Baggrund fra UNFPA om Afghanistan efter møde med landechef den 10. marts 2022

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Udenrigsudvalget og SRSR-netværket
Til: Udvalgets medlemmer
Dato: 14. marts 2022
Baggrund fra UNFPA om Afghanistan efter møde med landechef den 10.
marts 2022
Hermed baggrundsmateriale fra UNFPA om Afghanistan som opfølgning på
Udenrigsudvalgets møde med UNFPA’s landechef for Afghanistan den 10.
marts 2022.
Med venlig hilsen
Amalie Bentsdatter Andresen,
Udvalgsassistent
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UNFPA operational capacity:
Operational and Programmatic
paradigm shift
WEST
NORTH
NORTH EAST
CENTRAL
HIGHLAND
EAST
SOUTH
SOUTH EAST
CENTRAL
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Youth in Afghanistan
Youth in 2022: DISENGAGED. UNEMPLOYED. HOPELESS. WANT TO EMIGRATE.
population%
age
Population by age gender 2017-18
Source: (CSO, 2018a)
female
One of the youngest and fastest growing populations in the world.
Unemployment rate is high
male
High prevalence of child marriage
of girls 15-19
are already
mothers
10%
of adolescents want
knowledge on sexual
and reproductive health
77%
Demographic
Youth disengagement,
disconnection, and radicalization
63%
are below 25


The 2022 Afghanistan Humanitarian Response plan is the
largest UN Humanitarian Appeal requiring $4.4 billion to
help 22.1 million people. UNFPA requires $251.9 million to
respond to the reproductive health and protection
needs of 9.3 million people affected by the crisis.
UNFPA Afghanistan
Humanitarian Appeal

2022
UNFPA

Afghanistan
FOUR DECADES

OF CONFLICT
NATURAL

DISASTERS
risk of youth

radicalization
FOOD

INSECURITY
almost

universal

poverty
COVID-19
Afghanistan is confronting an unprecedented humanitarian crisis with a very real risk of systemic collapse
and human catastrophe that threatens many of the development gains of the last 20 years. The situation
has deteriorated in recent months due to the conflict with the political power shift, COVID-19 and drought,
which have created a perfect storm for one of the most profound humanitarian crises the world has ever
witnessed – and it is Afghan women and girls who are paying the heaviest price.
Timely funding, donor flexibility and necessary exemptions will be critical for humanitarian partners
to succeed in their mission of providing life-saving support.
Every two hours, a mother dies from preventable childbirth
and pregnancy complications and the current crisis could
make the situation worse.
It is estimated that gender-based
violence and this is anticipated to increase under the de
facto administration.

1 in 2 women experience
The Sehatmandi Project provides health, nutrition, and family planning services across Afghanistan by funding 100% of the Basic Package of Health Services (BPHS), the Essential
Package of Health Services (EPHS), and 65% of overall public health facilities. The project was suspended by the World Bank following the Taliban takeover in August 2021.
* modeling is done based on impact of closure of the Sehatmandi Project
Consequences of NOT Meeting the Needs
Higher maternal mortality and morbidity
Increased risk of unintended pregnancies,
sexually transmitted infections including
HIV, and unsafe abortions
Youth disengagement, disconnection, 

and radicalization
Worsening of gender-based violence 

and harmful practices
Potential impact of inaction on maternal health and family planning between
now and 2025*:
963/100,000
638/100,000
Maternal 

mortality ratio (MMR)
36.9%
24.6%
Unmet need for
family planning
4.8M
3.8M
Unintended

pregnancies
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Humanitarian Response PLAN | UNFPA Afghanistan 2022 04
Donors Support to 2021 UNFPA Flash Appeal
Funding

received
112%
New Zealand

$1,040,000
Norway

$1,700,000
Republic of Korea

$2,000,000
Slovenia

$90,000
United Kingdom

$2,653,000
United States

$5,840,000
Denmark

$4,750,000
Italy

$6,760,000
Germany

$4,400,000
EU/DG-ECHO

$1,811,000
Afghanistan
Humanitarian Fund 

$424,969 Australia

$1,433,000
Funding

received
112%
Italy
EU

ECHO
Denmark
Australia
afghanistan
humanitarian fund
United States 

of America
United Kingdom
Slovenia
Republic of Korea
Norway
New Zealand
Humanitarian response reach August-December 2021
21,363
Family Health

