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MSF urges Pakistan to halt forced returns of Afghan refugees
The medical charity said refugees have reported delaying or foregoing essential treatment because they fear documentation checks at healthcare facilities, leading to preventable health complications,
Médecins Sans Frontières (MSF), also known as Doctors Without Borders, has called on Pakistan to immediately halt the forced return of Afghan refugees and introduce humanitarian exemptions for those in need of international protection, warning that ongoing deportations are worsening an already fragile humanitarian situation.
In a statement released on Tuesday, MSF said Pakistan’s Illegal Foreigners Repatriation Plan (IFRP) has significantly restricted Afghan refugees’ access to healthcare, with many avoiding hospitals and clinics due to fears of arrest and deportation.
The medical charity said refugees have reported delaying or foregoing essential treatment because they fear documentation checks at healthcare facilities, leading to preventable health complications,
including severe child malnutrition and pregnancy-related emergencies.
MSF cited the case of an Afghan refugee identified as Najib, who said he was arrested during a police raid despite carrying a valid Proof of Registration (PoR) card. According to the organization, the incident caused severe emotional distress for his pregnant wife, who later suffered a miscarriage after delaying medical treatment because the family feared further arrests.
The organization also warned that the deportation campaign has disrupted refugees’ livelihoods, leaving many families without income while living under constant uncertainty and the threat of removal.
MSF said its mobile clinics in Quetta, Balochistan, recorded alarming levels of acute malnutrition among Afghan refugee children earlier this year. Of the children screened, 33.3 percent were found to be suffering from global acute malnutrition, including 7.6 percent with severe acute malnutrition and 25.7 percent with moderate acute malnutrition.
Nearly 90 percent of the malnourished patients treated were Afghan refugees, the majority of them women and children.
Pakistan launched the IFRP in November 2023, initially targeting undocumented Afghan nationals before expanding the policy to include holders of Afghan Citizen Cards (ACC) and Proof of Registration (PoR) cards. On July 10, authorities ordered the immediate arrest and accelerated deportation of Afghan nationals without valid visas.
Quoting figures from the UN Refugee Agency (UNHCR), MSF said more than 2.5 million Afghans have returned from Pakistan under the repatriation plan, many of them involuntarily.
The organization added that the United Nations has identified more than 70,000 Afghan refugees who could face serious risks if returned to Afghanistan.
MSF warned that Afghanistan’s healthcare system is struggling to cope with the return of an estimated six million Afghans from Pakistan and Iran between 2023 and 2026. Reduced international aid, economic hardship and limited healthcare services are placing additional strain on returnees and host communities, it said.
Assessments conducted by MSF in informal returnee settlements in Kandahar found inadequate access to healthcare, poor shelter conditions, widespread undernutrition and insufficient sanitation, increasing the risk of disease outbreaks.
Marko den Hartogh, MSF’s Head of Mission in Pakistan, urged Islamabad to uphold its long-standing support for Afghan refugees by establishing formal protection mechanisms for those most at risk.
“This must include women and girls, children, the elderly, people with disabilities, those needing urgent or long-term medical care, refugees awaiting resettlement, and others at heightened risk of marginalization, discrimination, or persecution,” he said.
MSF also called on all countries hosting Afghan refugees to suspend involuntary returns and ensure that any repatriation is voluntary, safe, dignified and carried out in accordance with international humanitarian obligations.
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IEA rejects claims of al-Qaeda presence in Afghanistan
The Islamic Emirate of Afghanistan (IEA) has rejected reports alleging that al-Qaeda and other militant groups are regrouping in the country, saying such groups are no longer present and that there is no evidence supporting the claims.
Hamdullah Fitrat, deputy spokesman for the Islamic Emirate, said groups that had previously been present in Afghanistan were linked to the circumstances and jihad of an earlier period, but that major regional developments had since changed the situation.
“Those groups are no longer present in Afghanistan, nor is there any need for their presence. There is also no evidence to prove the claims about their presence,” Fitrat said.
The comments came after The Washington Post reported Saturday, citing US and Western security officials and a United Nations organization, that al-Qaeda and other militant groups have been rebuilding their networks in Afghanistan since the Islamic Emirate returned to power in 2021.
Fitrat said such claims are made by certain intelligence circles that seek to portray Afghanistan as insecure and to make the region insecure.
He reiterated that the IEA will not allow Afghanistan’s soil to be used against any other country.
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Mujahid states Kabul seeks stronger ties with region and beyond
According to figures from Afghanistan’s Ministry of Foreign Affairs, the Islamic Emirate currently has 40 active diplomatic missions in different countries.
The Islamic Emirate says it is seeking to strengthen and expand Kabul’s relations with countries in the region and beyond, with its foreign policy focused on economic cooperation and regional connectivity.
Zabiullah Mujahid, spokesman for the Islamic Emirate, says Afghanistan’s current government has managed to establish trust-based relations with countries in the region and around the world over the past five years.
Mujahid says visits by senior officials from several countries to Afghanistan, along with expanding trade relations with a number of countries, demonstrate the growing trend of these interactions.
The Islamic Emirate spokesman stresses that Afghanistan needs the cooperation and effective role of neighboring and regional countries to strengthen regional cooperation and achieve its economic and regional connectivity objectives.
He also says the Islamic Emirate is seeking to further expand and consolidate Kabul’s relations with countries in the region.
According to figures from Afghanistan’s Ministry of Foreign Affairs, the Islamic Emirate currently has 40 active diplomatic missions in different countries.
Meanwhile, a number of international relations experts state that expanding Afghanistan’s engagement with the world could help reduce political isolation, strengthen diplomatic ties, attract investment, and ultimately foster the country’s economic growth.
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Khalilzad warns US risks losing influence in Afghanistan to China and Russia
Khalilzad also warned that continued restrictions on women’s and girls’ access to education and employment could have serious consequences.
Former US Special Representative for Afghanistan Zalmay Khalilzad has warned that Washington risks creating a vacuum in Afghanistan that could be filled by China and Russia if the United States does not re-engage with the country.
Speaking to Al Jazeera, Khalilzad said maintaining stability in Afghanistan remains in the US interest, warning that a return to collapse and chaos could once again create conditions for terrorist groups to expand and pose threats to the United States.
“If we do not engage and try to advance our interests, then our rivals will fill the vacuum,” Khalilzad said.
He pointed to growing Chinese and Russian engagement with Afghanistan, saying China is seeking access to the country’s natural resources while Russia has also become increasingly active.
Khalilzad said US policy should take Afghanistan’s current circumstances and future direction into account, including what Washington wants the country to look like in the years ahead.
He identified preventing Afghanistan from again becoming a base for anti-US terrorist groups as one of Washington’s key interests.
“Economic progress is important to achieving this goal, and developing Afghanistan’s resources is also important,” he said.
Khalilzad also warned that continued restrictions on women’s and girls’ access to education and employment could have serious consequences.
Meanwhile, Islamic Emirate spokesman Zabiullah Mujahid said Kabul and Washington have held talks through various channels on several occasions.
However, Mujahid said the absence of changes in US policy towards Afghanistan has prevented the discussions from producing meaningful progress in relations between the two sides.
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