AFGHAN WOMEN’S SUPPORT FORUM
The Afghan Women’s Support Forum exists to defend the freedoms and rights of Afghan
women and to promote their role in the future of Afghanistan.
“Any kind of discrimination and distinction between citizens of Afghanistan shall be forbidden.
The citizens of Afghanistan, man and woman, have equal rights and duties before the law.”
The Afghan Constitution : Article Twenty-Two
The Afghan Women’s Support Forum is an independent alliance of individuals who are committed to helping Afghan women enjoy the health and freedoms that will enable them to reach their potential. All members are volunteers and while AWSF members give freely of their time and skills, they do not constitute a registered charity and have no access to funds.
For further clarification see the Afghan Women’s Support Forum MISSION STATEMENT
AWSF – TALKING POINT
The ties that bind Women from East to West: International Women’s Day
For more details click HERE
Sharbat Gula returns to her own country.
Tragic story of Afghanistan’s famous ‘Girl with Green Eyes’. See full story at: http://www.bbc.co.uk/news/world-asia-37923826
Afghan jewellery by Afghan artisans
Noqra jewellery began as two ideas shared by two sisters. They dreamed of designing and selling jewellery that not only highlighted the beauty of naturally-occurring Afghan gemstones, but also supported the Afghan economy by employing local Afghan jewellers. After much study in fashion, design and business, in 2016 the sisters were able to make their dream a reality with the launch of Noqra. Conceptually, Noqra jewellery is characterised by clean, refined lines, mostly wrought in silver—pure elegance. But at a deeper level, their intention to benefit people who have suffered is a pure one too. This is what impelled the sisters to name the line Noqra, or ‘silver’ in Persian, because to them, silver is a symbol of purity.
All jewellery is designed by sisters and then made in Kabul by talented local artisans. These artisans hand-cut and hand-set the gemstones. The finished pieces are then delivered to Germany for worldwide sale and distribution. In their own words, the sisters’ allegiance to design purity means that “We design pieces quite naturally, letting the gems, like lapis lazuli, take the centre stage.”
Afghan women’s struggle for freedom is not a new phenomenon. In a series of articles looking at historical milestones Humaira Saqeb offers a perspective on the evolution of women’s rights in the country. Read her original article (Never Silent: A Brief History of the Womens Rights Movement in Afghanistan) HERE. Picture shows Afghan women in the 1920s.
Sahar’s Success: Journalism training charity gives Afghan woman voice on world stage.
Thanks to training provided by the charity Sahar Speaks an Afghan woman has been hired by an international newspaper. Founder Aimie Ferris-Rotman told AWSF, “One of our trainees, Zahra Nader, has been hired by The New York Times in Kabul. She has only been there for a fortnight, but has already produced a front-page story! http://www.nytimes.com/2016/06/01/world/asia/afghanistan-internally-displaced.html?_r=0
This is a huge, historic victory, both for Sahar Speaks and for Afghan female journalists: she is the first Afghan woman to have a byline in the mainstream media there. Twenty-six-year-old Zahra has a 2-year-old son, has never left the region and is her family’s sole breadwinner. She has dreamed of being a journalist since she was a child. Without the training, support and mentoring given to her by Sahar Speaks, she would not be where she is today. andThe New York Times would not be publishing stories by Afghan women.
We are now raising money to support the current trainees, and for a second round of Sahar Speaks, which we hope will take place in the autumn. We are a very small operation, meaning every donation goes far. We would really appreciate it if you can help — by donating, or spreading the word.
Prosecuting Conflict-Related Sexual Violence : What have we learned?
For more information click HERE.
Published on 6 Apr 2016 – Afghanistan’s first lady Rula Ghani discusses the state of women’s rights and freedom in her country. She joins the stage with New York Times columnist Thomas Friedman during the 2016 Women in the World Summit in New York City.
