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8 November 2001

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US Department of State
International Information Programs

Washington File
_________________________________

Source: http://usinfo.state.gov/cgi-bin/washfile/display.pl?p=/products/washfile/latest&f=01110601.glt&t=/products/washfile/newsitem.shtml

06 November 2001

World Health Organization Reports on Mental Health in Afghanistan

(Population suffers widely from psychosocial stress) (1,240)

Malnutrition, disease and exposure all endanger the health and
well-being of Afghanistan's people, but psychosocial stress is another
threat now being reported by the World Health Organization (WHO).

"Not only does Afghanistan hold the unenviable position of one of the
worst health care situations in the world, it is also grappling with a
hidden medical crisis: severe mental suffering resulting from decades
of conflict and repression," according to a WHO Special Report issued
November 6 by it's Central Asia Crisis Unit.

No research exists on the effects of stress on the Afghan people under
the current circumstances. WHO cites research conducted in other
conflicts, however, finding that up to 20 percent of a population can
have severe mental health problems or diminished capacity to function
after experiencing the trauma of conflict.

The report underscores the psychological stress suffered by women as
they have struggled to survive national conflict at the same time
they've lost employment and educational opportunities under the
Taliban. One small study of 160 Afghan women conducted in a refugee
camp five years ago found that 97 percent showed signs of depression
and 86 suffered symptoms of anxiety.

Following is the text of the WHO Special Report: 

(begin text)

World Health Organization (WHO)

6 Nov 2001

WHO SPECIAL REPORT Central Asia Crisis Unit

The invisible wounds: The mental health crisis in Afghanistan

In the remote central highlands of Hazarajat, Afghanistan, one of the
most prevalent reasons patients visit the local health center is fear.

Dr. Leena Kaartinen of the NGO Healthnet International first started
treating patients in this isolated region in 1985. She says the
greatest health problem facing the people, who are primarily Hazaras,
is psychosocial distress.

"The community is very protective, but the population lives in fear.
They worry about everyday survival. They are terrified of military
attacks. They come to the clinics with pain that isn't linked to any
physical condition. I just listen to them carefully and they are
relieved," says Dr. Kaartinen.

Twenty-three years of war have ravaged the mental health and
psychosocial functioning of the people in Afghanistan. Killing,
executions, massive persecution, forced internal displacement, fear
associated with living in mined areas, and the latest escalation of
violence have left an indelible mark on the population. In addition,
the psychological impact of living in uncertainty affects at least
three million Afghan refugees.

Not only does Afghanistan hold the unenviable position of one of the
worst health care situations in the world, it is also grappling with a
hidden medical crisis: severe mental suffering resulting from decades
of conflict and repression.

Women, in particular, have seen a dramatic deterioration in their
psychological, family and social life over the past decade. Excluded
from education, and employment, they have enormous difficulties
accessing health care while still having to care for other family
members. Widows, pregnant women, and survivors of sexual violence are
particularly vulnerable. In Kabul alone, an estimated 60,000 widows
are forced to subsist without traditional family support. Many suffer
the humiliation of having to beg, yet are punished for roaming the
streets without male accompaniment.

Updated statistical data about mental health care in Afghanistan
doesn't exist. Over-all world statistics in normal circumstances
suggest that more than 3% of the population suffer from a grave mental
disorder at any point of time. This means that hundreds of thousands
of Afghans are likely to be suffering from severe mental illness with
no opportunity for any treatment under the current circumstances.

Research shows that in conflicts, 10% of people who experience
traumatic experiences will have serious mental health problems and
another 10% will develop behavior that will hinder their ability to
function efficiently. In Afghanistan, some five million people are
very likely to be affected by psychosocial distress. The most common
conditions are depression, anxiety and psychosomatic problems, such as
insomnia, or back and stomach aches. Traditionally, people suffering
from the consequences of trauma are able to benefit from the support
of the family and the community. But communities in Afghanistan have
been destroyed by decades of fighting, and such support systems are
very rare.

The opportunities for psychosocial support are almost non-existent in
Afghanistan. First, there is an extreme shortage of trained mental
health professionals. WHO's Project ATLAS revealed that early in 2001,
for a population of 25 million, the reported number of psychiatrists
was just eight in the entire country. There were only 18 psychiatric
nurses and 20 psychologists.

Facilities for treatment are also extremely limited. There are 50
psychiatric beds available in Kabul: 30 for men, and 20 for women.
Other facilities include two [ReliefWeb]centers in Jalalabad, and one
in Mazar-I-Sharif. There [ReliefWeb] is no way of knowing whether
these centers are still functioning today and whether the
psychiatrists are still in Afghanistan.

"Mental health resources in most countries are grossly insufficient,
but the lack of available care in countries in conflict, such as
Afghanistan, is especially alarming," says Dr. Shekhar Saxena,
Coordinator in the WHO Mental Health and Substance Abuse Department.

Already in the 1980s during the war against the Soviet Union, medical
groups such as Médecins sans Frontières and Aide Medicale
Internationale warned of growing numbers of young fighters suffering
from psychological problems. They also reported that many refugees who
had seen family members killed or executed in front of them were
suffering from mental distress.

Five years ago, research carried out in Afghanistan pointed to an
increasingly dire mental health crisis, especially among women. An
article published in the Journal of the American Medical Association
highlighted the deteriorating mental health situation of women in
Kabul and refugee camps in Pakistan. Of 160 women interviewed, 81%
reported a decline in their mental health status; 97% showed signs of
depression, while 86% had significant anxiety symptoms.

