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LETTER FROM AFGHANISTAN
Vol. 7. August. 2001

We inform about our projects and programs in Afghanistan

With financial and material assistance from Chaine du Bonheur, Swiss Development Cooperation SDC, UNICEF, CARE Afghanistan, CANADA Fund, WHO, European Commission – Humanitarian Office ECHO, MSF-CH and the funds provided by the support groups of the Foundation in Switzerland, Terre des hommes is providing significant humanitarian assistance especially to children and women in Afghanistan.

Our humanitarian assistance is based on the principles of neutrality (not taking sides) and impartiality (not distinguishing between people except on the basis of need). “Humanity does not mean concern for physical well being only. Aid that simply provides calories for the stomach and water for the throat is a reduction of people to things. How can there be human concern for such a mean objective? ‘Concern for the person’ entails concern for the whole being, including a person’s state of mind, sense of loss and the devaluation of life. The suffering of the body and the mind cannot be distinguished from each other. It is concern for every aspect of a person including their loss of relatives and way of life, their disability, their love for children, their past and their future. Humanitarian concern is a demanding concept because it has no limit.” Tony Vaux in ‘The selfish altruist’; Earthscan Ltd. London, 2001.






The TDH Maternal Child Health - Home Visiting Program in Kabul.
This program is directly managed by Terre des hommes, which signed its first agreement with the Ministry of Public Health (MoPH) in early 1996, and further renewed the Agreement with the MoPH in April 1999 and July 2001 respectively.
The principal objective of the home-visiting program (HVP) is to provide home-based pre- and post-natal midwife support to mothers and their newborn children. All Terre des hommes staffs are female Afghan citizens; no expatriates are employed in this program.
A high workload is pursued by the TDH midwives, as demonstrated by the 28,179 clients they visited in

2000, including the care of 4,173 newborn infants and their mothers during the same period.  The midwives meet every early morning, five days a week, and then they move – dressed with their blue burqas – with taxis and microbuses to one of their 12 working areas in Kabul city. There they walk by foot, knock at the doors of new houses to search for new patients, visit their clients, care for the newborns and arrange health sessions in the neighborhoods for women.
Pregnant women are usually visited twice during the later stages of their pregnancy, with midwives advising them and their family members on how to achieve clean and safe deliveries. Essential iron folate and multivitamins are supplied to pregnant women and referrals to UNICEF immunization centers are encouraged for both mothers and children. The midwives also monitor the nutrition status of the women and provide additional enriched food biscuits to the clients. Postpartum care follows a schedule of five home visits and continues until 42 days following delivery.  During this time specific health topics are discussed with mothers and many other local women, who crowd into very cramped rooms to listen to the ‘health messages’. In this way, the midwives have enabled dissemination of healthy MCH practices to 84,789 women during 2000.

This MCH/HVP not only sustains a vital service to many women in Kabul, it also enables the midwifery team to practice and maintain their skills and expertise, as professional educated women.  At the same time, they are providing valuable family income against an unemployment background estimated as high as 90% within the formal  sector.
The services of the midwives have become even more crucial over the past year, as from July 2000 there are now only 15 of the original 42 Ministry of Public Health (MoPH) MCH clinics remaining in Kabul City, with international donor funding supporting some two-thirds of these same facilities.
It is the only community-based home-visiting program for pregnant mothers and their newborns in Afghanistan.

The Aschiana centers for street - working children in Kabul.
Terre des hommes has supported the work of the registered, Afghan non-governmental organization, Aschiana, since 1996. Aschiana has worked with the consent and approval of the Ministry of Public Health under both the previous and the current government authorities. There are nowadays six Aschiana centers in Kabul (Shari-I-Naw, Khair Khana, both established 1996; Microrayon 3 and Deafghanan, established 1997 and Karte Se, established 2001 and funded by Swedish Children Fund and Microrayon 3 Health Center, established 2001), which 1,484 receive street working boys and girls, aged between 6 – 16 years. Five centers focus on boys only and offer a range of income-generating training, psycho-social support to traumatized children, nutritional support, health education, plus basic literacy and numeracy training in accordance with cultural and socially accepted norms, mine awareness, narcotic hazard awareness, treatment and consultation and relief items.

Since girls were not allowed to attend the Aschiana centers since 1998, 650 of the poorest street-working girl children, receive once monthly dry rations and personal hygiene kits, in order to counteract the poverty and hardship that they and their families face.

Terre des hommes together with its local partner NGO Aschiana signed this year a new protocol with the Ministry of Public Health of the Islamic Emirate of Afghanistan. This protocol enabled Terre des hommes & Aschiana to establish a health education center for women and girls in Kabul. This was considered as a major break-through since the Taliban authorities have banned in 1998 all street-working girls to attend the four centers for street-working children in Kabul city.
The total number of the children assisted during the year 2000 was 1384 and has meanwhile increased to 1,484 children. It is the only street working children project in Afghanistan.