Houses
antenatal care, skilled birth attendance, 

postnatal care
106,109
Psychosocial
counselling
various service delivery points
65,155
women reached with survivor-
centered PSS Services
33,371
Mobile Health Team

sRH services
5,354
Midwifery Helpline 

calls assisted
34,994
Youth Health Line

calls assisted
5,000
Winterization

Kits
10,000
Dignity

kits
360,000
Emergency Reproductive 

Health Kits
people reached via 399 Emergency Reproductive
Health Kits
500,000
interagency

health kits
people reached via 500 Inter-Agency Health Kits
UNFPA reached more than a quarter million people across the country with reproductive health and
protection services during the critical months of August to December 2021. The reproductive health
supplies procured will also further benefit an estimated 875,000 people in need of sexual and reproductive
health care.
Humanitarian Response PLAN | UNFPA Afghanistan 2022 03
To respond to the lifesaving humanitarian needs of women, girls, and youth, UNFPA continues to deliver an integrated reproductive health and gender-based violence
response package at community, village, and district levels, as well as in camps, through the expansion and scaling up of UNFPA’s existing service delivery points.
Delivering Integrated Reproductive Health
and Gender-based Violence Services

for Women, Girls, and Youth
Protection centers
are static or mobile facilities that provide
psychosocial counselling, vocational training, and
health services for women, girls and youth.
FAMILY HEALTH HOUSES (FHH)
are community based, owned, and sustainable
facilities run by a community midwife from the
same locality, providing essential lifesaving
RMNCAH health services to people living in
underserved areas.
MIDWIFERY HEALTH LINE (MHL)
is a toll-free number accessible across
Afghanistan, functional 24/7, providing RMNCAH
technical information, consultation, and guidance
to midwives and other health workers on duty.
MOBILE HEALTH TEAMS (MHT)
respond to the needs of internally displaced
persons, providing integrated reproductive health
and gender-based violence response services.
EMERGENCY CLINICS
are set up along border areas to provide integrated
reproductive health, gender-based violence
response and psychosocial support services to
returnees, internally displaced persons and host
communities.
YOUTH HEALTH CORNERS (YHC)
are an integrated approach within the structure of
public regional, provincial, and district hospitals,
which provide vital health advice and services for
young people.
YOUTH HEALTH LINE (YHL)
a telehealth initiative, is a nationwide toll-free
phone line staffed with male and female
counselors, providing young people with
immediate, anonymous and professional
reproductive health information and advice. It also
provides information, counseling, and referral
services to IDPs on RH, GBV and COVID-19.
MOBILE OUTREACH TEAMS(MOT)
provide gender-based violence psychosocial
support services and awareness. The outreach
teams go to remote communities to deliver
services for people who cannot visit health
facilities.
Timely provision of sexual and reproductive
health services can prevent deaths, diseases,
and disabilities related to unintended pregnancy,
obstetric complications, sexual and other forms
of gender-based violence, HIV infection, and a
range of reproductive disorders.
Humanitarian Response PLAN | UNFPA Afghanistan 2022 05
Reproductive Health
172 1,500 1,328
Family Health

Houses
2022 target
current
20 75 55
Mobile

Health Team
2022 target
current
4 8
Midwifery

Helpline
2022 target
current
4
Youth
26 100 74
YOUTH HEALTH
CORNERS
2022 target
current
4 8 4
YOUTH HEALTH

LINE
2022 target
current
Gender-Based Violence
55 224
Protection

centers
2022 target
current
169
UNFP
A 

2022 APPEAL SCALE-UP
UNFPA HUMANITARIAN RESPONSE: 

GOAL, OBJECTIVES, AND KEY INTERVENTIONS
UNFPA

TARGETS AND COVERAGE
The overall goal of UNFPA’s interventions in the humanitarian
context in Afghanistan is to provide life-saving reproductive health
services; and prevent, mitigate and respond to gender-based
violence cases among the affected population, including women,
girls and young people.
This overall goal is in line with the outcome of the Transitional Engagement Framework [TEF]
which aims for more people in Afghanistan to have benefitted from life-saving humanitarian
assistance that enables them to live in safety and dignity by the end of 2022.
HumanitarianResponsePLAN | UNFPAAfghanistan2022 02
reproductive

health 

services
protection

For women

and adolescents
emergency

supplies
life-saving adolescent 

sexual reproductive health

care services
unfpa key interventions
Leadership in reproductive health, gbv

and youth under the health and protection clusters
3.3 million women and girls
will have better access to
universal reproductive heal
th
care and protection services.
In the long term, the country will
be able to sustain the downward
trend in its maternal mortality
ratio.
then
if we are able to deliver integrated services
for reproductive health and gender-based
violence through expansion and scaling up
of existing services,
preventable maternal deaths
unmet need for family planning
gender-based violence and harmful
practices
even in emergencies.
UNFP
A’s interventions

aim to achieve

0
Under the Health Cluster, 

UNFPA aims to reach 45% or 6.63 million 

out of the 14.7 million overall cluster target.
Under the Protection Cluster, 

UNFPA targets 58% or 2.65 million 

out of the 4.5 million overall cluster target.
UNFPA HRP
target
9.28m
UN HRP target
22.1 million
UNFPA’s humanitarian response aims to reach 42% or 9.28 million people out of
the total 22.1 million target population of the 2022 Humanitarian Response Plan
for Afghanistan.
Adolescents

(10-19)
2,320,500
Adolescent girls

(10-19)
1,113,840
Figures are based on the Minimum Initial
Service Package (MISP) for Reproductive
Health in Emergencies.