The grave vulnerability of children in Afghanistan was revealed in
1997 through a survey carried out by UNICEF. Three hundred children in
Kabul were interviewed: the results indicated that 40% had lost a
parent; 2/3rds of them had seen dead bodies or parts of bodies and 90%
believed they would die during the conflict.

A WHO fact-finding mission to Pakistan recently found that 30% of the
Afghan refugees who seek medical care at local health care facilities
are presenting psychosomatic complaints resulting from psychological
problems. The harsh evolution of the Afghan conflict is leading health
officials to warn of a large-scale mental health crisis in
Afghanistan.

"This catastrophic situation calls out for an immediate and
comprehensive response," says Mary Petevi, psychosocial specialist at
WHO's Emergency and Humanitarian Action Department. "The international
community must consider psychosocial health as urgent as physical
health problems."

Given the magnitude of the problem and the scarcity of resources, WHO
appeals for greater international awareness and financial support for
psychosocial programs. Emphasis must be placed on carrying out rapid
assessments and training trainers in psychiatric care and psychosocial
action. Mobilization, empowerment and active participation of the
affected community in its survival is critical. Even if such support
in Afghanistan may be currently too complex to implement, all efforts
should be made to provide emergency psychosocial support to refugees
in neighboring countries.

(end text)

(Distributed by the Office of International Information Programs, U.S.
Department of State. Web site: http://usinfo.state.gov)


Source: http://usinfo.state.gov/cgi-bin/washfile/display.pl?p=/products/washfile/latest&f=01110602.glt&t=/products/washfile/newsitem.shtml

06 November 2001

UNHCR Reports Overflow in Afghan Refugee Camps

(People vulnerable to weather, security threats) (960)

Certain refugee camps on Afghanistan's borders with both Iran and
Pakistan have reached capacity, leaving people attempting to enter the
camps with neither shelter nor resources, the U.N. High Commissioner
for Refugees reported November 5.

This situation develops just as the harsh Afghan winter is about to
set in, UNHCR reported. "With night-time temperatures dropping
dramatically over the past few days, UNHCR is deeply concerned about
the condition of these families living out in the open, and is
currently discussing how to improve their situation with the local
authorities," the statement added.

Iran and Pakistan, already sheltering some 3.5 million refugees who
have left their country over the last 20 years, are currently keeping
their borders closed to further Afghans, though some exceptions are
being made for vulnerable persons, such as the elderly, the sick,
women and children.

In a November 6 briefing, UNHCR's Geneva headquarters spokesman Kris
Janowski said, "The presence of armed fighters in or near the camps
present an obvious danger to the displaced, including for young men
facing forced recruitment by both the Taliban and the opposition
Northern Alliance."

Following is the text of the UNHCR news story:

(begin text)

QUETTA, Pakistan, Nov. 5 (UNHCR) -- With the temporary staging site at
Killi Faizo full, some 400 Afghans were waiting Monday to enter the
facility in Pakistan's southern Baluchistan Province. At the same
time, unconfirmed reports said some 3,000 refugees were living in the
open near the Makaki camp in Taliban-controlled territory near the
border with Iran.

No new vulnerable refugees have been able to enter the Killi Faizo
site since Nov. 1. At the same time, negotiations are continuing
between the U.N. refugee agency and Pakistani officials on moving the
camp's residents to Roghani, a camp about 20 kilometers south of the
Chaman border town.

"As a result, the situation is essentially stalled, with 2,245
individuals inside Killi Fiazo receiving a full aid package from
UNHCR, the World Food Program and other agencies, and those outside
receiving next to nothing," UNHCR said in a statement Monday.

"With night-time temperatures dropping dramatically over the past few
days, UNHCR is deeply concerned about the condition of these families
living out in the open, and is currently discussing how to improve
their situation with the local authorities," the statement added.

The agency said its staff in the area was planning to give blankets as
well as high-protein biscuits to those outside the Killi Faizo site.
They are also being provided with water from inside Killi Faizo while
local benefactors are providing them with bread and other food items.

The agency said it was trying to find ways of assisting the so-called
invisible refugees, Afghans who have crossed into Baluchistan
Providence but have disappeared into old refugee camps or nearby
Quetta City. Discussions are continuing between local authorities and
UNHCR, UNICEF, Mercy Corps International and Save the Children (US) to
find ways of helping new arrivals, especially in education and health.

UNHCR has also begun direct support to the front-line hospital in
Chaman by providing 1.2 million tons of drugs donated by the Jordanian
Hashemite Charity Organization and an obstetrics kit donated by the
United Nations Fund for Population Activities.

While key sections of the hospital, including the operating block, the
laboratory, and the emergency ward are not functioning, some 10,000
measles vaccines are in stock and Medecins Sans Frontieres, the French
humanitarian organization, continues to vaccinate children.

Some 11 cases of severe malnutrition were identified at the Chaman
border last week, along with acute respiratory infections and
dysentery, UNHCR said Monday. "The malnutrition cases in particular
have raised alarm that the food crisis may have turned a corner inside
Afghanistan," the agency said. Severe malnutrition, according to
experts, is a very late indicator of a lack of food.

Along the Iranian border with Iran, unconfirmed reports from the
Iranian Red Crescent Society (IRCS) and a non-governmental
organization said some 3,000 Afghans were living out in the open near
the Makaki camp on the Afghan side of the border.

The reports said the group was given some food and other assistance,
but that they were not allowed to enter the Makaki camp, which is full
with between 4,500 and 6,000 refugees. The Makaki camp is in
Taliban-held territory. A second camp known as Mile-46 also run by the
IRCS is inside a small pocket in Nirmoz Province that is controlled by
forces affiliated with the opposition Northern Alliance.

