Udenrigsudvalget 2021-22, 2021-22
URU Alm.del Bilag 148, Alm.del Bilag 3
Offentligt
UNFPA
Afghanistan
Udenrigsudvalget 2021-22,Folketingets Tværpolitiske netværk for seksuel og reproduktiv sundhed og rettigheder 2021-22
URU Alm.del - Bilag 148,SRSR Alm.del - Bilag 3
Offentligt
UNFPA Afghanistan
Humanitarian Appeal
2022
FOUR DECADES NATURAL
OF CONFLICT
DISASTERS
risk of youth
radicalization
almost
universal
poverty
FOOD
INSECURITY
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.
Every two hours,
a m
other
di
es
f
ro
m p
reve
n
t
abl
e
c
h
ildbi
rth
and p
re
gnanc
y
c
o
mplica
t
i
o
n
s
and
the
c
urre
n
t
c
r
i
s
i
s
c
ou
ld
mak
e the s
i
tu
a
t
i
o
n
worse
.
I i
t s est
ima
te
d
th
a
t
1 in 2
wo
m
e
n
e
xp
er
i
e
nc
e
g
e
nd
er
-ba
se
d
v
i
o
l
e
nc
e
and
th
i
s
i
s
an
t
icipa
te
d
to
inc
re
a
se u
nd
er the
d
e
fac
to
admini
str
a
t
i
o
n.
Timely funding, donor flexibility and necessary exemptions will be critical for humanitarian partners
to succeed in their mission of providing life-saving support.
Co
ns
eque
n
ce
s
o
f N
OT Mee
ting th
e
N
eed
s
igher maternal mortality and morbidity
orsening of gender-based violence
and harmful practices
W
H
Increased risk of unintended pregnancies,
sexually transmitted infections including
H
IV, and unsafe abortions
outh disengagement, disconnection,
and radicali
z
ation
Y
Potential impact of inaction on maternal health and family planning between
now and 2025*:
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.
Maternal
mortality ratio (MMR)
963
/1
00
,
000
638/1
00
,
000
36.9%
Unmet need for
family planning
24.6%
4.8M
3.8
M
Unintended
pregnancies
* modeling is done based on impact of closure of the Sehatmandi Project
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.
 SRSR, Alm.del - 2021-22 - Bilag 3: Baggrund fra UNFPA om Afghanistan efter møde med landechef den 10. marts 2022
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Humanitarian Response PLAN | UNFPA Afghanistan 2022
04
Donors Support
to 2021 UNFPA Flash Appeal
United States
$5,840,000
Afghanistan
Humanitarian Fund
$424,969
Australia
$1,433,000
afghanistan
humanitarian fund
N
e
w Z
ealand
Denmark
$4,750,000
Australia
No
r
w
ay
United Kingdom
$2,653,000
Slovenia
$90,000
Republic of Korea
$2,000,000
Funding
received
Funding
112%
112%
received
New Zealand
$1,040,000
Germany
$4,400,000
EU/DG-ECHO
$1,811,000
Denmark
R
e
p
u
b
li
c o
f
Ko
rea
EU
ECHO
S
l
ov
enia
Norway
$1,700,000
Italy
$6,760,000
Italy
U
nited
K
ingd
o
m
U
nited
S
tates
o
f Ameri
c
a
H
u
ma
n
i
t
a
r
ia
n r
e
spons
e
r
each
August-December 2021
UNF
P
A reached more than a
q
uarter million people across the countr
y
with reproductive health and
protection services during the critical months of August to December
2021. T
he reproductive health
supplies procured will also further bene
fi
t an estimated
875,000
people in need of se
x
ual and reproductive
health care
.
F
amily Healt
h
H
o
uses
Mob
ile Health
T
ea
m
s
R
H ser
v
i
c
es
wo
men rea
c
hed
w
ith sur
v
i
vo
r
-
c
entered
PSS S
er
v
i
c
es
21
,363
antenatal care, skilled birth attendance,
postnatal care
33,37
1
65,
1
55
Health Kits
1
06,
1
09
various service delivery points
P
sy
c
h
o
s
oc
ial
co
unselling
5,354
M
id
w
ifery Hel
p
line
c
alls assisted
34,994
1
0,000
Dignit
y
kits
Yo
uth Health
L
in
e
c
alls assisted
360,000
Emergen
c
y
R
e
p
r
o
du
c
ti
v
e
Health
K
its
people reached via
399 Emergency Reproductive
5,000
W
interi
z
ati
o
n
K
its
500,000
interagen
c
y
health kits
people reached via
500
I
nter
-
A
gency
H
ealth
K
its
 SRSR, Alm.del - 2021-22 - Bilag 3: Baggrund fra UNFPA om Afghanistan efter møde med landechef den 10. marts 2022
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Humanitarian Response PLAN | UNFPA Afghanistan 2022
03
Delivering Integrated Reproductive Health
and Gender-based Violence Services
for Women, Girls, and Youth
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.
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.
EMER
G
EN
C
Y
C
LINI
C
S
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
C
ORNERS (YH
C
)
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.
