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tv   [untitled]    September 16, 2021 11:30am-12:01pm AST

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out in 2009 there been 3 black female astronauts have made it to face. and knowing that i'm going to be the 4th means that i have this opportunity to not only accomplish my dream, but also inspire and inspire the next generation of women of color. the 4th space traveler is christ kimbrough sky, and aerospace engineer at defense contractor, lockheed martin. the capsules docking port has been replaced for the occasion with a large window like transparent dome inspiration for is the latest foray into space tourism following sub orbital flights in july by billionaires richard branson and amazon founder jeff bezos. space ex, owned by yet another billionaire ilan mosque is one of the leading companies planning for a lucrative mass market in space tourism over the coming decades. rob reynolds al jazeera
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ah, this is algebra, these you'd help stories. the u. s. australian burson, have announced a new indo pacific security alliance, known as orchestra, and being seen as part of a strategy to counter china's influence in the region. august will bring together our sailors, our scientist, and our industries maintain and expand our edge and military capabilities and critical technology such as cyber artificial intelligence, quantum technologies, and undersea domains. now as a key project under august, we are launching consultations with australia acquisition of conventionally arm nuclear powered submarines. as valez as a shipment of fuel from iran has arrived in lebanon to help ease widespread shortages. the group says 20 tonka trunks and to through the syrian border as well
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as, as it will share the fuel free of charge with state hospitals and nursing homes. as roles, defense minister says he's willing to accept a new us negotiated nuclear deal with iran flexing a major shift in israeli policy. and the gun says, israel accepts the biden administration's efforts to get back to an agreement. but he did warn washington to have a viable plan b, that includes more economic pressure on tech wrong. if talks fail from says it's special forces of kill the leader of i saw in the greatest horror of non abu, while it also raleigh was behind the killing of 6 french charity workers. and then my darian try that last year. those i had lives nice continues here now to 0 to the stream from talk to al jazeera, we what gives you hope that is going to be peace because the situation on the
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ground seems to be pointing, otherwise we listened. we were never on whatever road to off migration, we meet with global news makers and talk about the stories on sierra ah, i am josh rushing in for me. okay. and you are in the stream is afghanistan's health care system on the verge of collapse. but 1st, look, if you're to an extent you to be sure to chime in what you see is over here. ok, share your comments or questions and we'll try to address them during our live discussion. now here's the situation. international aid. money needed to keep the health care system going has been held up because of the taliban international designation of the terrorist group. al jazeera is charles trappers recently filed this devastating report. after visiting the country's largest public hospital on the czar had to travel 12 hours with his sick mother to this cobble hospital to get
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the life saving dialysis treatment she needs if she isn't treated every couple of days, dr. saying she could die within 2 weeks. the fax and they gave him several people living in poverty. the situation is bad. patients need dialysis and treatment if they don't get it on the foreign a stop and if people can't afford the treatment, it's going to be very difficult. this is the largest public hospital in afghanistan . the dialysis department is mainly funded by the world bank along with money from the previous government. but hospital staff say they haven't seen any cash for 3 months. they can buy vital equipment and medicine and they lost received their salaries in may. and joining us to discuss what can be done to avert a disaster and cobbled doctor why he was sure. he's the country's acting health minister in paris. he was some odd. she's
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a former deputy minister of public health for afghanistan and in cairo. dr. richard brendan, he's a regional emergency director for the world health organization whose jurisdiction covers afghanistan. welcome, everybody, doctors are. i'd like to begin with you. you were the acting minister of public health before the transition from the us back government and cobbled to now taliban control. so i'm curious from you. what was the plan for ask in health care system by the us and by the government and cobble after the us announced that they were leaving thank you very much. the withdrawal and the transition happened just out of the there the way it was expected. it did not give the opportunity for health system specifically
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in the context where the last few months of the last regime was fully stay focused on fighting and ongoing conflict in 34 provinces. and i should say, i should say that even do endorse those days. the ministry of public health, the health sector was one of those sectors deprived of require inputs and resources needed in those at the phase of the operation. and as you, as you readily say, your report, we have our staff members with not receive their salaries for last 3 or 5 months. which, which shows that the, the extent of the dilemma in the challenge goes beyond the last 3 or 4 weeks. so can you eliminate why, why they haven't received their pay for the last $3.00 or 4 months from the taliban over to only took over a month ago? a said the focus, the major focus on the form of government. last few months of the