With regards to North West Frontier Province, the refugee agency said
it was working with local authorities to relocate newly arrived
refugees living in what it described as "overcrowded and destitute
conditions" in the Jalozai camp. The plan is to transfer the refugees
now in Jalozai and other camps to identified sites in the so-called
Tribal Agencies areas close to the Afghan border.

Work is currently underway in eight of the 15 sites identified, with
the Kotbai camp in Bajaur Agency north of Peshawar expected to be the
first to become operational. "Relocation to new sites, set to start
around November 11, will be voluntary and priority will be given to
the most destitute," UNHCR said.

The refugee agency said some 4,100 Afghans arrived last Thursday at
various crossing points in North West Frontier Province, with another
4,500 arrivals on Friday. But UNHCR cautioned that it was not clear
what percentage could be considered genuine new arrivals. The agency
believes that well over 100,000 Afghans have entered Pakistan since
the September 11 terrorist attacks on the United States.

(end text)

(Distributed by the Office of International Information Programs, U.S.
Department of State. Web site: http://usinfo.state.gov)


Source: http://usinfo.state.gov/cgi-bin/washfile/display.pl?p=/products/washfile/latest&f=01110602.clt&t=/products/washfile/newsitem.shtml

06 November 2001

USAID Cites Continued Security Problems in Afghanistan

(Fact sheet reports increasing food deliveries) (3650) 

Security problems inside Afghanistan continue to be a major concern of
international aid agencies with looting and armed occupation of their
offices increasingly common, the U.S. Agency for International
Development (USAID) says.

Nevertheless, daily food aid transportation into Afghanistan has been
steadily increasing with a total of 27,311 metric tons delivered to
Afghanistan since September 11, according to a November 1 USAID fact
sheet.

Delivery of relief commodities continued in western and northern
Afghanistan with 13,000 blankets expected to arrive in Heart. Three
thousand quilts that had escaped looting in Mazar-e-Sharif were to be
delivered to internally displaced persons camps in Kunduz.

Population movements towards Afghanistan's borders continued while
Taliban forces reportedly engaged in forced recruitment and efforts to
prevent people from fleeing the country. Despite increased numbers of
refugees in Pakistan, these numbers fell short of the 1.5 million
projected by contingency planners.

However, Afghans arriving at refugee camps in Pakistan are reporting
cases of severe malnutrition and dysentery, according to the U.N. High
Commissioner for Refugees.

Following is USAIDs November 1 latest fact sheet:

(begin text)

U.S. AGENCY FOR INTERNATIONAL DEVELOPMENT (USAID)
BUREAU FOR HUMANITARIAN RESPONSE (BHR)
OFFICE OF U.S. FOREIGN DISASTER ASSISTANCE (OFDA)
Central Asia Region-Complex Emergency

Situation Report #5, Fiscal Year (FY 2002), November 1, 2001

Note: this Situation Report updates previous Central Asia Task Force
Situation Reports and Fact Sheets.

Situation Report #5 (FY 2002)

November 1, 2001


Background

Two decades of war in Afghanistan, including a decade-long Soviet
occupation and ensuing civil strife, have left Afghanistan
impoverished and mired in an extended humanitarian crisis. Government
infrastructure, including the ability to deliver the most basic
health, education, and other social services, has collapsed.
Significant resources are directed to the war effort. Severe
restrictions by the Taliban, including a restriction on women working
outside the home, have added to the impact of poverty, particularly on
the many households lacking able-bodied adult men. The Taliban
controls about 90 percent of Afghanistan's territory.

Humanitarian prospects worsened sharply in Afghanistan in September
2001 due to developments both inside and outside the country. Osama
bin Laden, who resides in Afghanistan under Taliban protection, is the
leading suspect in the September 11 terrorist attack against the
United States. Fears of a U.S. reprisal triggered a population exodus
from major Afghan cities, both towards other points in Afghanistan and
towards the country's borders. The beginning of U.S. air strikes on
October 7 caused additional movement. International staff of all
relief agencies withdrew after September

Afghanistan Numbers Affected at a Glance

Total population (CIA Factbook). . . . . . . . . . . . . . .26,813,057

Refugees Since September 11, 2001 (UNHCR)
Pakistan. . . . . . . . . . . . . . . . . . . . . . . . . . . 80,000 -
110,000
Iran. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Unknown

Refugees Since September 2000 (UNHCR)
Pakistan. . . . . . . . . . . . . . . . . . . . . . . . . . . 152,000

Old Caseload Refugees (UNHCR)
Iran. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1,500,000
Pakistan. . . . . . . . . . . . . . . . . . . . . . . . . . .
2,000,000

Internally Displaced (U.N.)
Since September 11, 2001. . . . . . . . . . . . . . . . . . . .
180,000
Since 2000. . . . . . . . . . . . . . . . . . . . . . . . . .
1,100,000
Old caseload. . . . . . . . . . . . . . . . . . . . . . . . .
1,000,000

Total FY 2001/2002 U.S. Government (USG) Assistance to Afghanistan
$292,972,370 (1)
Total FY 2001/2002 USG Assistance to Tajikistan. . . . . . . . . .
$68,208,180

(1) Note: this figure has been reduced from the October 31, 2001
figure of $294,055,970 due to a discrepancy in reporting of the total
number of Humanitarian Daily Rations dropped as of that date. See DOD
Funding for details.

