3 min read

Afghanistan – pressure on healthcare in Kunar requires timely and flexible response

Our teams in Eastern Afghanistan see it happening in real time: access to healthcare is deteriorating.

In recent days, 12 HealthNet TPO-supported facilities in Kunar Province have been damaged due to cross-border shelling, flooding and heavy rainfall.

We are dealing with damaged emergency rooms, disrupted maternity care and failing energy systems — while patients continue to arrive.

This is not an isolated incident. It reflects a broader pattern where conflict dynamics and climate-related shocks increasingly overlap, placing continuous strain on already vulnerable health infrastructure.

It is also important to note that less than six months ago, this same region was hit by a devastating earthquake, resulting in over 2,000 deaths, 3,600 injuries and the destruction of more than 8,000 homes. Many communities are still recovering, while new shocks — conflict and climate-related — continue to accumulate.

Impact on healthcare delivery

The impact is immediate and operational:

  • Emergency rooms damaged by shelling
  • Maternity and consultation rooms affected by flooding and structural damage
  • Solar systems disrupted, affecting electricity supply
  • Boundary walls damaged, with direct implications for safety and access

Several facilities are now operating at reduced capacity, at a time when needs are rising and service interruptions carry direct health risks.

This comes on top of a rapidly evolving humanitarian context marked by displacement, pressure on basic services and constrained supply chains.

For communities struggling to meet basic needs, these disruptions are not temporary inconveniences — they are life-threatening.

Emergency health team in Kunar
Operational reality

In these environments, even relatively contained physical damage quickly translates into reduced service delivery.

Without timely repair and support:

  • Emergency care capacity declines
  • Maternal health services are disrupted
  • Access for vulnerable populations becomes more limited

HealthNet TPO teams continue to operate and adapt under challenging conditions. However, maintaining service continuity under repeated shocks is not without limits.

What is needed

These developments point to a clear requirement for:

  • Flexible and rapidly deployable funding, allowing partners to respond to unforeseen damage without delay
  • Continued investment in the resilience of frontline health infrastructure, including energy systems
  • Rapid mobilisation of resources to prevent prolonged service interruptions
  • Consistent adherence to International Humanitarian Law, including the protection of healthcare facilities and personnel

In practical terms, the ability to absorb shocks such as these is directly linked to the flexibility within existing partnership frameworks and the speed at which resources can be mobilised.

HealthNet TPO remains committed to maintaining continuity of care under these conditions.

This, however, depends on timely, flexible support that matches the operational realities on the ground.

Hans Grootendorst, Managing Director HealthNet TPO

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