Post-earthquake Rehabilitation Project, Rustaq District, Takhar Province

Following the massive earthquake, which destroyed much of the infrastructure of northeastern Afghanistan in 1998, Terre des hommes is providing financial and technical assistance to the earthquake-affected communities. The project itself is focusing on three components: Water & Sanitation for 11 villages, School Construction & Education, and Health Services & Health Education for 15 villages.

“In health, … women want services provided by women to whom they can talk openly; they want much more than is available; they want it on their door steps, i.e. into rural areas, from where they have no transport, money, or freedom of choice to seek help when needed. They also appreciate knowledge about prevention of common diseases in children – both to avoid loss of life, and expenses which they cannot afford.” 
Room to Manoeuvre; Carol Le Duc; photo by Elisabeth Rubi

The Health Project is training traditional birth attendants, employing community health workers and providing health education services and healthcare for the men, women and children in 15 villages as well as Rustaq town. Vaccination and immunization campaigns as well as “expanded programs for immunization” (EPI) are included. During “National Immunization Days” NID the project vaccinated 37,600 children against polio in May and 35,300 children aged 0 to 5 in June this year. The rest of NID rounds will take place in next winter.

A professional team of doctors and nurses provides health care and health services to five sub-clinics for the 15 villages on daily regular base.  Mobile teams with a doctor, nurse and vaccinator leave daily Rustaq town in order to reach regularly the remote villages of the project area.


The health education trainers are covering all 15 villages with health education. They stay for 10 days in the sub-clinics, share the daily life with people, train the community health educators on the spot and are also providing health education to the villagers.


The School Construction & Education Project includes construction of 4 village schools (in Khuja-Khirab, Ghange, Dashtak and Bagh-I-Hisar). Stationary, teaching aids, teacher training and providing salaries for 105 teachers (94 male teachers and 14 female teachers) of 11 schools (5 rural primary school, one girls primary, middle and high school and one boys primary, middle and high school, both in Rustaq), is part of the program. 1,963 children – 1,256 boys & 707 girls from 15 villages and Rustaq town are presently benefiting from Terre des hommes’ rural rehabilitation project.
A ratio of 64 % enrolment of boys and 36 % enrolment of girls within the framework of Terre des hommes (Tdh) support is encouraging to mobilize more resources to promote girls education.

The Water & Sanitation Project is constructing water reservoirs in several villages and rehabilitating springs for at least 11 villages near to Rustaq. In addition water channels will be constructed or/and rehabilitated in order to provide better access to water for the men, women and children in the 11 villages.


Emergency Project: Food and Non-Food Assistance to IDPs in Rustaq District
In the June issue of ‘Letters from Afghanistan’ emphasis was directed towards the displacement of more people in northern Afghanistan and Terre des hommes (Tdh) intervention in the north:

Due to the inaccessibility of the district, the closeness of the frontlines and the difficulties to get supply the project decided to use local merchants to deliver food and non-food items to Rustaq. It was the cheapest possibility to provide food to the people and has helped to keep food prices low to reasonable levels in order to make food available to local people for reasonable prices.

Gender policies of Terre des hommes

Terre des hommes (Tdh) employment policy is focusing on promoting female employment. Presently Terre des hommes (Tdh) has 105 staff members in its programs and projects. 60.1 % of all staffs are female Afghans working in projects of both sides of the frontlines.

Gender policy is focusing on working towards gender equality in all the programs with a strong emphasis to reach women and girls. The gender policy is recognizing Afghans right to cultural integrity and culture.  Terre des hommes’ key programs in Afghanistan are ‘Mother-Child-Health’ projects, street children approaches, rural rehabilitation projects and emergency interventions.

TDH’ gender strategies include same ‘salary for same position’, continuing gender training for all senior staff, allocating of budgets to better consider transportation of female staff in separate vehicles, allocating of additional budgets to pay travel costs for accompanying ‘guardians’, making specific local arrangements for planning, reporting, training and meetings with female staff, arranging professional training workshops in Pakistan, increasing women’s participation in meetings, increase their access and better possibilities in decision making.

Lessons learnt so far for the ‘field’:

In communities it is more culturally accepted to see a woman as a member of her family rather than a marginalized individual. Therefore the use of the concept of ‘communities’ of women, men and children appears much more successful than focusing on gender training.

Professional Afghan women value their self-worth and the benefit they can contribute higher than western views of women rights.

Due to the present circumstances in Afghanistan women are the priority targets for human resource development activity of Terre des hommes (Tdh).

Providing opportunities is less threatening to cultural values and creates more self-esteem and confidence.

Finally it most be acknowledged that the Gender Coordinator of Swedish Committee for Afghanistan was and is very instrumental to develop gender policies within the framework of TDH-Afghanistan.

 

“TDH Mission & Implications for Programming Gender Analysis: Tools & Assessment of Program”:
Facilitated by the Gender Coordinator of Swedish Committee for Afghanistan Terre des hommes organized the second gender workshop this year in Pakistan for all senior staff and cooperating partners.

