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Aid cuts could leave more women dying in pregnancy and birth, UN says

The cuts have had “pandemic-like effects” on health systems globally and could have a “more structural, deep-seated effect”, says WHO director

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Cuts to aid budgets are threatening to undermine years of progress in reducing the number of women dying during pregnancy and childbirth, and could lead to a rise in deaths, the United Nations has warned.

Globally, there was a 40% decline in maternal deaths between 2000 and 2023, a report by UN agencies including the World Health Organization (WHO) showed on Monday, largely due to better access to essential health services.

That could now go into reverse, the WHO said in a statement accompanying the report which did not mention specific cuts but came in the wake of a foreign aid freeze by the U.S. government and the ending of funding through the United States Agency for International Development (USAID) for many programmes.

Other donor countries including Britain have also announced plans to cut aid budgets.

“One of the headline messages is that the funding cuts risk not only that progress, but we could have a shift backward,” said Dr Bruce Aylward, Assistant Director-General, Universal Health Coverage at the WHO.

The cuts have had “pandemic-like effects” on health systems globally and could have a “more structural, deep-seated effect,” Aylward added.

The WHO said the cuts were already rolling back vital services for maternal, newborn and child health in many countries, reducing staff numbers, closing facilities and disrupting supply chains for supplies including treatments for hemorrhage and pre-eclampsia.

Cuts to other areas, such as malaria and HIV treatment, would also impact maternal survival, the UN said.

Even before the aid cuts led by the United States, things were backsliding in some countries, and progress has slowed globally since 2016, the report said.

In 2023, despite recent progress, a woman still died roughly every two minutes – around 260,000 in total that year – from complications that were mainly preventable and treatable, it added.

The situation was particularly bad in countries affected by conflict or natural disaster, although the U.S. itself is one of only four countries to have seen its maternal mortality rate increase significantly since 2000, alongside Venezuela, the Dominican Republic and Jamaica.

The COVID-19 pandemic also had an impact, the report said: 40,000 more women died due to pregnancy or childbirth in 2021, bringing the total number of deaths that year to 322,000.

“While this report shows glimmers of hope, the data also highlights how dangerous pregnancy still is in much of the world today – despite the fact that solutions exist,” WHO Director-General Tedros Adhanom Ghebreyesus said.

Health

Afghan health minister, WHO hold talks on health services expansion

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Afghanistan’s Minister of Public Health, Noor Jalal Jalali, met with the head of the World Health Organization in Afghanistan, Edwin Ceniza Salvador, to discuss expanding healthcare services and strengthening coordination in the country.

According to a statement issued Tuesday by the Ministry of Public Health, the meeting was attended by officials from the WHO and other representatives and focused on key health sector priorities and areas of mutual cooperation.

Participants discussed the expansion of health services across Afghanistan, capacity-building initiatives for healthcare workers, and the development of cancer-related services. They also reviewed operational coordination, transparency in the delivery of health services, and preparations for upcoming health-related meetings.

During the meeting, Jalali emphasized the importance of aligning health projects and services with the ministry’s national policies and strategic documents.

He stressed that all health initiatives should be implemented based on the priorities and needs identified by the Ministry of Public Health.

The minister also urged WHO officials to enhance transparency and strengthen coordination with the ministry while taking practical steps to improve the quality of health services and ensure broader public access to healthcare across the country.

For his part, Salvador reaffirmed the WHO’s commitment to maintaining close cooperation with the Afghan health ministry and to delivering essential health services in accordance with the ministry’s policies and priorities.

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Afghanistan faces acute shortage of specialist doctors, officials urge ethics and expansion of health services

Noor Jalal Jalali, the Minister of Public Health, said the ministry is making sustained and intensive efforts to address the gap and expand access to healthcare services in remote and underserved areas of the country.

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Afghanistan is continuing to face a serious shortage of specialist doctors, health officials said during the graduation ceremony of specialist physicians from the General Directorate of Medical Specialization for the year 1404.

Noor Jalal Jalali, the Minister of Public Health, said the ministry is making sustained and intensive efforts to address the gap and expand access to healthcare services in remote and underserved areas of the country.

According to Jalali, hospitals are still absent across 318 districts nationwide. He added that initial construction work for hospitals has been completed in 100 of these areas, stressing that strengthening health infrastructure and training qualified specialists remain top priorities for the ministry.

Jalali also called on doctors and health officials to uphold their professional and religious responsibilities by treating patients with compassion, dignity, and good conduct. He emphasized that medical practice should not be driven by material gain, but by the pursuit of public service and the well-being of the people.

Speaking at the same ceremony, Hamdullah Nomani, Minister of Communications and Information Technology noted a decline in public trust toward some medical professionals, saying that despite the presence of many committed and ethical doctors, the behavior of a few motivated solely by financial gain has undermined patient confidence. He urged newly graduated specialists to serve with sincerity and restore public trust in Afghanistan’s healthcare system.

Meanwhile, Abdul Wali Sadiqi, the financial and administrative deputy minister of public health, advised graduates to remain committed to their profession, fulfill their responsibilities honestly, and serve the public with dedication. He stressed that efforts in national service should match those made in personal affairs.

In addition, Abdul Baqi Haqqani, head of the National Examinations Authority, highlighted that humans carry two fundamental responsibilities: worship of Allah and preservation of health, underscoring the vital role doctors play in safeguarding public health.

Health sector experts say Afghanistan now needs skilled and professional medical personnel more than ever, calling for increased investment in specialist training and healthcare infrastructure to meet the country’s growing needs.

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Afghan delegation heads to Turkey for medicine talks

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Naemullah Ayoubi, Director General of Drug and Health Products Regulation at Afghanistan’s Ministry of Public Health, has departed for Turkey on an official visit accompanied by a technical delegation.

The Ministry of Public Health said the delegation will hold meetings with officials from Turkey’s pharmaceutical regulatory authority and discuss a number of key issues related to the regulation of medicines and health products.

The delegation is also scheduled to visit several pharmaceutical manufacturing factories in Turkey.

According to the ministry, the visit aims to strengthen coordination between the two countries in the production and import of medicines, in order to ensure the availability of high-quality and affordable pharmaceuticals for people in Afghanistan in both the short and long term.

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