As the humanitarian situation continues to deteriorate in Afghanistan, there are alarming disruptions in health and nutrition services, a disastrous food crisis, drought, outbreaks of measles, acute watery diarrhea, polio and other preventable diseases, as well as the crippling onset of winter.   ”The current humanitarian situation in Afghanistan is dire, especially for children. Winter has already set in and, without additional funding, UNICEF and partners will be unable to reach the children and families that need us the most,” said Alice Akunga, UNICEF Afghanistan Representative a.i. “As families struggle to put nutritious food on the table and health systems are further strained, millions of Afghan children are at risk of starvation and death. Others struggle to access water and sanitation, are cut off from their schools and at heightened risk of violence.  As the desperation of families and children increases, UNICEF is doing everything possible to save and protect children.”  UNICEF estimates that 1 in 2 children under five will be acutely malnourished in 2022 due to the food crisis and poor access to water, sanitation and hygiene services. Outbreaks of life-threatening diseases continue, with over 60,000 cases of measles reported in 2021. An estimated 8 of 10 Afghans drink bacteriologically contaminated water. In addition, 10 million children are at risk of dropping out of school if teacher salaries are not paid and crippling poverty levels continue. Almost 4.5 million children are in need of mental health and psychosocial support.  With harsh winter conditions, where temperatures can reach as low as -12 degrees Celsius, families are struggling to heat their homes and keep their children warm. Guided by humanitarian principles, UNICEF will prioritize life-saving interventions to treat children and provide other vital services. UNICEF’s response will help ensure continuity of essential services by preventing the collapse of systems that are critical for children, while also safeguarding hard-won gains, including protecting the rights of women and girls. UNICEF plans to use the funds to scale up services to: Treat 1 million children with severe acute malnutrition. Vaccinate 10.5 million children against measles. Provide safe water to 11.5 million people. Ensure that 7.5 million children are accessing education. Expand the use of humanitarian cash transfers to meet the basic needs of the most vulnerable families and children. “UNICEF is strongly urging donors to support Afghanistan’s children through its humanitarian appeal,” added Akunga. “We need to call to mind our common humanity and do everything it takes to keep children alive, well-fed, safe and learning. It won’t be easy but with the lives and wellbeing of so many children at stake, we must rise to the challenge. We appeal to the international community to stand with us, shoulder to shoulder, so that the children of Afghanistan can have the life and future that is their right.” Thanks to the immediate support of donors to UNICEF’s 2021 appeal, UNICEF was able to provide life-saving services, including ready-to-use therapeutic food to nourish starving children; water trucking to the most in need communities; education supplies to children, including girls; and mobile health clinics to bring urgent medical care directly to vulnerable families and children in hard-to-reach areas are providing respite to those most in need. ### Media contacts Samantha Mort Chief of Communication UNICEF  Tel: +93 799 98 7110 Tel: +93 799 95 7110 Email: smort@unicef.org   Marixie Mercado UNICEF Afghanistan Tel: +41 79 559 7172 Email: mmercado@unicef.org

Medicines, medical supplies and fuel are running out in Afghanistan. Cold chains are compromised. Essential health-care workers are not being paid. “Allowing Afghanistan’s health-care delivery system to fall apart would be disastrous. People across the country would be denied access to primary health care such as emergency caesarean sections and trauma care,” Mr. Griffiths said. The funding will go to the World Health Organization (WHO) and UNICEF and – working through national and international non-governmental organizations – will keep health-care facilities, including hospitals treating COVID-19 patients, operating until the end of the year. The UN is determined to stand by the people of Afghanistan in their hour of need. Meanwhile, humanitarian operations continue across Afghanistan.   The UN Humanitarian Air Service is operating flights, almost daily, to different provinces, including Kabul. UN cross-country road movements have been reestablished for the first time in several years.  Ahead of the September-October winter wheat planting season, the Food and Agriculture Organization is procuring more than 8,500 metric tons of certified wheat seeds to help more than 170,000 vulnerable families. The International Organization for Migration is supporting the construction of causeways and other disaster risk mitigation infrastructure in Nangarhar Province. The UN Refugee Agency (UNHCR) is improving access to basic services for communities affected by conflict and displacement, including road construction in Khost Province to boost access to services, markets and employment. The UN Population Fund (UNFPA) is supporting a hospital in Hirat Province with emergency reproductive health supplies covering the treatment of about 1,500 medical and surgical cases. On 13 September, donors pledged more than US$1.2 billion for humanitarian and development aid to Afghanistan. To date, more than $121 million (20 per cent of the $606 million required through the end of the year) has been received. The UN urges donors to disburse pledges so we can keep getting life-saving assistance, including food, medicines, health care and protection to people in need.

