tv [untitled] September 16, 2021 5:30pm-6:01pm AST
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was docking port has been replaced for the occasion with a large window like transparent dome inspiration for 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. ah, this is 0. it's going to round up now the top stories, the u. s. australia and the u. k. have announced the new indo pacific security lines known as oak us. it's been seen as part of a strategy to count to china's influence in the region. australia will receive nuclear power submarines as part of the agreement. china delivered its latest
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criticism of the alliance through its foreign ministry, which said the partnership is damaging to regional peace and security spokesman added the providing australia with nuclear submarine technology will hurt international anti proliferation efforts. there is the concern about the alliance. the fact that this is a partnership made up of just australia and the united states in the u. k. and joe biden promised that his foreign policy would be multi lateral, that it would be working in conjunction with partners and allies. but there are countries including new zealand, as well as friends that are saying, hey, we weren't included in this and were considering was a major snob. so there are some concerns both inside and outside the united states that joe biden may have calculated this and not taking into consideration some of those very important international relationship. a francis hit out at australia for canceling a $65000000000.00 submarine deal in favor of nuclear powered us subs. the french
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government says it'll fight to ensure a camera honors the agreement. france says it special forces have killed the lead of i saw in the greatest horror. and then i will lead to all we was behind the killing of 6 french charity workers. and then i, jerry and dr. a last year. the shipment of fuel from iran has arrived in lebanon to help he's wise. but shortages has bhalla says 20 tanker trucks entered through the syrian border. the group has promised to share the fuel free of charge. a trial over the emission scandal cheating, scandal known as diesel gate has begun in germany for former executives of volkswagen, accused of using manipulated software to make emissions appear lower. those, all the headlines were backing off. and right now it's the stream. how many nukes there's too many new america has in many ways driven the arms race
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parties are much more like the british parties down to the there are fewer regulation to own a tiger than there are to own a dog. how can this be happening? we take on us politics and, and that's the bottom line. 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 when she is over here. ok, share your comments, your 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 as a terrorist group. out here. as charles trappers recently filed this devastating report. after visiting the country's largest public hospital on the czar had to
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travel 12 hours with his sick mother to this cobble hospital to get the life saving dialysis treatment she needs if she isn't treated every couple of days, doctor said she could die within 2 weeks. long the fact that you can observe people living in poverty. the situation is bad. patients need dialysis and treatment. if they don't get it on the foreign aid stops. and if people can't afford the treatment, it's going to be very difficult on. 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 in 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 so mud. 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, or 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 u. s. 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 those enduring those days, the ministry of public health and the health sector was one of those sectors deprived of require inputs and resources needed in those adult phase of the operation. and as you, as you readily say, your report, we have our staff members was not received the 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 of the form of government for last few months of the
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assessment 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 step the change in the contract with the implementing partners in different finances. and we're obviously, of the 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 works and different factors. but the main topic was a was and then the, the conflict in the emergency which escalated in a way that was not rejected by any national or international role play or in the
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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 of here, and in that case, the, well, i don't know when were you, when did you leave cobbled you i left the call on the day off, left off the phone. it was a terrible experience i was working on prior to leaving. i've gone, it's 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 regards to this to important area, as of the last week there was the wheezing final class that government and their province were falling one after another. starting from new roles and being up in kandahar and all about the money that we were not even protecting bank. a there was a lot of flesh on bank bank. if we there was a weight of that gun. he lost the values in these are defined of collapse and then we were informed that tyler bond had reached to couple doors in there were signs of shooting. and that's how i managed 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 college. 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 say 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 us on their weaving human rights violations. people are scared, including my sister. they are not going to work specially that they were working at
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least and, and military health, sex or not, probably 6 or so at 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 be 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 advance was, 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't say that in our planning, we anticipated the acute pause of funding coming from the maintenance and then
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which was announced around the 26 the was just and then you saw the n g o is that are implementing the basic package of health services, the doctor merge mentioned. 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 common you already have health services on the 10th of september. so now we are faced with this very high risk of the massive closure of health facilities. so you know, we've got to have an immediate response to that where we're working with with, with health departments. jennifer, around $530.00 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, the government. well, we're going to find some other mechanism to fund the health system because, you know, they were responsible for funding over 2300 health facilities across the country.
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so 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 flying in to a new mechanism. so we can get those over to 1000 health facilities back on track that i'm sure you are now part of the taliban government. what. what are they saying about this internally? well, and so there in the ministry, one out of several roles i want to play is to communicate the extent of the challenge to the people in the health sector is facing and communicate. the sense of urgency. i've been trying to me to make sure that i am successful in the role the some ports i should say that i feel the failure sense of urgency. we have in the way we expect that it is felt on the other
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side. different is different, but a police worley, i'm assured that the concern about it then they're trying to find a solution that 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, those are facing rest. and the possible mechanisms of successful experiences in similar contexts. here now canis down 20 years ago in other regional countries, which dollars had to shift their approaches their policies. but at the same time, there were possibility 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 or understanding of the responsibility of
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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 that forms being frozen goes beyond the direct abuse of the world. bang in the report. you know that out. the him a dialysis 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 in a proved legal contract for the supplier to provide supplies for him or the alex centers around the country. but this contract, along with more and more 100, more, other contracts are not fulfilling the illegal and contractual obligation because they say that when the major provider, the major kind of computer which is world bank has stopped as foods and their fun.
