Healthcare in Afghanistan is slowly improving after it was almost non-existent due to the decades of war. Currently, there are over 3,000 health facilities found throughout Afghanistan. [1] [2] More than 17,000 health posts have been established in the country, including the first neurosurgery hospital. Latest reports say 38,000 Afghan women work as midwives. [3] From 2001 to 2021, Afghanistan experienced improvements in healthcare, with life expectancy increasing from 56 to 64 years and the maternal mortality rate reducing by 50%. 89% of residents living in cities have access to clean water in 2021, up from 16% in 2001. [4] Despite these improvements, Afghanistan's healthcare system remains poor when compared with its neighboring countries.
The Taliban's 2021 return to power curtailed Afghan women's rights, restricting women's mobility and access to healthcare, and was followed in 2024 with a ban on basic medical training for women (including nursing and midwifery), which some elements of the Taliban had previously tolerated.
There are over 100 government-run and private or internationally-administered hospitals in Afghanistan. The most advanced medical treatments are available in Kabul followed by in Kandahar, Herat, Mazar-i-Sharif and in other major cities. The French Medical Institute for Children and Indira Gandhi Children's Hospital in Kabul are the leading children's hospitals in the country. The Afghan-Japan Hospital, [5] [6] [7] Daoud Khan Hospital, Jamhuriat Hospital, Jinnah Hospital, and Rahmat Hospital are some of the major hospitals in the Kabul area. [8] [9] The 350-bed Aino Mina Hospital and the 50-bed Mohmand Hospital in Kandahar are two of the most modern hospitals in the southern part of the country. [10] [11] [12] Many of the wealthy Afghans travel to India, Iran, Kazakhstan, Pakistan, Turkey, Turkmenistan, United Arab Emirates, Uzbekistan, and other countries for more advanced medical treatment.
Maiwand Teaching Hospital was established in the 1960s, designed to treat between 300-400 patients a day, but in 2019 there are often 1,000 patients in a day.
In November 2024 the Afghan ministry of health announced the construction of 318 hospitals. [13]
Economically, the Afghans were in better shape than many others in the region. [14] Afghanistan was somewhat ahead of its time until 1978, when the Saur Revolution took place. That revolution led to a continues war and poverty in the region, which began with the closure of borders and suspension of political ties between Afghanistan and its southern and western neighbors (Pakistan and Iran). Many Afghans, especially the elite class who did not want to be involved in the conflict, began escaping from the country in order to reside in other countries. Those leaving included most of the doctors and nurses. By 1992, when a major civil war began in Kabul, nearly all doctors and nurses had immigrated to other countries. Things took a turn in late 2001 when the United Nations decided to rebuild Afghanistan and resolve its political issues.
In 2003, there were 11 physicians and 18 nurses per 100,000 population, and the per capita health expenditure was $28 US dollars. The nation had one medical facility for every 27,000 people in 2004, and some centers were responsible for as many as 300,000 people. An estimated one-quarter of the population had no access to health care. The international organizations provided a large share of medical care. It was reported in 2006 that an estimated 800,000 Afghans are disabled. [15] Infant, child, and maternal mortality rates in Afghanistan reached the highest in the world, by some estimates as high as 275 per 1,000.[ citation needed ] In rural areas, one in six children die before reaching age five.[ citation needed ] This is because of poor sanitation and insufficient potable water supply, infectious and parasitic diseases such as malaria and diarrhea are very common. Malnutrition and poor nutrition also are pervasive.
User fees have been a major deterrent to accessing health care. Various interventions have been devised to improve uptake of health care services, including the distribution of waiver cards to very poor and female-headed households [16] and the introduction of community-based health insurance. [17]
Following the national user fee ban in 2008, a pilot study conducted by the Future Health Systems consortium found a 400% increase in utilization of services that had previously charged fees for services and medicine. [18] The government's strategy to collaborate with non-governmental organisations [19] has led to higher primary health outcomes among the poor, [20] with relatively high levels of perceived health care quality reported by clients in a recent study of primary care services. [21]
The physical and psychological effects of war have substantially increased the need for medical care. In the first quarter of 2019 there were 34 reported terrorist attacks on healthcare facilities, at least 87 were closed. At least nine workers and patients were killed.
Average pay for a doctor in a government hospital is anywhere between 60,725 and 205,975 afghanis ($700-$2,367) a month. [22] [23] Most doctors supplement this by working after-hours at private clinics.
Afghanistan made significant improvement in the last decade to its maternal and child health care. According to United States Agency for International Development (USAID), Afghanistan's mortality rate has decreased by about 25% since 2003. It was reported in 2006 that nearly 60% of the population lives within two hours walking distance of the nearest health facility. [24]
The maternal mortality rate is currently 396 deaths/100,000 live births and its infant mortality rate is 66 [25] to 112.8 deaths in every 1,000 live births. [26] The Ministry of Public Health wants to further improve these higher rates by making them normal.
