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Afghans with TB ‘struggling’ to get accessible treatment: MSF

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Afghanistan’s broken economy and dysfunctional health care system has left thousands of patients in a vulnerable situation across the country, especially people with tuberculosis (TB).

According to Doctors Without Borders/Médecins Sans Frontières (MSF) there is a critical shortage of advanced medical treatment available for TB patients, coupled with a widespread lack of knowledge about the disease.

One such example is Jawahira who was referred to MSF’s tuberculosis (TB) hospital in Kandahar earlier this year from a clinic in Daikundi, in central Afghanistan. “I used to visit private clinics, but instead of giving me TB medication, they usually just prescribed painkillers,” she said.

MSF’s 24-bed TB hospital in Kandahar is the only medical facility providing advanced TB care in southern Afghanistan. Many of the patients come from the nearby provinces of Helmand, Uruzgan, Nimroz and Zabul, but others travel from more than 500 kms away, from Farah, Daikundi, Badghis, Ghazni, and Paktika provinces.

“Our catchment area is so big, it is impossible to know exactly how many people are in it,” said MSF medical advisor Allieu Tommy. “Many travel from afar, and we support them by paying for transport costs, housing expenses, and food to alleviate some of the economic burden.” Without such incentives, most patients could not afford to come for treatment.

The cost of searching for treatment also took its toll on Jawahira. “My home is far away in Uruzgan, so when we went to see a doctor, I had to spend 6,000 Afghani ($67) for the car fare and then 13,000 ($146) for the drugs they gave me.”

The amount Jawahira spent on each visit to the doctor is about one-third of the average monthly income in Afghanistan. According to the World Bank, an estimated 60 percent of the country’s population is unemployed and has no income at all, exacerbated by sanctions and other financial measures against the Islamic Emirate of Afghanistan (IEA).

People often struggle to afford even basic food items, let alone travel expenses and medical fees for hospital visits. Meanwhile, the public health care system is under-resourced, under-staffed, and under-funded, MSF said.

The father of another patient at the Kandahar hospital, Hamdullah, said: “Our daughter Bibi is nine years old and has been sick since childhood, but we did not know of her illness — we had never heard the name TB before.”

MSF teams carry out regular health promotion activities in local communities in Kandahar to spread awareness about TB. They also provide information to patients and caretakers at the hospital in Kandahar.

“When a person arrives for the first time and learns that they have TB, we talk to them about what it is, how it’s transmitted, how to be careful around family members, and how long the treatment will take,” explained MSF nurse Taiba Azizi.

Providing this information is simple but effective. “Now I understand the symptoms and people back home know it is a dangerous disease,” said Hamdullah. “If somebody had seen her [Bibi] earlier, they would have said she would not recover. But now, we know she can get past this. She has already started to eat and walk. We hope she is getting better.”

MSF also tests a patient’s family for TB, as the disease is highly transmissible, particularly when people live close together.

MSF stated that some patients have a form of the disease that is resistant to conventional TB drugs and requires treatment that lasts nine to 12 months. This can be especially difficult to cope with during a hospital stay, far from friends and relatives. As a result, many patients stop their treatment early.

But next year, a six-month short course regimen will be rolled out that should make it easier for people to finish their treatment.

MSF has already set up a diagnose and treatment program that combines specialist inpatient care with supervised home-based treatment to help patients better cope with the regimens.

“What we offer is a system whereby a person spends the first 30 days in our facility under careful observation and, if they do not experience major adverse side effects from the drugs taken, they are discharged for homecare,” said Azizi.

“Our staff then do weekly follow-ups over the phone, so patients only need to come back to the hospital once a month to renew their medications and have an in-person consultation.”

Women and children are most vulnerable to TB

Over 70 percent of patients in MSF’s Kandahar TB hospital are women and children. “Women and children stay at home in dusty, poorly ventilated rooms for longer periods of time than men,” said Tommy.

“If a woman gets infected, the children are likely to catch the disease as well. Other cultural factors play a role too. Women whisper or speak in very low tones to one another, especially if men are in the room. Respiratory tract infections are then easily transmissible due to their proximity.”

An additional challenge for female patients is that they are generally required to be accompanied by a male family member to the hospital, and this coupled with the economic barriers can significantly reduce their access to health care.

It is estimated that TB and its resistant forms kill more than 13,000 people in Afghanistan every year.

Access to proper care remains a major challenge for patients in the southern part of the country, mainly due to insufficient medical infrastructure, length of treatment, and financial obstacles. While MSF’s TB hospital in Kandahar provides free quality treatment for many, the people of Afghanistan need a more robust and sustainable health care system to meet their many urgent needs, MSF stated.

Health

WHO warns aid cuts disrupting healthcare services across Afghanistan

Speaking to Ariana News, WHO Representative in Afghanistan said cuts in humanitarian assistance have placed the country’s health sector under increasing pressure.

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The World Health Organization (WHO) has warned that declining international humanitarian funding is disrupting healthcare services across Afghanistan, forcing some health facilities to close and limiting access to essential medical care.

Speaking to Ariana News, WHO Representative in Afghanistan Edwin Ceniza Salvador said cuts in humanitarian assistance have placed the country’s health sector under increasing pressure, with many healthcare centers struggling to remain operational.

