Why the UK needs to help deliver on women’s rights in Afghanistan

Caroline Wright tells the story of a fellow gynaecologist, “Dr D”, an Afghan health professional who has experienced death threats and attacks on her family in Afghanistan.

When I was asked if I wanted to be involved in a short film about women’s rights in Afghanistan for Amnesty, I absolutely leapt at the chance. Although the prospect of being filmed was slightly daunting - I have absolutely no TV or film experience - Amnesty’s campaign is something I could immediately relate to, both as a doctor and as a woman.

I have never met Doctor D, the Afghan gynaecologist whose tale I told, but I know by her story that we have a lot in common.

I know that we are both passionate about a woman’s right to access healthcare. In the UK we’re incredibly fortunate. Everybody is able to access high-quality healthcare, something we often take for granted. As women we’re able to make choices about our health, about contraception and pregnancy. If we’re expecting a baby, we know that in the vast majority of cases we, and our unborn babies, will make it safely through labour and delivery. In much of the developing world, this is often not the case. Through my work I’ve travelled to teach medical skills in Asia and Africa and have been stunned by the challenges faced by those trying to provide healthcare to women. Where care is needed most, it always seems to be least available. Sadly I’ve never had the opportunity to visit Afghanistan, but Doctor D’s story tells me that healthcare is not just absent in many cases in Afghanistan, it is actively prevented by threats and violence. I admire Doctor D’s passion for steadfastly continuing with her much-needed work despite the personal horrors she’s had to face.

Doctor D and myself have much in common. Like me she went to medical school, she worked hard, she passed her exams. She took on a life role that gives you an extraordinary gift. You have the skills and knowledge to stop pain and relieve suffering, to help and to heal. Placed in the position we both are, I understand why it’s not possible for her to turn her back despite the dangers. Whatever the cost, we have a duty to help. The cost for me might be long hours, endless exams, missed birthdays and weddings and never having a lunch break! But I’ve never had to face threats, attacks on my family or paralysing fear. The costs for me are so laughable in comparison and make me realise how fortunate I am to do the job that I love and not be targeted in any way for it.

In the course of Doctor D’s work she’s looked into the eyes of a girl who has been raped and seen nothing but bleakness and fear. When I worked as a forensic physician my role was similarly to treat women and girls who had been raped. Like myself, Doctor D has sought to help them, to encourage them to stay positive, to let them know that with time the pain would fade and they would eventually start to feel normal again. So we’ve taken on very similar roles, yet in many ways Doctor D and myself are worlds apart: I’ve received praise for my work, she’s had death threats.

I know that Doctor D is someone who has a strong work ethic. My own mother was a working mum, bringing up myself and my three sisters as well as doing a full-time job. I’ve always known that life is not handed to you on a plate. Doctor D inspires me as strong woman balancing work and family in the toughest of circumstances. When we hear so many negative stories about Afghanistan she’s a beacon of light, a positive role model for women across the world and a fantastic source of inspiration for her own children. I know she loves her children and family dearly and when I read her words I felt some of the pain she must have felt when her son was injured and her brother killed. Yet she goes on. I deeply admire her strength and her courage.

I don’t know why some of us are fortunate enough to be born into a life where we’re safe and free, while others are given a different, far harder path. From telling this story I know that Doctor D has seen and felt many of the same things as myself. And as a doctor, as a woman, but most fundamentally as a fellow human being, I know there’s something that I can do to help to bring change. There’s something we all can do.

Dr Caroline Wright is a gynaecologist at the Epsom General Hospital in Surrey

  • To support women’s rights in Afghanistan - including the provision of shelters for women and girls raped in Afghanistan - see this page
  • Amnesty is also running a “contact your MP” campaign on women’s rights in Afghanistan. See this page for more details

 

Dr Caroline Wright is a gynaecologist at the Epsom General Hospital in Surrey

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Scarred lands: visiting the villages Boko Haram left behind reveals the toxic legacy of terrorism

The progress and challenges of Nigerian communities rebuilding after Boko Haram’s insurgency begins to wane.