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how can you guarantee that the government, other smaller donors will continue to follow their commitments? the effect that they're the, the, the reaction have goes beyond the 2500 health facilities that are broken, 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 problems that 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 with so, you know, with the world health organization, i mean, we are having conversations right now with the donors. i mean, they understand the issue and some, because there are an internal rules and regulations. you know, it's, there's, you know, the, it's hard to be, you know,
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it's hard to be too critical of them because the constrain 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 that funding to get those 2500 health facilities going again at the same time. earlier in the week, you had the big humanitarian conference with around the ivr $1000000000.00 now released for humanitarian 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 ended up here and we can handle kind of way can it lasted in the year, do you? i see you're trying to jump in and so jose, thank you. well, i agree with cali that on hope 6, there is
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a lot. i know if we want to understand what the width, lack of funding to ask, and it's important that we find out ways. no, i understand the con, concerns of donor for china lane, not, not a channel, the funds to toddler, but we need to find out if make a need. let's not forget that over the past 2 decades at be more than 80 percent of services. and i've done it on war, delivered a by non governmental organization and yield. so as we need to support you, there can be an opportunity or a credible intermediate. you like us or your fee to, to support. but we shouldn't give up on, on the health sector. it's important and also to know that what, what we shouldn't do as my colleague said, that there are wages we had a conference. but if you mean, if you're in a conference now, it's important for the international community to revisit humanitarian aid that was
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being provided between 995 and 2001 and the taliban era. we have the results of those kinds of investments and i've got a category health system with the queen iniquity at today. and, and the 20 years we have established our health with a population based intervention. it's important that we keep the system that is run by a low coming due by community, by african professional. here we need to support these people. i take your point view. i think it's important when we're talking about the kind of bureaucratic step people are dealing with. and the rules and regulations is to remember that someone's mom is on dialysis in a hospital and cobble right now. and i don't know what the future holds for that family. we have some questions coming in from youtube. there's one that says our other relief sources or aid there. how can patients be helped and have
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a comment from m s. f? can we actually bring this up? this is from gay tundra. he is the afghanistan operations coordinator for myself has been working since many years. the health care system has always been very fragile, but today the same system is about to collapse. the reason is that the system was relying heavily on the money coming from abroad from new york min things from government. and they decided that most of them to stop their fundings to the new show has. so to deal with today, what we see on the ground in the 5 projects location where we have a hospital, more patient coming to the structure. because the, the has nowhere has to go. the other head of 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, as charles stratford in the report that he filed from the hospital and 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. merger, 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 it as resiliency doing 3 ribs of code and antique health system, which is resilience and neutrality and impartiality during emphasis entered
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conflict and $34.00 pounds is last few months. local ups, at least $150.00 mothers meet up to 7 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 into one sion otherwise they will end up to death. more than 5000 children will be deprived of human as ation services. a day in about 20000 children will be deprived of nutrition services every day. thousands of mothers and children will be affected and based on the 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 effect of the same time health system was said by the colleagues which was build up
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doing last 20 years, where the pennies, what is it 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, 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 synergism. but in the longer term, everybody has to pay for that unfortunately. so i quite there, i call a whole donors 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 the dinos do. so, i mean,
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the u. s. 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 $2500.00 health facilities. so dr. murray is absolutely right. we cannot afford rolling back of the tremendous help games with the last 2 decades where maternal mortality is reduced by of which of 60 percent child mortalities reduced by with a 50 percent. i, you know, i did my 1st visit to afghanistan in 2000 when it's all about, i'm still in the health sector. there was a credit. there's been tremendous progress. we cannot afford that rolling back. so we are putting
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a lot of pressure on the donors right now to to make their decisions. i think dr. merge is absolutely right as well. we, we cannot 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 do 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 the next few months coming i again, i want to say, but there are a lot of gun capacity and i've gone on board still working for african health system. not everyone has less stuff going on. we still have women showing got their health, but simply be a life. i applaud 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 above their future would restrictions that are coming up every day, including restriction on higher education restriction on work with and other field restriction on social determinant. so that's concerning and that will impact one way or another. but that is concerning the we're to cut you up 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,
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capturing a moment in time, snapshots of the lives of the stories in providing a glimpse into someone else as well. we work god with with, with the bite go to inspire in documentaries, from impassioned filmmakers. i am the voice out of the witness on al jazeera, me each and every one of us have got a responsibility to change our patients for the better the way
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we could do this experiment and a lot of us could increase just a little bit that would be worth doing, anybody had any idea that it would become a magnet who is incredibly rest asking women to get 50 percent representation in the substitute assembly here and getting this pick up to collect the segregate to say the reason this is extremely important service that they provide the city we need to take america to try to bring people together and trying to deal with people who have been left behind me. elsewhere, the most vicious, where the slightest error means a one way ticket over the edge. we have that we may not come back to law homes may not meet on children breathing tough conditions facing death every time.
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what does that kid? they'll gamble with their lives, just to uninstall risk and it's all on al jazeera. ah, me, this is al jazeera ah, hello, i'm a 3 and again this is that he's live from coming out to the next 60 minutes. a surprise, unexpected security deal made by the u. s. u k, as a straight was a strong reaction from around the world and the french special forces say they've killed isolate leader in west africa to hel, region 20 tanker trucks cross at 11 and from syria. bringing desperately needed fuels. countries.
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