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system was full on conflict is the money to the minister of defense ministry, intruder affairs and the mid term budget review which had to happen in the last month unfortunately, was delayed due to the the on bringing the escalating conflict in the country but so i stepped the change in the contract with the implementing partners in different finances and we're obviously up to government as well as the bank was another factor, delaying the process of contracts to be signed with the different engineers the, the challenge which we are now in today is a multi dimensional which whoops and different factors, but the main topic was, was and then the, the conflict in the emergency which escalated in a way that was not rejected by any national,
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international role play or in the country. and yeah, but i can't believe it wasn't at least one of the possibilities that was being considered. i mean, i'm sure they hope that it wasn't going to happen this way. i'm sure they hoped it wasn't gonna happen as fast. but they had to say, what if, what if the taliban roles in before the u. s. is even out here and in that case, do i don't know when were you when did you leave? cobbled you i let's call bull on the day of cala gun and it was a terrible experience i was working on prior to leaving. i've gone gone. i was working at pfizer, remove i was providing technical help support to the ministry of public health. i was working in close collaboration with dr. michael. now i remember working on increasing health needle ibp and i've got
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a spot in court at 91900 response and ensuring cross pictorial collaboration in regard to the 2 important area. but as of the last week there was the wheezing final class that government and their provinces were falling one after another. starting from the move in and being up in kandahar and all about the money that we were not even protecting bank. there was a lot of flesh on bank bank. if we, there was a weight of the gun. he lost the values in these are defined of collapse and then we were informed that tyler bond has reached to couple doors in the there were signs of shooting. and that's how i manage to go to the airport. and i was able to come to the last flight and but money people
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had a lot of trouble leaping. i've got a phone. i'm the only one left from my family and my family still in cobble. are you worried about them? yes, my sisters who are also healthcare professional. they work in health facility there . dr. baron coble and i'm worried for them and they're cool. what do you hear from your sisters or are they still going in to work? and what's the situation like my the are not going to work at the moment, although the taliban, they have announced that the women who are working in health care, they're allowed to go to work. but theo is very dominant, and there there are wheezing it from the report. we hear from a gun and weaving human rights violations. people are scared, including my sisters. they are not going to work specially that they were working
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at police and, and military health, sex or not public health. the moment they're not showing up. rick, you're with the who wears international organizations on this. did they see this coming? did they anticipate that the money was going to be cut off and that this health care system could collapse? well, i think it was said that hadn't been much money flowing into the health system for the few months before the government collapsed. and i think that our focus as humanitarian agencies during the taliban and vans was really responding to the key humanitarian needs, the the d y referred to the internally displaced people, the high levels of trauma and so on. but we did not expect to see i can say that in our planning, we anticipated the acute pause of funding coming from the main donuts and then
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which was announced around the 26 the list. and then you saw the n g o is that are implementing the basic package of health services. the doctor arrives mentioned, you know, they write a letter on the 31st of august to the ministry saying, you know where we're not going to be responsible for the continuity of health service after the 10th of september. so now we're faced with this very high risk of, you know, massive closure and health facilities. so, you know, we've got to have an immediate response to that where we're working with, with, with health sector partners. right in a fight around $530.00 a health facilities priority health facilities across the country for, for immediate support. and at the same time we're trying to work with done is to find out, you know, as you rightly said, because of their own internal rules and regulations, they're not able to fund any structures in a telephone, red gap and the government. but we're going to find some other mechanism to fund the health system because, you know, they responsible for funding over 2300 health facilities across the country. so