“Sometimes it’s when I go to bed that what happened comes back to me.” Two years ago, Boko Haram militants stormed into 23-year-old John Amida’s home late at night in a village in Gwoza, Borno State, northeast Nigeria. Shielding his eyes with his hands from the torchlight saved his life. He shows me the mark in the centre of his forearm where the bullet aimed for his head went instead.

“All my friends were either killed or abducted,” he says. “I don’t try to forget what happened because it’s not possible; it’s with you even when it is not in your mind. The best thing is just to keep on living every day.”

After a broadly effective 18-month military campaign, Boko Haram remains a deadly yet waning force. Many communities once occupied by Boko Haram are now liberated. In Adamawa, just south of Borno, over 630,000 people previously displaced by Boko Haram have returned home.

With them, over 170,000 internally displaced people (IDPs) now live in camps, or – like John and his family – in host communities. He and his family live in a home vacated and lent to them by a local. All over Adamawa, IDPs live in homes shared with residents or given to them temporarily in exchange for help, crops or token sums of rent.

Adamawa is a serene, largely rural, mountainous state. Even deep into the dry season, driving through the roads that cut between its vast countryside, its land is incredibly scenic. But within local communities, in more rural, isolated villages north of the state’s capital, Yola, the picture is more complicated.

Gombi, a small town a few hours’ drive from Yola, was recaptured from Boko Haram in late 2014. Much of what was destroyed in the insurgency – shops and small businesses – have been rebuilt or replaced. The local government buildings have been largely restored. The impact is still visible but, according to locals, decreasingly so.

But in less urban areas, like in Garaha, a village in Adamawa, rebuilt homes sit next to broken, abandoned houses, churches, mosques and buildings blackened by the fires that damaged them. Local government officials say the damage across Adamawa by the insurgency has set the state’s development back by a decade. Funding for rebuilding the state, which local governments complain is insufficient, is concentrated on urban areas.

According to Chief Suleimanu, a traditional ruler in Garaha, mental health issues are widespread but few are financially able to access support. While some people have been able to move on, others are still dealing with the consequences.

“Many couples and families have separated,” he tells me, detailing how in some couples one partner feels attached to their home while the other can’t face returning, or feel there is little to return to.

“The same with the children, some of the young people have gone to bigger cities like Kano or Abuja because of a lack of opportunities.”

Many returnees, who left camps in Cameroon to come back to Adamawa, are from families who have lived in their villages for generations. Their ancestral roots anchor them to their homes because their farmland is their main source of income. Non-agriculture-based industries provide few jobs. For many people, fleeing their homes meant abandoning their livelihoods.

As of 2015, 52 per cent of people in Nigeria lived in rural areas. Their relative isolation is a blessing and a curse. Larger rural spaces provide them with adequate land to cultivate their crops – but it also leaves them exposed.

During Boko Haram attacks on Garaha through to early 2015, there was minimal protection from security forces who often take hours to arrive.

For many people living in rural Adamawa, life is getting harder and easier at the same time. Armed herdsmen, mainly from the Fulani ethnicity have become a greater threat across Nigeria, partly due to tensions between land ownership and cattle grazing.

According to locals, killings by herdsmen have increased this year. But villages are addressing their vulnerability. Armed vigilantes, some of which formed due to the lack of military protection against Boko Haram, are increasing. The police services are often too far away or too under-resourced to protect them. But some vigilantes now have more weapons and vehicles due to help from state services and locals. It is not an ideal solution but it has made places like Garaha safer.

With this new-found relative safety, villagers have begun farming again. With cash grants and donated tools from charities like Tearfund, it has been easier for thousands of people to begin cultivating land. In many villages there are small, lively recreation centres where young people play snooker and watch sport. Many of their places of worship have been rebuilt.

But the situation is grimmer in communities where such charities are not present.  Without resources, state or non-government help, rebuilding is a real challenge.

Adamawa is a state maxing on its credit of hospitality, relative safety and appreciation of agriculture. A recession in Nigeria and a severe food crisis in the northeast have added pressures on returnees and IDPs. Liberated communities will need more help and attention before they truly feel free.

Emmanuel Akinwotu is a journalist based between Lagos and London who writes about Africa, migration, and specialises in Nigeria.