Afghan Cancer Foundation – Progress
In June 2015 UK Progressive ran a feature about the lack of breast cancer care and awareness in Afghanistan (Read HERE): It recorded the interest expressed by H.E. The First Lady, Mrs Rula Ghani, in addressing the situation. It also described the embryonic first steps towards formation of an organisation that would facilitate prevention, early diagnosis, treatment and palliative care for those currently denied information or access to medical help. The subject was brought to life through the experiences of two Afghan women – an Afghan MP (Shinkai Karokhail) who had suffered from the disease and London-based doctor (Dr Zarghuna Taraki). It was further publicised through The Afghan Women’s Support Forum (AWSF). – Read more HERE.
Sahar Speaks – Journalism initiative gives Afghan women new voice.
*Click image to watch video
Sahar Speaks was established in 2015 in response to the appalling lack of Afghan female reporters working for the international press in Kabul. The situation for Afghan women in the current environment — as the country adjusts to the withdrawal of foreign troops — is critical: it is vital we hear their voices going forward, and that they are properly supported.
British-American journalist Amie Ferris-Rotman developed the program as a John S. Knight Journalism Fellow at Stanford University. In March 2016, the inaugural round of Sahar Speaks saw 12 journalists receive training in Kabul. They were recently paired with mentors — experienced female journalists from around the globe. Throughout spring 2016, their stories will be featured in The Huffington Post, the world’s largest English-language news site. This will give them the global attention they deserve.
We now need to raise money to expand; we don’t want this to be a one-off. We are planning a second round of Sahar Speaks, paid internships at Kabul-based foreign bureaus, more published stories and a private networking community. Thank you so much for your donations and support!
To support Sahar Speaks click HERE.
To read Amie Ferris-Rotman’s article in The Huffington Post click HERE.
Watch her video HERE
Baroness Anelay’s speech on Women’s Rights in Afghanistan
See full text HERE.
THE FARKHUNDA TRUST
See The Farkhunda Trust website HERE.
Members of the Afghan Women’s Support Forum met at The House of Commons on Wednesday, 9th March.
Job vacancy in Kabul – senior post for representative with UN Women.
Writing exclusively for the AWSF is Quhramaana Kakar, a leading figure in Afghanistan working for women’s empowerment in the areas of leadership development through political participation in peace building and Women’s Economic Development. See her full article HERE.
Quhramaana works hard to represent the most vulnerable and deprived group of Afghan women and youth. She is the former Gender Advisor to Afghanistan Peace and Reintegration Program. As N-Peace 2012 Role Model for Peace awardee, she currently provides support to UN peace-network as advisor on the strategic board. She is founder of the Women for Peace and Participation and has also been advising policy makers and politicians in Europe and US on international intervention in Afghanistan. Quhramaana also worked as Deputy Chief of Party for USAID’s higher education development project in Afghanistan and has worked with several international organisations on senior management level on programs focused at women’s empowerment. She holds a Master’s Degree in Business Management and M.Phil in Economics and Management from University in Pakistan, a Master’s Degree in Public Policy from Germany.
She she has recently completed an M.Phil at the University of Cambridge.
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Victoria Schofield paints a verbal portrait of Shabana Basij-Rasikh, (pictured) the inspirational President and Co-Founder of SOLA (The Afghan School of Leadership). SOLA believes that educating girls across Afghanistan’s provinces, religious sects and tribal affiliations is the fastest way to increase female participation in political life, and to raise the educational levels of all Afghans. Conceived in 2008 as an English-immersion boarding school for Afghan students, today SOLA has 28 female students from 14 of Afghanistan’s provinces representing all major ethnic backgrounds. Forty-five alums of SOLA have gone on to secondary and tertiary scholarship opportunities at boarding schools around the world.
Click HERE to read.
‘Women must be at the peace table’
Women for Women International – ‘Afghanistan Week’ (22-26 February).
For further details and further information about events see below:
Frame by Frame screening with a post screening discussion
Monday 22 February 2016, from 6:30pm, Institute of Contemporary Arts, London
Women for Women International invite you to an exclusive screening of ‘Frame by Frame’, directed by Alexandria Bombach and Mo Scarpelli. Starring Pulitzer prize winner Massoud Hossaini and award-winning Afghani documentary photographer and photojournalist, Farzana Wahidy, ‘Frame by Frame’ follows four Afghan photojournalists as they navigate an emerging and dangerous media landscape reframing Afghanistan for the world, and for themselves.
