Women in Afghanistan Face Mounting Barriers to Healthcare Under Taliban Rule

“I begged them, my daughter was dying.”

These words were a plea from a mother, Zarin Gul, whose pregnant daughter, Nasrin, was suffering excruciating pains that required immediate attention from a health facility. However, on their way to the health center, they were stopped by a Taliban checkpoint due to a lack of a male escort.

Nasrin never came back home. Neither did the baby she carried inside.

Nasrin’s death is just one of many tragedies. In Afghanistan, many women find it impossible to access medical care due to numerous hurdles. Access to a hospital is often not only about distance or cost; it is also about obtaining permission and having a male guardian escort the woman to the hospital. 

In the last 5 years, regulations by the Taliban on women’s movements, education, and job opportunities have resulted in the deterioration of the country’s health care system. Women are required to travel with a male chaperone regardless of the medical emergency. At the same time, the prohibition of female education and restrictions on their medical training put the future of the health care system in jeopardy for females. Less qualified staff members took the place of the professionals in the local clinic in Baghlan following the change in government. Patients often receive inadequate care and are frequently provided simple medications like paracetamol regardless of their condition.

Reduced humanitarian funding resulted in the closure of more than 422 medical facilities in 2025, which restricted approximately 3 million people’s access to medical care. The need has increased, especially for women and children, due to recurrent disease outbreaks and climate calamities.

The Taliban restrictions are not only affecting women seeking care today, they are also undermining the future of Afghanistan’s healthcare system. Since the Taliban banned girls from secondary schools and universities, the pipeline of future female doctors, nurses, midwives, and other healthcare professionals has been severely disrupted. In more traditional communities where it is required that women be treated by female medical staff, the loss of an entire generation of educated women threatens to create even greater shortages in the years ahead.

Every day, 24 mothers and 167 infants die from preventable causes. Around 14.5 million people living across 21,570 villages do not have access to basic health facilities; therefore, their reproductive, maternal, and child health are significantly impacted. 

In the Pashtun Kot area of Faryab province, where there are no clinics and only a mobile health team serves the population, a 33-year-old woman with four children told the Afghanistan Analysts Network about the challenges of getting healthcare: “Our village doesn’t have any public services. Midwives and a mobile health team visit, but we don’t have a clinic. A clinic has been opened in Kata Qala, but it’s far away … and our village has no private clinic. The government has promised to build a clinic, but it hasn’t done so yet. We don’t have a pharmacy, but there’s a doctor who sells medicines locally. When we need medicine, we buy it from him.”

Nasrin’s death was preventable. That is what makes her story so devastating.

Women in Afghanistan are being forced to navigate a healthcare system increasingly constrained by restrictions on movement and the systematic exclusion of women from public life. These policies are not merely limiting opportunities; they are costing lives.

One Year After Medicaid Cuts, Rural Hospitals Face Growing Crisis

It’s been nearly a year since the federal Medicaid cuts took effect, and rural hospitals are feeling the strain. 

Almost one-third of rural hospitals in the United States are considered financially vulnerable. Today, roughly 720 rural hospitals across the country are at risk of closure, including 294 that face an immediate threat.

The source of many of these challenges is H.R. 1, also known as the “One Big Beautiful Bill Act,” which was signed into law on July 4, 2025. The law reduced federal Medicaid spending, added new eligibility and reporting requirements, and increased administrative barriers for recipients. Federal Medicaid spending is projected to decline by $911 billion over the next decade, while more than 10 million people could lose health insurance by 2034. Medicaid serves approximately 80 million low-income Americans and accounts for about one-fifth of personal health care spending nationwide.  

The effects are already visible across the country. In February 2026, a health clinic in Ottumwa, Iowa, closed after receiving a month’s notice. The clinic had served the community for generations. A health care company in Des Moines also closed several clinics and laid off 67 employees due to expected revenue losses linked to Medicaid cuts.

For rural communities, hospitals are often much more than health care facilities. They provide emergency services, jobs, and critical infrastructure. Without a nearby hospital, patients experiencing heart attacks, stroke, pregnancy complications, or serious injuries may need to travel much significantly farther for treatment. In emergencies, those delays can be life-threatening.

