August, resulting in 10 deaths.
So far this year, total of 125,471 AWD cases with dehydration and 60 associated deaths were reported, the WHO report stated.
Health
Afghanistan’s health minister says health-care should not be politicized
Acting Minister of Public Health, Noor Jalal Jalali, says the issue of health should not be politicized given that Afghanistan has a vulnerable health-care sector and needs international aid.
Addressing a ceremony to mark the opening of a new children’s immunization center, Jalali said the death rate of children in Afghanistan is still high and international organizations should help health officials reduce this rate.
“I mostly say that health and politics should be separated. International partners who claim the rights of mothers and children [should be ensured] should cooperate a lot in the field of health,” said Jalali.
He added that 17 health centers will be built in districts across the country this solar year.
Meanwhile, Deputy Minister for Health Services Abdul Wali Haqqani also spoke at the event and said about two million children have not yet been vaccinated.
According to him, 900,000 children will receive vaccines over the next 18 months.
A representative of UNICEF also stressed the need for the complete eradication of polio in Afghanistan.
“Afghanistan is one of the countries where polio cases still exist. Therefore, this program is an opportunity to reach out to children who have missed vaccination [campaigns], and we strive to protect these children and expand this program to the highest level in the future,” said the UNICEF representative.
According to official data, between four and five million children benefit from the polio program every year.
The World Health Organization (WHO) recently confirmed 18 new cases of polio infection in the country so far this year, a significant increase from the six cases reported in 2023.
Local healthcare workers say these numbers could be higher as many cases will not yet have been detected.
Health
Concerns raised over outbreak of mystery disease in Afghanistan’s Parwan province
Over the last four days, more than 500 residents of Dara Kashfan area in Shinwar district of Parwan have been infected
Hekmatullah Shamim, the spokesman of the governor of Parwan, says that more than 500 people in the province have fallen ill with an unknown infectious disease.
According to Shamim, in the last four days, more than 500 residents of Dara Kashfan area in Shinwar district of Parwan have been infected with the disease and the number is rising.
According to local officials, two people have died due to this disease and 50 others are in a critical condition.
Shamim added that health teams have reached the area worst affected and blood samples of infected people have been taken.
The governor's spokesman in Parwan quoted the public health directorate as saying symptoms of the disease are "physical disability, severe muscle pain, severe diarrhoea and severe fever".
No further details were provided.
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