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we're working with them to say, you know, okay, we'll try and fix things with the 530 a priority facilities. but we needed urgent fix to ensure that the money starts flowing in to a new mechanism. so we can get those over to 1000 health facilities back on track that can be sure you are now part of the taliban government. what. what are they saying about this internally? so well. and so there in the ministry, one out of several roles. i want to play is to communicate, extend to the challenge, to the people in the health sector as facing and communicate the sense of urgency. i've been trying to me to make sure that i am successful in the role that some ports i should say that i feel the failure sense of urgency. we have
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in the way we expect that it is felt on the other side. different is different. but a police worldly, i'm assured that the concern about it then they're trying to find a solution stuff. but then in the day, this is the technical part of the ministry. me and my parking, my friends, or who know the language of donors, the limitations dollars are facing rest. and the possible mechanisms and successful experiences in similar contexts here. now canister down 20 years ago in other regional countries, which donors had to shift their approaches their policies. but at the same time, there were possibilities of channeling funds contributing to the health sector through a different mechanism. just to reconnect to your question before it is one part of the question in the game. was that how we anticipate any? and the other part is while one is in one,
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are understanding of the responsibility of our donors, just to be very honest, i thought they would ask more responsibly, rather than just raising everything at once. and i should say that the impact of the fonts being frozen goes beyond the direct be, should be, well, bang, any report you noted out the him a dallas is project, which is a job. we have hospital and 10 other hospitals around the country is funded through the government. but unfortunately, although we have proved legal contracts for the supplier to provide supplies for him at the centers around the country. but this contract along with 10 more and more 100, more other contract or not from funding illegal and contractual obligation because they say that when the major provider, the major kind of which is bank has stopped as foods and their fun. how can you
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guarantee that the government, why they're smaller doors, will continue to follow their commitments, the willing effect, the day they're the, the, their reaction have goes beyond the 2500 health facilities with our drug funded by to be in the world bank you said europe in union, and fortunately, the government run hospitals which are 22 in couple 13 and other provinces are in the worse condition compared to those off funded facilities. so i really wanted to do that on that. but yeah, i, you know, i think that, you know, this is, this is the big issue right now. so, you know, when the world health organization, i mean we are having conversations right now with the diners. i mean, they understand the issue and some because of their own internal rules regulations . you know, it's, there's, you know, the, it's hard to be,
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you know, it's hard to be too critical of them because the constrained, they've got their hands tied behind their backs. but we need a quick decision on this, so there's a lot of conversations going on at global level about how we can free up those that funding to get those 2500 health facilities. ready going again at the same time. earlier in the week, you had the big humanitarian conference with around the ivr $1000000000.00. now released fiji miniature assistance. that's a different different source of funding we're seeing now. but in the health sector, we'll get close to at least $66000000.00 support a lot of these health facilities till the end of the year until we find another mechanism. but here we can handle what kind of way can it lasted in the year. they were trying to jump in and so jose, thank you. well, i agree with colleagues that help fix or is it the lot i know if we want understand
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what the with lack of funding to ask them is it's important that we find out ways i understand the con, concerns of donor for china lane not, not a channel they want to taliban, we need to find out a furnace he's making use. let's not forget that. over the past 2, dickie and be more than 80 percent of services and i've done it on war delivered by non governmental organization and yield. so we need to support, do you think there can be an opportunity or equitable intermediate you like us or your feet to, to support but we shouldn't give up on the health sector. it's important also to know that what, what we shouldn't do, as i called my colleague, said that there are wages we had a conference if you mean, if you're in a conference, when i've done it. it's a flooring for the international community to revisit humanitarian aid that were
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being provided between $995001.00 and the taliban era. we have the results of those that's kind of investments and i've got a category health system with the queen. iniquity at today. and, and the 20 years we have established a health system with a population based intervention. it's important that we keep the system that is run by law coming to you by communities, by african professional here, and he needs to support these people. i take your point, do i think it's important when we're talking about the kind of bureaucratic stuff people are dealing with. and the rules and regulations is to remember that someone's mom is on dialysis and a hospital and cobble right now. and they don't know what the future holds for that family. we have some questions coming in from youtube. here's one that says our other relief sources are a there. how can patients be helped?
