Taliban abuses, drop in aid hit Afghan health system
Afghanistan’s public health system has been hit hard following a sharp reduction in foreign assistance, coupled with serious Taliban abuses against women and girls, jeopardizing the right to health care of millions of Afghans, Human Rights Watch (HRW) said on Monday.
In a new report, the New York-based watchdog said this had left the “Afghan population increasingly vulnerable to severe malnutrition and illness,” among other effects of inadequate medical care.
The Taliban’s second takeover of Afghanistan in August 2021 drove millions into poverty and hunger after foreign aid stopped almost overnight. Sanctions against the Taliban rulers, a halt on bank transfers and frozen billions in Afghanistan’s currency reserves, have cut off access to global institutions and the outside money that supported the aid-dependent economy before the withdrawal of United States and North Atlantic Treaty Organization forces.
In 2023, the World Food Program warned that malnutrition rates in Afghanistan were at a record high, with half the country suffering from severe hunger throughout the year.
“Women and girls have been disproportionately affected by the health care crisis, particularly because of Taliban abuses,” the report said.
The Taliban have barred women from most areas of public life and work and stopped girls from going to school beyond the sixth grade as part of harsh measures they imposed after retaking power.
Taliban restrictions on women’s freedom of movement and employment have gravely limited their access to health services, the report said, while bans on education have blocked almost all training of future female health care workers in the South Asian country.
“The loss of foreign development aid and Taliban rights violations have caused a catastrophic health crisis in Afghanistan that is disproportionately harming women and girls,” the report quoted Fereshta Abbasi, HRW’s Afghanistan researcher, as saying.
“The cost of treatment and medicine has put care out of reach for many Afghans,” she added.
HRW remotely interviewed 46 Afghan AND FOREIGN AID OFfiCIALS, HEALTH CARE WORKers, and people seeking health care in 16 of Afghanistan’s 34 provinces between February 2023 and January 2024. Fifteen of the interviewees, 12 women and three men, were Afghans who had sought health care. The rights group also talked to Afghan health CARE OFfiCIALS, 10 WOMEN AND EIGHT MEN.
The Taliban government spokesmen were not immediately available to comment on the report.
While Afghans living in poverty have ALWAYS FACED DIFfiCULTIES OBTAINING HEALTH care because of costs, a rising number now struggle to pay for food and are often unable to cover the price of medicines and transportation to reach health services.
“Since the Taliban took over, the price of my medications has nearly doubled,” a 54-year-old man living with a kidney infection told HRW. “This is too much for anyone who doesn’t have a job.”
The report also cited an unnamed offiCIAL WITH THE CHARITY MERCY CORPS LAST September as telling HRW that “the humanitarian response in Afghanistan simply cannot keep pace with the country’s worsening conditions.”
The Taliban have also imposed the women’s head covering, or hijab, and strict regulations regarding the presence of a male guardian, known as mahram, further impeding women from traveling for work or receiving treatment, the report said.
It cited an unnamed doctor in the town of Samangan as saying they have been told by the Taliban “not to treat any female patient who is not accompanied by a mahram or is not in full hijab.”
“The unprecedented economic crisis in Afghanistan has meant that millions are facing life-threatening conditions,” said Abbasi. “The situation demands more than humanitarian aid; it requires sustainable efforts to avert further economic decline and alleviate the immense suffering of the Afghan population.”