Current Situation

Overview. Food aid, delivered in massive quantities by the U.N. World
Food Program (WFP) despite ongoing conflict, and through U.S.
airdrops, continued to flow into Afghanistan in increasing quantities.
Nonfood relief commodities continued to arrive in Afghanistan as well.
Population movements towards Afghanistan's borders continued, while
Taliban forces reportedly engaged in forced recruitment as well as
blocking efforts to flee the country. Despite increased refugee
numbers in Pakistan, outflows still fell far short of the 1.5 million
to surrounding countries envisioned by contingency planners.

Reports of the Taliban using civilian populations and structures as
human shields continued, as Taliban forces continued to move military
equipment and personnel into civilian structures including mosques and
schools.

Political/Military. In what some sources described as a serious
setback for efforts to establish a broad-based post-Taliban government
inside Afghanistan, opposition leader Abdul Haq was captured and
killed by the Taliban after a brief foray into southeastern
Afghanistan. Haq was a prominent Pashtun leader who had achieved hero
status in Afghanistan due to his role in the war against the Soviet
occupation in the 1980s.

Food Aid. As of October 31, WFP had enough food aid in Afghanistan and
the region to feed more than 10 million people for one month (see
table). Despite the ongoing war, food deliveries into Afghanistan, as
well as distributions to beneficiaries, continued. According to WFP,
distribution of food aid to beneficiaries inside Afghanistan during
the month of October totaled 21,933 metric tons (MT) for more than 2.6
million beneficiaries. Since September 11, WFP has distributed a total
of 34,341 MT of food aid inside Afghanistan. The daily rate of food
aid transport into Afghanistan has steadily increased; between October
28 and October 29, WFP transported 3,910 MT into the country. In
total, WFP has delivered 27,311 MT of food into Afghanistan since
September 11.

In Northern Alliance-held territory, food is reportedly available in
all local commercial centers, although prices have been increasing.
Prices in the northeast have generally been higher than the rest of
the country, due to war and accessibility issues.

Current WFP Food Aid Stocks

Location                Quantity (MT)               Beneficiaries
Afghanistan                9,136                        1,096,296
Region                    84,536                       10,144,313
Total                     93,672

Pakistan. Although the border officially remained closed, Afghans
continued to cross into Pakistan, bringing the total number of Afghan
refugees since September 11 to an estimated 80,000 to 110,000. The
U.N. High Commissioner for Refugees (UNHCR) announced that it would
begin using 15 campsites under development in Pakistan to accommodate
up to 150,000 people.

UNHCR reported October 31 that it had reached agreement with President
Pervez Musharraf to continue to admit Afghans under certain categories
of vulnerability, which include elderly and sick persons. UNHCR is
seeking to expand the categories to include those fleeing forced
recruitment efforts. UNHCR also reported that it has reached agreement
with the Government of Pakistan that the thousands of "invisible
refugees" who have crossed into Pakistan through informal crossings
should receive assistance, if possible, preferably in camp settings.

The Killi Faizo temporary staging site near the Chaman border crossing
in Baluchistan filled steadily this week to a total of 1,900 people,
exceeding the site's maximum capacity. According to UNHCR, local
authorities suspended registration and refused new arrivals, sending
them back across the border to a Taliban-administered site at Spin
Boldak. UNHCR is negotiating to open a new site nearby the Killi Faizo
site in Pakistan. UNHCR reported that a number of the new arrivals
were severely sick or malnourished, and MSF-Holland treated over 100
patients on October 31. UNHCR provided tents, blankets, cooking
utensils and other non-food items, WFP supplied food, and Oxfam
provided water facilities at the site.

UNHCR Contingency Sites in Pakistan
Location                           Capacity               Pop.
Roghani/Tor Tangi (Baluch.)          50,000
Killi Faizo (Baluch.)                 1,600              1,900
Mohmand/Khyber (NWFP)                22,000

Iran. In western Afghanistan, Makaki, a camp operated in a
Taliban-controlled area of Nimroz Province by the Iranian Red Crescent
Society (IRCS), has now reportedly reached its 6,000-person capacity,
according to UNHCR. Iranian authorities are hoping to transfer some of
the new arrivals to Mile 46, a camp in a Northern Alliance-controlled
portion of Nimroz. UNHCR has expressed concerns regarding the safety
of the Iranian camps inside Afghanistan. Many Afghans have expressed
fears of forced round-ups by the Taliban near the Iranian border, as
well as fears of being used as human shields by Taliban forces.
Shelter and water supplies at the sites are also reportedly
insufficient.

Iran/IRCS IDP Sites in Afghanistan
Location                    Capacity                 Population
Makaki (Nimroz)                6,000                      7,800
Mile 46                                                     632
Total                                                     6,632

Afghanistan. On October 30, the U.N. Office for the Coordination of
Humanitarian Affairs (UNOCHA) reiterated a warning that up to 500,000
internally displaced persons (IDPs) throughout Taliban-held areas of
the Northern Region are living under very poor conditions. The area,
which has suffered the combined effects of both drought and war, was
already considered to be Afghanistan's worst affected and least served
area prior to September 11. Fighting between the Northern Alliance and
Taliban forces in southern Balkh province has reportedly driven IDPs
living in spontaneous settlements towards the outskirts of
Mazar-e-Sharif, the region's major city and Balkh's provincial
capital. By some accounts there are now at least 11 camps in the
vicinity of Mazar-e-Sharif.

