So sad that the maternity hospitals will lose the aid they receive, it must be difficult for women to be encouraged (or raped) into have so many children to feed. imo, speculation. May 6 2021 rbbm. Interview: In Afghanistan, Buying the Scalpel for Your Own Child’s Birth ''The announcement of a full withdrawal of US troops by September 11, 2021, made this research very timely. Along with the images of foreign flags being lowered and bases closing, Afghans hear a lot about casualties from the war. But what few people talk about is how many women are dying preventable deaths due to problems related to childbirth and how many babies are dying preventable deaths. What we have seen over and over is that as troops draw down, so does aid. More than 75 percent of the Afghan government’s budget comes from foreign aid, which keeps schools and hospitals open. But because of declining assistance, many healthcare facilities have seen their budgets decrease every year.'' ''When you show up at a government hospital and need care, either you or a family member usually has to go to a pharmacy to buy everything the hospital will need to treat you. Now, if someone is giving birth in a government hospital, for example, they typically have to buy the gloves, gauze, and serum needed for it. I saw people who had to buy the tubes that connect the port on their hand to an IV drip. And I was told repeatedly that if you need a cesarean section, you may have to buy the scalpel.'' 2012 Family planning: one Afghan woman's struggle to access contraception ''The average fertility rate in Afghanistan – 6.6 children per woman – is the highest in Asia and the second highest in the world. Frequent pregnancies, along with poor access to healthcare and inadequate nutrition, have also led to a very high maternal mortality rate. Currently 1,400 die for every 100,000 live births, the highest rate in the world. Only 54% of the Afghan population live within an hour's walk of a health facility, according to figures from the Afghan health ministry. This lack of access is compounded by many other factors, such as a lack of qualified female medical staff, poverty and a lack of awareness. Fariba is lucky because her family has agreed that she can use condoms and she hopes she can now stop having children.''