It has been a year since the deadly attack on the maternity ward in a Dasht-e Barchi hospital in Kabul, a year filled with memories of the horror of the attack where gunmen cold-bloodedly gunned down mothers and mothers-to-be, staff and children in a four-hour siege.

But for the people of Dasht-e-Barchi, the attack at the Médecins Sans Frontières (MSF) run maternity ward, and the 24 people killed, including mothers and mothers-to-be, will never be forgotten.

For some local residents, MSF’s decision soon after the attack to withdraw from the hospital left them “shocked and hopeless”.

On Tuesday, Dr Isabelle Defourny, MSF director of operations, said: “Some weeks later, we had to make the difficult choice to withdraw from Dasht-e-Barchi. We knew we would leave behind huge needs.

“For many women in the neighbourhood, our maternity ward was a much-needed resource; 16,000 deliveries had taken place there in 2019 alone. But we couldn’t continue our activity after what happened,” Defourny said.

Thanking MSF for their services at the hospital over the years, one resident in the area, Ahmad Tamim, said on Wednesday: “People will never forget MSF 's generous service in its Dasht-e Barchi project and as well the tragic closure of the hospital that left everyone shocked, helpless and hopeless.

“All the people wished you would have continued your assistance in their slum and ghetto area after the attack, but unfortunately your abandonment became another sorrow for them,” he said.

For one MSF employee, Sayed Jawed Hashimi, who hid in a safe room during the attack, the scenes will haunt him for years to come.

“The worst memory ever! And the hardest four hours that we spent in the safe room, under shooting, bombing, and the dead bodies (mothers, babies, care takers, our colleague). What we saw after getting out of safe rooms, was like a nightmare, which takes several years to forget,” he told Ariana News.

Another resident of the area Omulbanin Nabizada, said simply to MSF: “Wish you could stay.”

Yet another appealed to them to resume work in their predominantly Shiite Hazara area.

Mystafa Asghari said: “Please resume your activities.”

Asila Mohammad said to Ariana News: “MSF should resume work in Kabul [in Dasht-e-Barchi] in order to save more mothers and children,” while Asadullah Azimi said: “We were victims and we were deprived of your cooperation for a crime others committed.”

Sakina Amiry, an Afghan journalist, stated: “After the terrorist attack the people have been in desperate need of health services. The hundred-bed hospital [which housed MSF’s maternity ward] now limits services,” she said.

“The maternity ward now only handles normal deliveries. MSF doctors please help those who even do not have bread to eat,” she said.

The maternity ward attack was carried out in the same area that was battered on Saturday in a deadly bombing against a girls school that killed at least 87 people, mostly teenage girls.

But, like many attacks, no group has claimed responsibility for this tragedy.

AFP reported Wednesday that few people in the area expect authorities to track down the perpetrators of the latest carnage -- or prevent similar massacres in the future.

The Afghan government has continued to blame the Taliban for the maternity ward attack, but interior ministry spokesman Tareq Arian says no arrests were ever made.

The US, however, pinned the blame on the Islamic State group (Daesh).

"No evidence was publicly brought to support those claims," Defourny told AFP.

In a statement issued on Tuesday, Defourny said that while they didn’t think the MSF was specifically targeted, “the first targets of this attack were pregnant women and women in labour in a maternity ward which we ran.”

“We know that the attackers directly headed to the maternity ward and killed the pregnant women and women in labour who were present there. Two children who had come for routine vaccination and another caretaker were also shot dead in the attack. Healthcare staff were also killed and injured,” she said.

“We can’t work in an environment where patients and medical staff are targeted, and where we can’t prevent such a massacre from happening again.

“This attack clearly targeted pregnant women in a maternity ward run by MSF. And the fact-finding exercise confirmed that none of the different parties with whom we have relations in Afghanistan gave us specific alerts on it.

“Our will to continue working in Afghanistan is motivated by the dire medical needs of the Afghan people… but can only continue if minimum conditions of safety are ensured…,” she said.

“When MSF returned to Afghanistan 12 years ago – after we had withdrawn in 2004 following the killing of five of our colleagues – we knew it was one of the most dangerous countries to work in. At that time, our analysis was that it was possible to craft a safe working space for us, by renewing our engagement with all the different parties involved.

“Since then, after the attack on our hospital in Kunduz, and the one on the Dasht-e-Barchi maternity ward, we have to admit that this wasn’t enough. In these two attacks, 66 people were killed – by far the highest number of deaths in our programmes around the world over the last six years.

“Our organisation can’t accept the idea of integrating the loss of our staff or of the patients we treat as part of our work. We maintain our freedom to withdraw and stop our activities when we think that the risk of such severe attacks repeating themselves is too great,” she said.