ISLAMABAD (AP) 鈥� Human Rights Watch said Monday that Afghanistan鈥檚 public health system has been hit hard following a sharp reduction in foreign assistance, coupled with serious , jeopardizing the right to healthcare of millions of Afghans.
In a report, the New York-based watchdog said this has left the 鈥淎fghan population increasingly vulnerable to severe malnutrition and illness鈥� among other effects of inadequate medical care.
The 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鈥檚 currency reserves, have cut off access to global institutions and the outside money that supported the aid-dependent economy before the withdrawal of U.S. and NATO 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.
鈥淲omen and girls have been disproportionately affected by the healthcare crisis, particularly because of Taliban abuses,鈥� said the report.
The Taliban have barred women from most areas of public life and work and beyond the sixth grade as part of they imposed after taking power.
Taliban restrictions on women鈥檚 freedom of movement and employment have gravely limited their access to health services, the HRW report said, while bans on education have blocked almost all training of future female healthcare workers in the country.
鈥淭he loss of foreign development aid and Taliban rights violations have caused a catastrophic health crisis in Afghanistan that is disproportionately harming women and girls,鈥� the report quoted Fereshta Abbasi, Afghanistan researcher at Human Rights Watch, as saying.
She added that "the cost of treatment and medicine has put care out of reach for many Afghans.鈥�
HRW remotely interviewed 46 Afghan and foreign aid officials, healthcare workers, and people seeking healthcare in 16 of Afghanistan鈥檚 34 provinces between February 2023 and January 2024. Fifteen of the interviewees, 12 women and three men, were with Afghans who had sought health care. The rights group also talked to Afghan healthcare 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.
鈥淪ince 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鈥檛 have a job.鈥�
The report also cited an unnamed official with the charity Mercy Corps in September as telling HRW that 鈥渢he humanitarian response in Afghanistan simply cannot keep pace with the country鈥檚 worsening conditions.鈥�
The Taliban have also 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.
The report 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.鈥�
鈥淭he unprecedented economic crisis in Afghanistan has meant that millions are facing life-threatening conditions,鈥� said Abbasi, the HRW researcher. 鈥淭he situation demands more than humanitarian aid; it requires sustainable efforts to avert further economic decline and alleviate the immense suffering of the Afghan population.鈥�
Rahim Faiez, The Associated Press