The country has about 38,000 midwives but more are needed. [3] According to Sima Ayubi, a maternity doctor in Kabul who advocates hospital births, explains: "Now pregnant women have more information about health. This mortality rate is still a problem. There's just a decrease. The problem is not completely eliminated or under control." [27]
According to a 2012 report by Save the Children, improved healthcare and the rise of females attending school have made Afghanistan climb up from its position as the worst place on earth to be a mother. "More mothers are surviving and fewer children are dying and this is something we need to be celebrating," said Rachel Maranto, Advocacy and Mobilisation senior Manager at Save the Children in Kabul.
In December 2024, the Taliban's health ministry banned women from being trained in nursing and midwifery, according to media reports confirmed by The Guardian . [28] This was a reversal of an earlier February 2024 decision to permit basic medical training for women. [29] According to NPR , the health ministry had lobbied for an exemption from the general ban on women's education in the healthcare sector because "in some provinces, the Taliban does not allow women to seek treatment from male medical professionals." [29] The Taliban's ban on basic medical training for women was widely condemned by human rights organizations as a danger to the health and well-being of Afghan women and children, with Afghanistan already having among the highest maternal mortality ratios in the world according to 2020 data, before the Taliban's 2021 seizure of power. [28] [29] For example, Heather Barr of Human Right Watch stated: "If you ban women from being treated by male healthcare professionals, and then you ban women from training to become healthcare professionals, the consequences are clear: women will not have access to healthcare and will die as a result." [28] The Office of the United Nations High Commissioner for Human Rights (OHCHR) stated that the ban "is profoundly discriminatory, short-sighted and puts the lives of women and girls at risk in multiple ways." [30]
Afghans spend an estimated $300 million a year on medical treatment abroad, mostly in Pakistan, India and Turkey. [31]
Afghanistan, officially the Islamic Emirate of Afghanistan, is a landlocked country located at the crossroads of Central Asia and South Asia. It is bordered by Pakistan to the east and south, Iran to the west, Turkmenistan to the northwest, Uzbekistan to the north, Tajikistan to the northeast, and China to the northeast and east. Occupying 652,864 square kilometers (252,072 sq mi) of land, the country is predominantly mountainous with plains in the north and the southwest, which are separated by the Hindu Kush mountain range. Kabul is the country's capital and largest city. Afghanistan's population is about 35 million.
The economy of Afghanistan is listed as the 124th largest in the world in terms of nominal gross domestic product (GDP), and 102nd largest in the world in terms of purchasing power parity (PPP). With a population of around 41 million people, Afghanistan's GDP (nominal) stands at $14.58 billion as of 2021, amounting to a GDP per capita of $363.7. Its annual exports exceed $2 billion, with agricultural, mineral and textile products accounting for 94% of total exports. The nation's total external debt is $1.4 billion as of 2022.
The treatment of women by the Taliban refers to actions and policies by two distinct Taliban regimes in Afghanistan which are either specific or highly commented upon, mostly due to discrimination, since they first took control in 1996. During their first rule of Afghanistan, the Taliban were notorious internationally for their misogyny and violence against women. In 1996, women were mandated to wear the burqa at all times in public. In a systematic segregation sometimes referred to as gender apartheid, women were not allowed to work, nor were they allowed to be educated after the age of eight. Women seeking an education were forced to attend underground schools, where they and their teachers risked execution if caught. They were not allowed to be treated by male doctors unless accompanied by a male chaperone, which led to illnesses remaining untreated. They faced public flogging and execution for violations of the Taliban's laws.
Kandahār is one of the thirty four provinces of Afghanistan, located in the southern part of the country, sharing a border with Pakistan, to the south. It is surrounded by Helmand in the west, Uruzgan in the north and Zabul Province in the east. Its capital is the city of Kandahar, which is Afghanistan's second largest city, which is located on the Arghandab River. The greater region surrounding the province is called Loy Kandahar. The Emir of Afghanistan sends orders to Kabul from Kandahar making it the de facto capital of Afghanistan, although the main government body operates in Kabul. All meetings with the Emir take place in Kandahar, meetings excluding the Emir are in Kabul.
The Kabul–Kandahar Highway (NH0101) is 483-kilometer (300 mi) long that links Afghanistan's two largest cities, Kabul and Kandahar. It starts from Dashte Barchi in Kabul and passes through Maidan Shar, Saydabad, Ghazni, and Qalat until it reaches Aino Mina in Kandahar. It is currently being rehabilitated at different locations. This highway is a key portion of Afghanistan's national highway system or "National Highway 1". The entire highway between Kabul and Kandahar has no mountain passes but there are many mountains nearby in some places. Approximately 35 percent of Afghanistan's population lives within 50 km (31 mi) of the Kabul to Kandahar portion of the Afghanistan Ring Road.
Environmental issues in Afghanistan are monitored by the National Environmental Protection Agency (NEPA). They predate the political turmoil of the past few decades. Forests have been depleted by centuries of grazing and farming, practices which have only increased with modern population growth.