More information: http://www.womenforwomen.org.uk/ways-give/events/frame-by-frame
Wednesday 24 February 2016, from 7:30pm
Women for Women International will be hosting an online Q&A with one of our colleagues from Afghanistan. More information will be available on our website soon.
A year in transition: lessons on women’s rights in Afghanistan
Thursday 25 February 2016, 3:30pm – 5:30pm, Houses of Parliament, London
2015 marked an important year for Afghanistan’s transition following the newly elected government and the drawdown of international forces in 2014. This parliamentary briefing will explore the lessons from 2015 from a women’s rights perspective and identify recommendations for the UK to effectively support women in Afghanistan. We will be joined by colleagues from Women for Women International-Afghanistan, who will present insights based on their experiences in one of the most difficult countries to be a woman where we have worked with almost 50,000 marginalised women since 2001. Speakers include: The Rt. Hon. Baroness Anelay of St Johns DBE, Minister of State at the Foreign & Commonwealth Office and Prime Minister’s Special Representative on Preventing Sexual Violence in Conflict; Mandana Hendessi OBE, Country Director, Women for Women International-Afghanistan; Quhramaana Kakar, Gender Advisor to the Afghanistan Peace and Reintegration Program and Joint Secretariat of the High Peace Council; Dr Pilar Domingo, Research Fellow, Overseas Development Institute (ODI).
To reserve your place please email email@example.com
Click HERE to read.
Members of the Afghan Women’s Support Forum held their last 2015 meeting at The House of Commons on December 17th.
Full report follows.
*Please see ‘LINKS’ for recently posted reports and position papers.
Aspire Award for female Afghan doctor
Full story HERE
From Kabul to Cashmere: Finding a Common Thread – Wednesday 11 November
This event takes place at Ondaatje Theatre of the Royal Geographical Society (with IBG). Doors will open at 6:15pm with talks from 7-8:30pm. The evening will be opened by Nicholas Crane, President of the Royal Geographical Society and presenter of the BBC’s Coast and include talks by: Christina Lamb OBE, The Sunday Times Foreign Affairs Correspondent and author of ‘Farewell to Kabul: From Afghanistan to a More Dangerous World. Read more HERE
A sad development – we are sad to highlight a Washington Post report that reveals how Afghan women are being targeted and threatened through Facebook hackers. We can’t stop this, but simple things like not posting personal photographs or details that will identify you, can make you less attractive targets.
Significant milestone in Cancer Campaign
On Monday, August 16th, 2015 the Outpatients Department of the proposed Oncology Department (the first of its kind in Afghanistan) started its services.
This is the first big step towards establishing a comprehensive Cancer Centre within the structure of the Ministry of Public Health.
It was made possible by the unceasing efforts of a small but rapidly growing group of people who freely gave their time, skills, energy and passion to making the seemingly impossible, become possible.
Afghan Cancer Control Committee Coordinator ( ACCC) Dr Maihan Abdullah has extended his thanks to all involved.
More news to follow.
Afghan Arts & Crafts Show
Free to exhibitors and public.
For more information click HERE
Help save business that is lifeline for Afghan women
For full story click HERE.
AFGHANISTAN. Gender Equality work opportunity with WISE.
For more information or to apply click HERE.
“We are ALL Farkunda”
This moving documentary examines events surrounding the brutal murder of Farkhunda Malkizada.
Further details HERE.
Full details HERE
Afghanistan’s battle against breast cancer
A killer disease has united two women living 3,500 miles apart. One is a sufferer, the other a surgeon (below).
Until recently they were strangers, but the Afghan Women’s Support Forum brought them together in the wake of a campaign that has now attracted the support of Afghanistan’s First Lady. Read more about the groundbreaking initiative that has resulted in formation of Afghanistan Cancer Control Coalition (ACCC) HERE.
