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Afghanistan: Earthquake in Paktika and Khost Provinces - Flash Update No. 4 (26 June 2022)


  • Humanitarian response to areas affected by Wednesday’s 5.9 magnitude earthquake in the south-eastern region are ongoing.
  • Latest findings from needs assessments reveal that at least 155 children were killed and nearly 250 children were injured by the earthquake, with 86 per cent losing their lives in Giyan district (134), Paktika province alone. Additionally, 65 children have reportedly been orphaned or left unaccompanied as a result of the tremor.
  • Findings from assessments further highlight that almost 1,900 homes across Giyan (1,028) and Barmal (450) districts in Paktika province, and Spera (416) district in Khost province have been destroyed. Many more are estimated  to have  experienced extensive damage and are at-risk of collapse. Shelter assessments to ascertain the full extent of damage are continuing.
  • Across Khost and Paktika provinces, seven schools have reportedly sustained damage to boundary walls, windows, roofs and classrooms in Spera (5) and Giyan districts (2). Combined these schools have 5,135 students. In Nangarhar province, the District Education Directorate Building in Shergar village, Gani Khil district has also reportedly been partially damaged, as has Shalgar high school in Dor Baba district.
  • Previously reported gaps of 1,000 tents in Paktika province have been met with the ES/NFI cluster pausing the shipping of additional stocks until more assessment data is available on needs and warehousing capacity in affected areas. Since 25 June, WFP, IOM, UNHCR, DRC and IMC have also been carrying out joint food, cash, shelter/NFI kit and hygiene kit distributions at the same location in Giyan district, Paktika province using beneficiary lists collected during joint needs assessments. The distribution site was set up in less than 24 hours.
  • Several logistical challenges remain, however, including limited communications channels as a result of downed mobile networks in Paktika and Khost provinces, and poor road conditions in Spera district, Khost province. On average, the road journey from Urgun district to Spera district in Khost province takes at least five hours. The establishment of camp sites for humanitarian actors across the three most-affected districts in Paktika (Giyan and Barmal) and Khost (Spera) provinces is an immediate priority.
  • The Inter-Cluster Coordination Team (ICCT) has finalized a three-month multi-sectoral emergency appeal, within the 2022 Humanitarian Response Plan, to scale-up and expedite the response to almost 362,000 earthquake-affected people in Paktika and Khost provinces. The plan will be issued on Monday, 27 June.

Humanitarian Needs and Response

Humanitarian partners are continuing to assist affected families in Paktika and Khost provinces in coordination with the de-facto authorities, including the Office for Disaster Management and Humanitarian Affairs (ANDMA) and relevant line ministries. In addition to immediate assistance efforts outlined in Flash Updates #1, #2, and #3, clusters have responded with the following interventions:

Emergency Shelter & NFIs

  • Today, IOM distributed tents and NFIs to 500 households in Spera district, Khost province with a further 500 tents and NFIs arriving in Barmal district, Paktika province. An additional 900 tents and NFIs are en route from Zurmat district, Paktia province to Giyan (500) and Barmal (400) districts in Paktika. In total, IOM has the capacity to support 2,200 earthquake-affected households with tents and NFIs this week.
  • In Spera district, Khost province, UNHCR has assisted 100 households with tents and NFIs. Also, in Spera district, the Afghan Red Crescent Society (ARCS) distributed NFI and tents to 250 households, while CARE is planning to cover 500 households with NFI packages.
  • UNHCR will deliver another 500 tents and NFIs in Paktika province over the coming days.
  • Gaps: fuel for cooking.

Food Security & Agriculture

  • Food assistance continues to be delivered across affected areas as outlined in previous Flash Updates.
  • Gaps: NSTR.