I
t also
provides information, counseling, and referral
services to
IDP
s on RH,
GBV
and C
OVID
-
19
.
MOBILE OUTREA
C
H TEAMS(MOT)
provide gender-based violence psychosocial
support services and awareness.
T
he outreach
teams go to remote communities to deliver
services for people who cannot visit health
facilities.
 SRSR, Alm.del - 2021-22 - Bilag 3: Baggrund fra UNFPA om Afghanistan efter møde med landechef den 10. marts 2022
Humanitarian Response PLAN
|
UNFPA Afghanistan 2022
05
Timely
health
provision
services
of
sexual
prevent
and
reproductive
diseases,
can
deaths,
and disabilities related to unintended pregnancy,
obstetric complications, sexual and other forms
of gender-based violence, HIV infection, and a
range of reproductive disorders.
UNFP
A
2022 APPEAL SCALE-UP
Reproductive Health
Fa m i ly H e a lt h
Houses
M o b i l e
H e a lt h T e a m
M i d w i f e ry
Helpline
172 1,500
current
2022 target
1,328
20 75
current
55
4 8
4
2022 target
current 2022 target
Youth
YO U T H H E A LT H
CORNERS
YO U T H H E A LT H
LINE
26 100
current
2022 target
74
4 8
current
4
2022 target
Gender-Based Violence
P r ot e ct i o n
centers
55 224
current
2022 target
169
 SRSR, Alm.del - 2021-22 - Bilag 3: Baggrund fra UNFPA om Afghanistan efter møde med landechef den 10. marts 2022
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Humanitarian Response PLAN | UNFPA Afghanistan 2022
02
UNFPA
GOAL, OBJECTIVES, AND KEY INTERVENTIONS
TARGETS AND COVERAGE
UNFPA HUMANITARIAN RESPONSE:
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.
UNFPA’s humanitarian response aims to reach
42%
or
9
.
28
million people out of
the total
22
.
1
million target population of the
2 22 H
umanitarian
R
esponse Plan
for Afghanistan.
0
22.1 m
i
ll
io
n
UN HRP
target population:
9,282,000
target
unfpa key interventions
9.28m
UN
F
PA HRP
target
F A aims to reach
or . million
out of the . million overall cluster target.
UN
P
45%
6 63
14 7
Under the
Under the Health Cluster,
reproductive
health
services
protection
For women
and adolescents
emergency
supplies
life-saving adolescent
sexual reproductive health
care services
W
omen
W
RA
who use modern
P
r
o
tecti
o
n Cluster,
UN
F
P
A targets
5
8
%
or 2.
65
million
4 5
out of the . million overall cluster target.
N
ewborns
Leadership in reproductive health, gbv
and youth under the health and protection clusters
of reproductive age
(
W
RA)
2
,
22
7
,
6
80
tio
contraceptives
534
,
6
43
P
regnancies
that will
experience complications
5
7
,
8
6
8
C
urrently
i
f
we are able to deliver integrated services
for reproductive health and gender-based
violence through e pansion and scaling up
of e isting services
x
,
x
U
a m
N A n
n
i to
iev
FP ’s i
terve
e
ach
ƒ
ƒ
ƒ
n
s
Live births in the next
1
2
months
289
,
339
A
dul
t
that will
experience complications
32
,
550
pregnant women
21
7
,
004
A
dult
s
the
n
3.3
will
million
have
women
better
and
girls
to
access
universal reproductive heal
th
care and protection services.
n the long term the country will
be able to sustain the downward
trend in its maternal mortality
ratio.
I
,
0
preventable maternal deaths
unmet need for family planning
gender-based violence and harmful
practices
even in emergencies.
2
,
413
,
320
A
dolescent
s
(10
-
19)
men
S
exually active men
who use condoms
3
7
1
,
280
A
dolescent
(10
-
19)
14
6
,
6
13
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.
living with
STI
2
,
320
,
500
1
,
113
,
840
girl
s
SRSR, Alm.del - 2021-22 - Bilag 3: Baggrund fra UNFPA om Afghanistan efter møde med landechef den 10. marts 2022
2542388_0006.png
Humanitarian Response PLAN | UNFPA Afghanistan 2022
06
FUNDING REQUIREMENTS
key interventions
total cost
$251,940,000
Duration
(months)
12 months
Population
coverage
Total budget
in usd
9,282,000
UNFPA
re
q
uires a total o
f $251,940,000
to i
m
ple
m
ent the
k
ey li
f
e
-
saving hu
m
anitarian
interventions in
Af
ghanistan
f
or the year
2022.
2022 UN Afghanistan HRP
UNFPA 2022 HRP
Reproductive Health in Emergency
GBV in Emergency
Youth in Emergency
M&E
UNFPA O
perations and Staffing Costs
TOT
A
L
$125,970,000
$62,985,000
$25,194,000
$12,597,000
$25,194,000
$
2
51,94
0
,
000
The calculation is based on the average
cost per beneficiary*:
Health cluster: $26/person per year
Protection cluster: $30/person per year
Target reach
% of the total
UN HRP
planned reach
$
$
total
P
lanned reach by unfpa
*
$
2
51,94
0
,
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