Progress on cancer control
Meetings bring stakeholders together. Read more HERE
The Farkhunda Scholarship
Founded by AMEWYS for girls and women who face violence in their communities.
For further details and updates click HERE.
Funds for Farkhunda
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First Lady present at meeting with Afghan Women’s Network representatives. Read more HERE.
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Two events at which Afghan handicrafts were sold have raised funds for The Farkhunda Scholarship. May’s Annual CFAB International Spring Fair and Food Festival in Kensington once again featured an Afghan handicrafts stall manned by a member of the Afghan Women’s Support Forum. Together with an earlier event hosted by BAAG on 15th April it raised a total of £575 for the scholarship fund.
As US Draws Down, Afghanistan’s Women Weigh Uncertain Future
See full article HERE.
*Heidi Kingstone is a foreign correspondent who reported from Afghanistan for 18 months. Her book, “Dispatches from the Kabul Cafe,” will be published on May 5.
*Frida Ghitis is an independent commentator on world affairs and a World Politics Review contributing editor. Her weekly WPR column, World Citizen, appears every Thursday. Want to know more? Subscribe to World Politics Review to get new articles daily.
The heartbreaking death of Farkhunda
by Rahela Hashim Sidiqi
The traditional celebration of Nowruz (New Year) is celebrated widely in Afghanistan. At its heart is a traditional table setting known as Haft-Seen that features seven foods beginning with the letter ‘s’. Rahela was happily getting ready for the event – cleaning her lovely home, getting special clothes ready for the little children and preparing the festive food.
“I wanted 1394 to be different from past years of heartbreak. I wanted it to start with happiness. We had so much to celebrate – our wonderful life, harmonious family and new hope for the future of our country. But then I heard the dreadful news and silently cried NO, NO, NO! I couldn’t stop my self . . . such pain and horror that the last days of 1393 should end with the frenzied killing of young Farkhunda.
It ended with blood, dust, and the smoke of Farkhunda’s dead body; the murder of a girl killed by wild and inhuman men who called themselves Muslims but knew nothing about Islam.
Some of those people were Taweez (charm) writers from the Shahi Do Shamshira Shrine. Taweez, or Jadogar in Farsi, translates as ‘magic’ in English. The wicked people who write these nonsense charms abuse the name of Allah and Islam, by convincing simple-minded people that such magic will cure sickness or resolve problems for them.
Farkhunda was a devout Muslim girl, well educated in the ways of Islam – at 27 she was too young to die! And for what? Simply for trying to persuade women not to put their trust in misleading charms like tawez and jado. Farkhunda did not understand the danger of saying this when surrounded by wild, illiterate people.
They knew nothing about true Islam. Their faces had been turned to evil. When these sinful people started shouting, “She has learned from America! She is an American spy!” Farkhunda said, “Be quiet, I will give a lesson to you and to the Americans!”
When a man shouted, “Why did you burn the Quran, why did you burn the Quran?” the cry was taken up by others and there were calls for her to be taken out of the shrine and punished.
Suddenly Farkhunda found herself being dragged from the shrine by hundreds of wild, angry men.
In minutes that must have felt like hours to Farkhunda, these men dragged her into the street, kicking her and raining blows on her.
She screamed in protest that she had never burned the Quran. “No! No! Don’t beat me my brothers, I didn’t burn Quran,” she protested, but there was no one defended her or heeded her screams.
She was stamped flat on the dirt floor like a carpet. Blood covered her body but still the depraved crowd beat her with wooden sticks and rocks.
Unbelievably this took place in front of a Government security post and was watched by police who stood by and did nothing.
Farkhunda’s modest Islamic dress was ripped into shreds and her back laid bare – a final indignity for this innocent girl.
These men knew that the body of a Muslim woman should not be exposed, or her head uncovered, but they didn’t care about the rules of Islam. In their frenzy and bloodlust they showed no concern about her headscarf or clothing, only about kicking her defenceless body and causing pain.
A car was driven over her blood soaked body, wounded and brutalised by wood and stone; still alive she was tossed into the river like garbage – then most shocking still, she was burned like coal.
