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LETTER FROM AFGHANISTAN
Vol. 6. June. 2001

We inform about Afghanistan

This newsletter is about Terre des hommes’ emergency assistance to vulnerable displaced people in northern Afghanistan, which started September 2000 and successfully ended April 2001. With financial assistance of Chaine du Bonheur, Swiss Development Cooperation and ECHO, Terre des hommes has provided humanitarian aid to the suffering civilian population – focusing on food distribution, food for work programs and mass immunization campaigns against polio and measles.
The internally displaced people who fled the frontline areas last September had the fewest options and had nothing but the clothing they were wearing. Children, pregnant women, elderly people and the sick ones were particularly vulnerable, since they had long distances to walk, and limited food resources.
Displacement for children is also a more serious issue: Displaced children are especially affected by experiencing family separation, loss of community identity and particularly the loss of resources such as education and recreation, which could contribute to assist in coping with suddenly changed situations. They see their parents for the first time depending on handouts and charity, and they notice their parents’ frustration and shame, because they are unable to provide food for their children. In the longer term these experiences will certainly add to their trauma of the forced displacement.




The history of TDH' emergency
intervention in Rustaq

Rustaq district is a very remote mountainous region in northern Afghanistan – very difficult to reach and to access. Mid of September 2000 around 1.000 refugee families arrived in Rustaq following the fierce fighting in Taloqan, northern Afghanistan. Terre des hommes provided immediately initial funding for these internally displaced people in order to meet their food requirements and to get the necessary time to launch a major emergency project. End of October the number of displaced families grew up to 1.500 families – just weeks ahead of the harsh winter months. An emergency team of Terre des hommes (Tdh) expatriate and local staff arrived beginning of November in Rustaq in order to plan and implement the project.

Achievements
In close cooperation with other agencies like MSF-CH, UNICEF, WHO and others, and by involving local government authorities, community representatives, IDPs and IDP elders, the emergency team planned and implemented an intervention, which was to some extend community based and focused. The team also successfully managed to contribute to re-establish a supportive framework and routine activities in Rustaq town.

Health
As a first step TDH rehabilitated the existing clinic in Rustaq, provided medicines and medical equipment. During the emergency period a team of medical doctors and nurses treated 6.016 women and children patients; 39 critical patients were hospitalized and treated successfully. 

Vaccination teams vaccinated 22.702 children against measles in a mass immunization campaign throughout the whole district; the teams also immunized 37.595 children, aged 0-5 years, against polio during National Days on Immunization.
4.209 women, aged between 15 and 45 years received tetanus vaccination, DPT, TT and BCG. 171 malnourished children were identified and they received special care and food with treatment.

Mass immunization against meastes
The first reports of outbreaks of measles reached the emergency team in December. A plan for a massive immunization campaign against measles with MSF, SCA and UNICEF was planned according to different figures provided from other districts. 93 people, drivers, vaccinators, reporters etc, were hired, horses, donkeys and cars organized, a center for vaccination in Rustaq town clinic established in order to reach out to the remotest villages throughout the district. In collaboration with MSF and UNICEF, Terre des hommes managed to immunize 22.702 children aged between 6 months and 5 years – thus reaching a total coverage of 95%. This immunization activity reduces clearly the possibility of a huge crisis in the area since not any of the children under 3 years old – children from the area as well as refugee children - were previously immunized and the “virus was present”.

Mass immunization against polio
Terre des hommes was requested by WHO to coordinate and implement the ‘National Days on Immunization’ in Rustaq district to immunize all children against polio.
On 16th of April WHO arrived with 46.220 vaccines and Swedish Committee for Afghanistan (SCA) provided vaccine containers.
Local communities provided 140 volunteers for 70 vaccination teams. 15 social mobilizers were chosen from the communities and under the supervision of previously trained supervisors sent out to the three areas of the district. The vaccination team reached almost all of the 173 villages of the district, even those ones, which are close to the frontlines. The cold chain could be maintained by snow and ice – locally found in high mountain areas. Through home vaccination in the villages and involvement of local volunteers from the communities the whole campaign was well-integrated and community participation achieved. 140 volunteers immunized 37.595 Children against polio from 17th to 19th of April.