In southern Afghanistan, there are now reportedly some 3,000 IDPs at a
Taliban-run camp at Spin Boldak, near the Pakistan border. Afghans
arriving in Pakistan have reported cases of severe malnutrition and
dysentery at the site. The health conditions of some new arrivals
appeared to confirm this, according to UNHCR. New arrivals also
reported that Taliban forces were preventing Afghans from leaving the
country, including those in urgent need of medical attention. On
October 31, armed Taliban forces seized a UNHCR field office at Spin
Boldak, just hours after a meeting between the U.N. High Commissioner
and the Taliban Ambassador to Pakistan, in which the High Commissioner
asked that the Taliban stop interfering with UNHCR property and staff.

Delivery of relief commodities continued in western and northern
Afghanistan. UNOCHA reported that an IOM convoy from Mashad, Iran was
expected to arrive in Herat on November 1 carrying 13,000 blankets, as
well as other nonfood relief items. In Mazar-e-Sharif, an IOM office
was allowed to re-open by the Taliban. Although some 2,000 quilts were
looted, IOM plans to deliver 3,000 quilts from the site that escaped
looting to IDP camps in Kunduz.

Security problems inside Afghanistan continue to pose major concerns,
with looting and armed occupation of international aid agency offices
increasingly commonplace. According to UNOCHA, the UNHCR office in
Kandahar, which houses relief supplies, was looted. UNOCHA also
reported that armed individuals occupied the WFP office in
Mazar-e-Sharif, and local authorities are using two WFP vehicles. ICRC
offices in Mazar-e-Sharif were taken over by armed individuals on
October 23. In addition, there have been unconfirmed reports that WFP
food stocks have disappeared from its Kandahar warehouse, which was
taken over by the Taliban on October 16.

The refugee outflows from Afghanistan have been substantially lower
than expected to date. Afghans are not leaving Afghanistan for a
variety of reasons, according to reports, including difficulties in
crossing the country's borders; the high financial cost of leaving in
an impoverished economy; the realization that U.S. targeting is
limited to military objectives; and the fact that food aid is still
reaching many areas.

USG HUMANITARIAN ASSISTANCE

Background

On October 4, President George W. Bush announced a $320 million
assistance program for Afghanistan. Funding will support assistance to
Afghans both inside and outside Afghanistan's borders, with support
for food and a wide variety of other relief needs.

On October 4, Assistant Secretary of State for South Asian Affairs
Christina B. Rocca redeclared a complex humanitarian disaster in
Afghanistan for FY 2002. To date, FY 2001 and FY 2002 USG humanitarian
assistance for Afghans is provided by USAID/OFDA, USAID/FFP,
USAID/Democracy and Governance (DG), USDA, the Department of State's
Bureau of Population, Refugees, and Migration (State/PRM), the
Department of State/Department of Defense Demining Program, the
Department of State's Bureau International Narcotics and Law
Enforcement Affairs (State/INL) and the Centers for Disease Control
(CDC). The assistance includes both assistance inside Afghanistan and
assistance to Afghan refugees in neighboring countries.

In Tajikistan, on October 10, 2001, U.S. Chargé d'Affaires James A.
Boughner declared a disaster due to drought, and requested funds for a
seed and fertilizer distribution program. USAID/OFDA responded by
providing $998,180 through the U.S. Embassy to CARE for the purchase
and distribution of winter wheat seeds and fertilizer.

USAID/OFDA Assistance

Personnel

USAID/OFDA Disaster Assistance Response Team (DART) personnel have
deployed to Uzbekistan to assess humanitarian activities and
logistical capacity in the area. The DART personnel in Uzbekistan will
complement a DART that was deployed to Pakistan on June 17, 2001.

In April 2001, USAID/OFDA and State/PRM deployed an assessment team to
western and northern Afghanistan, including Herat and Mazar-e-Sharif,
to assess drought and nutrition conditions in affected areas.

Airlifts and Commodities - FY 2002

Airlift to Islamabad -- On October 23, Bear McConnell, Director of the
USAID Central Asia Task Force, arrived in Islamabad, Pakistan aboard a
U.S. Air Force C-17 cargo plane carrying 20,400 blankets from
USAID/OFDA stockpiles. An additional 15,000 blankets arrived via
commercial transport October 25. The blankets will be provided to
UNHCR as a contingency for a possible refugee influx. Value including
transport. . . . . . . . . . . . . . . . . $312,350

Health Kits to Pakistan -- USAID/OFDA has provided five health kits to
UNICEF in Islamabad as an in-kind contribution. The health kits can
support a population of 10,000 for up to three months. . . . . . . . .
. . . . . . . . $29,415

Airlift to Turkmenistan -Two chartered planes carrying 1,000 rolls of
plastic sheeting for emergency shelter arrived in Ashgabat October 18
and were consigned to UNICEF. Value includes transport. . . . . . . .
. . . . . . . $403,200

New Grants - FY 2002 (Afghanistan)

Concern Worldwide -- Shelter program in northeast Afghanistan to
encourage up to 5,000 displaced families to return to their homes by
repairing looted and destroyed homes. . . . . . . . . . . . . . . . .
. . . . . . . . $1,203,343

FAO - Seed multiplication, procurement, and distribution to
drought-affected farmers throughout Afghanistan. . . . . . . . . . . .
. . . . . .$1,095,000

MCI -- distribution of WFP food to 10,000 families, potable water for
3,000 families, and distribution of non-food items to 10,000 families
in southern and central Afghanistan. . . . . . . . . . . . . . . . . .
. . . . . $2,000,000

WFP - purchase, transport, and bagging of 15,000 MT of wheat. .
.$6,000,000

WFP - purchase of trucks to support the delivery of food aid. .
.$5,000,000

Grants -- FY 2002 (Afghanistan)
ACTED -- Pre-positioning of food and non-food emergency relief items
in northeastern Afghanistan. . . . . . . . . . . . . . . . . . . .
.$5,500,000

