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WHO’s chief calls for ‘engagement’ to prevent collapse of health sector

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World Health Organization Director General Tedros Adhanom Ghebreyesus said on Thursday that the health system in Afghanistan is on the brink of collapse and called on the international community to engage with the new rulers, the Islamic Emirate of Afghanistan (IEA).

Giving a report back following his visit to Kabul this week, Ghebreyesus said: "In Afghanistan, we met with senior members of the Taliban (IEA) leadership, including the interim Prime Minister Mullah Mohammad Hasan Akhund. I believe that engaging the Taliban (IEA) leadership is essential if we are to support the people of Afghanistan.”

Ghebreyesus said that the health system in Afghanistan is on the brink of collapse.

"Over the past 20 years, significant health gains have been made in Afghanistan, in reducing maternal and child mortality, to end polio, and more. Those gains are now at severe risk, with the country’s health system on the brink of collapse,” he said.

According to him, almost 50% of children in Afghanistan are at risk of malnutrition and the country is facing an imminent humanitarian catastrophe unless urgent action is taken.

"There has been a surge in cases of measles and diarrhea; almost 50% of children are at risk of malnutrition; a resurgence of polio is a major risk; and 2.1 million doses of COVID19 vaccine remain unused,” Ghebreyesus said.

Ghebreyesus also raised his concern over the exodus of health workers from the country.

"Health workers are leaving, creating a brain drain that will have consequences for years to come,” said Ghebreyesus adding that “We visited a hospital where I met some nurses who have stayed. My heart broke when they told me they have not been paid in three months, but they said they would continue to serve their patients.”

Ghebreyesus also said that education is essential for protecting and promoting health in all countries, both in terms of health literacy, and for building the health workforce.

"The Taliban (IEA) leadership has announced that primary schools are open for boys and girls, and that they are preparing to open high schools to girls. In our discussions we offered to support that process, in partnership with other UN agencies,” Ghebreyesus said.

Ghebreyesus stated that at the moment the WHO’s priority is to support and sustain the health system in Afghanistan.

"The focus of our efforts now is to support and sustain the Sehatmandi project, which is the backbone of Afghanistan’s health system, providing care for millions of people through 2,300 health facilities, including in remote areas,” Ghebreyesus said.

He called on international donors to rapidly re-commit to finance the health system in Afghanistan and said the current pause in funding has resulted in only 17% of these facilities being fully functional at the moment.

He also said two thirds of all health facilities are out of stock of essential medicines.

“As a stop-gap measure, the UNCERF and the GlobalFund are financing WHO and our partners to ensure continuity of health services for the next three months. But this is simply not enough.

"WHO is calling on international donors to rapidly re-commit to finance Sehatmandi, as they have done for almost two decades. We simply can't abruptly halt support for life-saving health services for millions of Afghans at a time when they're most vulnerable,” he said.

Ghebreyesus also announced that WHO has now shipped more than 170 metric tons of medical supplies to Afghanistan in the past few weeks.

“We also need a reliable supply chain to be established urgently. WHO was the first agency to airlift essential medicines and supplies into Afghanistan, and we have now shipped more than 170 metric tons of medical supplies,” he said.

Afghanistan is now faced with a medicine shortage crisis due to disrupted border crossings and limited operation of banks along with the stoppage of foreign transactions.

Almost all medicine in Afghanistan is imported from neighboring countries, such as Pakistan, India, Bangladesh, Iran and Turkey.

However, the border crossings between Afghanistan and its neighbors were disrupted in the lead-up to the Islamic Emirate of Afghanistan’s (IEA) takeover, and normal operations are yet to resume.

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UNICEF ensures 6.1 million people have access to basic health services in Afghanistan

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More than six million people accessed essential health and nutrition services at UNICEF-supported health facilities last month, the UN agency said in its latest Humanitarian Situation Report for September 1 to 30.

UNICEF said of the 6.1 million people who accessed essential health and nutrition services, half of them were children under the age of five.

