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Red Cross set to end funding at 25 hospitals in Afghanistan

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The International Committee of the Red Cross (ICRC) is likely to end the financial running of 25 Afghan hospitals by the end of August due to funding constraints, a spokesperson told Reuters, amid growing concerns over a plunge in aid to Afghanistan.

"Although we continue to engage with government ministries, donors, and organisations to find alternative sustainable support mechanisms for the hospital sector, the phase-out of the Hospital Program is expected to happen tentatively at the end of August," Diogo Alcantara, ICRC's spokesperson for Afghanistan, told Reuters on Thursday.

"The ICRC does not have the mandate nor the resources to maintain a fully functioning public health-care sector in the longer term," Alcantara said.

In April, ICRC said its governing board approved 430 million Swiss francs ($475.30 million) in cost reductions over 2023 and early 2024 and a rolling back of operations in some locations as budgets for humanitarian aid were expected to decrease.

"The financial difficulties the ICRC is facing have sped up, in transparency with Islamic Emirate of Afghanistan (IEA) authorities, the expected return of the full responsibilities of the health services to the Ministry of Public Health," Alcantara said, referring to the Taliban administration.

The program's end comes amid growing concerns over cuts to Afghanistan's humanitarian aid, two years after the IEA took over and most other forms of international assistance, which formed the backbone of the economy, were halted.

The Geneva-based organisation would continue its other Afghanistan health programs, including rehabilitation support for people with disabilities, Reuters reported.

A spokesman for the health ministry did not respond to request for comment.

It was not clear how much was needed to pay for the operations, which fund salaries and other costs at many of Afghanistan's major hospitals serving millions of people, and if IEA authorities could cover that amount from the fiscal budget.

An Afghan finance ministry spokesman said this year's budget had been finalised, but not publicly released.

The hospitals have been supported by ICRC since a few months after foreign forces left in August 2021.

Development funding was cut to Afghanistan as the IEA - which has not formally been recognised by any country - took over the country. The sudden financial shock imperilled critical public services including health and education.

The ICRC and other agencies including the U.N. stepped in to try to fill gaps.

"The (ICRC) took this decision back then to save the healthcare system from collapsing due to the financial crises that Afghanistan was experiencing and because many development agencies and other organisations left the country while the ICRC stayed," Alcantara said.

The ICRC hospital program had originally covered 33 hospitals, eight of which have already been phased out, paying for the salaries of over 10,000 health workers and some medical supplies. The hospitals provided thousands of beds and served areas encompassing more than 25 million people - over half the population.

Neighbouring Pakistan is closely watching the development, a senior government official told Reuters. Pakistan, a major destination for healthcare for Afghans, routinely has thousands of medical visa applications lodged with its embassy, officials said.

"We are concerned about a further influx of medical patients," said the Pakistani official, who declined to be identified to speak openly about sensitive diplomatic issues.

Pakistan's foreign office did not reply to request for comment.

There is growing alarm over cuts to aid to Afghanistan, where the U.N. humanitarian plan for 2023 is only 25% funded, even after requested budget was downgraded from $4.6 billion to $3.2 billion.

Diplomats and aid officials say concerns over IEA restrictions on women alongside competing global humanitarian crises are causing donors to pull back on financial support. The Islamic Emirate has ordered most Afghan female aid staff not to work, though granted exemptions in health and education.

Almost three-quarters of Afghanistan's population are now in need of humanitarian assistance, according to the aid agencies.

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U.S. House approves bill on evacuation of Afghan allies

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The U.S. House Of Representatives has passed a legislation on evacuation of Afghans who assisted Americans during the 20-year war in Afghanistan.

“The passage of the CARE Authorization Act of 2024 further underscores the commitment made by the U.S. government to safeguard those who served shoulder-to-shoulder with our personnel during the twenty-year mission in Afghanistan,” Congresswoman Dina Titus said in a statement.

“The State Department has made it clear: There is no deadline for the crucial job of protecting Afghan allies. By authorizing the Coordinator for Afghan Relocation Efforts at the State Department, we can more effectively relocate and resettle those who have qualified to immigrate to the U.S. as a result of their service to this country.”

In 2022 the State Department established a specialized office called the Coordinator for Afghan Relocation Efforts (CARE) to streamline and coordinate the ongoing relocation and resettlement process for eligible Afghans from Afghanistan and Pakistan to the United States.

The CARE Authorization Act of 2024 will formally authorize the CARE office at the State Department for three years and grant important authorities to advance its mission. These include an extension of authorities to enter into personal services contracts as well as measures to streamline the transfer of funds to and from other agencies involved in the Afghan relocation mission.

