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Afghanistan faces severe medicine shortage amid Forex restrictions

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Afghanistan is now faced with medicine shortage due to disrupted border crossings and limited operation of banks.

Almost all medicine in Afghanistan is imported from neighboring countries, such as Pakistan, India, Bangladesh, Iran and Turkey.

However, the border crossings between Afghanistan and its neighbors were disrupted in the lead-up to the Islamic Emirate of Afghanistan’s (IEA) takeover, and normal operations are yet to resume.

Worse still, wholesalers have been unable to complete transactions due to the limited operation of banks.

“Yes, since the takeover, banks are closed [for international transactions]. As the banks are closed, we can’t transfer payments to suppliers. If we don’t transfer money to the suppliers legally, they will not be able to deliver us the medicine and prices will definitely rise. When demand is high, and supply is low, the prices naturally go up. We are facing a shortage in supply of essential medicine,” said Rohullah Alokozay, President of GPS Pharma, Reuters reported.

Officials said the number of visitors at government hospitals has increased since the change of regime. The good news is that international donors have increased their focus towards government hospitals.

“In fact, we have even more visiting patients. Fortunately, we got more attention from UNICEF and the WHO, especially, towards our hospital which is a children’s hospital. They didn’t have enough focus in the last few years, but in the last month they increased our medical supply,” said Noor ul Haq Yousufzai, president of Indira Gandhi Institute for Children’s Health.

In fact, the government hospitals didn’t have enough medical facilities in the past three to four years due to lengthy procurement processes and the problem of corruption.

Government hospitals were not able to provide medicines to patients despite the continued funding in the previous regime.

“On one hand, prices have increased, while on the other hand, the people have become poorer. This has affected the doctors, patients and the society. Even in the former regime, patients used to buy their medicine at the market. We used to prescribe the medicine. Patients were not provided even with a single pill from the hospital,” said Dr. M. Fayaz Safi, Head of Medical Doctors’ Association in Afghanistan.

Many of the problems in the health sector have been left over from the previous regime. Wahid Majrooh, former acting minister of public health in the previous government said the former Afghan authorities had tried to solve the issues in coordination with stakeholders, but efforts were unsuccessful.

“And it led us to having few or no supplies, and most of our health facilities including essential medicine, fuel, oxygen, staff salary. We have been trying to work with different stakeholders to see if we can fulfil the urgent needs, but we haven’t been able to do it successfully,” said Majrooh.

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IEA Supreme Leader chairs 2nd Special Meeting of Economic Commission 

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The 2nd Special Meeting of the Economic Commission for the year 1446 Hijri was held under the leadership of Mawlawi Haibatullah Akhundzada, the Supreme Leader of the Islamic Emirate of Afghanistan (IEA), on the 28th, 29th, and 30th of Shawwal al-Mukarram (April 26 to 28), the Deputy Prime Minister’s Office for Economic Affairs said in a statement on Wednesday.

At the meeting, a decision was made to allow the export of Afghan livestock for six months each year, under a regulated mechanism.

In addition, the General Directorate of Administrative Affairs was assigned the responsibility of formulating a comprehensive process, in coordination with relevant ministries, to expedite the processing of investors’ and traders’ affairs within government institutions and to resolve existing challenges across all sectors. 

This procedure is to be submitted first to the Economic Commission for endorsement, and then to the office of the IEA’s supreme leader for final approval.

This second meeting follows reports on the decisions made during the first meeting of the Economic Commission, which was held under the leadership of the supreme leader on the 3rd of Jumada al-Awwal 1446 (November 29, 2024). 

At the first meeting, a committee chaired by the General Directorate of Administrative Affairs was assigned the task of formulating a procedure for facilitating the sale and distribution of state-owned plots and the leasing of buildings in accordance with urban planning principles. 

This committee presented the draft procedure for review during this second meeting, and after incorporating certain amendments, the procedure will be sent to the office of Haibatullah Akhundzada for final approval. 