ACTED -- IDP camp management and support in Baghlan. . . . . . .
$630,000

FAO - Seed multiplication. . . . . . . . . . . . . . . . . . . .
$300,000

GOAL -- Food, shelter, water/sanitation, and winterization in Samangan
and Jozjan Provinces. . . . . . . . . . . . . . . . . . . . . . . . .
. . . $5,500,000

IOM - Support for distribution of food and non-food relief commodities
in Badghis, Faryab, and Balkh provinces. . . . . . . . . . . . . . .
$562,313

International Medical Corps (IMC) -- Health assistance for IDPs and
local residents in Herat. . . . . . . . . . . . . . . . . . . . . . .
. $735,000

UNICEF -- Nutrition surveillance, health, and water/sanitation
activities country-wide. . . . . . . . . . . . . . . . . . . . . . . .
. . .$1,650,000

Save the Children (SC)/US -- Nutrition surveillance in northern
Afghanistan
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$206,488

SC/US -- Food programs in Faryab and Sar-e-Pul, and emergency heating
for hospitals in Kabul and Mazar-e-Sharif. . . . . . . . . . . . . .
$2,000,000

UNOCHA --Humanitarian coordination. . . . . . . . . . . . . . .
$2,500,000

UNICEF -- Water and Environmental Sanitation activities. $2,500,000

ICRC -- Support for pre-positioning and mobilization of food and
non-food stocks for use within Afghanistan in addressing the needs of
540,000 drought and war-displaced people, as well as support for
airlifts. . . . . . . . $2,500,000

WFP -- Support for a Joint Logistics Center and humanitarian air
operations
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$2,500,000

Total USAID/OFDA FY 2002. . . . . . . . . . . . . . . . . . . .
$43,127,109

Grants -- FY 2002 (Tajikistan)
CARE -- Purchase and distribution of winter wheat seeds and
fertilizer, benefiting an estimated 4,500 drought-affected families.

Total USAID/OFDA Tajikistan FY 2002. . . . . . . . . . . . . . . .
$998,180

USAID/FFP
WFP -- 72,700 MT of P.L. 480 Title II wheat and complementary
commodities.

Total USAID/FFP FY 2002. . . . . . . . . . . . . . . . . . . .
$38,555,000

State/PRM
Note: State/PRM funds listed reflect actual contributions to the
listed agencies. Plans for funding are not included until funds have
been obligated.

New State/PRM Grants - FY 2002
International Committee of the Red Cross (ICRC) -- Contribution to
ICRC's Revised Emergency Afghan Conflict Appeal. . . . . . . . . . . .
. . . . $6,500,000

International Federation of the Red Cross Red Crescent (IFRC) --
Contribution to IFRC's Revised Appeal. . . . . . . . . . . . . . . . .
. . . . . $3,000,000

IOM -- Support for IOM's Appeal for Emergency Response to the Crisis
in Afghanistan. . . . . . . . . . . . . . . . . . . . . . . . . . .
$2,000,000

United Nations Development Program (UNDP) -- Contribution to the
Project Management Information System in Afghanistan (ProMIS). . . . .
. . $160,000

UNOCHA -- Support for UNOCHA's Donor Alert for Afghans in Afghanistan
and in Neighboring Countries. . . . . . . . . . . . . . . . . . . . .
. $2,000,000

United Nations Population Fund (UNFPA) -- Support for UNFPA's Special
Program for Afghanistan and Neighboring Countries. . . . . . . . . . .
. . . . $600,000

WFP -- Contribution to WFP's Special Operation/Logistics Support to
Interagency Relief Efforts and Humanitarian Assistance for the Afghan
people. $4,000,000

State/PRM Grants - FY 2002
UNHCR -- Funding for UNHCR's Emergency Humanitarian Assistance Plan
for Afghans
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$10,000,000

Total State/PRM FY 2002. . . . . . . . . . . . . . . . . . . . .
$28,260,000

Department of Defense (DOD)
Between October 7 and October 31, DOD dropped 1,280,525 humanitarian
daily rations (HDRs), valued at $4.30 each, into Afghanistan. (Note:
the figure reported October 30 of 1,280,525 HDRs dropped was
inaccurate. The correct figure was 1,028,520.)

Total DOD FY 2002. . . . . . . . . . . . . . . . . . . . . . . .
$4,570,728

USG ASSISTANCE - AFGHANISTAN

FY 2001
Note: detailed breakdowns of FY 2001 assistance are available in
previous Central Asia Region Situation Reports.
TOTAL USG Humanitarian Assistance FY 2001. . . . . . . . . . .
$178,607,625

FY 2002
TOTAL USG Humanitarian Assistance to Afghanistan FY 2002. . .
$114,364,745

FY 2001/2002
TOTAL USG Humanitarian Assistance to Afghanistan FY 2001/2002.
$292,972,370

USG ASSISTANCE -- TAJIKISTAN
Total USG Assistance to Tajikistan FY 2001. . . . . . . . . . .
$67,210,000

Note: FY 2001 USG assistance to Tajikistan included assistance through
USAID/OFDA, USAID/FFP, USDA, the Department of State, and Freedom
Support Act funds administered through a variety of agencies.
Total USAID/OFDA Assistance to Tajikistan FY 2002. . . . . . . . .
$998,180
Total USG Assistance to Tajikistan FY 2001/2002. . . . . . . .
$68,208,180

(end text)

(Distributed by the Office of International Information Programs, U.S.
Department of State. Web site: http://usinfo.state.gov)


Source: http://usinfo.state.gov/cgi-bin/washfile/display.pl?p=/products/washfile/latest&f=01110713.tlt&t=/products/washfile/newsitem.shtml

07 November 2001

Afghan Crisis Called Opportunity to Change Human Rights Situation

(Human rights rapporteur reports to UNGA) (760)
By Judy Aita
Washington File United Nations Correspondent

United Nations -- The humanitarian and political crisis now existing
in Afghanistan, while critical, "has created opportunity and space for
the Afghan people to become active participants in bringing about
fundamental change" to a country already devasted by almost 20 years
of fighting, the Human Rights Commission special rapporteur said
November 7.