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and i have a comment from m. s. f. 2. we actually bring this up. this is from gay tundra. sorry he is, the afghan stan operations coordinator for myself has been working since many years. the health care system has always been very fragile, but to be the same system is about 2 products. the reason is that the system was relying heavily on the money coming from abroad from the man and things from government. and they decided to, to most of them to stop their funding to the new show hands. so to deal with today, what we see on the ground in the 5 projects location where we have begun that more patients are coming to the structure because they has nowhere has to go. the other factors simply have no money to pay their stuff. they have no drugs in their pharmacy, they are not able to make their structure function and they have to close them. so it's urgent to ensure the continuation of the funding for the care system on the
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entire system will collapse. ok, he's talking about the entire system. collapsing is also talking about lacking supplies. i want to bring in one more piece of video before we come back to the questions. this is going back to al jazeera is charles strafford, in the report that he filed from the hospital in couple so this is the clinics medicine still just look at these empty shelves. there aren't even basic medicines here. bear in mind, they started out as a maternity clinic and we have pregnant women in the wards. there are no rubber gloves. there are no anesthetics, there are no antibiotics. there aren't even paracetamol tablets available here. and it's been like this now for 3 months. dr. missouri, can you walk us through? what does this look like if nothing changes in 2 weeks, one month, 3 months, 6 months? health system, which proved as resiliency doing 3 ribs of code, and then t. health system, which is resilience and neutrality and impartiality during emphasis dent at
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conflict and $34.00 pounds is last few months. low collapse at least $150.00 mothers meet us as aaron sections will be deprived every day which most of them will lead to death. unfortunately, the science that we conduct about 500 operation surgery operations every day in our system, at least 50 percent of these patients in need of emergency inter luncheon. otherwise they will end up to death. more than 5000 children will be deprived of immunization services. a day in about 20000 children will be deprived of nutrition services every day. thousands and mothers and children will be affected based on the programs that presented. the joint achievement that we made with along with our dorms and in so many partners when it comes to maternal and mentality will be unfortunately. but the effective of the same time health system was said by the
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colleagues which was build up doing last one years, where the pennies, what isn't dollars paid by tax payers will be lost in the context in which time experiencing these days. the way our implementing in partners in our donor agencies are sidelining, the ministry of public health, and the mother institution of the coordinating body of the sewer ship institution. the way that the coordination is unfortunately lacking among partners, it will have, it is negative impact. in short term we will have duplications, we will have lack of center of using. but in the longer term, everybody has to pay for that unfortunately. so i quite there, i call a whole dollars in old partners the despite of the limitations they have today, which i respected in the past, we thought that they, they will look at the ministry of public health, the health sector, the neutral technical agency. and as patients is the right target group,
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but unfortunately the conduct is different today. we have no other options but to respect their limitations. despite that, we believe that still the ministry of public health as then technical institution can play the positive, coordinating role lining the ministry, taken it and taking it out of the coordination mechanisms disrupt the system that we built to get it negative the negatively affects the mothers and children that we were getting, we were promoting agenda for last 2 decades that we have here to work for mothers and children in this country. those are affected today. we need more coordinated, hey, regular synergetic approach does the us have a special responsibility here. what can it do? yeah, well i, i, i think they do, i think all that on us do. so. i mean,
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the us is providing some humanitarian assistance right now through a different, a different funding mechanism from the one that's supported the 2300 health facilities. and i think that they have to step up in other ways as well. we talk about so we've got the immediate humanitarian needs, but then we need the re investment in this big health project that had a budget of $200000000.00 a year that was running the 2500 health facilities. so, you know, dr. murray is absolutely right, we cannot afford a rolling back of the tremendous shelf game of the last 2 decades, where maternal mortality is reduced by of which of 60 percent child mortalities reduced by which 50 percent. i, you know, i did my 1st visit to afghanistan in 2000 when the told still in the health sector there was a credit. there's been tremendous progress. we cannot afford that rolling back. so we are putting a lot of pressure on the donors right now to,
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to make their decisions. i think dr. emerge is absolutely right as well. we, we can not be setting up parallel systems. we've got to build on, on what exists, build on the n g o that, that have the local knowledge that are on the ground. i've got less than 60 seconds left and i want to get the one here one more time. can you give us kind of the last word on this and i'm curious what you say to your sisters now and what they're looking at in the next few months coming i again, i want to say that there are a lot of gun capacity and i've gone on board, still working for african health system. not everyone have less stuff going on. we still have women showing up in health facility to save a life. i love their resilience and it's important that we, we invest in the community. we invest the people and we invest in africa and
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including those who are working in the health sector, but i have my firms, i'm such a mess. speak about their future when friction that are coming up every day including restriction on higher education restriction on work with other field restriction on social determinants will help. that's concerning that will impact health pick. so one way or another that is concerning the la math to cut you off there because we're at the end of the show. i want to think all 3 of my guest for joining us today and thank you for watching. and until next time, we'll see you in the stream. ah, [000:00:00;00]
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news, news, news, news. the news to
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me has become a dangerous 11 east, and those who refuse to be silent. now says eric, this is held through more, more vicious, with the slightest error means a one way ticket over the edge. we have what is that? remember, come back to homes, may not meet on children. breathing tough condition, facing death every time they'll gamble with their life just to an risk in it's all on our 0
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me you want to help save the world. needs into your own. ah oh, i need partnership to bring nuclear power submarines to the pacific. the u. s. u k, and australia is licensed attendance account, a ton of influence in the region. ah, hello, why money side? this is al jazeera, alive from deb, also coming up. the philippine government says it won't cooperate with the i. c. c . investigation of cold war on drugs for special forces say they've killed isolate

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