Monthly Report April 2026 Amena Mobile Clinic (Kunar)

During April 2026, the Amena Fixed Clinic in Kunar Province continued providing essential primary healthcare services to internally displaced persons (IDPs), earthquake-affected families, returnees, and vulnerable host communities across Noorgal District and surrounding areas. During the reporting period, clinic operations were relocated from the Usmani (Lewa) IDP Camp in Khas Kunar District to Arith village and later to Share Quba village in Noorgal District due to evolving humanitarian and security conditions.

The relocation became necessary after the Usmani IDP Camp was repeatedly affected by crossborder rocket shelling from Pakistani border forces because of its proximity to a military-sensitive area. At the same time, communities in Arith and Share Quba villages were already struggling with the devastating impact of recent earthquakes that destroyed homes, damaged livelihoods, and forced many families to continue living in temporary tents and unsafe shelters.

Human suffering in Kunar apparently now comes with a rotating schedule: displacement, shelling, earthquakes, relocation, then repeat. The repeated movement of the clinic created operational challenges that affected continuity of care, patient followup, community mobilization, and awareness activities. Many vulnerable families were themselves displaced or scattered across different locations, limiting access to healthcare services, particularly for women, children, elderly persons, and patients with chronic illnesses.

Despite these constraints, the Amena Fixed Clinic maintained delivery of integrated and lifesaving healthcare services throughout the reporting period. Humanitarian and public health vulnerabilities remained severe due to displacement, poverty, overcrowding, poor sanitation, limited shelter, and inadequate access to functional healthcare facilities. The clinic therefore continued to serve as a
critical and reliable source of healthcare support for communities affected by overlapping crises. During April 2026, the clinic registered 839 beneficiaries and treated 1,007 clinical disease cases, reflecting sustained demand for accessible healthcare services among crisis-affected populations. Of the total patients treated, 462 were male and 545 were female, demonstrating continued high utilization of services by women who often face social, financial, and geographic barriers to healthcare access. The clinic also provided healthcare services to 168 children and 839 adults, ensuring inclusive coverage for vulnerable age groups.

Disease trends during April reflected the impact of seasonal transition, poor living conditions, and persistent public health risks within displacement-affected communities. Gastrointestinal illnesses increased significantly with rising temperatures and limited access to safe drinking water. The clinic managed 163 cases of acute watery diarrhea and 20 cases of acute bloody diarrhea, indicating
elevated risks associated with water contamination and inadequate hygiene practices in overcrowded settlements.

Respiratory illnesses also remained prevalent during the reporting period. The clinic treated 108 pneumonia cases, 109 ENT infections, and 70 cough and cold cases, particularly affecting children and elderly individuals living in inadequate shelter conditions. These trends demonstrate that respiratory infections continued to circulate even after the winter season due to overcrowding and weak living environments.

Chronic and non-communicable diseases continued to place pressure on vulnerable households. The clinic recorded 80 musculoskeletal disorder cases, 71 peptic disorder cases, and 25 hypertension cases, many linked to physical hardship, malnutrition, stress, and prolonged displacement. Mental health consultations supported 37 patients, reflecting ongoing psychosocial distress associated with
insecurity, repeated displacement, loss of livelihoods, and uncertainty about the future. Additional services addressed urinary tract infections (59 cases), anemia (28 cases), micronutrient deficiencies (47 cases), gastrointestinal worm infestations (64 cases), trauma-related injuries (25 cases), and various skin and oral health conditions.

Maternal, newborn, and reproductive healthcare services remained an important component of clinic operations. During April 2026, the clinic delivered 43 maternal health services, including 40 antenatal care (ANC) consultations and 3 postnatal care (PNC) visits. These interventions supported pregnancy monitoring, maternal nutrition counseling, and safer motherhood practices among women with limited access to specialized healthcare services.

Preventive health education continued alongside clinical services through community awareness sessions focused on personal hygiene, safe water usage, sanitation, nutrition, communicable disease prevention, and maternal health awareness. These activities contributed to improved healthcareseeking behavior, early identification of illness, and reduced risks of disease transmission within high-density displacement settings.

The April 2026 results demonstrate the continued importance of the Amena Fixed Clinic as a frontline healthcare facility for vulnerable populations in Kunar Province. Despite operational disruptions, repeated population movements, security challenges, and limited resources, the Afghanistan Green Crescent Organization (AGCO) maintained continuity of integrated healthcare services and strengthened access to essential treatment for displaced and underserved communities living under highly fragile humanitarian conditions.