{"id":33314,"date":"2025-04-29T11:14:03","date_gmt":"2025-04-29T06:44:03","guid":{"rendered":"https:\/\/rukhshana.com\/?p=33314"},"modified":"2025-04-29T11:31:35","modified_gmt":"2025-04-29T07:01:35","slug":"the-remote-badakhshan-mountains-where-motherhood-often-ends-in-mourning","status":"publish","type":"post","link":"https:\/\/rukhshana.com\/en\/the-remote-badakhshan-mountains-where-motherhood-often-ends-in-mourning\/","title":{"rendered":"The remote Badakhshan mountains where motherhood often ends in mourning"},"content":{"rendered":"\n<p class=\"has-text-align-center wp-block-paragraph\"><strong>Nosha Asiyan<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In a remote district of Badakhshan province, the only companions to a woman in labor are usually her family and a local village midwife(Traditional midwife). When the searing pain of giving birth rises, no ambulance is on the way, no doctor is waiting behind the door.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">It\u2019s an experience Gulnisa knows well. In January, the 28-year-old gave birth to her fourth child, but her baby died in the process and she narrowly escaped death herself.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">She lives in Kuran wa Munjan, a remote border district of Badakhshan, home to over 8,000 people and nestled in towering mountains about 160 kilometers from the provincial capital Faizabad. It\u2019s renowned for its rich natural resources, especially the semiprecious gemstone lapis lazuli. Yet despite the wealth that lies in its mines, what reaches the people has been poverty and deprivation.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Its remoteness and poverty mean that for Kuran wa Munjan women, childbirth is not always the beginning of life, but often its end. With no hospital or doctor nearby, the potential joy of a child\u2019s birth is instead riddled with fear and uncertainty, with their only trust the trembling hands of elderly midwives.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The roads leading to Kuran wa Munjan are in extremely poor condition, making it nearly impossible for women to access timely medical care during childbirth and contributing to the high infant and maternal mortality.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"512\" src=\"https:\/\/rukhshana.com\/wp-content\/uploads\/2025\/04\/65-1024x512.webp\" alt=\"\" class=\"wp-image-33316\" srcset=\"https:\/\/rukhshana.com\/en\/wp-content\/uploads\/sites\/2\/2025\/04\/65-1024x512.webp 1024w, https:\/\/rukhshana.com\/en\/wp-content\/uploads\/sites\/2\/2025\/04\/65-300x150.webp 300w, https:\/\/rukhshana.com\/en\/wp-content\/uploads\/sites\/2\/2025\/04\/65-768x384.webp 768w, https:\/\/rukhshana.com\/en\/wp-content\/uploads\/sites\/2\/2025\/04\/65-360x180.webp 360w, https:\/\/rukhshana.com\/en\/wp-content\/uploads\/sites\/2\/2025\/04\/65-750x375.webp 750w, https:\/\/rukhshana.com\/en\/wp-content\/uploads\/sites\/2\/2025\/04\/65.webp 1140w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"> Kuran wa Munjan  village in Badakhshana\/ image: supplied <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">And the roads from the district center to where Gulnisa lives in Pas-Kuran area are just as bad.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Gulnisa\u2019s sister Khujasta*, who lives in Faizabad, told Rukhshana Media her baby likely died from lack of oxygen.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cAt night, when Gulnisa\u2019s labor pains began, they called for a woman in the village who had spent her life helping women give birth and had delivered many babies there. But the baby died before it could be born,\u201d Khujasta said.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cShe endured a very difficult delivery, and by morning, they took her to the clinic on a donkey. The roads are in terrible condition, and there\u2019s no regular transport.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cEven if a vehicle is available, the cost of traveling from Pas-Kuran to the district center is between 2,000 to 3,000 Afghanis (US$28-42) &#8211; an amount poor families cannot afford.\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">According to Khujasta, Gulnisa had been warned her by doctors about the risks she might face after previously losing another child during labour. But her husband, a farmer who, like many in the district, is living hand to mouth, was unable to afford the critical medical care for his wife.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Gulnisa\u2019s tragedy didn\u2019t come as a shock to the district residents. It\u2019s a reality many of the families know well with the loss of a mother or baby during childbirth devastatingly common.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Dying on the road to seek help<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Mahgul, who was expecting her first child, died from severe bleeding in March 2024 on her way from Aywim area to the district health clinic. She was traveling by donkey to give birth, but she died along the route before reaching help, with her baby not surviving either.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cWe have no clinic, no medicine, no treatment, no doctor, and the roads are destroyed,\u201d Mahgul\u2019s brother Ahmad Shah said.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cMy sister is not the first &#8211; many women have lost their lives the same way.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cAll we could do was pray over them and bury them. Neither during the previous nor under the Islamic Emirate (Taliban rule) has anyone paid attention to us poor people.\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Catastrophic number of deaths each year<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Afghanistan has one of the highest maternal mortality rates in the world with 638 mothers dying for every 100,000 live births, according to a United Nations report.