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MSF reports basic medical needs of Afghans are not being met

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Médecins Sans Frontières/Doctors Without Borders (MSF) on Tuesday said despite the international community having touted the achievements of Afghanistan’s health care delivery model, strong evidence shows that the health system is unable to meet the basic medical needs of Afghans.

“Public health facilities in Afghanistan are under-funded and under-resourced, lacking qualified personnel, equipment, medicines and medical supplies.”

In a briefing paper published Tuesday MSF said Afghans today are struggling to access basic healthcare facilities as a result of violence and insecurity, poverty, and an under-funded and under-resourced health system.

“Every day, Afghans must undertake dangerous journeys across active frontlines and mined roads, through checkpoints and areas controlled by armed groups to seek medical care.

“They are often unable or too afraid to leave their homes, and, when medical emergencies happen, such delays can prove fatal.”

MSF also stated that healthcare facilities in Afghanistan are attacked more often than almost anywhere in the world, forcing their temporary or permanent closure and depriving millions of access to vital medical services.

“In addition to creating a climate of fear, such attacks severely limit access to vital medical services by forcing health providers to suspend or discontinue activities,” MSF reported.

Citing World Health Organization (WHO) findings, MSF stated that up to three million people were deprived of essential health services in Afghanistan in 2020 as a result of health facilities forced to close by parties to the conflict.

In addition, the organization said the humanitarian crisis, compounded by the health and socioeconomic shocks of the COVID-19 pandemic, is worsening throughout the country.

According to MSF, the COVID-19 pandemic has worsened the financial hardship for Afghans and that many have lost their livelihoods as a result of border closures, reduced commercial activity and job losses, and are receiving less in overseas remittances.

“Direct medical and non-medical costs put healthcare further out of reach for people living in poverty,” the report stated.

MSF stated that in recent years, “the international community has touted the achievements of Afghanistan’s health care delivery model, despite strong evidence that the health system is unable to meet Afghans’ basic medical needs.”

“Public health facilities in Afghanistan are under-funded and under-resourced, lacking qualified personnel, equipment, medicines and medical supplies.”

Actors, such as MSF, have stepped in to fill important gaps in health service provision. “However, the situation is not sustainable, as humanitarian needs multiply and add further pressure on already overburdened medical facilities,” MSF reported.

The organization also warned that national and international stakeholders must recognise that basic services, such as healthcare, are insufficient and incapable of addressing Afghans’ immediate needs, and that now is not the time to reduce humanitarian support to Afghanistan.

“Access to quality and affordable medical care for all must be made an urgent priority,” MSF said.

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Afghanistan’s future depends on inclusive progress and sustained international engagement: UNAMA

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Five years after the Islamic Emirate returned to power, the United Nations Assistance Mission in Afghanistan (UNAMA) said on Thursday that improved security has brought some benefits to Afghans but warns that major challenges continue to hinder the country’s long-term stability and international reintegration.

In a statement, UNAMA said the decline in armed conflict has created greater opportunities for recovery, development and regional economic cooperation. It also pointed to the ban on opium poppy cultivation as one of the positive steps taken in recent years.

However, the UN said severe restrictions on women and girls, along with ongoing concerns over terrorism, remain major obstacles to Afghanistan’s progress toward lasting peace and closer relations with the international community.

“The last five years have shown that Afghans deeply value peace and stability after decades of war,” said Georgette Gagnon, UNAMA’s Deputy Special Representative of the Secretary-General and Officer-in-Charge.

“But sustainable peace and prosperity require more than just an absence of conflict. Afghanistan’s future depends on building a society in which the rights and potential of all Afghans are realised and institutions are responsive and accountable,” she said.

Since 2021, the United Nations has continued to engage with the de facto authorities while providing humanitarian assistance, supporting basic services and addressing political and human rights issues.

UNAMA said this engagement has helped maintain a degree of stability and provided a possible pathway for Afghanistan’s gradual reintegration into the international community, based on respect for human rights and the inclusion of all Afghans.

The UN mission called on the IEA to lift restrictions on women and girls and allow them to participate fully in education, employment and public life. It also urged greater protection of fundamental rights and freedoms and action to address international concerns over security and terrorism.

UNAMA warned that restrictions on women and girls are imposing serious social and economic costs on Afghanistan and causing both immediate and long-term harm to the population.

The restrictions have also become a major barrier to wider international engagement and investment. UNAMA said limits on civic space, freedom of expression and the work of female humanitarian and UN personnel further reduce Afghanistan’s ability to benefit from international support.

Meanwhile, terrorism-related concerns continue to complicate Afghanistan’s relations with neighbouring countries and the wider international community. Although engagement with regional countries has created some economic opportunities, the UN said broader international cooperation is needed to address risks threatening stability in Afghanistan and the region.

UNAMA urged the international community to maintain principled and practical engagement with Afghanistan and to support the aspirations of its people.

The UN mission said a comprehensive approach focused on inclusion, human rights, security and economic development would be essential for Afghanistan to achieve lasting stability and gradually reintegrate into the international community.

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UN: Two staff members detained in Afghanistan’s Herat

The Islamic Emirate of Afghanistan has not yet commented on the situation.

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Two Afghan staff members of the United Nations Assistance Mission in Afghanistan (UNAMA) were detained by Islamic Emirate officials on Sunday, August 9, in Afghanistan’s western city of Herat, according to Farhan Haq, Deputy Spokesperson for the UN Secretary-General.

Speaking at the UN’s noon briefing, Haq said UNAMA had not been informed of the charges against the two staff members and had not been permitted to visit them.

“UNAMA has called on the de facto authorities to ensure compliance with the privileges and immunities of the United Nations and its officials,” Haq said.

He added that UNAMA operates under a clear mandate from the UN Security Council and is engaging with the de facto authorities regarding the detentions.

Haq said there was no further update on the situation at the time of the briefing and that the UN would provide updates on any developments.

The Islamic Emirate of Afghanistan has not yet commented on the situation.

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Khalilzad says Qatar’s approach to women is smarter than IEA policy

He described Qatar’s approach as “a much smarter” one than the policy adopted by the IEA leadership in Afghanistan.

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Zalmay Khalilzad, the former U.S. Special Representative for Afghanistan, has praised the role of Qatari women in the country’s development, contrasting it with the IEA’s policies toward women in Afghanistan.

“Qatari women are contributing to their country’s progress and prosperity. They are educated and hold significant positions,” Khalilzad said in a post on X.

He described Qatar’s approach as “a much smarter” one than the policy adopted by the IEA leadership in Afghanistan.

“When you have much work to do and many problems, how is it a good idea to operate at half-capacity?” Khalilzad asked.

Referring to Qatar, he said the country’s results speak for themselves, describing it as beautiful, peaceful and widely respected, while also noting its religious character.

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