The calculations are based on UNFPA's 9.28
million target population and do not include
beneficiaries for other interventions such as
capacity building of service providers.
Adult

men
2,413,320
Sexually active men 

who use condoms
371,280
Adults

living with STI
146,613
Live births in the next
12 months
289,339
Pregnancies that will
experience complications
32,550
Currently

pregnant women
217,004
Women

of reproductive age (WRA)
2,227,680
WRA who use modern
contraceptives
534,643
Newborns that will
experience complications
57,868
target population:

9,282,000
Humanitarian Response PLAN | UNFPA Afghanistan 2022 06
FUNDING REQUIREMENTS
total cost
$251,940,000
Duration

(months)
12 months
Population

coverage
9,282,000
United Nations.[2022] Humanitarian Response Plan Afghanistan. page 30. Available on: https://reliefweb.int/sites/reliefweb.int/files/resources/afghanistan-humanitarian-response-plan-2022.pdf 


*
The calculation is based on the average
cost per beneficiary :
*
Health cluster: $26/person per year
Protection cluster: $30/person per year
2022 UN Afghanistan HRP UNFPA 2022 HRP
Target reach % ofthetotal UN HRP
planned reach
2022 UN Afghanistan HRP
total Planned reach by unfpa $251,940,000
UNFPA 2022 HRP
Target reach % ofthetotal UN HRP
planned reach
$
$
UNFPA requires a total of $251,940,000 to implement the key life-saving humanitarian
interventions in Afghanistan for the year 2022.
key interventions
Total budget

in usd
Reproductive Health in Emergency $125,970,000
GBV in Emergency $62,985,000
Youth in Emergency $25,194,000
M&E $12,597,000
UNFPA Operations and Staffing Costs $25,194,000
TOTAL $251,940,000


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BACKGROUND INFORMATION ON THE AFGHANISTAN CRISIS
The situation in Afghanistan has drastically deteriorated since August 2021 with the political power shift
as the Taliban gained control of the country after the withdrawal of international forces – the latest phase
in the country’s 40 years of war.
In the beginning of 2021, the UN in Afghanistan aimed to reach 18.4 million people for humanitarian
assistance. These are the population most affected by conflict, recurrent natural disasters, chronic
poverty, drought and the COVID-19 pandemic.
Following the August 2021 upheaval, ongoing and incoming development assistance halted, creating an
atmosphere of uncertainty and insecurity across the country. Such assistance include the World Bank-
funded Sehatmandi Project, which supports the operation of more than 2,000 public health facilities
that employ over 20,000 health workers.
The needs have exacerbated and further complicated an extremely challenging operational context. In
2022, the number of people in need has increased by a staggering 30 per cent. The 2022 Afghanistan
Humanitarian Response Plan launched in January is now targeting to reach 22.1 million people with a
$4.4 billion funding requirement to address the deepening need of a wider number of people.
While all population groups across the country have been impacted, the consequences for women and
girls have been most immediately felt.
Prior to the crisis, 1 Afghan woman dies every 2 hours from preventable pregnancy and childbirth-
related complications, and gender-based violence affects 1 in 2 women. With the disruption in health
and protection services, these figures are expected to increase.
Over 19 million Afghan women and girls will face increased restrictions on access to life-saving assistance,
basic human needs, and essential services on account of discriminatory gender norms related to women’s
freedom of movement, access to justice, employment and education.
Women with complex health needs, such as those who are pregnant, have reportedly been facing major
access issues. Challenges cited include fear and insecurity, mobility restrictions (use of mahram),
challenging geographical access to health facilities, lack of safe transport services, and lack of trained
female service providers.
The challenges faced by Afghanistan’s youth population (67 per cent who are under the age of 25) has
also multiplied as a result of the humanitarian crisis. These include high unemployment rates and rise in
poverty, which affects their quality of life and impacts their aspirations and morale. Child marriage and
teen pregnancy are expected to soar during the crisis.
UNFPA seeks to mobilize $251.9 million to reach 9.28 million people with the following interventions:
reproductive health services, protection for women and adolescents, adolescent and youth-friendly
reproductive health services, and emergency reproductive health supplies.
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