I am particularly proud of the work of our colleagues, the vast majority of whom are Afghan nationals. In September alone, more than 3.8 million people received food assistance; 21,000 children and 10,000 women received treatment for acute malnutrition; 32,000 people received non-food items including blankets and warm clothes for winter; 10,000 children were reached with community-based education activities; 450,000 people were reached with primary and secondary healthcare; 160,000 farmers and herders were provided with livelihoods support; 12,000 people received emergency psycho-social and mental health support; 186,000 drought-affected people received water; and 150,000 people received hygiene promotion and hygiene kits. Last week alone, • WFP conducted simultaneous food distributions in Kabul, Herat, Mazar, and Kandahar in a single day; • WHO delivered medical supplies to treat 10,000 people with acute watery diarrhea — and opened two new COVID-19 labs; • More than 170 UNFPA-supported “Family Health Houses” in remote areas were provided medical supplies for services through the end the year. These facilities, on average, enable around 11,000 safe birth deliveries each year; • UNFPA also delivered Emergency Reproductive Health kits for 3,100 women to Kandahar Regional Hospital and Kunduz Regional Hospital; • UNHCR, UNICEF and NGO partners reached well over 36,000 displaced and vulnerable Afghans during the week with core relief items and cash assistance; • FAO and NGO partners delivered more than 870 metric tonnes of concentrated animal feed. This is one week alone of work. UN agencies and humanitarian NGOs in Afghanistan are in a race against time to deliver life-saving aid to crisis-affected people and pre-position supplies ahead of winter. They won’t let up. They have been acting with the cooperation of the Taliban, who have progressively granted access to the areas requested and provided security when needed. The number of incidents during humanitarian operations has been in constant decline. Humanitarian assistance saves lives. But it will not solve the problem if the economy of Afghanistan collapses. We also need to make sure we do everything we can to prevent the economic collapse of the country. Already before the Taliban takeover in August, Afghanistan’s fragile economy -- which has been kept afloat by foreign aid over the past twenty years -- suffered from the impact of drought and COVID. Right now, with assets frozen and development aid paused, the economy is breaking down. Banks are closing and essential services, such as healthcare, have been suspended in many places. We need to find ways to make the economy breathe again. This can be done without violating international laws or compromising principles. We must seek ways to create the conditions that would allow Afghan professionals and civil servants to continue working to serve the Afghan population. I urge the world to take action and inject liquidity into the Afghan economy to avoid collapse. Clearly, the main responsibility for finding a way back from the abyss lies with those that are now in charge in Afghanistan. Since their takeover, the Taliban have – at various times – promised Afghan citizens — including women, children, minority communities, former government employees —that they would protect their rights. Central to those promises was the possibility of women to move, to work, and to enjoy their basic rights — and for girls to have effective access to all levels of education, the same as boys. Gender equality has always been an absolute priority for me. In my visits to Afghanistan, I was deeply moved by the courage, the resilience and determination of Afghan women and girls. I am particularly alarmed to see promises made to Afghan women and girls by the Taliban being broken. Broken promises lead to broken dreams for the women and girls of Afghanistan. Since 2001, three million girls have enrolled in school and average schooling has increased from six years to 10. Women and girls need to be the centre of attention. Their ability to learn, work, own assets, and to live with rights and dignity will define progress. Eighty percent of Afghanistan’s economy is informal, with obviously a preponderant role of women. Without them, there is no way the Afghan economy and society will recover. I strongly appeal to the Taliban to keep their promises to women and girls and fulfill their obligations under international human rights and humanitarian law. For our part, the UN is permanently engaging with the Taliban on the safety and security of our staff, humanitarian assistance and unhindered access for all, including female staff, and human rights with particular focus on women and girls’ rights. This is a make or break moment. If we do not act and help Afghans weather this storm, and do it soon, not only they but all the world will pay a heavy price. Without food, without jobs, without their rights protected, we will see more and more Afghans fleeing their homes in search of a better life. The flow of illicit drugs, criminal and terrorist networks will also likely increase. This will not only badly affect Afghanistan itself, but also the region and the rest of the world. We all must do our part. Thank you. Spokesman: Thank you. Edie Lederer, Associated Press. **Questions and Answers Question: Thank you very much, Mr. Secretary General. You said that you were urging the world to take action and inject liquidity into the Afghan economy to avoid collapse. Are you calling on those western country that have frozen Afghan assets to release those assets to