Food and non-food assistance
Besides a major health intervention the team of Terre des hommes had also to feed the approximately 12.000 displaced people throughout the winter as well as to provide fuel and cooking utensils and tools for survival.
The proximity to the frontlines, the blockade of roads due to climate conditions and on-going fighting required a lot of logistics to procure rice, chickpeas, cooking oil etc. for the suffering population.
Terre des hommes
supplied 146.880 kg of rice, 73.440 kg of edible oil, 73.440 kg chickpeas, 51.300 L cooking fuel, 1.125 kerosene stoves and 250 sets of tools.
The beneficiaries were men, women, disabled people, especially vulnerable people and children.


'Food-for-Work' programs for women
Terre des hommes tried to consider the special needs of displaced women in Rustaq by offering them tailor-made ‘food-for-work’ programs. With the support and agreement of local authorities houses for women’s projects were rented and material for sewing and quilt making provided including sewing machine and other necessary tools.
250 women were included in the program to produce clothes for needy children. The women received rice, edible oil and chickpeas plus 25% of their own production for their own children. All the clothes were distributed to 750 poor families with priority to refugees.

'Food-for-Work' programs for men
Right from the beginning Terre des hommes was engaged in free food distribution to the needy IDP population in Rustaq. 2.700 families received food rations of rice, edible oil, chickpeas and cooking fuel. Since the local population was already seriously affected by the drought and suffering from unemployment, poverty and food shortages, Terre des hommes replaced free food distribution with


‘food-for-work’ programs – offered to all impoverished people in Rustaq. This change was long awaited by community leaders and refugee representatives since tensions were growing and people  running out of food resources.
2.940 men were included in the program. They managed to rehabilitate 2 km roads within the town of Rustaq. Supervised by engineers they made strong stone foundations, provided gravel and sand as technically required.

Lessons to be Learned

Emergency intervention programs are usually focusing on immediate needs of food, shelter and health care and not addressing psychological needs of children by offering recreation, educational support and other activities.

Displacement damages the security offered by family networks and relationships and creates an unpredictable environment for children. It causes a great deal of psychological distress and trauma among children as well as adults and the impact on their development is so far not known. Displacement causes changes of social roles, status and responsibilities within the families; it causes also poverty and leads to restrictions on lifestyles and customs, and often it forces children to work in order to support their families.

Terre des hommes must try to integrate programs for children within the framework of emergency intervention programs. Staff members need training to better understand psychological problems and distress affecting displaced children. Emergency intervention programs implemented by Terre des hommes should provide educational support, recreational activities and consultation for children.


Lessons Learned
Food-for-work programs designed for women and men significantly contributed to a better social well-being of the IDPs. They were able to “earn” some income or food.

The people ere encouraged to actively participate in all project activities. Survey teams were composed by IDPs and non-IDPs in order to assess the needs of the affected population in town. Teams of IDPs monitored food distribution in order to efficiently meet the needs of suffering people and to take responsibility for their own affairs IDPs were employed through ‘food-for-work’ programs to register, monitor and organize distribu-ion of food and non-food items. Finally the team of TDH managed to significantly reduce tensions with in populations by providing benefits like ‘food-for-work’ and health services to everybody – focusing on the most vulnerable people of Rustaq.


Afghan News
Following news are quoted from “The News”, published in Pakistan:

21 April: Afghanistan’s ruling Taliban militia has beaten back an attack by opposition forces in the central province of Bamyan, a report said on Friday.
23 April: Taliban Sunday said a trip by United States officials to the country’s drought-hit areas this week marked an acknowledgement by Washington that Afghans needed assistance, not sanctions.
24 April: Camps for fleeing drought and fighting in western Afghanistan are swelling by around 1,000 new arrivals every day, raising fears of epidemics, the United Nations said Monday.
24 April: The Afghan opposition commander, General Abdur Rashid Dostum, who recently returned to Afghanistan after spending some years abroad, left for Balkhab district of Sarr-I-Pul province to organise his forces and lauch offensives against the Taliban forces, reports said on Monday.
26 April: The United Nations displacement Chief, Dennis McNamara, warned of a great catastrophe in Afghanistan if substantial international help does not reach Afghanistan within two to three months.
28 April: Almost 300 persons fall victim to the land-mines every month, scattered over a vast area in Afghanistan, said Manager of the United Nations Mine Action Programme for Afghanistan Dane Kelly here on Thursday.
30 April: A UN team, which has returned from Afghanistan, says that humanitarian crisis in Afghanistan is the worst in any part of the world, Voice of America reports.
30 April: Heavy fighting raged Sunday between Afghanistan’s ruling Taliban and their northern-based opponents on several fronts, the opposition said.
1 May: The ruling Taliban militia and opposition forces were locked in heavy fighting in northern Afghanistan Monday ahead of a visit by the United Nations High Commissioner for Refugees to assess the country’s humanitarian crisis.
2 May: Reports from Afghanistan’s opposition alliance sources say that the Taliban have lost the strategic Tangi Farkhar following heaving fighting that left dozens dead and injured on both sides.
2 May: The Taliban forces have repulsed an offensive of the opposition in Borka district, in Baghlan province and inflicted heavy losses on the rivals, the Taliban-controlled Radio Shariat reported on Tuesday.
3 May: The Talibans have launched their long-expected summer offensive in northern Afghanistan

