Yemen's Multilayered War: The Failing Healthcare Infrastructure
Publisher
Global Views 360
Publication Date
August 8, 2020
URL
Air strike Al-Thawra hospital, Hodeida on August 2, 2018 | Photo credit: ABDO HYDER/AFP/Getty Images | Source: Felton Davis via Flickr
This is the 6th and last part of a short explainer article series on the current crisis in Yemen. To read the earlier parts of the series click on the link.
To read the 1st part of the series click on the link.
To read the 2nd part of the series click on the link.
To read the 3rd part of the series click on the link.
To read the 4th part of the series click on the link.
To read the 5th part of the series click on the link.
The civil war in Yemen, more so after 2015 has taken a toll on the civic infrastructure of the already fragile and poor country. Among these, the healthcare infrastructure of the country was one of the worst affected.
Apart from the physical damage to the hospitals and clinics due to the aerial bombings by the Saudi Arabia led coalition, the naval blockades exacerbated the dire situation. In June 2015 itself, aid agencies warned of the humanitarian risks brought by the US and UK-backed Saudi blockades.
The humanitarian situation aggravated further as there was a consistent famine since 2016 and Yemen was dependent on foreign aid for feeding almost 80% of its population. According to UNICEF reports, over 3.3 million children and pregnant or lactating women suffer from acute malnutrition.
In 2017, the World Food Programme estimated that an additional 3.2 million people would be pushed into hunger. If left untreated, 150,000 malnourished children could die within the coming months.
Save the Children, the international charity and aid agency, estimated that 85,000 children under the age of five have starved to death in between 2015 to 2018.
Major healthcare operatives are dying due to the active bombing and conflict in Yemen, including personnel from MSF and United Nations Office for Coordination of Humanitarian Affairs (OCHO).
The MSF (or Doctors Without Borders), who have been in Yemen since 2007, have reported that fears of stigmatization are causing people to stay away from hospitals, with misinformation and lack of medical services only compounding the healthcare issue during the pandemic.
As of 24th July, the country reports 1640 confirmed infections and 458 related deaths. Al Jazeera reported that “Cemeteries in Aden are overflowing with graves, suggesting that the number of people killed by the new coronavirus is higher than the official count.” Yemen and its related aid agencies also suffer from lack of PPEs and adequate information about the pandemic.
As of April 2020, there are 800,000 internally displaced persons in just one province of Yemen Marib. The number of verified civilian deaths stands at 7,700.
The United Nations has been continually asking for donations, but has failed to collect as much as it requires. While it collected $4 billion last year, it has only received $700 million, halfway into 2020.
The UN urged for $2.4 billion this year to fight the humanitarian crises and the Coronavirus. As of 2nd June,29 countries and the European Commission pledged a total of $1.35 billion to support humanitarian efforts in Yemen, just over half of the amount needed to sustain programs through the end of this year.
In April 2020, the Saudi deputy defence minister, Prince Khalid bin Salman, said Saudi Arabia “will contribute $500m to the UN humanitarian relief program for Yemen in 2020, and an additional $25m to help combat the pandemic. It is up to Houthis to put the health and safety of the Yemeni people above all else.”
There are 41 major UN programmes in Yemen, and it is estimated that more than 30 of them will close due to lack of funds. The UN stated, “Due to the COVID-19 suppression measures, all integrated outreach activities, which include the Expanded Programme on Immunization, Integrated Management of Childhood Illness, Maternal and Newborn Health,and nutrition activities, were suspended.”
Most of Yemen's 3,500 medical facilities have been damaged or destroyed in air strikes, and only half are thought to be fully functioning. Officials warn that monetary relief may not be enough to assist in the war against the pandemic alongside the Civil War. A solution to the war must be found soon, before the pandemic eviscerates more of the healthcare infrastructure.
Support us to bring the world closer
To keep our content accessible we don't charge anything from our readers and rely on donations to continue working. Your support is critical in keeping Global Views 360 independent and helps us to present a well-rounded world view on different international issues for you. Every contribution, however big or small, is valuable for us to keep on delivering in future as well.
The Plight of the Hazara People of Afghanistan and Pakistan
The Hazara People, who are mostly found in some regions of Afghanistan and Pakistan, are a mixed race community who are one of the most persecuted ethnic groups in the world. Their situation is not getting better even to this date.
Who are the Hazara people?
