Afghanistan

Our work there at a glance:
  • Support for a dialysis ward in Herat
Afghanistan training nurses

Afghanistan

Our work there at a glance:
  • Hospital construction
  • Construction and supervision of a dialysis ward
  • Bau und รœberwachung einer Dialysestation
  • Tutoring project

Our goal

Improving medical care - especially in rural areas.

Cap Anamur is continuously working to improve medical care in Afghanistan – especially in rural areas. Our past activities have included building hospitals and training women to become nurses or midwives. We currently run a dialysis unit and are planning to take over a health centre to provide basic medical care.

Latest news

Project reports

View all project reports

Key health data

Life expectancy

68/65 years

(women/men)

Infant mortality

50

per 1,000 births

Doctors

0,3

per 1,000 inhabitants

Cap Anamur engagement in Afghanistan

1987 - 19892001 โ€“ today

The situation in Afghanistan

Political situation

Afghanistan is a country with a long history of conflict and political instability. It consists of 34 provinces, which are divided into districts, and has great cultural and ethnic diversity.

Since the withdrawal of international troops in 2021, Afghanistan has been under the control of the Taliban, who have formed a government. They are shaping society and political structures according to their own ideas. Public freedoms such as press work and assembly have been severely restricted since then.

Women and girls are particularly affected: they are currently denied access to education and many job opportunities. Their participation in public life is also restricted in many areas.

Social situation

The situation of the civilian population in Afghanistan is persistently problematic. Many people flee war, violence and a lack of prospects. The result is an exodus of skilled workers and academics who could have made a major contribution to the social and infrastructural development of the country. Large parts of the country are chronically underserved in terms of medical care, and rural regions in particular lack doctors, midwives and health facilities. The long journeys to the few hospitals are not only dangerous for the rural population, but also expensive and hardly manageable for seriously ill or heavily pregnant women.

Women are particularly hard hit by this situation: they are not allowed to be treated by male doctors, and at the same time, the existing ban on training and studying prevents them from entering the medical profession. This not only exacerbates the acute shortage of care, but also creates a long-term shortage of female professionals. In addition, women are only allowed to visit health facilities if accompanied by a male relative โ€“ an organisational and financial hurdle that further restricts access to medical care.

Patients wait for treatment at the small clinic (Comprehensive Health Center) in Now Abad.
Patients wait for treatment at the small clinic (Comprehensive Health Center) in Now Abad.

Cap Anamur supports a dialysis station in order to improve healthcare in Afghanistan in the long term.

Children playing in the village of Shade. Cap Anamur built a small hospital to provide medical care for 45,000 people in the Shade region.

Our engagement in Afghanistan

Termination of our nursing training programme

Nurse training programme and tutoring programme for children from low-income families

Cap Anamur offered a three-year nursing training programme until February 2025, aimed at participants from rural areas. After completing their training, these participants committed to returning to their home villages for a certain period of time to improve medical care there.

Previously, we had offered two training programmes for midwives and community health nurses over many years, with a total of over 200 graduates already working in rural areas.

Unfortunately, we had to terminate the project due to the legal regulations imposed by the Taliban government. Currently, girls and women have no access to education. Currently, girls are only allowed to attend public schools up to grade 6, i.e. until the age of 12.

 

Teaching midwifery and nursing classes. Hands-on obstetrics education with mannequins.
Teaching midwifery and nursing classes. Hands-on obstetrics education with mannequins.

Establishment and supervision of a dialysis unit

Establishment and supervision of a dialysis unit

In the provincial hospital of Herat, Afghanistan’s second largest city, Cap Anamur supports the only state-run dialysis centre by providing financial resources and technical equipment.

Since 2016, this has enabled us to provide vital treatment free of charge, particularly to people who cannot afford the costly dialysis procedure. At the beginning of 2021, we were also able to send two additional dialysis machines, donated by Mรผnster University Hospital, to Afghanistan, and have been able to perform even more life-saving dialysis treatments since then. In 2024, the dialysis unit we support in Herat performed a total of 3895 dialyses, on 1938 patients, including 141 children and 617 women.

In Afghanistan, Cap Anamur has been providing dialysis treatment for people who cannot afford it since 2015.

Success in numbers

over 200 graduates

Midwives and Community Health Nurses already working in rural areas.

6 full-fledged clinics

built and already handed over into state hands.

3,895 Dialyses

funded in 2020.

What happens next

The events surrounding the withdrawal of international troops from Afghanistan and the Taliban’s seizure of power in the summer of 2021 have changed the country dramatically. Our work has also been affected. With a heavy heart, we had to suspend our training programme โ€“ the government’s current restrictions no longer allow us to continue.

Nevertheless, we do not want to leave the country. We want to continue to be there for the local people with our medical projects, providing assistance and responding to current developments. Our long-standing project manager Faisal Haidari describes it as follows:
โ€˜The work continues โ€“ under much more difficult and uncertain conditions, and we are concerned about the future of the country.โ€™

The measures taken by the Taliban to date have had a particularly severe impact on girls and women, whose access to education and equality has been severely restricted. In close cooperation with our local contacts in government and administration, we are therefore trying to continue our medical projects as best we can. They are needed more urgently than ever. We are currently in talks with the Taliban to take over a health centre and also to run another dialysis station.