Farkhunda was not able to move but her broken heart was still beating, as though angels were keeping her alive. But still these cruel men were not satisfied; using their coats and jackets to fuel the flames they built a fire as yellow as the sun and watched as she burned and burned.
At last her pain ended and her ruined body was left like a piece of coal at the bank of the river.
Farkhunda’s shocking death was a stark reminder to Afghanistan and societies throughout the world, that Governments who claim to stand for justice have a duty to punish such crimes, especially when they involve perversion of religion and the abuse of innocents like Farkhunda.
By Rahela Hashim Sidiqi
3 April 2015
A POEM FOR FARKUNDA
The following poem was written by 11-year-old Rasheell H. Barikzai It is published here, as written, using the voice of Farkhunda:
Farkhunda Scholarship for female victims of violence
The Asian Middle East Women & Youth Society ( AMEWYS ) has established a scholarship fund to honour the memory of murdered Farkhunda and ensure that her death was not in vain. More details will be published soon. AWSF supports and will be promoting the Farkhunda Scholarship Fund. We ask for your help to to the same. Reminder of her story HERE
London Vigil – Justice for Farkhunda. Images kindly supplied by Caroline Mylon.
See HERE for further details.
Click HERE to sign petition.
Breast Cancer in Afghanistan
There are no accurate statistics for incidence of breast cancer in Afghanistan but there are many sufferers. Ministry of Public Health officials acknowledge that women who cannot afford to go abroad for treatment lose their lives because of the lack of necessary diagnostic and treatment facilities in the country.
In 2014, for the first time, a National Breast Cancer Awareness Day (October 19th) was designated. First Lady Rula Ghani, who was present at its launch, expressed concern over the increasing number of cases. She said, “Breast cancer needs precise, precautionary care and only by increasing awareness and early detection will we help fight against this disease.”
The Afghan Women’s Support Forum is campaigning to raise awareness of the issues and help initiate action that will remedy them.For more information click HERE.
What Tomorrow Brings
The film What Tomorrow Brings follows one year in the life of the first all-girls school in a remote, conservative Afghan village. The film traces the inter-connected stories of those who bring the school to life: students, teachers, village elders, parents, and school founder Razia Jan. While the girls learn to read and write, their education goes far beyond the classroom to become lessons about tradition and time. They discover their school is the one place they can turn to understand the differences between the lives they were born into and the lives they dream of leading.
Much of Afghanistan’s future will depend on whether its girls can read or not. What Tomorrow Brings is both an indictment of how tenuous access to education still is in Afghanistan and a moving depiction of Afghan girls and their teachers pursuing learning at all costs. —Heather Barr, senior researcher, Women’s Rights Division
8th March, 2015 – International Women’s Day
The Afghan Women’s Support Group sends greetings to women everywhere in support of freedom, friendship and a safer world.
Life in Kabul: Will Afghan women finally stop being seen as a freak show?
In 2007, journalist Heidi Kingstone arrived in Kabul, eager to explore one of the most turbulent corners of the world. Here, she reflects on her four years in Afghanistan – and explains why life is set to change for the women who live there. 7 November 2014.
This is one of my clearest memories of life in Kabul. The year was 2007, I had just arrived in the city and spring had come early. The sun shone and women swam in the cold water.
Men and women wearing bikinis lounged by the poolside, swam in the cold water and drank Martinis, inside the large compound that welcomed foreigners, but banned Afghans.
But just outside, past the secured parameter, women enveloped in blue burqas gingerly navigated rocky and unpaved roads, bound by harsh centuries’ old traditions where even looking at a man could result in death.
The contrast couldn’t have been any starker. It’s just one example of the jarring realities of life inside the ‘Kabubble’.
I’d travelled to Afghanistan to uncover life in one of the most turbulent corners of the world. In the four years I was there, I visited air bases and brothels, saw friends kidnapped and witnessed suicide bombings. I interviewed people in all the different corners of this mysterious place, from gunrunners to warlords, fashionistas to powerbrokers.