The term ‘Hazara' was first used in the 16th century in the memoirs of Babur, to describe people in the region towards the west of Kabul, till Gor or Ghazni. The origins of this community remains disputed, although there are three theories to suggest it. According to the first theory, the Hazaras could be of Turko-Mongol ancestry, descendants of Genghis Khan's army which was left behind by him in Afghanistan.
The second theory goes two millennia back, to the Kushan Dynasty, when Bamiyan in Afghanistan was a Buddhist centre. Supporters of this theory claim that the facial structure of the Hazaras is similar to that of the Buddhist murals and statues (later vandalized by the Taliban) in the region. The third and the most widely accepted theory is that they are mixed race. According to this, certain Mongol tribes travelled to modern-day Afghanistan (then Eastern Persia) and then got integrated into the indigenous peoples, because of which the Hazaras still have some Mongoloid features.
They settled in central Afghanistan, where by the 19th century, half of their population had either been killed or exiled.
Their homeland in the central highlands was invaded by the Pashtun Amir Abdul Rehman, known as Afghanistan's ‘Iron Amir' by the British, forcing them to leave their lands and go into exile in Balochistan.
There were already some Hazaras who had started entering British India, searching for labour jobs such as mining. They also came to Quetta, to work in the construction of the Indian railways. But, due to Rehman's ethnic cleansing, they had to leave.
But one interesting fact is that in 1907, British officer Colonel Claude Jacob made a regiment specially for the Hazaras. The Hazaras had got an image of having martial strength, as the British liked to imagine, because of their possible lineage to Genghis Khan.
The remaining Hazaras, who didn’t qualify for the army, used to go for unskilled labour then, because they did not own any agricultural lands in this new country.
In 1935, there was an earthquake in Quetta, which caused many Hazaras to leave the city for other places. This proved to be a blessing in disguise for them as they started doing semi-skilled labour there and were able to become tailors, mechanics and shopkeepers. Even the Second World War proved to be helpful to them as more Hazaras were recruited as soldiers, some even getting a better position like General Musa Khan, who led the Pakistani army during the 1965 war with India.
What is Hazaras' situation today in Pakistan?
A Kid protesting against genocide of Hazaras in Quetta | Source: Hazara-Birar via Wikimedia
Since partition, the Hazaras have remained an underprivileged minority. In Quetta, they are spread in two slums in the east and west of the city. The two areas are called Mari Abad and Hazara Town. Most of their income is remittance payments from Iran, the Gulf, Europe and Australia.
There are thousands of new Hazara migrants in Quetta escaping the terror of the Taliban in Afghanistan. But in Pakistan, they are persecuted and seen as an alien community, because of two reasons—firstly, because they’re Shia (a minority in Sunni dominated Pakistan), and secondly, because of their facial features which look Central Asian. A third reason has a geopolitical context, a belief that the Hazaras might be having Iranian support.
There are around 900,000 Hazara living in Pakistan, yet this is a vulnerable community. For decades, they have been targeted for being different by the extremists through suicide bombings and shootings. There are regular attacks on their mosques, even on festive days such as Eid. The Pakistani authorities' response to the violence against Hazara community has been to build walls blocking streets leading to their areas, or placing military checkpoints along them. Although it makes at least the Hazara areas relatively safer, it traps them inside these areas which are like Ghettos now.
In an article by the BBC, one resident, Haji Mohammed Musa, said, “Yes, violence here has come down, but we can't go anywhere else in the city. We can't do business any more. We're living in a cage.”
And if they do go outside, there are really rare chances of them coming back alive. Hazara people are scared of going out of their area, and don’t even send their family members out for the fear of being attacked.
The number of Hazara students in Quetta's universities outside Mari Abad and Hazara Town, is said to have decreased in recent years. The Hazaras, trapped inside their Ghetto-like towns, are finding other ways to get rid of their frustration by keeping themselves busy in sports. A form of gymnastics, called Parkour, is getting increasingly popular here. The Hazara boys say it gives them “a feeling of freedom” and that they “forget all their worries”.
The people of Mari Abad are not able to meet the other Hazaras living on the other side of Quetta, in the Hazara Town. They can’t travel there without the fear of being shot or killed.
Sipah-e-Sahaba Pakistan and Lashkar-i-Jhangvi are two sectarian extremist groups which have targeted the Hazaras.