He said the funding shortfall is largely due to the growing number of humanitarian crises around the world, which have diverted international financial resources away from Afghanistan.

Salvador stressed that while continued humanitarian support remains essential, Afghanistan must also increase domestic investment in healthcare to build a more sustainable system.

“We have unfortunately seen a decline in global humanitarian funding in recent months because new emergencies have emerged in different parts of the world,” Salvador said. “As a result, many health facilities in Afghanistan are facing difficulties, and some have been forced to close. Alongside continued humanitarian support, greater domestic investment and increased funding for the health sector are essential.”

He noted that Afghanistan continues to face the effects of years of conflict, natural disasters and drought, making humanitarian assistance a critical lifeline for millions of people.

Despite the funding challenges, Salvador said the country has made progress in key health indicators, including increased childhood vaccination coverage and a decline in maternal mortality. However, he said expanding access to healthcare will require broader cooperation across government institutions and development partners.

The WHO warning comes amid growing concern from UN agencies over shrinking humanitarian funding for Afghanistan. Aid organizations have warned that reduced international assistance, coupled with the return of millions of Afghan migrants and the increasing impact of natural disasters, could further strain the country’s already fragile healthcare system and deepen the humanitarian crisis.

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Health

Kabul opens cardiac hospital for children

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A pediatric hospital for treating heart diseases, particularly congenital heart defects such as holes in the heart, has been inaugurated in Kabul by the Afghan Red Crescent Society.

Officials from the organization say the hospital has the capacity to treat up to 2,000 patients annually and will provide free diagnosis, treatment, and heart surgery services around the clock.

Shahabuddin Delawar, head of the Afghan Red Crescent Society, said the construction costs of the facility were covered through the organization’s own budget.

Previously, many patients suffering from heart conditions, especially children with holes in the heart, had to seek treatment at private hospitals or medical centers abroad due to limited access to specialized services inside the country.

Abdul Salam Hanafi, Administrative Deputy Prime Minister, said during the inauguration ceremony that the opening of the facility would help provide treatment for a large number of patients in need. He added that economic challenges had previously prevented many patients from accessing necessary medical services.

The head of the Afghan Red Crescent Society said local and foreign specialist doctors at the hospital will provide free, 24-hour cardiac services to patients, with efforts underway to ensure quality medical care.

Meanwhile, specialists at the hospital said modern medical equipment for diagnosing and treating heart diseases has been prepared at the facility.

The opening of the hospital offers new hope for patients, particularly children with congenital heart conditions, allowing them to receive free and specialized cardiac treatment inside Afghanistan and reducing the need for costly treatment abroad.

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Health

OCHA warns Afghanistan’s maternal health system under mounting strain

The agency estimated that the country recorded 638 maternal deaths for every 100,000 live births in 2024 — the highest rate in Asia and the seventh highest globally.

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The United Nations Office for the Coordination of Humanitarian Affairs (OCHA) has warned that Afghanistan’s maternal healthcare system is facing mounting pressure as humanitarian needs continue to grow, leaving millions of women and girls at risk of losing access to essential health services.

In its Afghanistan Humanitarian Update for June 2026, OCHA said more than 10.7 million women and girls are expected to require humanitarian assistance this year, making them among the populations most severely affected by the country’s prolonged humanitarian crisis.

The agency said ongoing restrictions affecting women’s movement, education and employment, coupled with economic hardship and declining humanitarian funding, have significantly reduced access to healthcare and other essential services while increasing protection risks and deepening vulnerabilities.

According to OCHA, Afghanistan continues to have one of the world’s highest maternal mortality rates. The agency estimated that the country recorded 638 maternal deaths for every 100,000 live births in 2024 — the highest rate in Asia and the seventh highest globally.

OCHA said the situation has been exacerbated by shortages of female healthcare workers, inadequate funding, limited supplies of essential medicines and gaps in emergency obstetric and neonatal care. These challenges are contributing to preventable deaths among mothers and newborns, particularly in rural and hard-to-reach communities where access to medical facilities remains limited.

The UN agency also warned of the long-term impact of restrictions on girls’ education, saying they threaten the future of Afghanistan’s healthcare workforce. Citing UNICEF estimates, OCHA said the country could lose more than 25,000 female teachers and health professionals by 2030 if current restrictions remain in place, potentially worsening shortages of female doctors, nurses and midwives.

During a recent assessment mission to Bamyan Province, OCHA highlighted the growing burden on local health facilities. Bamyan Provincial Hospital, the province’s main referral centre, continues to provide critical maternal and newborn services and houses the area’s only neonatal intensive care unit. However, the hospital is struggling to meet increasing demand with limited resources.

The agency said many expectant mothers arrive only after developing serious pregnancy-related complications because of long travel distances, poor road infrastructure and a lack of reliable referral services, reducing the chances of timely treatment.

OCHA called for sustained international support to strengthen Afghanistan’s fragile health system, warning that continued investment in maternal and newborn healthcare will be essential to reducing preventable deaths and ensuring that women, particularly those in remote areas, can access life-saving medical services.

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