help bolster the Afghan economy? And in the next sentence, you said, clearly, the main responsibility for finding a way back from the abyss lies with those who are now in charge in Afghanistan. Are you also saying in your plea to the Taliban to keep their promise for equal rights, especially for women and girls, that that is a condition that they must fulfil in order to receive western aid, aid from many other countries? Secretary-General: Well, there's one thing for me that is clear. The Afghan people cannot suffer a collective punishment because the Taliban misbehave. People should not die of hunger in any circumstance. And, so, one of my key messages is that the UN is in Afghanistan to deliver humanitarian aid and to deliver humanitarian aid [to] the people in need. And what we ask is unhindered access everywhere, and what we ask is for women and men to be able to deliver humanitarian aid in the same circumstances. This is one question. And humanitarian aid is based on the humanitarian principles: independence, neutrality, and impartiality. Second thing, there are different questions related to the support, to Afghanistan. The questions of recognition or nonrecognition of a government, the question related to sanctions, the questions related to frozen assets. There are many questions of these that, obviously, the international community will be discussing with the Taliban and that will require that the Taliban abide by a number of important aspects, be it related to human rights and the rights of women and girls in particular, be it in relation to the question of terrorism, be it... so, there are a number... the inclusivity of the government. It's a second aspect. The third is the following: Independently of those measures, there are forums to inject cash inside the economy through different entities, through NGOs, through UN agencies to allow for the people to receive assistance. And this is what we have been asking. We need to find ways - respecting international law, as I mentioned, respecting principles, as I said, we need to find ways to inject liquidity in the economy for the economy not to collapse and the people not to suffer tremendously. So, there are different aspects that need to be treated differently. And obviously, for me, as I said, personally, because this is a question that is very important for me personally, the question of women and girls is particularly relevant. Spokesman: James Bays? Question: James Bays, Al Jazeera. As you know, the G20 leaders are about to meet on this issue. Have the G20 so far been too hesitant? And how urgent is it that they take action now? Secretary-General: I think that there has been a slow reaction of the international community in relation to what is a very complex problem, but I believe that there is a consensus in the international community about humanitarian aid, and I believe the UN is leading this process and, as you've seen, is doing a huge effort now. There is another question that is more complex, which is related to avoid the collapse of the economy. In relation to that, things have been slow. And then there is a more complex problem, which is the problem of a discussion about the future of Afghanistan and how Afghanistan relates with the international community. But that will be a lengthy, complex process. But in relation to the injection of liquidity in the Afghan economy, I think the international community is moving too slow. Spokesman: Pam Falk, CBS. Question: Thank you. Secretary General, a follow up on the liquidity question. That would imply, to some extent, the IMF and the World Bank. How do you inject this liquidity if the world doesn't recognize the Taliban? And since you said some of this is personal to you, do you suggest that countries now recognise the Taliban diplomatically since, as you said, they are in charge? Thank you. Secretary-General: No, that's... those two things are completely different. The World Bank can create a trust fund and that trust fund can pay directly to people in need. UNDP has a trust fund that can then pay directly to people in need or organizations in need. So, we need to inject cash in the economy. I'm not saying that I'm asking the international community to give money to the Taliban or to the present authorities. No. We need to inject cash in the economy. We need to make the economy breathe. We need to allow people to survive. That is our concern. The questions of recognition and the questions of dealing with government are totally different and can be dealt with, of course, through the principles of international law and other principles. What I'm talking now is to find instruments to inject liquidity in the economy, to benefit the people. Spokesman: Betul? Secretary-General: And there are many non governmental organizations operating, as you know, in Afghanistan. Question: Thank you, Mr. Secretary General. You have expressed concern about Taliban not keeping their promises to protect the rights of women and girls. We did not see that happening in the past. We're not seeing it happening now. Does the UN have a plan to make sure that Taliban will keep up with their promises? Secretary-General: I can tell you one thing. This is a matter in which we are engaging the Taliban every single day. Results are slow, but I'll give you an example. We want our female staff to have full and unimpeded work in relation to humanitarian aid. Now, we have been engaging the Taliban province by province, day by day. And the result of that effort, in the months of September, is the following: We managed to reach full agreement with