{"id":6023,"date":"2022-01-23T23:14:43","date_gmt":"2022-01-23T18:44:43","guid":{"rendered":"https:\/\/rukhshana.com\/?p=6023"},"modified":"2022-01-23T23:37:26","modified_gmt":"2022-01-23T19:07:26","slug":"ive-already-sold-my-daughters-now-my-kidney-winter-in-afghanistans-slums","status":"publish","type":"post","link":"https:\/\/rukhshana.com\/en\/ive-already-sold-my-daughters-now-my-kidney-winter-in-afghanistans-slums\/","title":{"rendered":"\u2018I\u2019ve already sold my daughters; now, my kidney\u2019: winter in Afghanistan\u2019s slums"},"content":{"rendered":"\n

M Mursal and Zahra Nader<\/p>\n\n\n\n

\u200cPublished By Rukhshana Media and The Guardian<\/a><\/p>\n\n\n\n

The temperature is dropping to below zero in western Afghanistan<\/a> and Delaram Rahmati is struggling to find food for her eight children.<\/p>\n\n\n\n

Since leaving the family home in the country\u2019s Badghis province four years ago, the Rahmatis have been living in a mud hut with a plastic roof in one of Herat city\u2019s slums. Drought made their village unliveable<\/a> and the land unworkable. Like an estimated 3.5 million Afghans who have been forced to leave their homes, the Rahmatis now live in a neighbourhood for internally displaced people (IDP).<\/p>\n\n\n\n

There are no jobs. But the 50-year-old has hospital fees to pay for two of her sons, one of whom is paralysed and the other who has mental illness, as well as medicine for her husband.<\/p>\n\n\n\n

\u201cI was forced to sell two of my daughters, an eight- and six-year-old,\u201d she says. Rahmati says she sold her daughters a few months ago for 100,000 afghani each (roughly \u00a3700), to families she doesn\u2019t know. Her daughters will stay with her until they reach puberty and then be handed over to strangers.<\/p>\n\n\n\n

It is not uncommon in Afghanistan to arrange the sale of a daughter into a future marriage but raise her at home until it is time for her to leave. However, as the country\u2019s economic crisis<\/a> deepens, families are reporting that they are handing children over at an increasingly young age because they cannot afford to feed them.<\/p>\n\n\n\n

Yet, selling her daughters\u2019 future was not the only agonising decision Rahmati was forced to make. \u201cBecause of debt and hunger I was forced to sell my kidney,\u201d she tells Rukhshana Media from outside her home in the Herat slum.<\/p>\n\n\n\n

Afghanistan is on the brink of \u201ca humanitarian crisis and economic collapse\u201d, according to the UN. The agency\u2019s ambassador to Afghanistan has said it is \u201cexperiencing the worst humanitarian crisis of its contemporary history\u201d. Drought, Covid-19 and the economic sanctions imposed after the Taliban seized power in August 2021<\/a> have had catastrophic consequences on the economy. Dramatic rises in inflation have resulted in soaring food prices.<\/p>\n\n\n\n

The kidney trade has been growing in Afghanistan for some time. But since the Taliban took power, the price and conditions under which the illegal organ trade takes place has changed. The price of a kidney, which once ranged from $3,500 to $4,000 (\u00a32,600 to \u00a33,000), has dropped to less than $1,500 (\u00a31,100). But the number of volunteers keeps rising.<\/p>\n\n\n\n

Rahmati sold her right kidney for 150,000 afghani (\u00a31,000). But her recovery from the operation has not been good and now, like her husband, she is also sick, with no money left to visit a doctor.<\/p>\n\n\n\n

More than half of the country\u2019s estimated 40 million population face \u201cextreme levels of hunger, and nearly 9 million of them are at risk of famine\u201d, according to the UN refugee agency, UNHCR<\/a>. For a growing number of Afghans, selling a kidney is their only way to get money to eat.<\/p>\n\n\n\n

\u201cIt has been months since we last ate rice. We hardly find bread and tea. Three nights a week, we can\u2019t afford to eat dinner,\u201d says Salahuddin Taheri, who lives in the same slum as the Rahmati family.<\/p>\n\n\n\n

Taheri, a 27-year-old father of four, who scrapes together enough money for five loaves of bread each day by collecting and selling recycled rubbish, is looking for a buyer for his kidney. \u201cI have been asking private hospitals in Herat for many days if they need any kidney. I even told them if they need it urgently, I can sell it below the market price, but I haven\u2019t heard back,\u201d Taheri says. \u201cI need to feed my children, I have no other choice.\u201d<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

