By Yogita Limaye
BBC News, Herat
Afghans are giving their bare children medicines to sedate them - others person sold their daughters and organs to survive. In the 2nd wintertime since the Taliban took implicit and overseas funds were frozen, millions are a measurement distant from famine.
"Our children support crying, and they don't sleep. We person nary food," Abdul Wahab said.
"So we spell to the pharmacy, get tablets and springiness them to our children truthful that they consciousness drowsy."
He lives conscionable extracurricular Herat, the country's 3rd largest city, successful a colony of thousands of small mud houses that has grown implicit decades, filled with radical displaced and battered by warfare and earthy disasters.
Abdul is among a radical of astir a twelve men who gathered astir us. We asked, however galore were giving drugs to their children to sedate them?
"A batch of us, each of us," they replied.
Ghulam Hazrat felt successful the pouch of his tunic and pulled retired a portion of tablets. They were alprazolam - tranquilisers usually prescribed to dainty anxiousness disorders.
Ghulam has six children, the youngest a twelvemonth old. "I adjacent springiness it to him," helium said.
Others showed america strips of escilatopram and sertraline tablets they said they were giving their children. They are usually prescribed to dainty slump and anxiety.
Doctors accidental that erstwhile fixed to young children who bash not get capable nutrition, drugs specified arsenic these tin origin liver damage, on with a big of different problems similar chronic fatigue, slumber and behaviour disorders.
At a section pharmacy, we recovered that you tin bargain 5 tablets of the drugs being utilized for 10 Afghanis (about 10 US cents), oregon the terms of a portion of bread.
Most families we met were sharing a fewer pieces of breadstuff betwixt them each day. One pistillate told america they ate adust breadstuff successful the morning, and astatine nighttime they dipped it successful h2o to marque it moist.
The UN has said a humanitarian "catastrophe" is present unfolding successful Afghanistan.
A bulk of the men successful the country extracurricular Herat enactment arsenic regular wage labourers. They person been starring hard lives for years.
But erstwhile the Taliban took implicit past August, with nary planetary designation for the caller de-facto government, overseas funds flowing into Afghanistan were frozen, triggering an economical illness which near the men with nary enactment connected astir days.
On the uncommon time they bash find work, they marque astir 100 Afghanis, oregon conscionable implicit $1 (£0.83).
Everywhere we went, we recovered radical being forced to instrumentality utmost steps to prevention their families from hunger.
Ammar (not his existent name) said helium had country to region his kidney 3 months agone and showed america a nine-inch scar - stitch marks inactive a spot pinkish - moving crossed his abdomen from the beforehand of his assemblage to the back.
He's successful his twenties, successful what should person been the premier of his life. We're hiding his individuality to support him.
"There was nary mode out. I had heard you could merchantability a kidney astatine a section hospital. I went determination and told them I wanted to. Some weeks aboriginal I got a telephone telephone asking maine to travel to the hospital," helium said.
"They did immoderate tests, past they injected maine with thing that made maine unconscious. I was frightened but I had nary option."
Ammar was paid astir 270,000 Afghanis ($3,100) for it, astir of which went into repaying wealth helium had borrowed to bargain nutrient for his family.
"If we devour 1 night, we don't the next. After selling my kidney, I consciousness similar I'm fractional a person. I consciousness hopeless. If beingness continues similar this, I consciousness I mightiness die," helium said.
Selling organs for wealth is not unheard of successful Afghanistan. It utilized to hap adjacent earlier the Taliban takeover. But now, adjacent aft making specified a achy choice, radical are uncovering that they inactive cannot find the means to survive.
In a bare, acold location we met a young parent who said she sold her kidney 7 months ago. They besides had to repay indebtedness - wealth they had borrowed to bargain a flock of sheep. The animals died successful a flood a fewer years agone and they mislaid their means of earning a living.
The 240,000 Afghanis ($2,700) she got for the kidney are not enough.
"Now we are being forced to merchantability our two-year-old daughter. The radical we person borrowed from harass america each day, saying springiness america your girl if you can't repay us," she said.
"I consciousness truthful ashamed of our situation. Sometimes I consciousness it's amended to dice than to unrecorded similar this," her hubby said.
Over and implicit again, we heard of radical selling their daughters.
"I sold my five-year-old girl for 100,000 Afghanis," Nizamuddin said. That's little than fractional what a kidney goes for, according to what we recovered connected the ground. He spot his lip, and his eyes welled up.
The dignity that radical present led their lives with has been breached by hunger.
"We recognize it's against Islamic laws, and that we're putting our children's lives successful danger, but there's nary different way," Abdul Ghafar, 1 of the heads of the community, said.
In 1 location we met four-year-old Nazia, a cheerful small miss who made comic faces arsenic she played with her 18-month-old member Shamshullah.
"We person nary wealth to bargain food, truthful I announced astatine the section mosque that I privation to merchantability my daughter," her begetter Hazratullah said.
Nazia has been sold to beryllium joined to a lad from a household successful the confederate state of Kandahar. At 14, she volition beryllium sent away. So acold Hazratullah has received 2 payments for her.
"I utilized astir of it to bargain food, and immoderate for medicine for my younger son. Look astatine him, he's malnourished," Hazratullah said, pulling up Shamsullah's garment to amusement america his bloated belly.
The staggering emergence successful malnutrition rates is grounds of the interaction that hunger is already having connected children nether the property of 5 successful Afghanistan.
Médecins Sans Frontières (MSF) has seen the complaint of admissions astatine their facilities treating malnutrition crossed the state summation by arsenic overmuch arsenic 47% this twelvemonth implicit the last.
MSF's feeding centre successful Herat is the lone well-equipped malnutrition installation catering not conscionable to Herat, but besides to the neighbouring provinces of Ghor and Badghis, wherever malnutrition rates person gone up by 55% implicit the past year.
Since past year, they've accrued the fig of beds they person to header with the fig of sick children they're having to admit. But adjacent so, the installation is astir ever much than full. Increasingly the children arriving person to beryllium treated for much than 1 disease.
Omid is malnourished, and has hernia and sepsis. At 14 months, helium weighs conscionable 4kg (9lb). Doctors told america a mean babe astatine that property would measurement astatine slightest 6.6kg. His parent Aamna had to get wealth to marque the travel to the infirmary erstwhile helium began to vomit profusely.
We asked Hameedullah Motawakil, spokesperson of the Taliban's provincial authorities successful Herat, what they were doing to tackle hunger.
"The concern is simply a effect of planetary sanctions connected Afghanistan and the freezing of Afghan assets. Our authorities is trying to place however galore are successful need. Many are lying astir their conditions due to the fact that they deliberation they tin get help," helium said. It's a stance helium persisted with contempt being told that we person seen overwhelming grounds of however atrocious the concern is.
He besides said the Taliban were trying to make jobs. "We are looking to unfastened robust ore mines and a state pipeline project."
It's improbable that volition hap soon.
People told america they felt abandoned, by the Taliban authorities and the planetary community.
Hunger is simply a dilatory and soundless killer, its effects not ever instantly visible.
Away from the attraction of the world, the standard of the situation successful Afghanistan mightiness ne'er genuinely travel to light, due to the fact that nary 1 is counting.
Additional reporting by Imogen Anderson and Malik Mudassir