the Taliban on this freedom in six provinces, against three in the beginning of the month; we have partial agreement in 20, instead of 16 in the beginning of the month; we have no agreement in four, against six in the beginning of the month; and there are four in which we have not yet had the possibility to engage, against eight in the beginning of the month. This is daily work, area by area, fighting for the rights of each woman, sometimes one by one. But this is our engagement to our staff and to the women and girls in Afghanistan in general. Engagement is not proclamation. Engagement is daily work. We might have difficulties. We might fail here and there, but one thing I can promise, we will not give up. Spokesman: Majeed Gly, Rudaw Media Network. Question: Thank you so much. Thanks, Secretary General. This is Majeed Gly, Rudaw Media Network. I want to ask... take this opportunity to ask you about another issue, which is a big day in Iraq today, a major milestone after the war against ISIS, which is a relatively successful election with the help of hundreds of United Nations observers. The election, according to non partial observers, went well. So far, it's going great. What's your message to the Iraqi leaders and the regional players in term of respecting the result of the elections and also not blocking the will of the Iraqis? Thank you. Secretary-General: Well, first of all, I want to congratulate the Iraqi people for the way the elections took place. And, indeed, I'm proud of the work that the UN staff has done to support the process. My appeal is for the people of Iraq now to be calm, to wait for the results as they are proclaimed by the relevant entities, and to be prepared for a process of political dialogue, as it is normal, after an election takes place, for the formation of the government with different political parties negotiating among themselves and in an environment that we want to be an environment of peace, of security, and of tranquility. That is my appeal to the Iraqi people. But I think that the elections in themselves are a reason to congratulate the Iraqi people already. Spokesman: Thank you very much. Thank you. [Cross talk] Question: [Off mic] Any message for the regional powers? The regional powers, a message to them, to the neighbouring countries, the regional powers in term of not intervening in the political process...? [Cross talk] Secretary-General: I think all countries should support Iraq according to the interests of the Iraqi people and with full ownership from the Iraqi authorities, instead of having agendas that have nothing to do with the interest of the Iraqi people. Spokesman: Thank you very much. Thank you.  

Millions of people in Afghanistan have been deeply affected by decades of conflict and displacement, chronic poverty, the COVID-19 pandemic, a severe drought, a failing health system, and an economy on the brink of collapse. The rights of women and girls, and of minorities in Afghanistan, are seriously under threat. The UN and humanitarian partners are sparing no effort to overcome financial shortfalls, logistical challenges, and an increasingly complex geo-political situation to support the millions of women, men, and children in Afghanistan who depend on humanitarian assistance and protection. In September, more than 3.8 million people received food assistance, 21,000 children aged 6-59 months and 10,000 women received treatment for acute malnutrition, 32,000 people received non-food items including blankets and warm clothes for winter, 10,000 children were reached with community-based education activities, 450,000 people were reached with primary and secondary healthcare, 160,000 farmers and herders were provided with livelihoods support, 12,000 people received emergency psycho-social and mental health support, 186,000 drought-affected people received water, and 150,000 people received hygiene promotion and hygiene kits. At the beginning of 2021, the humanitarian situation in Afghanistan was already one of the worst in the world, with nearly half of the population – some 18.4 million people – in need of humanitarian assistance. Conflict and insecurity have displaced nearly 700,000 people within the county this year, with more than 3.5 million Afghans uprooted by conflict in total. Existing needs and vulnerabilities have deepened following recent events, and economic shocks are tipping more people in Afghanistan into crisis. On 13 September 2021, the humanitarian community launched the Afghanistan Flash Appeal, calling for US$606 million to provide priority life-saving aid to 10.8 million of the most vulnerable people in need by the end of the year. Despite the outpouring of support and global attention to the dire situation in Afghanistan, the flash appeal remains only 35% funded. Pledges and commitments by donors must urgently be turned into reality to ensure humanitarian organizations can respond before it is too late. UN member states are requested to allow the swift and unfettered movement of humanitarian supplies and personnel into and out of Afghanistan, and to provide humanitarian financial exemptions to allow funds to reach aid organizations in the country. The free and safe movement of humanitarian goods and personnel in the country must be guaranteed, and necessary steps must be taken to ensure an inclusive response where all aid workers, including women, are free to perform their life-saving work. The humanitarian community in Afghanistan reiterates its commitment to deliver unconditional aid to millions of people on the basis of needs, in line with the