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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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Ministries of Public Health and Higher Education sign cooperation agreement

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The Ministry of Public Health announced on Tuesday it has signed a cooperation agreement with the Ministry of Higher Education aimed at expanding scientific, research, educational, and technical cooperation.

At the signing ceremony held in Kabul, Noor Jalal Jalali, Minister of Public Health, said that the agreement would lead to significant improvements in the capacity-building of students and doctors, ensure that research is conducted based on evidence, and enable the collection of accurate data.

Meanwhile, Neda Mohammad Nadeem, Minister of Higher Education, described the agreement as beneficial to the public and to both institutions, stressing the need to train individuals at universities who can contribute to social development and make the country self-sufficient in the public health sector.

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UNAMA holds new round of Working Group meetings on counter-narcotics and private sector

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The United Nations Assistance Mission in Afghanistan (UNAMA) has convened a new round of Doha Process Working Group meetings focusing on counter-narcotics and private sector development.

The meetings, held in Kabul on February 3 and 9, brought together representatives of UN member states and international organizations, officials of the Islamic Emirate, and subject-matter experts.

According to UNAMA, discussions in the counter-narcotics working group centered on efforts by Islamic Emirate authorities and the international community to support alternative livelihoods for Afghans previously dependent on poppy cultivation and the illicit opium trade. Participants also reviewed drug-use prevention and treatment initiatives, as well as law-enforcement measures to curb narcotics production and trafficking.

The private sector working group focused on job creation and entrepreneurship, with particular attention to women’s participation in the private sector, market integration, access to finance, and the development of private banking and financial infrastructure.

UNAMA said both working groups identified priority areas for enhanced engagement and explored more effective and sustainable approaches to supporting Afghan men and women. Participants also examined the linkages between the two areas, noting that private sector development is a key source of livelihoods, while counter-narcotics efforts contribute to Afghanistan’s economic and social stability.

The working groups were established following the third Meeting of Special Envoys held in Doha, Qatar, in June and July 2024, in line with recommendations of the Independent Assessment endorsed by the UN Security Council. The process aims to promote more coherent, coordinated, and structured engagement with Afghanistan’s de facto authorities for the benefit of the Afghan people.

UNAMA added that stakeholders engage in the working groups on an ongoing basis, with full-format meetings convened periodically. Since their establishment, the groups have improved information-sharing, helped mobilize additional resources, and facilitated expert exchanges to strengthen support for the Afghan people.

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Economic Commission approves national policy for development of agriculture

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At a regular meeting of the Economic Commission chaired by Mullah Abdul Ghani Baradar, Deputy Prime Minister for Economic Affairs, the National Policy for the Development of the Agriculture and Livestock Sector was approved.

According to a statement from the deputy PM’s office, the key objectives of the policy include the mechanization of the agriculture and livestock sector; development of agricultural, irrigation, and livestock research and extension systems; management of irrigation systems; support for investment in these sectors; and ensuring public access to high-quality agricultural and animal products.

During the same meeting, the development plan for the fish farming sector was also approved.

Under this plan, through private sector investment, 7,700 small, medium, and large fish production and farming facilities will be established on 6,500 hectares of land in various parts of the country.

The statement added that the implementation of this plan will create direct employment opportunities for 50,000 people and indirect employment for 250,000 others.

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