According to this procedure, citizens can complete the land registration process of private land within 15 days, and have the land map approved and initiate construction work within one month.

At the first meeting, the Ministry of Agriculture was tasked with transferring land to the Ministry of Industry and Commerce in all provinces for the establishment of industrial parks. 

Meanwhile, during the second meeting, both ministries reported on the implementation of this decision, confirming that the transfer of 80,000 hectares of land had been completed in most provinces, while in some provinces the process is nearing completion. 

This initiative is expected to resolve the issue of land shortage for industrialists across all provinces.

Additionally, a committee led by the Ministry of Public Health was assigned to develop a procedure to prevent the smuggling of human, animal, and agricultural medicines, health products, and food items.

The committee prepared and presented the procedure for evaluation during the second meeting. After integrating a series of amendments, the procedure will be submitted to the office of the IEA leader for approval.

Also during the second special meeting of the Economic Commission, reports on the implementation of the decisions made in the first meeting were presented by the relevant ministries and institutions.

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UN warns of ‘deeper humanitarian crisis’ as thousands return to Afghanistan 

UNHCR spokesperson says the agency urgently needs $71 million to assist refugees returning to Afghanistan

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The UN Refugee Agency (UNHCR) has warned that an even deeper humanitarian crisis is looming in Afghanistan as tens of thousands of Afghan refugees are being forced to return from neighbouring countries.

UNHCR spokesperson Babar Baloch said at a press conference in Geneva on Tuesday  that the agency urgently needs $71 million to assist those arriving home. Baloch said these refugees face desperate conditions once in the country.

In April, more than 251,000 Afghans returned in adverse circumstances from Iran and Pakistan, including over 96,000 who were deported, Baloch said. 

He said the UNHCR continues to advocate with the governments of Iran and Pakistan that returns to Afghanistan must be voluntary, safe and dignified. “Forcing or putting pressure on Afghans to return is unsustainable and could destabilize the region,” he said.

“While UNHCR recognizes the many challenges – including economic pressures – facing these countries that have hosted millions of Afghans for decades, we have also consistently shared our concerns that regardless of their legal status, people forced to return to Afghanistan may encounter serious protection risks,” Baloch said.

“This is especially true for Afghan women and girls who face increasing restrictions in terms of access to employment, education and freedom of movement in Afghanistan. 

“Among other profiles, ethnic and religious minority groups, human rights activists, and journalists could also be at risk upon their return. 

“These concerns are compounded by acute humanitarian needs inside Afghanistan, rising unemployment rates, as well as natural disasters and extreme weather incidents,” he said.

Since 2023, more than 3.4 million Afghans have returned or been deported from Iran and Pakistan, including over 1.5 million in 2024 alone. 

The UNHCR said such mass returns have strained the capacity of many provinces in Afghanistan and exacerbated the risk of further internal displacement. 

The organization also warned that there has also been new displacement into Iran and Pakistan, and heightened risks of onward movements towards Europe. 

In 2024, Afghans became the largest group (41 percent) of irregular arrivals from the Asia-Pacific region into Europe.

 

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China donates tents for Afghan refugees returning through Kandahar border

China has provided a variety of assistance, including medicine, winter clothes, blankets and foodstuffs to the people of Afghanistan

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China has provided 100 tents for returning refugees coming into Afghanistan through Kandahar’s border amid Pakistan’s ongoing campaign to expel hundreds of thousands of Afghans living in the country. 

Xinhua reported on Wednesday that according to the Kandahar provincial director of the Afghan Red Crescent Society, Mohammad Shuaib Haqqani, the tents were erected in Takhtapul district for returnees. 

Around 100,000 Afghan refugees returned to their homeland in April, many of them with only the clothes they were wearing. 

China has provided a variety of assistance, including medicine, winter clothes, blankets and foodstuffs to the people of Afghanistan over the past few years.

 

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