principles of humanity, neutrality, impartiality, and independence. Without urgent action, the humanitarian situation will continue to deteriorate into 2022. The de facto authorities, UN member states, donors, humanitarian organizations, and other stakeholders must mobilize immediately to prevent a further humanitarian catastrophe in Afghanistan. Dr. Ramiz Alakbarov, UN Resident and Humanitarian Coordinator in Afghanistan, said: “The people of Afghanistan must not pay the price of collective failures. They deserve a normal life in peace and dignity. We will spare no effort to respond to the needs of all women, men, and children in Afghanistan. We will continue to advocate for the rights of women and girls, and of minority groups, as well as the rights of all to employment, food, healthcare, education, and safety.” Mary-Ellen McGroarty, Representative and Country Director of WFP Afghanistan, said: “Afghanistan is on borrowed time. In my long career with WFP I’ve never before seen a crisis unfold at this pace and scale. We are witnessing a new depth of destitution as the drought and the economic crisis drives up food and fuel prices. Getting food to families across Afghanistan before the cold and harsh winter is what we must do now!” Lisa K. Piper, Director of the Agency Coordinating Body for Afghan Relief & Development, said: “The NGO community is committed to staying and delivering an equitable and safe humanitarian response. We know that at least half of the people in need of humanitarian assistance are women and girls; and so to have a response that is based on actual identified needs, female aid workers must be able to work, move freely, and access communities.” Marin Din Kajdomcaj, UNHCR Deputy Representative in Afghanistan, said: “If the commitments made by the international community are not delivered on now, millions of displaced Afghans will struggle to survive over the coming winter. A lack of immediate action will inevitably lead to a deeper humanitarian crisis and further displacement that will have not only regional, but global implications.” Astrid Sletten, Country Director of the Norwegian Refugee Council in Afghanistan, said: “As the economy spirals and the banking system is at risk of collapse, the impact on Afghans across the country who are already struggling to survive will be catastrophic. NRC stands ready to scale-up our response to meet growing needs but we need unhindered humanitarian access, including our female staff, to be able to do so. Member states must also urgently find ways to stabilize the economy and address the liquidity crisis so that we can continue supporting the Afghan people.” Stuart Simpson, IOM Afghanistan Chief of Mission said: “Now more than ever, we need commitments from the international community to materialize so we can support those displaced, the local communities, while also giving Afghans a chance at living with dignity through decent work.” Dr Luo Dapeng, WHO Country Representative in Afghanistan, said: “Access to health for Afghans is falling further out of reach just as winter approaches. Outbreaks of measles and acute watery diarrhoea are expanding. COVID-19 transmission continues across the country. The immune systems of children are increasingly compromised by malnutrition. This deeply troubling combination of factors will lead to an increase in preventable illness and death unless urgent action is taken.” Abdul Khaliq Zazai, Executive Director of the Accessibility Organization for Afghan Disabled (AOAD), said: “The inclusion of persons with disabilities in humanitarian and development assistance is a critically important cross-cutting agenda recognized by the United Nations. Afghanistan has one of the largest populations per capita of persons with disabilities in the world, most of them conflictaffected people who need physical rehabilitations, prostheses, orthoses, assistive devices, or food support.” Hervé Ludovic De Lys, UNICEF Representative in Afghanistan, said: “As more families struggle to put food on the table, the nutritional health of mothers and their children is getting worse by the day. Children are getting sicker and their families are less and less able to get them the treatment they need. Rapidly spreading outbreaks of measles and acute watery diarrhoea will only exacerbate the situation.” Abdallah Al Dardari, UNDP Resident Representative for Afghanistan, said: “In addition to immediate assistance to save lives, the international community must act to save livelihoods and local economy, enhance resilience of communities, and prevent a total economic and social breakdown in the country.” Richard Trenchard, FAO Representative in Afghanistan, said: “FAO is deeply concerned about the rural crisis affecting 70 per cent of the Afghan population. 80 per cent of Afghans depend directly or indirectly on rural livelihoods. The importance of agriculture in keeping the people of Afghanistan fed, alive, and self-reliant cannot be overstated.” Notes to editors • The Afghanistan Flash Appeal can be downloaded here: https://bit.ly/3uKBOpw • B-roll video is available by request and hand-out photos are available here: https://bit.ly/3oxWFes • The cumulative figures for the humanitarian response in September are available here: https://bit.ly/3mrB8l8 • A snapshot of key humanitarian facts and figures is available here: https://bit.ly/3DgIyON • For further details, please contact: Pierre Peron, OCHA Afghanistan, +93 796000155, peronp@un.org UN Office for the Coordination of Humanitarian Affairs To learn more about OCHA's activities, please visit https://www.unocha.org/.