And, as a passionate advocate for women’s rights, I wanted to gain an understanding of how women lived and functioned here.
Back then even Hamid Karzai’s wife, Zeenat, a gynaecologist, was rarely seen outside the presidential palace.
But, fast forward to this September, when the new Afghan leader, Dr Ashraf Ghani, praised his wife, Rula, in public – where she sat prominently beside him. The new First Lady intends to be an advocate for women’s rights during her husband’s term. To many, it looks like the long awaited new dawn.
Women’s rights in Afghanistan have long been contested ground.
In the Twenties, King Amanullah planned for the emancipation of women – something that was considered so radical it ultimately led to his abdication. Educating girls formed part of the original Nato-Isaf mandate when forces entered the country in 2001. And women’s rights were later enshrined in the new Constitution – but they remain as fragile as the political situation. Insecurity in several provinces has already forced girls to abandon their education.
Just a few days ago, the UK ended 13 years of combat operations in Afghanistan and the last troops left Camp Bastion.
In a conservative country, where many still oppose women having any role outside the house, progress is dependent on international financial aid.
This is already drying up. Women fear losing the small gains they have made (although it was urban middle-class women, rather than poorer families in rural areas, who benefitted).
No wonder many are hoping that Rula Ghani’s entrance into the public sphere will lead to change, and a higher status for women.
But there is no magic wand. Afghanistan has the dubious distinction of coming top of countries voted worst in which to be a woman. Domestic violence is endemic, and the majority of women are illiterate.
That is what drew a huge number of people, like me, to venture to Afghanistan: a desire to help such women.
Over the last decade, gender development programmes have mushroomed: women have been employed in NGOs; received scholarships; worked as cleaners, worked as administrators; taken part in a variety of small projects in the home, or in workshops – bringing in extra cash and small moments of independence.
But there is also a sense, sometimes, that our view of Afghan women is a bit like a modern day version of the circus freak show.
In the northern part of the country, I once interviewed a very old woman who had one tooth and long grey plaits that poked out from her headscarf and hung down her back.
The fierce Afghan sun and a long hard life had weathered her skin. We spoke through a translator. She had been a beneficiary of a small project that improved the quality of the fruit and vegetables she grew in her garden and sold at market.
It was low-tech stuff – just some kit to keep insects from eating the produce. Of course, I remember her smile when she talked about the impact this had made on her life. But what I really remember is her words when she told me how she’d learnt that women could work outside the house and had value.
So, was Britain’s endeavour worth it for women? Yes and no.
We built a false economy, inadvertently made many corrupt people rich, and made many promises we couldn’t keep – not least changing the lives of women.
The narrative on Afghanistan is changing here – as is the collective feeling about involvement in far off places we really know nothing about.
“There is a frantic scrabbling for some kind of legacy of success amongst the senior British military,” says Frank Ledwidge, author of Losing Small Wars – about military failure in Iraq and Afghanistan.
“They realise that their spinning and lying is going to catch up with them. The line now is ‘Helmand may be a mess, but at least the rest of the country has not descended into total chaos’.
“What kind of success is that? How was that worth 453 lives and £40 billion?”
The place that I called home for more than a year is fast disappearing.
Against a backdrop was war, the fabulous Kabubble offered a great network of fascinating people, crazy parties, bizarre occurrences and Afghan hospitality. It was a country at the crossroads of history. My book, Dispatches from the Kabul Café, chronicles this era from the perspective of an expat (me). This was a unique moment in time; where restaurants, five-star hotels, bursts of artistic creativity and hope flourished side-by-side with death and a pervading sense of imminent doom.
That has already started to fade. Friends and colleagues have left, including myself, moving on. Others were murdered by the Taliban. But I think we all treasured our time there.
Afghanistan takes hold of the soul.
Journalists are programmed to be cynical, often for good reason. There was so much hope in the beginning but Afghanistan has proved a tough country to change, despite its many wonderful young and educated people who are working for a better future – especially for women.
Can Mrs Ghani help? That remains to be seen.
