This Is How Wheelchair Basketball Improved Orthopedic Treatment in Afghanistan

A growing sports program is providing people affected by regional conflict in Afghanistan with dignity, confidence, and hope for the future.

Since the first wheelchair basketball tournament was held in 2012, rehabilitators have found that developing organized sports programs for people in wheelchairs can change lives. Leisure activities are not always emphasized in Afghanistan, but therapists are bringing sports into the forefront of treatment.

History of Wheelchair Sports in Afghanistan

wheelchair sportsPeople in wheelchairs in Afghanistan began organizing to play basketball before an official organization existed. In 2009, a new team asked for someone from the United States to teach them how to play, and Jess Markt, a player for the New York Rollin’ Knicks in the National Wheelchair Basketball Association, responded to the request. In November of that year, he went to Afghanistan with plans to work with the team for one week.

Markt, who became a paraplegic at age 19 after his spine was severed in a car crash, said the experience in Afghanistan was life-changing. He subsequently deepened his involvement with the new wheelchair basketball team there. He collaborated with the International Committee of the Red Cross and Motivation UK to have basketball wheelchairs sent to Afghanistan and publicize the new sport nationwide. The work became known as the Afghanistan Wheelchair Basketball Project.

“Wheelchair basketball has the ability to remove the distinction of disability,” Markt told the online magazine Folks. “It gives these young men the idea that they can accomplish more than what society thinks they can.”

Therapy through Leisure

Since 2011, Markt has worked with Alberto Cairo, who leads the International Committee of the Red Cross (ICRC) orthopedic program in Afghanistan, to integrate wheelchair basketball and therapy for people who have lost limbs or can no longer use limbs due to injury. Cairo, a physical therapist from Italy, helps people learn to use prosthetic limbs or re-use their limbs.

Cairo recently told NPR that in Afghanistan, people with disabilities are often fiercely protected by their families. While that means families are vigilant about caring for loved ones with disabilities, they may shield them from developing outside hobbies careers, or friendships. For many, developing skills on the basketball court has provided them with new purpose that spills into other parts of their lives. Many look forward to basketball practice, which provides fun and an otherwise unheard-of opportunity to play a sport.

Markt described one Afghan man who was injured as a child in the war and had “no active life” as an adult because his family did not expect him to contribute. At age 29, the man began playing wheelchair basketball and eventually joined the national team.

Wheelchair basketball helped the man envision a new path for himself. He took out a microloan through a Red Cross program and opened an automotive parts and repair business. He is now a key member of his community, and he returned his relief card that entitled him to a monthly food allocation because of his disability. He stated he no longer needed it because he had a job.

This man is not alone. Markt said that wheelchair basketball has given many players the confidence to start businesses or find jobs.

Taking on the World

wheelchair sportsThe ICRC organized the first wheelchair basketball tournament in Afghanistan in 2012, an event that Cairo said at the time would have been “unimaginable” before. Cairo noted that the players had been transformed physically and psychologically, becoming “much stronger in many ways.”

Now, more than 500 people now play recreational basketball in seven Red Cross rehabilitation centers across Afghanistan. Players compete in tournaments across the country, and the national teams have traveled to other countries such as Japan to compete and take part in international wheelchair basketball training. The national teams are hoping to compete in the Paralympics, even though they haven’t won any international tournaments yet.

In the 25 years that Cairo has worked in Afghanistan, he has hired several hundred patients to assist in ICRC’s rehabilitation centers. Cairo has helped more than 100,000 people, including more than 150 patients who have learned to play wheelchair basketball.

The Future of Rehab

Cairo and Markt continue to partner to advance rehabilitation efforts for citizens of Afghanistan. They recently toured the United States to talk about their work, including the latest technology in their field and their expanding work in other countries in the developing world.

Innovations are being made in wheelchair design, spinal cord regeneration, and prosthetics. Additionally, the ICRC is still building centers around the world to meet a “relentless” demand for prosthetics, treatment, and rehabilitation.

