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Cut in foreign aid proving a challenge for Afghan health sector

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Afghanistan’s Ministry of Public Health said 90 percent of foreign aid to the health sector has been cut, which has resulted in serious challenges.

Addressing a press conference on Saturday in Kabul, Abdul Bari Omar, the deputy minister of health, said that despite the challenges, health centers are open across the country.

“They (foreign organizations) skip all their commitments, a crisis was created here. If it was to happen under the former government, they (former government) would also have faced such a crisis,” said Omar.

This comes as the Omicron variant of COVID-19 continues to spread rapidly across the world. However, the health ministry said they want to curb the spread of the virus.

“It (new variant of COVID-19) has arrived in Pakistan; we call on international organizations to help us curb the spread of the virus. We are ready and have COVID-19 medicine,” added Omar.

Omar also noted that under the old government, 3.5 million people turned to drugs and became addicted.

Afghans meanwhile say services in government-run hospitals are bad.

“It (services) is not good, it is worse,” said Yousef, a relative of a patient currently in hospital.

“Doctors are trying [to save lives of patients]. We buy drugs at the bazaar. Our patient’s situation is not good,” said Jafar, another relative of a patient.

This comes after the World Health Organization (WHO) warned last month that unless help is provided, the Afghanistan health sector could collapse.

According to WHO, Afghan health centers face a critical shortage of medicines and medical supplies.

Health

Health services to be expanded urgently for return refugees at Torkham border

Since 1 April at least 44,900 people have returned, with around 58% of them children, according to the UN Refugee Agency (UNHCR).

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Afghanistan’s health ministry said Tuesday it is expanding health services at Torkham in Nangarhar to cope with the growing number of returning refugees from Pakistan.

According to a statement issued by the ministry, a coordination meeting was recently held to discuss the expansion of health services.

The meeting was chaired by Mawlawi Aminullah Sharif, Director of Public Health in Nangarhar Province, and attended by representatives from various organizations including the World Health Organization (WHO), UNICEF, and other partners.

The meeting focused on improving emergency preparedness and response, enhancing healthcare support for returnees, and addressing current operational challenges, the statement read.

Officials emphasized the urgent need to strengthen health service delivery in response to the growing number of returning citizens.

As a key outcome, participants agreed to increase the number of health facilities and medical staff at the border. This decision aims to ensure timely access to medical care for all returnees and to better manage the health-related pressures caused by the ongoing influx.

Tens of thousands of Afghans are facing dire conditions in makeshift camps after crossing the border from Pakistan, an Islamic Relief assessment team reported on Monday.

“Many are arriving in Afghanistan without any shelter, food, cash or water, and families told us they had to leave all their possessions – including animals and household utensils – behind as they cannot afford to bring them,” Islamic Relief said in the report.

Ramin Sadat from Islamic Relief was part of an assessment team at the Torkham border crossing in eastern Afghanistan. He said this new wave of returning refugees “is unlike anything I’ve seen before. People arrive in droves, covered in dust, crammed onto trucks, and facing a barren border with no basic services in sight. The first thing that greets them is a harsh, windy storm swirling with dust.”

Tens of thousands of families are expected to arrive in the coming days and months, in the wake of the Pakistan government’s announcement that all undocumented individuals and holders of Afghan Citizen Cards (ACC) must leave the country by 31 March 2025 or face deportation.

Since 1 April at least 44,900 people have returned, with around 58% of them children, according to the UN Refugee Agency (UNHCR).

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Aid cuts could leave more women dying in pregnancy and birth, UN says

The cuts have had “pandemic-like effects” on health systems globally and could have a “more structural, deep-seated effect”, says WHO director

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Cuts to aid budgets are threatening to undermine years of progress in reducing the number of women dying during pregnancy and childbirth, and could lead to a rise in deaths, the United Nations has warned.

Globally, there was a 40% decline in maternal deaths between 2000 and 2023, a report by UN agencies including the World Health Organization (WHO) showed on Monday, largely due to better access to essential health services.

That could now go into reverse, the WHO said in a statement accompanying the report which did not mention specific cuts but came in the wake of a foreign aid freeze by the U.S. government and the ending of funding through the United States Agency for International Development (USAID) for many programmes.

Other donor countries including Britain have also announced plans to cut aid budgets.

“One of the headline messages is that the funding cuts risk not only that progress, but we could have a shift backward,” said Dr Bruce Aylward, Assistant Director-General, Universal Health Coverage at the WHO.

The cuts have had “pandemic-like effects” on health systems globally and could have a “more structural, deep-seated effect,” Aylward added.

The WHO said the cuts were already rolling back vital services for maternal, newborn and child health in many countries, reducing staff numbers, closing facilities and disrupting supply chains for supplies including treatments for hemorrhage and pre-eclampsia.

Cuts to other areas, such as malaria and HIV treatment, would also impact maternal survival, the UN said.

Even before the aid cuts led by the United States, things were backsliding in some countries, and progress has slowed globally since 2016, the report said.

In 2023, despite recent progress, a woman still died roughly every two minutes – around 260,000 in total that year – from complications that were mainly preventable and treatable, it added.

The situation was particularly bad in countries affected by conflict or natural disaster, although the U.S. itself is one of only four countries to have seen its maternal mortality rate increase significantly since 2000, alongside Venezuela, the Dominican Republic and Jamaica.

The COVID-19 pandemic also had an impact, the report said: 40,000 more women died due to pregnancy or childbirth in 2021, bringing the total number of deaths that year to 322,000.

“While this report shows glimmers of hope, the data also highlights how dangerous pregnancy still is in much of the world today – despite the fact that solutions exist,” WHO Director-General Tedros Adhanom Ghebreyesus said.

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Global organizations warn of health crisis due to aid cuts in Afghanistan

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Global organizations are raising alarms about the impact of aid cuts on Afghanistan’s health sector and the reduction in funding for humanitarian organizations operating in the country.

UN-affiliated bodies have stated that the complete suspension of aid from the United States and the reduction of the 2025 budget could lead to the closure or suspension of nearly 2,000 healthcare centers across Afghanistan.

The United Nations Office for the Coordination of Humanitarian Affairs (OCHA) has further warned that if only 25 percent of the required funding is provided, 7 million out of the 9.3 million people in need of medical services will be left without access to healthcare.

The report highlights that without immediate and sufficient funding, child mortality rates could rise sharply, as malnutrition remains one of the leading causes of death for children under the age of five.

The World Food Programme (WFP) has also warned that Afghanistan is facing a severe malnutrition crisis among children, with the number of malnourished children expected to reach 3.5 million by 2025.

Recent reports from the WFP reveal that 8 out of 10 families in Afghanistan are unable to afford a sufficient diet, and 3 out of 4 families are being forced to borrow money to purchase basic food items.

UN agencies have stressed the urgent need for the international community to address the humanitarian crisis in Afghanistan and provide the necessary aid.

This comes after Afghanistan’s Ministry of Economy dismissed reports from some international organizations about the growing poverty in the country, labeling them as exaggerated and far from reality.

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