CHILD HEALTH IN AFGHANISTAN: A GLIMPSE ON THE FUTURE OF A WAR STRICKEN COUNTRY
AbstractAfghanistan has one of the world’s poorest human development indicators1-3. Among the population of 24 million roughly 10.7 million are children under the age of 181,2. Figure-1 shows under five population in Afghanistan. Precise data showing country’s recent demographic and epidemiological profile is scarce as series of wars and political conflicts barely permitted such research intentions and health care interventions. The crisis of more than 23 years has left devastating effects on the health and well being of millions of children. It has killed over 1.5 million people, including more than 300,000 children2. An extensive review of contemporary literature is presented here to provide an account of social, physical, and mental health of Afghan children with an aim to depict the severity and complexity of the situation induced by war of more than a decade. Data on child vulnerability indicators were retrieved from MEDILINE, reports of WHO, and United Nations Agencies.
Health in Afghanistan. Situation Analysis-WHO Reports (http://www.who.int/disasters/country.cfm?countryID=1&DocType=2); Crisis in Central Asia, 2000-1.
WHO special report on the situation in Afghanistan. Health situation updates 2002. (http://www.who.int/disasters/country.cfm)
WHO special report. on the situation in Afghanistan & Health in Afghanistan 2001-. (http://www.who.int/disasters/country.cfm)
Afghanistan Health facility and manpower information. (http://www.who.int/disasters/country.cfm) WHO report on Afghanistan, 2001.
Ahmad K. Fears that Afghan exodus threatens polio eradication. Lancet 2001;358(9288):1161.
Nutritional Survey Report 2001, Kohistan District, Faryab Province, Northern Afghanistan. Save the Children Federation, Inc. April 4Ð10.
Crisis in Afghanistan. 1995-2002, Save the children (SC). USA Country report.
Liza B, UNICEF, children crisis in Afghanistan. 21 Dec 2001, New York.
Afghanistan Emergency Update. UNICEF Report, 24 September 2001.
State of World’s children. UNICEF. (http://www.unicef.org/sowc01) 2001.
Some Basic Facts on Afghanistan. UNDP Report, 2001
Miller LC, Timouri M, Wijnker J, Schaller JG. Afghan refugee children and mothers. Arch Pediatr Adolesc Med 1994 ;48(7):704-8.
Jama MA. THE WORLD BANK GROUP. Health Services Delivery in Afghanistan. 2001
Singh M, Qureshi MA, Aram GN. Morbidity and mortality in childhood in Afghanistan: a study of 40 492, consecutive admissions to the Institute of Child Health, Kabul. Ann Trop Paediatr 1983;3(1):25-30.
Singh M. Health status of children in Afghanistan. Indian Pediatr 1983;20(5):317-23.
Singh M, Saidali A, Bakhtiar A, Arya LS. Diphtheria in Afghanistan--review of 155 cases. J Trop Med Hyg 1985;88(6):373-6.
Ahmad K. War and gerbils compound Afghan leishmaniasis epidemic. Lancet Infect Dis 2002 ;2(5):268.
Singh M. Health care for children in Afghanistan. Pediatrics 2000;105(1 Pt 1):160.
Report on Famine in afghan children. United Nations Publications on Social and economic Policy (http://www.globalpolicy.org/socecon/un/2001/ 1004stunt.htm). October, 2001.
Terre Des Hommes (TDH). 2001-Letters from Afghanistan (www.tdhafghanistan.org).
Yusuf F. Size and sociodemographic characteristics of the Afghan refugee population in Pakistan. J Biosoc Sci. 1990 ;22(3):269-79.
Jenkins B. Maternal and child health home visiting program, Kabul, Afghanistan. 1996–2001-(TDH) Terre des hommes, (http://www.tdhafghanistan.org/reports.htm).
Southall D, Shepherd C. Humanitarian issues. Paediatrician needed in Kabul. BMJ 1998;316(7124):76.
Rowland M, Munir A, Durrani N, Noyes H. An outbreak of cutaneous leishmaniasis in an Afghan refugee settlement in north-west Pakistan. Trans R Soc Trop Med Hyg. 1999;93(2):133-6.
Suleman M. Malaria in Afghan refugees in Pakistan. Trans R Soc Trop Med Hyg 1988;82(1):44-7.
Arya LS, Taana I, Tahiri C, Saidali A. Spectrum of complications of measles in Afghanistan: a study of 784 cases. J Trop Med Hyg 1987;90(3):117-22.
Khan SM, Gillani J, Nasreen S, Zai S. Pediatric tumors in north west Pakistan and Afghan refugees. Pediatr Hematol Oncol 1997;14(3):267-72.
Rutstein SO. Factors associated with trends in infant and child mortality in developing countries during the 1990s. Bull World Health Organ. 2000;78(10):1256-70.
Spinaci S, De Virgilio G, Bugiani M. Tuberculin survey among Afghan refugee children. Tuberculosis control programme among Afghan refugees in North West Frontier Province (NWFP) Pakistan. Tubercle 1989;70(2):83-92.
Khan IM, Laaser U. Burden of Tuberculosis in Afghanistan: Update on a War-stricken Country. Croatian Medical Journal 2002;43(2): 245-247.
Khan MI, Laaser U. Resistance and refugees in Pakistan: challenges ahead in tuberculosis control. The Lancet Infectious Diseases 2002; 2(5 ):270-27