The closure of the labor and delivery unit at Winner Regional Health in South Dakota illustrates the challenge. Pregnant women like Sophie Hofeldt now travel more than three hours round-trip for prenatal appointments and must deliver at a hospital 90 miles away. In other rural areas, patients travel as far as 170 miles to access maternity care.

A Public News Service report on the closure of MercyOne’s clinic in Ottumwa found widespread concern about access to care. One retired teacher, Mary Stewart, summarized the situation bluntly: “There simply aren’t doctors here anymore.” Elderly residents and those with limited transportation face particularly difficult barriers to receiving routing and emergency care. 

As hospitals lose funding and face closure, women are often among the first to experience the effects. Medicaid is the largest provider of maternity care in the United States, covering about 40% of births nationwide and nearly half of births in rural areas. The program funds prenatal care, labor and delivery services, postpartum care, and maternal mental health support. 

Reducing Medicaid funding threatens access to these essential services and can worsen maternal health outcomes. Research has shown that Medicaid expansion improved women’s health, reduced maternal mortality and helped narrow racial disparities in care. Yet current federal policy moves in the opposite direction by reducing resources for health systems that millions of Americans rely on.

Long after the political debates fade from the headlines, communities will continue to live with the consequences. Women travel farther for reproductive care; families postpone medical appointments; refugees struggle to find stable healthcare; rural hospitals struggle to keep their doors open. 

As Medicaid funding shrinks, Americans are left wondering what kind of future lies ahead in a country where healthcare is viewed as a privilege for some rather than a promise for all.

Taliban Dress Code Crackdown in Afghanistan Sparks Protests, Arrests, and Condemnation

On June 6 and 7, officials from the Taliban’s Ministry for the Propagation of Virtue and Prevention of Vice, commonly known as the morality police, detained dozens of women in western Afghanistan’s Herat Province for alleged dress code violations. Witnesses and residents reported that many of the women arrested were already fully covered and complied with the Taliban’s dress code requirements. Detained women, including a pregnant woman, were taken to prisons and other undisclosed locations.

The crackdown followed a meeting between the Taliban governor of Herat and officials from the morality police. According to a notice issued by the department in Herat, “any woman who does not cover herself properly, shows her face, or uses makeup could be arrested and imprisoned.”

The arrests sparked protests as women and other residents took to the streets to demonstrate against both the detentions and the Taliban’s increasingly restrictive policies toward women. According to reports from the scene, Taliban officials responded with force, opening fire on protesters and beating demonstrators. At least two people, including an 11-year-old boy, were killed, and more than twenty others were injured.

Following the crackdown, according to reports, the number of women leaving their homes has declined significantly. A 20-year-old taxi driver said, “Women are not even seen in the city at all.” A 33-year-old woman described the situation as “unbearable,” adding, “I am genuinely saddened that we don’t even have the right to breathe freely. Life has become very difficult for us.”

Afghan women leaders, human rights defenders, and United Nations experts have expressed deep concern over the arrests and the reported use of excessive force against protesters. The experts stated that detaining women for their clothing may constitute arbitrary and unlawful detention and could violate fundamental rights, including freedom of expression and protection from gender discrimination.

The experts also emphasized that any use of force by law enforcement must comply with “the principles of legality, necessity, proportionality,” and accountability under international law. They called on the Taliban to immediately release those detained, conduct an independent investigation into the violence, and ensure accountability for those responsible.

The arrests in Herat are yet another reminder that Afghan women and girls are living under a system of institutionalized discrimination designed to control every aspect of their lives. Detaining women for their clothing, restricting their movement, and violently suppressing peaceful protest are hallmarks of gender apartheid. Governments, international institutions, and civil society organizations must increase pressure on the Taliban, support efforts to codify gender apartheid as a crime under international law, and ensure that Afghan women’s voices remain at the center of all discussions about Afghanistan’s future.

The Feminist Majority Foundation urges governments, the United Nations, and human rights organizations to speak out forcefully and stand with the women and girls of Afghanistan. Their rights, dignity, and freedom deserve sustained international attention and action.

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