Foreign Aid Drops as Rights Abuses Jeopardise Health System In Taliban-Ruled Afghanistan

A New York-based rights watchdog has stressed that the public health system in Afghanistan has been hit hard following a sharp reduction in foreign aid, coupled with serious rights abuses against women in the Taliban-ruled country.

In a new report, Human Rights Watch (HRW) said this has left the “Afghan population increasingly vulnerable to severe malnutrition and illness” among other effects of inadequate medical care. The Taliban takeover of Afghanistan in August 2021 drove millions into poverty and hunger after foreign aid stopped almost overnight.

Sanctions against the Taliban, 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 US and NATO forces. Last year, the UN agency warned that malnutrition rates in Afghanistan were at a record high with half the country suffering from severe hunger throughout the year.

Taliban abuses

“Women and girls have been disproportionately affected by the healthcare crisis, particularly because of Taliban abuses,” said the report. 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 taking power.

Taliban restrictions on women’s 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. “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, 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.” HRW remotely interviewed 46 Afghan and foreign aid officials, healthcare workers, and people seeking healthcare in 16 of Afghanistan’s 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.

“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 in 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. 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.”

“The unprecedented economic crisis in Afghanistan has meant that millions are facing life-threatening conditions,” said Abbasi, the HRW researcher. “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.”