In poverty-stricken areas of easter Afghanistan, girls are too often the ones at risk. Photo: Tony Karumba/AFP/Getty Images
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Being a gynaecologist in Afghanistan is one of the most dangerous jobs in the world

A doctor in Afghanistan is using her medical training to provide healthcare and other support to women – at great risk to herself and her family.

 “When I started working, I would not help people when they came to me for an abortion. I would say no,” says Dr Lima, an Afghan gynaecologist who embarked upon the dangerous trade of offering desperate women secret access to contraception and abortion. Her decision was prompted by the sheer scale of suffering and violence against women she witnessed.

Her initial refusal was a predictable reaction in a country where abortions are illegal in the majority of circumstances, but in 2006 Dr Lima was confronted with a case that brought home the devastating scale of the hardships faced by Afghanistan’s women. It would change her mind on the need for access to safe abortion.

“The girl was 17 years old and pregnant. After her parents found out they secretly gave her some medicine to weaken her – medicine that made it easier for them to suffocate her with a pillow and kill her. After that incident, I decided to help people like her,” Dr Lima recalls.

Dr Lima’s decision – to start using her medical training to provide healthcare and other support to women – put her own and her family’s lives in constant danger.

“Whatever I do, I do in secret. The only person who knows is my husband,” she says.

Many of the women that Dr Lima has provided abortions to had become pregnant as a result of rape. She also helped women to take contraceptives secretly when their husbands were forcing them to have more children.

She explains: “That was risky too, sometimes when women did not become pregnant for some time the husbands would ask why and may beat their wives. Then the woman would bring them to me and I would explain to the husband that because his wife had too many children without a [break], her body is now weak and it needs times to return to normal. Then the husbands would accept my [explanation] and the women could stay healthy and enjoy their lives for one or two years before they got pregnant again.”

Dr Lima’s mission took her to eastern Afghanistan, to a remote, poverty-stricken province on the border with Pakistan. It is a region where the influence of the Taliban is at its strongest, and respect for women’s rights is almost non-existent.

Girls are not given access to education, husbands routinely abuse their wives and for many families the preferred response to a girl becoming pregnant outside marriage – even by rape – is to murder her and cover it up as an illness or accident.

In some areas tribal rules dictate that if the people in the community find out that a girl is pregnant outside marriage they will kill the girl in order to “preserve honour” and if the girl’s family resist, they too will be killed. If the rapist is identified, he and the victim will both be killed publicly.

One girl in a tribal region who became pregnant as a result of being raped came to Dr Lima to ask for an abortion. The girl told Dr Lima that the pregnancy served as a constant reminder of her ordeal. She was also terrified she would be killed and her family would be torn apart by a “blood feud”.  

Another woman, a mother of six, was locked up with the livestock by her husband, who had married another woman. “When she came to me I helped her to get in touch with the Ministry of Women’s Affairs and after many months of legal arguments she finally managed to get a divorce.”

“No matter what a man does in these areas, he will get away with it,” says Dr Lima.

While working in Kunar, Dr Lima would wear a burqa to help protect her identity, but that didn’t stop the death threats from the Taliban.

“I started to receive warning letters, saying that what I was doing was un-Islamic,” Dr Lima says.

In 2009, the peril of Dr Lima’s courageous mission was brutally laid bare.

“My son was playing in the front garden of our home in the evening. I heard an explosion and rushed outside the yard to see my son covered in blood,” she recalls.

The 11-year-old boy had been the victim of a Taliban grenade attack to Dr Lima’s family home. Despite suffering a debilitating leg injury, he survived and is now able to walk with the aid of a stick.

But worse was to come six months later.

After receiving further threats and warnings from the Taliban, Dr Lima’s 22-year-old brother was killed in another grenade attack opposite her clinic.

She was forced to move to a secret location, but the experience did not dent Dr Lima’s commitment to help the women of Afghanistan. “I want to serve my country and my people who have suffered a lot. I cannot just sit in the corner of my house,” she says.

“My son was injured and my brother was killed as a result of my work, but I have never given up. These activities cannot be done without suffering. In Afghanistan, all women are suffering.”

Details of an Amnesty campaign calling for greater protection for professional Afghan women like Dr Lima are available at www.amnesty.org.uk/afghanistan

A pseudonym has been used to ensure the security of Dr Lima and her patients

Horia Mosadiq is Amnesty International’s researcher on Afghanistan.

Getty Images.
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François Fillon's woes are good news for Marine Le Pen and Emmanuel Macron

It is too late for the Republicans to replace their scandal-tainted candidate.

It's that time of the week again: this week's Le Canard Enchaîné has more bad news for François Fillon, the beleagured centre-right candidate for the French presidency. This week's allegations: that he was paid $50,000 to organise a meeting between the head of the French oil company Total and Vladimir Putin.

The story isn't quite as scandalous as the ones that came before it: the fee was paid to Fillon's (legitimate) consultancy business but another week with a scandal about Fillon and money is good news for both Emmanuel Macron and Marine Le Pen.

The bad news for the Republicans is that Fillon is on the ballot now: there is no getting off the train that they are on. Destination: blowing an election that was theirs to be won.

Who'll be the ultimate beneficiary of the centre-right's misery? Although Macron is in the box seat as far as the presidential race is concerned, that he hasn't been in frontline politics all that long means that he could still come unstuck. As his uncertain performance in the first debate showed he is more vulnerable than he looks, though that the polls defied the pundits - both in Britain and in France - and declared him the winner shows that his popularity and charisma means that he has a handy cushion to fall back on.

It looks all-but-certain that it will be Macron and Le Pen who face each other in the second round in May and Macron will be the overwhelming favourite in that contest.

It's still just about possible to envisage a perfect storm for Le Pen where Fillon declares that the choice between Macron and Le Pen is a much of a muchness as neither can equal his transformative programme for France, Macron makes some 11th-hour blunder which keeps his voters at home and a terrorist attack or a riot gets the National Front's voters fired up and to the polling stations for the second round.

But while it's possible he could still come unstuck, it looks likely that despite everything we've thought these last three years, the French presidency won't swing back to the right in 2017.

Stephen Bush is special correspondent at the New Statesman. His daily briefing, Morning Call, provides a quick and essential guide to British politics.