In addition, 50 schools in 10 provinces gained access to safe water, handwashing facilities, and newly constructed or rehabilitated toilet facilities.

However, as of September, UNICEF’s Humanitarian Action for Children (HAC) appeal for children in Afghanistan is only 41 percent funded.

Afghanistan remains one of the world’s largest humanitarian crises, with 23.7 million people in need of humanitarian assistance following decades of conflict, extreme climate shocks, and severe economic decline.

UNICEF also stated that this year, 33 percent of the population receives most of their income from unsustainable income sources, compared to 26 percent in 2023.

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Polio vaccination campaign kicks off in Afghanistan

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Public Health Ministry officials have confirmed that a polio vaccine campaign across 16 provinces was launched on Monday.

Sharaft Zaman Amarkhil, the spokesperson of the Ministry of Public Health, says that the campaign got underway on Monday in a number of provinces including Kabul, Kandahar, Helmand, Uruzgan, Zabul, Farah, Nangarhar, Laghman, Kunar, Nuristan and some other provinces.

Amarkhil said the campaign will last for three days and an estimated 6.2 million children under the age of five will receive the anti-polio vaccine.

Zaman called on parents, religious scholars and ethnic elders to cooperate with the ministry's vaccinators in implementing the anti-polio vaccination campaign for children under five years old in the mentioned provinces.

The World Health Organization meanwhile published its latest Polio Bulletin on Monday and confirmed Afghanistan has recorded 23 cases of Wild Polio Virus so far this year.

Pakistan meanwhile reported two new cases this week - one in Khyber Pakhtunkhwa province and the other in Balochistan province.

Pakistan has recorded a total of 41 cases of polio so far this year, bringing the total between the two countries to 64, against last year’s total of 12 (Afghanistan 6 and Pakistan 6).
World Polio Day

Marking World Polio Day last week, UNICEF pointed out that the current data issues a stark warning that the life-threatening disease continues to thrive in areas where conflict, natural disasters, humanitarian crises, and other destabilizing factors make it difficult to deliver critical healthcare.

“In conflict, children face more than bombs and bullets; they are at risk of deadly diseases that should no longer exist,” said UNICEF Executive Director Catherine Russell.

“In many countries, we are witnessing the collapse of healthcare systems, destruction of water and sanitation infrastructure, and the displacement of families, triggering a resurgence of diseases like polio. Children are being left paralyzed, unable to walk, play, or attend school."

A global decline in childhood immunization has also led to an increase in polio outbreaks, including in countries that had been polio-free for decades.

Nowhere is this more evident than in conflict-affected areas, with 15 out of 21 such countries – including Afghanistan, Democratic Republic of Congo, Somalia, South Sudan, and Yemen – currently battling polio.

In recent months, UNICEF and partners have intensified emergency responses to surges in polio outbreaks.

In Gaza, for example, UNICEF, in partnership with WHO, reached nearly 600,000 children under 10 years during the first round of a polio vaccination campaign in mid-September. The second and final round has been successfully implemented in south and central Gaza, but renewed mass displacement and bombings have delayed the process in the north.

The campaign follows the return of polio to Gaza for the first time in 25 years.

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AIJU seals deal with private hospital for Afghan media workers

The MoU was signed during a ceremony in Kabul on Tuesday, between Hojatullah Mujadadi, the head of the union, and the director of the private hospital Abdullah Yousafzai.

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The Afghanistan Independent Journalists Union (AIJU) says it has signed a three-year memorandum of understanding (MoU) with a private hospital in Kabul to provide discounted health services to journalists.

The MoU was signed during a ceremony in Kabul on Tuesday, between Hojatullah Mujadadi, the head of the union, and the director of the private hospital Abdullah Yousafzai.

Mujadadi welcomed the move and said this was part of the union’s efforts to ensure media workers are provided with adequate health services.

According to the AIJU, media workers and their immediate families, which include their parents, siblings, spouse and children, will be entitled to substantial discounts for medical treatment at the hospital.

The AIJU said charges would be discounted by between 50% and 70% for media workers.

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