In a written report to the UN General Assembly's Third Committee, the
rapporteur, Kamal Hossain, said that aerial bombing by the United
States and Great Britain on Taliban and terrorist sites has changed
the dynamics in the country, thus giving the Afghan people a chance to
form a new "broad-based, multi-ethnic and truly representative"
government that would respect human rights and give both men and women
an opportunity to live in freedom and dignity.

Hossain warned, however, that "time is of the essence" in working out
immediate measures that would involve Afghans in interim internal
security arrangements and practical mechanisms to prevent a breakdown
of law and order and possible massacres such as have happened in the
past when Afghan territory changed hands.

The United Nations should also issue a "credible warning to all
parties to refrain from any form of summary executions and to indicate
that those responsible for the recent summary execution of the Pashtun
leader Abdul Haq and the assassination of Ahmad Shah Massoud, as well
as others responsible for summary executions and massacres, could not
longer expect to enjoy impunity as they had in the past and would be
brought to justice," the rapporteur said.

In a report prepared after the September 11 terrorist attacks on the
United States by Usama bin Laden and his al Qaeda organization which
has been sheltered in the Taliban controlled area of Afghanistan, the
rapporteur emphasized that the need for a political settlement and a
government that includes all sectors of Afghan society, which has
existed for years, is even more urgent now.

In preparing his new report, an addendum to his earlier annual report
on the human rights situation in Afghanistan, Hossain visited Pakistan
and Iran in late October, meeting with representatives of UN agencies
and NGOs as well Afghan refugees, particularly those who have recently
arrived.

Even before September 11, Hossain said, "Afghanistan was in a state of
deepening crisis. The continuing armed conflict, externally supported,
was identified as the root cause of the deteriorating human rights
situation."

"Afghans found themselves powerless," he said. "They were victims of
serious violations of human rights under an authoritarian regime. They
suffered arbitrary detention, cruel, inhuman and degrading
punishments, summary executions and massacres. Systematic
discrimination against women was practiced through a series of
legislative decrees denying them access to employment, education and
health services."

Minorities were victims of violence and discriminatory measures, the
rapporteur said.

The humanitarian crisis had been deepening even before the bombing
campaign against Taliban and terrorist sites began in October, he
said. There had been increasing internal displacement and significant
new refugee flows by the end of the year 2000 and it accelerated in
early 2001.

The prospect of an internationally supported plan for national
reconstruction would provide an incentive to all segments of the
Afghan population to cooperate with the international community, the
rapporteur suggested. It would enable millions of refugees and
internally displaced persons to return to their homes and undertake
rebuilding their lives in a unified country.

In his earlier report to the UN Commission on Human Rights, Hossain
had also emphasized the need for a comprehensive settlement that would
begin a process of uniting Afghanistan. The continued fighting, he had
said, was the root cause of the deteriorating human rights situation.
It also was responsible for making Afghanistan a country in a "state
of acute crisis with its resources depleted, its intelligentsia in
exile, its people disenfranchised, its traditional political
structures shattered, and its human development indices among the
lowest in the world."

"Some 20 to 22 million Afghans who remained in the country continued
to suffer violations of human rights and from repeated breaches of
international humanitarian law," he had reported. Because of the
continued fighting between warring factions, civilians are "virtually
hostages in their own land, trapped in situations not of their making
and ... targets of lawless violence and massacres."

(The Washington File is a product of the Office of International
Information Programs, U.S. Department of State. Web site:
http://usinfo.state.gov)


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07 November 2001

World Bank Announces Meeting on Afghanistan Reconstruction

(Conference to focus on post-war recovery) (1330)

The World Bank will host a three-day conference in Islamabad,
Pakistan, to target new proposals for reconstruction in post-war
Afghanistan.

In a November 7 press release the Bank said the "Preparing for
Afghanistan's Reconstruction" conference will cover the immediate
post-crisis recovery, including stimulating agriculture recovery and
employment generation. It will look to scale up quickly existing
programs such as food security, education and de-mining, once the
conflict ends. It also will cover development of social and
infrastructure areas, including managing urban redevelopment and
rebuilding irrigation system and roads.

The conference will be held November 27 to 29.

The Bank's approach is to involve partnerships with the broad
assistance community, including official and non-governmental. The
Bank hopes to bring together Afghan and other experts and to find
Afghan professionals living outside the country who could contribute
to Afghanistan's reconstruction.

"Tomorrow's leaders in Afghanistan could have a real opportunity to
develop their country in a way that doesn't just clear the rubble but
opens a whole new horizon," said William Byrd, World Bank acting
country manager for Afghanistan.

Following is the text of the World Bank press release:

(begin text)

World Bank Releases Approach Paper on Afghanistan

WASHINGTON, November 7, 2001 -- The World Bank has released an
approach paper on Afghanistan as it prepares to co-host a conference
on the country's reconstruction with the United Nations Development
Programme and the Asian Development Bank.