‘Dispatches from the Kabul Café’ by Heidi Kingstone is published by Advance Editions, the crowd-editing publisher. Readers are invited to offer comments, ideas and suggestions for refinement at www.AdvanceEditions.com
Distributed by: The Network for Afghan Women List To subscribe/unsubscribe: firstname.lastname@example.org
As the last British troops left Helmand province in October the UK’s focus on Afghanistan underwent a subtle shift. To read how TOLO NEWS reported it click HERE – and for the BBC report, HERE. For the women (and men) of Afghanistan however that withdrawal – and the start of a new Presidency – had very different implications. The drawdown of external military force is both and end an a beginning for the people of Afghanistan.How it will play out for the country’s women remains to be seen.
Please join us on Facebook with your comments, questions and concerns
Women’s mental health in Afghanistan – by Dr. Zarghuna Taraki
“As an Afghan woman myself I am more than aware of the struggles that us Afghan women face particularly in Afghanistan where 30 years of war has permanently damaged the status of women. It is not only social struggles that Afghan women face every day, but they face dire struggles just to survive, of these women the ones with mental issues are most prone to suffering and degradation on a daily basis. Being a doctor I feel it is my duty to help those who are in need may it be in a medical sense or just by raising awareness of an issue, I hope my short article inspires people to better understand these struggles and do all in their power to help Afghan Women.”
During the last 30 years, Afghanistan has been affected by conflict in many ways. One can hardly find an Afghan family which has not lost one or more members in this period due to conflict. Over one million people have been killed, one million are disabled and millions either migrated abroad or are internally displaced. Conflict and other factors such as unemployment, general poverty, breakdown of community support services, and inadequate access to health services have not only damaged the social infrastructure of the nation, but also caused mental health disorders mostly in vulnerable groups like women and disabled people.
Half of the Afghan population aged 15 years or older is affected by at least one of these mental disorders: depression, anxiety and post-traumatic stress disorder. These disorders add to community and domestic violence and to the high levels of malnutrition in the country as they undesirably affect maternal care giving in various ways. Furthermore, social restrictions and taboos are big challenges for women’s access to mental health services in Afghanistan.
Postpartum depression has been associated with antenatal depression, young maternal age, single maternal status, cigarette smoking or illegal drug use during pregnancy, hyperemesis gravidarum, high utilisation of emergency services and sick leave during pregnancy and previous affective disorders. Surveys conducted by national and international organizations indicate that 66 per cent of all Afghans are suffering from stress disorders and mental problems.
Mental illness presents significant risks to women’s lives worldwide. Mental disorders are no less common in pregnancy than at other times in a women’s life. Anxiety and depression are common, and women with other significant mental disorders, such as schizophrenia, bipolar disorder are at greater risk of compromised maternity care, delivery complications and relapse in pregnancy and postpartum (post-delivery) period. A regular budget allocation does not exist for mental health.
In 2004, 0.1 million USD (out of a 289.4 million USD total health budget) was directed for mental health. Although a national human rights body exists, only one review/inspection of human rights protection for patients was carried out in 2004. Afghanistan faces a high burden of mental health problems, persistent stressors and limited mental health services. There are critical gaps in the response:
- Access and availability of mental health services remains limited
- Available services are of low quality
- There are no trained clinical psychologists or psychiatric nurses
- Lack of proper monitoring and evaluation system and indicators to measure success of mental health services
- Medicalisation of mental health problems, and poor quality of mental health services has led to irrational use of anti-depressants and benzodiazepines
- Inadequate financing of mental health and psychosocial interventions
It is clear from the above that Afghanistan still has a long way to go in the way of improving the serious concerns with the treatment of mental health especially in the case of women.
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In 2009 journalist Heidi Kingstone wrote: “Mental health remains the orphan child of public health, and even more so in fragile states where health care systems are often non- existent or barely functioning. Psychosis and depression are still stigmatised, and governments of fragile states are often as weak as the whole country.”
Five years later we have concerns that far from seeing improvement, this ‘invisible’ issue has become even more taboo.
Read the original article Mental health in Afghanistan and watch this space for new contributions to the debate.
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