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Intense fighting a serious challenge for patients, MSF staff in Helmand

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Médecins Sans Frontières reported Tuesday that while fighting has been intense since May in Helmand province, clashes between the Afghan security forces and the Taliban have intensified in recent weeks and spread to more urban areas such as the provincial capital of Lashkargah city.

“There has been relentless gunfire, airstrikes and mortars in densely populated areas. Houses are being bombed, and many people are suffering severe injuries,” says Sarah Leahy, coordinator of the MSF Helmand project.

“Fighting within the city makes it harder for us to respond; our staff are part of the community and they, like many people, are afraid to leave their homes. It’s just far too dangerous and life is at a standstill,” says Leahy.

“Some of our colleagues are staying overnight in the hospital as it’s safer, but also so they can keep on treating patients. The situation has been dire for months but now it is even worse.”

Despite the challenges, the MSF-supported Boost hospital remains operational and has seen a marked increase in trauma needs over the past week.

“In just one day we performed 10 surgeries on people injured by violence, which is unheard of for us as we are not Lashkargah’s main provider of trauma care,” says Leahy. “Before last week we were operating on average on two war-wounded people per day.”

The main trauma centre in the city is run by another organisation, and is also under immense pressure; the people they cannot admit are sent to MSF for care, the statement read.

Between 29 and 31 July alone, MSF treated 70 war-wounded patients. In total from 3 May until 31 July, we have treated 482 war-wounded people, nearly all (92 per cent) for injuries caused by shells and bullets, and around a quarter (26 per cent) aged under 18. The patients seen by MSF are just a fraction of the total number injured by the violence, the organization reported.

MSF also said the conflict is stopping people from seeking medical attention when ill.

“The conflict leads people to think 10 times about whether they really want to make the journey. They delay until they can’t wait anymore, when their relatives haven’t opened their eyes for two or three days, have shallow breathing and are unresponsive. From a medical perspective, that’s almost too late.”

Even amongst MSF staff, the impact of the fighting is clearly visible. “Healthcare staff are exhausted. The work itself, seeing all these patients, is hugely difficult. And then on top of that, people have to deal a lot with outside pressures and worries,” says an MSF doctor.

Our teams continue to provide much-needed healthcare in Boost hospital, while continuing to run projects in four other locations around the country; Herat, Kandahar, Khost and Kunduz.

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Panjshir to Kabul water conduit project ‘waiting for budget approval’

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Afghanistan’s Ministry of Energy and Water is waiting for budget approval on the much-needed Panjshir to Kabul water conduit project – which, once completed, will alleviate the severe water shortage crisis in the capital.

Matiullah Abid, spokesperson for the Ministry of Energy and Water, confirmed the initial phase of reviewing and planning of the project is complete and construction work will start as soon as the budget has been approved.

Abid said the aim of the project is to help reduce water shortage issues in Kabul..

“The survey, design, and technical studies of the Panjshir water transfer project have been completed by the Ministry of Energy and Water, and the project [budget] has been sent to the leadership of the Islamic Emirate for approval,” he said.

“This project will commence once it is approved and the budget is available.”

The water conduit project will cover a distance of over 200 kms starting in Bazarak in Panjshir and ending in Tarakhail in Kabul.

Residents of Kabul have welcomed the plan and said once complete the additional water will help alleviate the drinking water crisis.

Experts meanwhile believe that this project could help Kabul’s groundwater levels to improve.

“I believe that the Panjshir water transfer project will help replenish underground water sources once again, and the people will have access to clean and healthy water. Additionally, with the transfer of Panjshir water, the agricultural lands around Kabul will also be managed with water, which, in turn, will create job opportunities for the people,” said Abdul Nasir Reshtia, an economic expert.

The plan to transfer water from the Panjshir River to Kabul was designed in 2012. In the 2020 budget of under the previous government, around $5 million was allocated for the annual transfer of 100 million cubic meters of Panjshir River water to Kabul.

The project was expected to be completed by 2023 but never got off the ground until the Islamic Emirate takeover.

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Female journalists complain about lack of access to accurate and timely information

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A number of female journalists say the lack of access to accurate and timely information leads to numerous challenges in their course of work.

According to some of these journalists, certain officials of the Islamic Emirate often refuse to provide information to female journalists, which creates a significant obstacle in fulfilling their professional duties.

One female journalist said: “Unfortunately, we have been subjected to intimidation by some institutions and media outlets, which hinders our work. In this regard, we urge our own media and various institutions to support female journalists the same way they support male journalists, and to allow us to continue our work.”

It is also reported that cultural and social restrictions make it difficult for female journalists to carry out their activities.

Female journalists have added that their exclusion from the media not only weakens freedom of speech but also deprives society of the perspectives and experiences of half of its population.

However, some media support organizations emphasize that the working conditions for female journalists have improved compared to last year, and currently, 745 female journalists are working in various media outlets across the country.

“The number of female journalists has increased compared to last year. Currently, 745 female journalists are working in the media. Last year, the number was 601,” said Hujjatullah Mujaddidi, head of the Afghanistan Independent Journalists Union.

Meanwhile, the Ministry of Information and Culture has stressed that the current media situation is favorable, and the ministry is committed to supporting journalists and media outlets in various sectors.

Since the IEA’s takeover in August 2021, many female journalists have lost their jobs, and some have been forced to leave the country.

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Pakistan ‘extends’ deadline for a week for Afghans to leave the country

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The Pakistan government has pushed out the deadline to next week for hundreds of thousands of Afghan refugees to return to their country due to Eid al-Fitr.

AFP reported that a government official said on condition of anonymity that “the deadline has been extended until the beginning of next week due to Eid holidays.”

In early March, Islamabad announced a March 31 deadline for Afghans holding certain documentation to leave the country.

Afghans holding Afghan Citizen Cards (ACC) — issued by Pakistan authorities and held by 800,000 people, according to the United Nations — face deportation to Afghanistan after the deadline.

More than 1.3 million Afghans who hold Proof of Registration (PoR) cards from the UN refugee agency, UNHCR, are also to be moved outside the capital Islamabad and neighbouring city Rawalpindi.

On Friday, Pakistan’s Federal Interior Minister Mohsin Naqv chaired a high-level meeting to review the repatriation process of ACC holders.

He stated that continuous coordination is being maintained between the federal and provincial governments regarding the repatriation process, and the federal government will provide full support to the provinces.

Additionally, a committee has been formed based on the recommendations of the Chief Minister of Khyber Pakhtunkhwa, he said.

Naqvi also stated that Pakistan’s Minister of State for Interior Tallal Chaudhry will visit the provinces to resolve any issues arising during the repatriation process.

In addition, all arrangements for the repatriation of Afghan Citizen Card holders have been completed, Naqvi said, adding that a door-to-door awareness campaign is underway, and the mapping of Afghan Citizen Card holders has been finalized.
Holding centers, food provisions, and healthcare facilities have also been arranged for those returning, he said.

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