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">However, the lack of access to basic healthcare in remote and mountainous regions claims more women\u2019s lives than in urban areas.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Aywim area resident Mahbegum said that the situation in their village is catastrophic.<br>\u201cWomen here face many problems, especially pregnant women. For example, when they fall ill, they often self-medicate,\u201d the 28-year-old teacher said.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cThere\u2019s no doctor to advise them on birth spacing. As a result, pregnant women face numerous challenges. Just this March, two women from our village lost their babies during childbirth because they had common ailments like headaches or body pain. They took whatever medicine was available at home or from neighbors, hoping it would help them recover.\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">She said that in her area alone, she knows of more than ten newborns and as many as five mothers who died during childbirth last year.<br>\u201cThis is the number I\u2019ve witnessed, and it could be even higher. Since the distance between villages is so vast \u2013 some are a day\u2019s journey apart \u2013 we don\u2019t always hear about it. But it\u2019s become a norm for births to go wrong or for babies to die,\u201d she said.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Nearly a month ago, Afghanistan\u2019s Tolonews also reported, citing local sources, that in the year 1403 (2024), at least 20 women had died during childbirth in just one village of Kuran wa Munjan district.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Death toll in childbirth becoming normalized<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Abdulhad, a 24-year-old member of the Pas-Kuran area council, said that due to the long distances and lack of access to healthcare, most women give birth at home.<br>\u201cWe don\u2019t have any health center, and if someone gets sick, we\u2019re forced to walk two to four hours just to reach the clinic at the district,\u201d he said.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cPeople can\u2019t afford to travel to the district center for childbirth, so most deliveries happen at home with traditional methods. The cost of traveling from our village to the district center is between 2,500 to 3,000 afghanis, and people here just don\u2019t have that kind of money.\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Local resident Homaira said women are expected to rely on God.<br>\u201cThe death of a mother or child has become something normal here. Women rely only on God, hoping for the best,\u201d the 32-year-old mother said.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cDuring childbirth, women often suffer heavy bleeding, and sometimes the placenta doesn\u2019t come out until four or five days later, causing serious complications. Just last month, one of our relatives gave birth \u2013 her baby was born alive but died just a few minutes later.\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">She said just the past two months she knew of a mother in Pas-Kuran and another in Shah-Pari village who died during childbirth.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Janki, 25, witnessed one of her neighbor\u2019s go into labor and leave for a clinic as complications set in, but return as a corpse.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cWazir Begum was 28 years old and one of our neighbors. Just a month ago, when her labor pains began, her condition quickly worsened and she started bleeding heavily,\u201d Janki said.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cHer husband decided to take her to the clinic, but on the way, before they could even reach the clinic, both she and her baby passed away.\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A doctor at Badakhshan Provincial Hospital, who requested to remain anonymous, told Rukhshana Media that she has been working in the hospital\u2019s maternity ward for more than eight years.<br>\u201cWe receive very few patients from Kuran wa Munjan. People in that district are extremely poor, and they don\u2019t come to Faizabad unless the patient\u2019s condition becomes critical,\u201d the doctor said.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cEven then, they hesitate \u2013 only when they realize the patient might die do they consider making the journey. It\u2019s understandable, though, because these people are struggling just to afford a piece of bread.\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This story published In partnership with<a href=\"https:\/\/www.moretoherstory.com\/stories\/in-rural-afghanistan-childbirth-often-means-death-not-life\"> More Her Story<\/a>*<br>*Names have been changed to protect the identity of sources<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>In a remote district of Badakhshan province, the only companions to a woman in labor are usually her family and a local village midwife. When the searing pain of giving birth rises, no ambulance is on the way, no doctor is waiting behind the door.<\/p>\n","protected":false},"author":1,"featured_media":33315,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"jnews-multi-image_gallery":[],"jnews_single_post":{"format":"standard"},"jnews_primary_category":[],"jnews_override_counter":[],"footnotes":"","jetpack_post_was_ever_published":false},"categories":[9581,902,896],"tags":[11317,11322,11319],"class_list":["post-33314","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-our-work-en","category-reports-en","category-uncategorized-en","tag-badakhshan-mountains","tag-badakhshan-province-en","tag-motherhood"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>The remote Badakhshan mountains where motherhood often ends in mourning - Rukhshana Media<\/title>\n<meta name=\"description\" content=\"It\u2019s an experience Gulnisa knows well. 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