The three-day conference, "Preparing for Afghanistan's
Reconstruction," will be held from November 27 to 29 in Islamabad,
Pakistan, where the organizers hope to gather not only a wide range of
experienced participants from the assistance community but
representatives from the community of knowledgeable Afghans.

"We expect that the November conference will begin an intensified
process of consultation and cooperation aimed at identifying and
agreeing on Afghanistan's future reconstruction requirements," says
William Byrd, World Bank Acting Country Manager for Afghanistan. "We
will be building on the operational experience of various NGOs and
other agencies in the country, on analytical work that the Bank and
partners have been producing in recent years and on international
experience with post-conflict reconstruction elsewhere. We do not
begin this work on a blank slate, but recent events present new
possibilities and it is critical that we take our preparedness to the
next level."

The Bank's approach paper suggests that once a post-conflict
government is in prospect, reconstruction funding would most sensibly
be channeled through a trust fund, a mechanism which would ensure
effective prioritization and utilization of funding across a wide
range of reconstruction and development activities.

"International experience has shown us that aid management will be
critical for the success of Afghanistan's reconstruction effort," says
Byrd. "You need a sound financial mechanism, good aid coordination
based on real partnerships, and last but not least, Afghans must play
an integral role in reconstruction, from planning to implementation. "

On the agenda of the conference will be the main issues of the
immediate post-crisis recovery period, including how to stimulate
agricultural recovery and employment generation to provide
income-earning opportunities and food security for communities. In
addition, discussion will address the development of social and
infrastructure areas, including education and health services,
managing urban redevelopment and rebuilding essential infrastructure
like irrigation facilities and road networks.

The Bank's approach paper, which will guide the development of a
strategy for the institution's contribution to Afghanistan's
reconstruction, says it is premature to put a price tag on the work
ahead, but the cost is expected to be high. In addition, levels of
assistance will be determined by what could be expected to be quite
large balance of payments and budgetary financing needs on the one
hand and initially low domestic absorptive capacity on the other, in a
country where human capital has been eroded by decades-long conflict.

"Reconstruction cannot be separated from the longer-term economic and
social development of Afghanistan, " says Byrd. "Services like
education and health never reached most of the population before the
1979 Soviet invasion, and agricultural production will have to support
a considerably larger population than before (an estimated 25 million
if all Afghan refugees were to return). Roads and other infrastructure
services will need to reach towns and communities that have always
been cut off from the cities and main roads. Tomorrow's leaders in
Afghanistan could have a real opportunity to develop their country in
a way that doesn't just clear the rubble but opens a whole new
horizon."

The heart of the challenge is not merely a restoration to the
pre-conflict situation of the late 1970s, which will merely return
Afghanistan to its status as one of the world's poorest countries as
measured in both incomes social indicators. Currently, UN and
non-governmental estimates of infant mortality, for example, place
Afghanistan among the highest in the world with 165 deaths per 1,000
live births. A further 257 out of 1,000 toddlers die before they reach
the age of five. An estimated 1,700 mothers out of 100,000 die in
childbirth, an recent World Bank study estimated that in the mid to
late 1990s, about 500 people each month fell victim to landmines or
other unexploded ordnance.

Key economic institutions of State such as a central bank, treasury,
tax collection and customs, statistics, civil service, law and order
and a judicial system are extremely weak or simply missing. Basic
infrastructure like roads bridges, irrigation, canals,
telecommunications, electricity and markets have been destroyed or,
without maintenance, are not functioning. These issues all point to
the need for a broad-based development effort in Afghanistan.

The Bank's approach paper stresses close partnership with the broader
assistance community, both official a non-governmental. Some existing
assistance programs already in place could be scaled up rapidly when
the conflict ends to generate quick relief. These areas include food
security, education and de-mining, the latter which is already
underway in some parts of the country. Based on the de-mining
experience so far, the Bank estimates that countrywide clearance could
cost about US$500 million, as an example of just one of the man
important activities that would need substantial funding during
reconstruction.

Short-term priorities for the reconstruction period could include,
according to the Bank:

-- Agricultural recovery and food security;

-- Livelihood generation for returning refugees and displaced people;

-- Support, to existing communities through provision of basic
services and small-scale development and empowerment programs;

-- Rapid rehabilitation of Afghanistan's main road network;

-- Expansion of the de-mining program;

-- Massive short-run employment generation through public works
programs;

-- Re-starting and expanding key social services like education and
health, with a focus on reaching girls and women; and

-- Human capacity mobilization for social services, infrastructure and
public administration.

Other elements of the reconstruction agenda are likely to come to the
fore as a post-conflict government find; feet and takes ownership of
its development challenge.

-- Establishment of sound economic management institutions like a
Central Bank, Ministry of Finance, Treasury, Statistical System;

-- Developing education and health systems that reach the bulk of the
population;

-- Developing a lean, effective and honest civil service and
institutions of public accountability;

-- Urban management and, in particular, avoiding permanent large
"refugee cities";

-- Enabling environment for private sector development -- particularly
to attract and productively utilize Afghans Pakistan, Iran and the
Middle East;

-- Export development, focusing on agricultural and livestock products
and minerals;

-- Energy development and management; and
--Environment and natural resource management, especially forestry.

The conference later this month will intensify the work on this broad
reconstruction agenda among all development partners. The Bank hopes
also to bring together Afghans and other experts on the country for it
and advice and to conduct a search for Afghan professionals living
outside their country who could contribute Afghanistan's
reconstruction.

(end text)

(The Washington File is a product of the Office of International
Information Programs, U.S. Department of State. Website:
http://usinfo.state.gov)