The Swiss Foundation of Terre des hommes together with its local partner NGO ASCHIANA signed on 24th of May a new protocol with the Ministry of Public Health of the Islamic Emirate of Afghanistan. This protocol will enable Terre des hommes & ASCHIANA to establish a health education center for women and girls in Kabul.
This is considered to be a major break-through since the Taliban authorities have banned 1998 all street-working girls to attend the four centers for street-working children in Kabul city.

in a bid to overwhelm opposition commander Ahmad Shah Masood, the opposition said on Saturday.
4 May: Afghanistan’s ruling Taliban Thursday rejected a six-month ceasefire proposed by UN High Commissioner for Refugees (UNHCR) Ruud Lubbers, saying it would only prolong the conflict.
6 May: Afghanistan’s ruling Taliban militia Saturday captured an opposition stronghold in central Bamiyan province, senior militia officials said.
8 May: Taliban militia on Monday foiled an opposition attack to recapture a key base in northern Takhar province as heavy fighting continued at several places, Taliban officials said.
10 May: Heavy fighting resumed in northern Afghanistan Wednesday as the ruling Taliban militia launched a pre-dawn offensive against a key opposition-held area, opposition officials said.
10 May: The ruling Taliban militia Wednesday confirmed it had ordered the UN to close four political offices in Afghanistan in retaliation for the closure of its New York office following the imposition of UN sanctions.
11 May: Afghanistan is facing an unprecedented vulnerability as nearly one million people are facing acute shortage of food, says the office of United Nations Coordinator for Afghanistan.
18 May: Ismael Khan, a former governor of western Herat province and a key opposition ally, has returned from Iran amid anti-Taliban plans to launch an new offensive against the ruling militia, the opposition said Thursday.
20 May: The continued factional fighting, long dry spell and dilapidated  infrastructure have turned most of the people living in Afghanistan’s northern province of Badakhshan vulnerable to deadly diseases with “almost nil” health facilities, said an NGO Medair that has recently concluded a survey in Yawan district.
20 May: The foreign staff of an Italian-funded hospital left Kabul, two days after the ruling Taliban militia violently raided the medical centre and arrested some workers, said officials on Saturday.
23 May: Islamabad: Afghanistan's Taliban rulers ordered the country's non-Muslim minorities on Tuesday to wear a distinctive badge on their dress while going outdoors.
23 May: The Ministry of Foreign Affairs announced that female expatriates are not allowed to drive a vehicle in Afghanistan.
24 May: The Taliban while defending a decree requiring non-Muslims to wear yellow badges Wednesday said it aimed to protect Hindus and other minorities from the demands of religious police enforcing Muslim rules.
27 May: The World Food Programme Saturday threatened to close  its bakeries feeding 282,000 people in Kabul by June 15 it its surveyors remain unable to determine the most needy people.
30 May: The Taliban regime has tightened restrictions for women with a new edict against close-fitted burqa, the full-body veil women are required to wear, a report said Thursday. Women in the Islamic militia’s southern stronghold of Kandahar have been ordered to cover their bodies with a loose burqa so their curves are not revealed, the Afghan Islamic Press said.
2 June: The Amnesty International said both the warring sides are committing gross human rights violations in Afghanistan and share the blame for inflicting chaos and misery upon their people.
3 June: Fighting subsided in northeastern Afghanistan Saturday after a strong earthquake jolted the region overnight killing at least three people and damaging scores of houses, opposition officials said.


Published by:
Terre des hommes
Liaison Delegation Office
P.O.Box 729 UT
Peshawar
Islamic Republic of Pakistan
Email: tdhkabul@brain.net.pk

 

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