In Afghanistan, ICRC centers treat thousands of patients each year while also addressing issues with security and on-going conflict. Even with these challenges, ICRC’s innovations, including its home-based therapy and wheelchair basketball, are transforming lives across Afghanistan.

Spotlight on The Asia Foundation – Supporting Education for Afghans

As part of its mission to improve lives across the diverse regions of a dynamic and rapidly developing Asia, The Asia Foundation works hard to improve the quality of local education and expand access to educational opportunities in all areas where it operates. In Afghanistan, The Asia Foundation works closely with local NGO partners, as well as all levels of the formal education system, to strengthen all areas of Afghanistan’s education system, including student enrolment and achievement, teaching quality, curriculum development, and school infrastructure.

The educational programs supported by The Asia Foundation—all of which are carefully aligned with the strategies and priorities of Afghanistan’s ministries of Education and Higher Education—focus on boosting primary school literacy, improving teacher training, facilitating civil society and government agency participation in the educational sector, as well as developing employment-oriented educational initiatives. Read on to learn more about some of The Asia Foundation’s most recent work in the world of Afghan education.

Programs to enhance numeracy and literacy skills

school childrenBooks for Asia—Established nearly 15 years ago, the foundation’s Books for Asia program has delivered millions of books and educational materials to provincial schools, universities, public libraries, NGOs, and government ministries in all 34 of Afghanistan’s provinces. One of the Books for Asia program’s biggest achievements in Afghanistan has been the distribution of a special collection of traditional Afghan folktales to schools across the country. Published by Hoopee Books, the collection was written in English, Pashto, and Dari. Since 2012, more than 1.2 million of these books have been donated to nearly 600 schools.

Primary school programs—Children who learn literacy and numeracy skills at a young age are much more likely to go on to pursue higher education. This is the reason why The Asia Foundation supports a number of local organizations, such as the Afghanistan Center at Kabul University (ACKU) and the IT company Liwal, Ltd., in building a strong culture of reading for primary school children in Afghanistan. Through initiatives such as increased library access and the publication of easy-to-read books, these partners are working to make reading easy and fun for young Afghan students, as well as their parents and adult family members. Liwal, Ltd. is also developing an innovative new mobile app for primary school literacy in collaboration with The Asia Foundation. The app, which will initially be available to 2,000 Kabul children from grades one to three, will help them to read books in Dari and Pashto.

Libraries—The Afghanistan Center at Kabul University (ACKU), the only library in Afghanistan to house a comprehensive collection of research materials, has been visited by over 61,000 users since 2015. In addition to providing technical support and fiduciary oversight to ACKU, The Asia Foundation supports the Center’s Afghanistan Box Library Extension program (ABLE). Created in an effort to help provide remote communities with much-needed educational materials, ABLE creates new “box libraries” (which are basically conveniently located depositories of books) in isolated areas, and expands the collections of existing libraries. In the past year alone, 17 new box libraries have been created and more than 20,000 books and learning materials have been sent to libraries.

Programs for curriculum development

Given the significant percentage of students who do not pass the math and science sections of Afghanistan’s national public university entrance exam, known as the Kankor exam, it is clear that the math and science curriculum in Afghanistan’s public school system is in need of improvement. To this end, The Asia Foundation has formed a close partnership with the General Directorate of Science and Education Technology, the Ministry of Education department that oversees both curriculum development and teacher training.

Together with the Directorate, The Asia Foundation is supporting the training of 900 math and science teachers, as well as 65 lab technicians, in Badakhshan, Kandahar, and Khost. The goal is not only to create a more relevant and comprehensive curriculum, but to ensure that the teachers themselves are more comfortable with the material and thus better able to support their students. Up-to-date equipment can also make a big difference in students’ learning experience. The Asia Foundation has helped to distribute 300 pieces of laboratory equipment to 54 of those schools involved in the curriculum development program.

