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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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Afghan, Malaysian PMs discuss situation between Kabul and Islamabad

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Mullah Mohammad Hassan Akhund, Prime Minister of the Islamic Emirate, in a telephone conversation initiated by Mohammad Anwar Ibrahim, Prime Minister of Malaysia, discussed regional developments, particularly the recent situation between Pakistan and Afghanistan.

Zabihullah Mujahid, spokesperson for the Islamic Emirate, said in a statement that Hassan Akhund stated during the call that the Islamic Emirate of Afghanistan’s principled position is clear and that it believes in resolving issues through mutual understanding and cooperation.

Hassan Akhund added that during Eid al-Fitr, at the request of Saudi Arabia, Turkey, and Qatar, the Islamic Emirate demonstrated its goodwill by respecting a pause in defensive operations.

He stated that violence benefits no party and that actions that increase tensions should be avoided, emphasizing that wisdom and rationality must guide efforts to resolve problems.

He also expressed concern over rising regional tensions following the US and Israeli attacks on Iran.

The Malaysian Prime Minister also expressed concern about the regional situation and hoped that the temporary halt in hostilities between Afghanistan and Pakistan would continue, and that existing problems could be resolved through sincere negotiations and understanding.

He added that Malaysia aims to play a positive role in facilitating understanding between both parties.

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Iranian naval commander Alireza Tangsiri killed in airstrike, says Israel

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Israel’s defence minister says that an Israeli air strike has killed Alireza Tangsiri, commander of the Iranian Revolutionary Guards’ navy.

The killing was carried out “last night, in a precise and lethal operation” and targeted other “senior officers of the naval command”, said Israel Katz, in a video statement.

“The man who was directly responsible for the terrorist operation of mining and blocking the Strait of Hormuz to shipping was blown up and eliminated,” he claimed.

Since the start of the joint US-Israeli war on Iran on February 28, Israel has announced the assassination of several top Iranian officials, including Supreme Leader Ali Khamenei and the Islamic Republic ‘s powerful security chief, Ali Larijani.

Al Jazeera’s Tohid Asadi, reporting from Tehran, said there was no official Iranian confirmation yet of Tangsiri’s killing.

“But if it’s true it’s going to be another major blow for a country that has already experienced a lot of military commanders being killed” since the war began, he said.

The head of the Basij paramilitary forces, Brigadier General Gholamreza Soleimani, and Intelligence Minister Esmail Khatib were also assassinated in Israeli attacks.

Moreover, in recent days, Israeli forces have carried out several strikes targeting the naval assets of Iran.

Last week, Israeli airstrikes hit several Iranian naval ships in the Caspian Sea, including ones equipped with missile systems, support vessels, and patrol craft.

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Tajikistan shifts stance on Afghanistan amid rising border tensions

Earlier this month, Tajik lawmakers approved a $57 million deal for China to finance and build nine new border posts, underscoring Beijing’s expanding role in regional security.

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A surge in violence along the Tajikistan–Afghanistan border is prompting Tajikistan to recalibrate its policy toward Afghanistan, combining tighter security measures with cautious diplomatic engagement.

Earlier this month, Tajik lawmakers approved a $57 million deal for China to finance and build nine new border posts, underscoring Beijing’s expanding role in regional security.

The move follows a series of deadly incidents, including attacks that killed five Chinese nationals and clashes with smugglers that left several Afghan civilians and Tajik guards dead.

The violence reflects growing instability along the rugged frontier, much of it tracing the Panj River, with armed incidents rising sharply and drug seizures increasing significantly, according to Tajik authorities.

Alongside bolstering border infrastructure, Dushanbe is stepping up engagement with the Islamic Emirate. Recent months have seen unprecedented high-level contacts, including calls and meetings between Amir Khan Muttaqi and Sirojiddin Muhriddin, as well as talks with Tajik envoy Sadi Sharifi.

Once a staunch critic of the Islamic Emirate, Tajikistan’s President Emomali Rahmon’s government is gradually adopting a more pragmatic approach. Since the reopening of border markets in 2023, trade and security contacts have quietly expanded, with officials now openly acknowledging cooperation on energy and border security.

Analysts say the shift reflects a mix of rising security threats, regional pressure from partners like China and Russia, and the reality that the Islamic Emirate remain firmly in control in Kabul. While China funds infrastructure and Russia continues to support military training, experts describe the arrangement as a “division of labor” rather than a shift in regional influence.

Despite lingering concerns, observers note a clear warming in ties between Dushanbe and Kabul, driven as much by necessity as by strategy.

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