People of Hazara diaspora protesting against discrimination in Quetta | Source: hazarapeople.com
Around 70,000 Hazaras have fled, mainly to Australia, while hundreds may have drowned during this perilous sea journey. Even after settling in Australia, the Australian Hazaras are concerned about the 'Talibanization' of Afghanistan. They also held demonstrations in support of the people of their community who have remained behind.
Hazaras' present situation in Afghanistan
The Hazaras have always been persecuted in the predominantly-Sunni Afghanistan, especially by the Taliban. The worst form of violence started when, on August 8, 1998, the Taliban attacked and captured the Mazar-i-Sharif, which was then the only city controlled by the United Front, which is opposed to the Taliban. Within hours, it had started killing people in a frenzy and literally killed “anything that moved”. There were reports about women and girls, especially in the Hazara neighbourhoods, getting abducted and raped. The killings of Hazara men and boys was mainly done out of revenge by the Taliban for the Hazaras’ failed attempt of attacking them in 1997. Hazara fighters killed thousands of Taliban fighters and prisoners in the north in 1997. When Hazara strongholds fell the following year the regime massacred entire communities in revenge.
The Hazaras are confined to a huge open-air prison in central Afghanistan called Hazarajat. They can’t venture out, as there is fear of being killed.
ISIL in Afghanistan | Source: Najibullah Quraishi and Jamie Doran via Al Jazeera
IS-Khurasan, a group affiliated to the so-called Islamic State, is another terror group in Afghanistan which has also proved to be a threat for the Hazaras. In 2016, at least 80 Hazara people died after dual suicide bombings by IS-Khurasan, during protests which were held for electricity transmission line to be routed through Hazarajat. IS-Khurasan stated that it attacked the Hazaras because of their involvement in the war in Syria. Most of the Hazaras, who happen to be Shias, have been recruited in the Iranian army which is an ally of the Al-Asad government. An IS-Khurasan commander told Reuters, “Unless they (the Hazara Shias) stop going to Syria and stop being slaves of Iran, we will definitely continue such attacks.” Poor Afghan Hazaras residing in Iran are offered Iranian citizenship to fight in Syria. Some are even forced to join as fighters. But, this is just an excuse, as the IS-Khurasan would have attacked the Hazaras even had they not joined the Iranian forces fighting for the Shias, because, just like its parent organisation, ISIS, this organisation sees the Shias as 'infidels' or outsiders who are against Islam and therefore, worthy of death.
There were mass graves of Hazaras who were the victims of the Taliban bloodbath in Bamiyan, Afghanistan. A UN team went there to see those graves in 2002, just after the fall of Taliban.
Hopes from the US
The Hazaras, Hindus, Jewish, and other minorities—especially women of all ethnic and religious groups—in Afghanistan, were relieved that finally their nightmares are over, when the US forces started bombing the Taliban in 2001. Hazaras see the US as their liberator. Their hopes will be destroyed if the US withdraws from Afghanistan without completely finishing up the Taliban.
The situation in several places in Afghanistan has become better, where the Taliban is no more. People are able to attend colleges and schools and have more freedom. But the remaining states still suffer at the hands of the Taliban. There are deep scars still left in the country, which are difficult to heal even if the Taliban fades away.
Hazaras in the Covid-era
In Pakistan, the Hazaras were blamed for bringing the virus in their country. Their movement was restricted and they were targeted time and again for spreading the virus in their country.
They even had to face discrimination at workplaces. Mohammad Aman, a prominent Hazara activist, told Institute of development studies, “Places like Civil Hospital and The State Bank of Pakistan have unofficially asked their employees belonging to the Hazara community, including doctors, not to come to work.”
The Hazaras have been quarantined in their areas, Mari Abad and Hazara Town, and are not allowed to move out. Further, no other Pakistanis except the Hazara Shias are quarantined at airports. There is a belief among the Pakistani people that it’s the Hazaras who are bringing the virus from Iran.
Even after so many decades of persecution and mass killings, nothing much has changed in the situation of the Hazaras. They continue to live a life full of fear and abandonment. They left their homelands in Afghanistan, because the Pashtuns and the Taliban persecuted them. They came to Pakistan, where again, they are persecuted for the same reason. Those who left for Iran, were bullied for their Central Asian ancestry or had to fight in wars. Then the remaining who left for Syria, are now stuck and left to die in the Syrian war. There’s no place called home for the Hazaras.