In the past five years about 250 official kidney transplants have taken place in the hospitals in Herat province, with a very limited number being a family member donating their organ, says Asif Kabir, a public health official in the province. The cost of a kidney transplant is 400,000 afghani, plus the price of the kidney, according to Kabir.<\/p>\n\n\n\n

But the true number of kidney operations may be far higher. A doctor working in one of the hospitals where most of the transplants take place, who spoke on the condition of anonymity, says: \u201cRecently the number of people who want to sell their kidney has increased in Herat and most of them live in the displaced camps, in Herat\u2019s slums. The customers also go to the displaced camps to find a cheap kidney.\u201d<\/p>\n\n\n\n

Sayed Ashraf Sadat, a civil society activist in Herat, was a member of a delegation assigned by president Ashraf Ghani to investigate the illegal kidney trade in May 2021.<\/p>\n\n\n\n

\u201cWe found that the hospitals were not working according to the law. People are working inside and outside the country to encourage people to sell their kidneys. These people get them visas and send them to the other side of the border. There is more demand for kidney transplants outside Afghanistan. Countries like Iran need kidneys, and poor Afghans are forced to sell them.\u201d<\/p>\n\n\n\n

Sadat says the investigation he was part of identified two hospitals in Herat where kidney transplant operations take place; one of them said it had completed 194 operations and the other said 32, but more than 500 people were claiming to have sold their kidney, 100 from a single village in Herat. \u201cThis shows the kidneys were taken outside Afghanistan,\u201d says Sadat.<\/p>\n\n\n\n

\u201cFor example, a kidney is purchased for 300,000 afghani (\u00a32,100) inside Afghanistan, and it is sold for more than \u00a37,500 to \u00a311,000 outside the country,\u201d says Sadat.<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

\u201cWe found evidence that some are encouraged to sell their kidneys, taken outside the borders, and their kidneys are sold for 200,000 to 400,000 afghanis ,\u201d says Sadat. \u201cIt seems that the doctors are involved in the illegal trade. But unfortunately, our investigation was stopped due to a worsening security situation.\u201d<\/p>\n\n\n\n

Two months have passed since Rahmati\u2019s kidney operation, and the money has already gone to pay off medical debt. Her recovery from the operation continues to go badly.<\/p>\n\n\n\n

\u201cI am so sick. I couldn\u2019t even walk because the wound has been infected. It is very painful,\u201d she says, adding that the recipient of her kidney only paid for the operation fee, two nights in hospital and her first medicine bill.<\/p>\n\n\n\n

On the day of the transplant, Rahmati was sick and the doctors refused to operate. \u201cI couldn\u2019t breathe properly, so the doctors took me down from the hospital bed, but I returned. I told them \u2018I am happy with my own death, but I can\u2019t tolerate seeing my children hungry and ill\u2019,\u201d she says.<\/p>\n","protected":false},"excerpt":{"rendered":"

Since leaving the family home in the country\u2019s Badghis province four years ago, the Rahmatis have been living in a mud hut with a plastic roof in one of Herat city\u2019s slums.\u00a0Drought made their village unliveable\u00a0and the land unworkable<\/p>\n","protected":false},"author":1,"featured_media":5541,"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":{"subtitle":"","format":"standard","video":"","gallery":"","source_name":"","source_url":"","via_name":"","via_url":"","override":[{"single_blog_custom":"","sidebar":"","second_sidebar":"","share_position":"","share_float_style":"","post_date_format":"","post_date_format_custom":"","post_reading_time_wpm":"","zoom_button_out_step":"1","zoom_button_in_step":"1","number_popup_post":"1"}],"image_override":[{"single_post_thumbnail_size":"","single_post_gallery_size":""}],"trending_post_position":"","trending_post_label":"","sponsored_post_label":"","sponsored_post_name":"","sponsored_post_url":"","sponsored_post_logo":"","sponsored_post_desc":""},"jnews_primary_category":{"id":""},"jnews_override_counter":{"view_counter_number":"0","share_counter_number":"0","like_counter_number":"0","dislike_counter_number":"0"},"footnotes":"","jetpack_post_was_ever_published":false},"categories":[966,902],"tags":[],"class_list":["post-6023","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-featured-en","category-reports-en"],"yoast_head":"\n\u2018I\u2019ve already sold my daughters; 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