The workshop was focusing on TDH’s Mission, The Convention on the Rights of the Child” and a gender assessment of TDH’s Afghanistan program.

17 senior staff from both Afghanistan participated, equally represented by women and men, and shared their experiences and learnt from each other.

 

Since the Taliban have banned education for girls and invested little in education for boys, home schools are the only alternative for many families to educate their children.

Terre des hommes (Tdh) projects and programs are presently supporting several home schools in Kabul and providing education to 230 girls and employment to more than 10 female teachers.

Afghan News
The News July 5,2001
ISLAMABAD: Due to lack of international support and drought, the former Afghan poppy growers are paying a heavy price of implementing the Taliban ban on the cultivation, as it is declared “ un – Islamic “. Many of them will be unable to meet the basic needs of their families in winter 2001 and 2002. However, some of the former poppy farmers have replaced it with wheat.

The News 7 July 2001
ISLAMABAD: Western aid sources have said that over 45,000 girls under 10 year of age are engaged in secret learning up to primary level, in Afghanistan.

The News July 10 2001
ROME: Afghanistan is teetering on the brink of widespread famine, threatening million of lives, after a third successive year of drought, the United Nations World Food Program (WFP) said on Monday.

 The News July 11 2001
PESHAWAR: To remove international concerns over opium stocks in Afghanistan, Taliban authorities on Tuesday offered members of the Afghan Support Group its help in the sale of the stuff to drug manufacturing companies under the UN supervision.

Kyodo   Japan July 24 2001
The most disaster prone country in the world today is Afghanistan, according a new disaster assessment chart drawn up by aid agency Tear Fund. The chart is an aid to planning disaster response, and works by carefully weighting and combining data on natural disaster, conflict and social vulnerability to produce an overall score, Afghanistan tops the chart because if combined pressures from conflict and a three year long drought, which is cutting harvests to 30 % of the 1998 levels.

 Khaleej Times  July 25 2001
KABUL: The Taliban regime said yesterday it was watching the activities of Osama bin Laden and that he would not be allowed to launch attacks on foreign targets from Afghanistan.

The Statesman July 27 2001
ISLAMABAD: In Afghanistan the fatality rate from land mines is very high and as many as 500 persons are killed by land mines every month. Health facilities are so scarce that many victims die needlessly because they can’t reach medical help, a BBC report said.

The Frontier Post 27 July 2001
WASHINGTON: (Agencies) Afghanistan ruling Taliban resumed the second phase of their attack against the Northern Alliance forces in Takhar province.   Foreigners  are also  taking  part  in  this operation. The Taliban ‘s initial attack, the report said, on Farkhar Gorge was repulsed.

The Frontier Post, July 28 2001
KANDAHAR (Agencies): The Head of Taliban’s Anti Narcotics Commission, Mullah Abdul Hameed Akhundzada has said that the ban on poppy cultivation in Afghanistan was permanent.

The News July 30 2001
KABUL: The United Nations Security Council is likely to vote Monday on a resolution, which will empower UN observer to monitor implementation of the sanctions against Taliban. VOA quotes political analysts as saying that the UN curbs neither have any impact on Taliban nor forced them to agree to a negotiated settlement of the conl1ict. An analyst aid that isolation or punishment of the Taliban has been ineffective and has proved counter productive. He said Taliban have adopted much harsher stand because of their isolation.

 The Frontier Post August 9 2001
NEWYORK  (Online): The United Nation Security Council should impose a comprehensive embargo on all military assistance against all warring factions in Afghanistan, Human Right Watch has urged.

The Frontier Post August 9 2001
ISLAMABAD: (NNI) United Nation officials this week began recruiting independent experts who will oversee a new sanctions enforcement regime against Afghanistan ‘s ruling Taliban. The plan will rely on tough border policing by Afghanistan ‘s neighbors. But efforts to get these states to cooperate pose a serious challenge to UN expert.

 The Frontier Post August 9 2001
ISLAMABAD: The arrest of eight foreign aid workers in Afghanistan this week is another sign that the Taliban militia are gaining the upper hand in Kabul analysts said Thursday. Following the destruction of the ancient Bamiyan Buddahas in March, the crackdown on Christian aid group Shelter Now showed the Taliban were again flexing their muscles, with potentially explosive results.

The News August 11 2001
United Nations: Afghanistan’s Taliban, accustomed to being faulted for its human right record and for harassing international relief workers, has received a rare compliment from the United Nations for its overwhelming success in fighting opium cultivation.
Secretary-Genaral Kofi Annan says that a recent UN survey of the world’s drug problem has concluded that the “most impressive” results were in Afghanistan, where there has been “the almost total disappearance of the opium poppy in areas controlled by the Taliban”.

Published by Terre des hommes Afghanistan
P.O.Box 729 Peshawar
Pakistan

 

 

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