[{"bbox": [183, 151, 1084, 242], "category": "List-item", "text": "- Efforts to vaccinate Afghanistan's population would effectively cease. Increased efforts to tackle COVID-19 and polio were needed even prior to 15 August 2021, and have become more urgent since then."}, {"bbox": [144, 253, 1086, 460], "category": "Text", "text": "Increased emergency humanitarian support in health will not provide an adequate alternative to a functioning national basic health system. Additionally, increased emergency humanitarian support in health is not sufficient to meet growing needs, including on the filling critical of critical health gaps as part of and beyond Sehatmandi, with potential regional consequences given a significantly cross-border mobile population. Increased efforts to tackle malnutrition, COVID-19 and polio were needed even prior to 15 August, and have become more urgent since then."}, {"bbox": [144, 473, 1086, 806], "category": "Text", "text": "Prior to recent political developments, the UN/World Food Programme (WFP) projected that 9.4 million people would face acute food insecurity by November 2021. The UN has now increased this estimate to 14 million (or more than one-third of the total population). An estimated 3.2 million children under the age of five expected to suffer from acute malnutrition by the end of the year. Hikes in food prices and prolonged droughts affect nutrition. In October 2021, the food security situation is deteriorating sharply with just 5% of households consuming enough food according to WFP's latest surveys. Urban residents are suffering from food insecurity at similar rates to rural communities, who had to withstand drought twice in the past three years. While families with lower education levels are reportedly hardest hit by food insecurity, more than 90% of households with high-school or university educations are unable to afford enough food to feed their families."}, {"bbox": [144, 817, 1086, 999], "category": "Text", "text": "In the latest reports, virtually all households have too little to buy sufficient food with up three out of four households limiting portion sizes and adults eating less so their children can eat more. Households headed by women are particularly hard hit, skipping meals, and reducing their portions far more than those headed by men. Cash shortages are hampering commercial transporters, millers and cooperating partners as they face challenges in securing cash to pay staff and procure raw materials."}, {"bbox": [144, 1009, 1086, 1218], "category": "Text", "text": "The causes of persistent malnutrition, exacerbated by the ongoing humanitarian crisis, include chronic poverty, drought, armed conflict and displacement, gender inequality, inadequate diets, poor infant and young child feeding and caring practices, lack of safe water, hygiene and sanitation and low access to basic health services. Even prior to the crisis, the situation had been further aggravated by the COVID-19 pandemic.³ Today, 22.8 million people (more than half of the population) are facing acute food insecurity including 3.2 million children at risk of malnutrition.⁴"}, {"bbox": [144, 1236, 259, 1264], "category": "Section-header", "text": "## Education"}, {"bbox": [144, 1275, 1086, 1486], "category": "Text", "text": "Conflict and economic struggles have resulted in the breakdown of the public service delivery in the education sector. The situation has a particularly heavy impact on access to school affecting teaching and learning opportunities. Under these circumstances, it remains extremely difficult to ensure the right to education to Afghan children, especially girls. The financial constrains are jeopardising the entire education system, due to the impossibility to pay teachers' salaries, and it will have a considerable impact on learning opportunities but also on the psycho-emotional wellbeing and protection measures of children and adolescents, especially girls."}, {"bbox": [144, 1560, 579, 1586], "category": "Footnote", "text": "³ Nutrition Country Profile for Afghanistan, INTPA"}, {"bbox": [144, 1586, 847, 1613], "category": "Footnote", "text": "⁴ WFP Afghanistan: Situation Report 10 November 2021 - Afghanistan | ReliefWeb"}, {"bbox": [1059, 1631, 1082, 1654], "category": "Page-footer", "text": "10"}]