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Mujahid says IEA stands with media outlets

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The Islamic Emirate’s spokesman Zabihullah Mujahid says the acting government is committed to supporting media outlets and they can operate within the framework of Islamic Sharia and national interests.

Marking World Television Day on Thursday, November 21, Mujahid said: “The Islamic Emirate of Afghanistan supports the media in general. Media can operate within the framework of Islamic Sharia and national interests.”

“As far as we are able, we cooperate with the media and the Afghan media currently have publications and they are broadcasting their publications well,” he added.

The United Nations General Assembly named November 21 as World Television Day in 1996.

“Since IEA’s takeover, of 184 national and local televisions, 57 television stations were shut down due to economic problems,” said Hojatullah Mujadadi, the head of Afghanistan Free Journalists' Association (AFJU).

Currently, about 370 visual, audio and print media are active in the country.

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Baradar says water crisis has negatively impacted relations between nations

Baradar expressed regret that although Afghanistan has vast water resources, effective and professional management has not been carried out in this area.

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Deputy Prime Minister for Economic Affairs, Mullah Abdul Ghani Baradar, said on Thursday that the ongoing water crisis in the country has not only made neighboring countries face the problem of water scarcity, but it has also had a negative impact on political and economic relations between Afghanistan and these countries.

Speaking at a seminar held by the Ministry of Energy and Water, Baradar said that although water is a renewable natural resource, the shortage of water due to climate change, the increase in the level of water pollution, the growing demand of the people and its excessive consumption affects the country.

He expressed regret that although Afghanistan has vast water resources, effective and professional management has not been carried out in this area.

“It is now the responsibility of the Islamic Emirate of Afghanistan to fulfill its national duty for the optimal management of the country’s water resource,” Baradar said.

“With firm determination, we aim to use all available means to ensure sustainable development in water management.”

Last month, the United Nations Children's Fund (UNICEF) also warned that Afghanistan is experiencing a severe water crisis, and if no action is taken, Kabul’s underground water resources could be depleted by 2030.

In a message on X, UNICEF reported that Roza Otunbayeva, head of the United Nations Assistance Mission in Afghanistan (UNAMA), and Tajudeen Oyewale, head of UNICEF Afghanistan, visited a Kabul district to assess the city's water supply network.

Both officials expressed concern over the worsening water shortage problem in the capital.

"Water is life," UNICEF stated, emphasizing that rapid urbanization and climate change are accelerating the depletion of groundwater in Kabul.

“If we don't act now, we cannot stop this process."

The rapid population growth, unplanned construction of high-rise buildings, urban development without proper planning, and the excessive use of underground water resources are major factors contributing to the decline in both the quantity and quality of groundwater in Kabul.

Although Kabul has faced water shortages for years, the crisis has become more severe in recent times.

However, the Islamic Emirate is making concerted efforts to resolve the problem and thwart the crisis.

Three weeks ago, the office of the Deputy Prime Minister for Economic Affairs, said in a statement that plans to construct a total of 355 water reservoirs across the country were being implemented.

According to the statement, of the 355 dams, a number of them have already been completed and inaugurated while others are under construction.

Of these reservoirs, 138 are being constructed by the Ministry of Agriculture, Irrigation, and Livestock; 117 by the Ministry of Water and Energy; and 100 by the Ministry of Rural Rehabilitation and Development.

All of these dams are being funded by the Islamic Emirate of Afghanistan, the statement read.

The reservoirs are being constructed in numerous provinces to manage rainwater, prevent flooding, strengthen groundwater levels and for use by communities.

Iran’s water share

Late last year, Iranian Energy Minister Ali Akbar Mehrabian warned that if Afghanistan does not ensure Tehran receives its rightful amount of water from Helmand River, Iran will use legal and international means to resolve the problem.

Mehrabian stressed that Helmand River water is Iran's indisputable right, and that Iran takes the matter seriously.

“Water right is Iran's right and it is necessary to release it. Ensuring water rights is not optional, but it is mandatory based on the international treaty of 1351. Pursuing this matter is Iran's absolute right and we will not fail in this regard. The recent rains should cause the release of our water, and if not, we will take serious action based on international laws,” stressed Mehrabian.

At the time, the Islamic Emirate said it was committed to providing Iran with water from the Helmand River but due to drought, there is not enough water in the river to give Iran its share.

The Helmand River Water Treaty was signed between Afghanistan and Iran in 1973, according to which Iran has the right to receive 850 million cubic meters of water from Afghanistan annually.

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