Programs for organizational capacity building

While Afghan-led programming makes the most sense for an effective Afghan school system, many educational organizations that would normally take the lead in this area lack the capacity, resources, or organizational governance to do so. To help address this discrepancy, The Asia Foundation conducts an organizational capacity development assessment—a participatory tool that provides a complete overview of an organization—for each of its local education partners in order to evaluate organizational stability and sustainability. When deficiencies or challenges are identified, the foundation provides training sessions to help the organization bridge the gap. Sessions can cover topics such as human resources, financial sustainability, strategic planning, and finance and administration. The overall goal is to help local organizations build their own effective governance structures and reduce dependence on funding from international donors.

 

What You Need to Know about the Brussels Conference on Afghanistan

brussels conference on afghanistanHeld in early October 2016, the Brussels Conference on Afghanistan was a significant opportunity for the international community to review and discuss Afghanistan’s recent progress, and to renew its commitment to ongoing aid and development support for the country. Hosted by the Afghan government and the European Union and attended by delegates from more than 70 countries and 25 international organizations, the two-day conference concluded with international leaders pledging $15.2 billion for Afghanistan’s development over the next four years. The Brussels Conference was an important follow up to a similar meeting held in Tokyo in 2012, at which the international community committed to 4 billion euros per year in civilian aid for Afghanistan through the end of 2016.

One major highlight of the Brussels Conference was a presentation from representatives of the Afghan government on the many achievements and accomplishments that international support has made possible in Afghanistan over the last few years. Thanks to strong financial aid contributions from international sources, Afghanistan has made significant progress in a number of critical areas. Key achievements include:

Health care and education

It is impossible to improve what has not been measured. Recognizing this, Afghanistan recently conducted its first ever national Demographic and Health Survey. This comprehensive review provided new baseline information on a range of health issues, including maternal and child health, fertility, vaccination rates, and rates of diseases like malaria and HIV.

In 2015, approximately 58 million health care visits were provided to citizens, an increase of roughly 3 million over the previous year. Care for mothers and babies was a particular focus, with health workers attending about 1.2 million antenatal services and 7 million birth delivery services.

In 2015, nearly 1 million new students enrolled in Afghan schools. A total of 9.4 million students are currently enrolled in primary and secondary education; furthermore, nearly 40% of these students are girls and young women.

Public services

Herat, AfghanistanTo help address some of the bureaucratic obstacles that make it difficult for Afghans to access basic public services, Afghanistan signed a Memorandum of Understanding with the Republic of Azerbaijan to launch a new initiative called Asan Khedmat. The idea behind Asan Khedmat is to create centers that can deliver both government services and auxiliary services from the private sector in an efficient, responsive, and transparent manner. The first Asan Khedmat center recently opened in Kabul. Residents of the city now have access to 21 services—including driver’s licenses, vehicle registrations, wedding certificates, and national ID cards—under one roof.

Irregular and unpermitted urban settlements are common in Afghanistan’s major cities, often leading to contentious property disputes, stress, and fear for residents. Afghanistan is seeking to resolve these issues through a recently launched, nationwide program that aims to survey, register, and provide occupancy certificates to properties located in these areas. Around 6,000 properties in cities like Herat, Kandahar, and Kabul have already been mapped and are currently undergoing the registration process.

Securing livelihoods

A government jobs creation program known as Jobs for Peace was rolled out last year in several Afghan provinces. With the goal of improving short-term food security for families, the initiative disbursed more than $70 million to people in more than 5,000 communities, creating at least 2.6 million days of labor. Jobs within the program included maintenance work on rural area development projects and cleaning work in urban centers.

Given that many Afghans earn their livelihood through agricultural activities, support for farmers is a crucial part of Afghanistan’s overall economic health. Some of the achievements that have helped farmers in recent years include the Agricultural Development Fund loans program, which has disbursed $61 million to more than 31,000 farmers; the rehabilitation of nearly 2,000 kilometers of irrigation infrastructure, which has improved water access for close to 500,000 hectares of agricultural land; and the recovery of 6,000 hectares of illegally seized land by the Land and Water Administration, which is working to provide farmers with land tenure security and protect them from seizure.