Education in Afghanistan includes K–12 and higher education, which is under the Ministry of Education and Ministry of Higher Education. In 2021, there were nearly 10 million students and 220,000 teachers in Afghanistan. The nation still requires more schools and teachers. Soon after the Taliban take took the country in August 2021, they banned girls from secondary education. Some provinces still allow secondary education for girls despite the ban. In December 2022, the Taliban government also prohibited university education for females in Afghanistan, sparking protests and international condemnation. In December 2023, investigations were being held by the United Nations into the claim that Afghan girls of all ages were allowed to study at religious schools. As of November 2024, some parts of the country allow women to attend religious schools to pursue dentistry, nursing, and other subjects.
Health in Afghanistan remains poor but steadily improving. It has been negatively affected by the nation's environmental issues and the decades of war since 1978. The Ministry of Public Health (MoPH) oversees all matters concerning the health of the country's residents. The Human Rights Measurement Initiative finds that Afghanistan is fulfilling 72.5% of what it should be fulfilling for the right to health based on its level of income.
Although emphasized by the country's ruling Baath Party and improving significantly in recent years, health in Syria has been declining due to the ongoing civil war. The war which has left 60% of the population food insecure and saw the collapse of the Syrian economy, the surging prices of basic needs, the plummeting of the Syrian pound, the destruction of many hospitals nationwide, the deterioration in the functionality of some medical equipment due to the lack of spare parts and maintenance, and shortages of drugs and medical supplies due to sanctions and corruption.
Vietnam is currently striving towards a universal health care system through government-provided social health insurance. In 2024, as implemented under the Law on Health Insurance and as reported by Nguyen The Manh the director general of the Vietnam Social Security (VSS) agency, about 93.4% of the population had health insurance coverage, with nearly 13,000 public and private health facilities receiving over 174 million visits. The government fully covers the health insurance costs of the poor, ethnic minorities, children under 6, and elderly people over 80.
The International Assistance Mission (IAM) is the longest continually serving non-profit organisation in Afghanistan. They are a well-respected NGO working to improve lives and build local capacity in health, development and education. They are a partnership between the people of Afghanistan and international Christian volunteers, who have been working together since 1966. IAM is registered in Geneva, Switzerland, and is the longest continuously serving NGO in Afghanistan, and only works in Afghanistan.
Afghanistan–United Arab Emirates relations refers to the bilateral relations between Afghanistan and the United Arab Emirates (UAE). In December 2022, Afghan Defense Minister Mullah Yaqoob along with Anas Haqqani made an official visit to the UAE. There he met with UAE President Mohamed bin Zayed Al Nahyan and Vice President Mohammed bin Rashid Al Maktoum.
Television broadcasts in Afghanistan started in the year 1978. As of 2017, there are around 76 local channels operating in the country; the state television channel is Afghanistan National Television. As with other mass media in Afghanistan, television is regulated by the Ministry of Information and Culture.
Abortion is illegal in Afghanistan unless the life of the mother is at risk or the baby's life is endangered, interpreted as the baby having a severe disability or low quality of life. Afghanistan has one of the highest fertility rates in the world, but its levels are decreasing since the fall of the Taliban, as aid workers can now enter the country to help with fertility and decrease mortality rates. In turn, legislation on abortion is influenced by Islamic law.
Suraya Dalil, is an Afghan physician and politician who served as Minister of Public Health from 2010 to 2014 and has been the country's Permanent Representative to the United Nations since November 2015.
The COVID-19 pandemic in Afghanistan was part of the worldwide pandemic of COVID-19, caused by severe acute respiratory syndrome coronavirus 2. The virus was confirmed to have spread to Afghanistan when its index case, in Herat, was confirmed on 24 February 2020.
In May 2020, a series of insurgent attacks took place in Afghanistan, starting with the Taliban killing 20 Afghan soldiers and wounded 29 others in Zari, Balkh and Grishk, Helmand on 1 and 3 May, respectively. On 12 May, a hospital's maternity ward in Kabul and a funeral in Kuz Kunar (Khewa), Nangarhar were attacked, resulting in the death of 56 people and injuries of 148 others, including newborn babies, mothers, nurses, and mourners. ISIL–KP claimed responsibility for the funeral bombing, but no insurgent group claimed responsibility for the maternity ward shooting.
Black maternal mortality in the United States refers to the disproportionately high rate of maternal death among those who identify as Black or African American women. Maternal death is often linked to both direct obstetric complications and indirect obstetric deaths that exacerbate pre-existing health conditions. In general, the Centers for Disease Control and Prevention defines maternal mortality as a death occurring within 42 days of the end of pregnancy from any cause related to or aggravated by the pregnancy or its management. In the United States, around 700 women die from pregnancy-related complications per year, with Black women facing a mortality rate nearly three times more than the rate for white women.
Their diet may not be abundant but you don't see the hunger that you do in some countries and beggars are seldom seen. Even though there are masses of people the country seems able to feed them all.