  • To date, WHO has provided 115 and 85 cartons of emergency medicine to Paktika and Khost provinces, in addition to 20 inter-agency emergency health kits to mobile health teams (MHTs).
  • On 27 June, UNICEF will dispatch a further 10 acute watery diarrhea (AWD) kits to Paktika and Khost provinces, along with additional medicines and tents for emergency medical care.
  • In Paktika province, WHO, OHPM, HN-TPO, IRC and CARE have deployed 11 MHTs, while in Khost, OHPM, HNT-PO, CARE and IRC have deployed four MHTS. HN-TPO has further deployed 18 staff to Paktika province and 16 staff to Spera district, Khost province, including medical specialists.
  • At Khost airport, a team of 19 health workers from Pakistan are providing health services for three days; 50 patients have been treated so far with three having been referred to Khost Regional Hospital.
  • IMC has been responding since the early hours of 22 June in Giyan district, Paktika province with the support of nine nurses, two doctors and three ambulances. To date, IMC has treated around 450 injured people. IMC has also established a medical clinic for humanitarian partners in Giyan district, Paktika province.
  • Gaps: support for secondary healthcare; mental health and psychosocial support; and psychotropic medicine.


  • In Spera district, Khost province, UNICEF has delivered 60 hygiene kits containing over 1,150 soap bars to 60 households, along with one carton of aquatabs and 100 leaflets.
  • In Barmal district, Paktika province, DACAAR has started WASH interventions for 259 households, including hygiene sessions, the construction of emergency bath and latrines, garbage collection and repair of damaged water points.
  • This week, DACAAR will deliver a further 1,460 hygiene kits to households across affected areas.
  • Gaps: water treatment kits and assessment of damage to WASH infrastructure.


  • The nutrition response is ongoing as highlighted in previous Flash Updates. Currently, all 106 sites for SAM (23) and MAM (83) treatment are functioning: 17 mobile health and nutrition teams (MHNTs) have been deployed and provisions are in place for children with SAM and medical complications to be referred to hospitals.
  • Gaps: Additional resources are required to replenish stocks, especially the therapeutic supplementary feeding programme pipeline.


  • UNICEF has set up four child-friendly spaces (CFSs) where registration and child protection services are being carried out. In Barmal district, Paktika province, more than 400 children (both girls and boys) are benefitting from child friendly services, while over 100 caregivers and children have received psycho-social first aid services. Ten additional tents were dispatched on 24 June to help set up additional CFSs.
  • Across affected areas, eight UNCEF-supported social workers and two psycho-social counsellors are on the ground to provide mental health support and implement child protection activities.
  • On 24 June, UNICEF explosive risk ordnance education materials arrived in Paktika province and have been distributed among implementing partners and affected communities.
  • Gaps: assessment of family separation.


  • Across Khost and Paktika provinces, seven schools have reportedly sustained damage to boundary walls, windows, roofs and classrooms in Spera (5) and Giyan districts (2). Also, in Paktika province, 50 madrasas used for school classes in Giyan (17) and Barmal (33) districts have also reportedly been damaged.
  • In Nangarhar province, the District Education Directorate Building in Shergar village, Gani Khil district is reportedly partially damaged, as is Shalgar high school in Dor Baba district.
  • Gaps: limited number of partners, especially in Paktika.

In addition, humanitarian relief is being provided to affected communities in the form of multipurpose cash assistance (MPCA). This includes ongoing MPCA distributions to 1,460 households in Giyan (1,028) and Barmal (432) districts in Paktika province by DRC, and 1,150 households in Khost (350) and Paktika (800) provinces by CARE. In Spera district, Khost province, IRC has already provided cash assistance to 118 households, while in Paktika province DRC has supported 777 households across Giyan (345) and Barmal (432) districts with cash support.

Under the ABADEI programme, UNDP has also mobilized US $2.8 million to reach at least 5,000 families with cash, WASH, shelter and health services. Priority focus areas over the coming weeks include the reconstruction of homes, hospitals and schools through cash for work programmes.


On 26 June, OCHA and cluster coordinators attended a technical meeting with relevant line ministries including the Ministry of Refugees & Repatriation (MoRR), the Ministry of Public Health, the Ministry of Agriculture, Irrigation and Livestock, the Ministry of Economy (MoEc), the Ministry for Rural Rehabilitation and Development and ANDMA. At this meeting, the de- facto authorities informed that they will set up a joint District Committee across Paktika and Khost Provinces consisting of MoRR, MoEc and ANDMA through which humanitarian assistance efforts should be coordinated.

Operation(s)/ Webspace(s): 
United Nations Office for the Coordination of Humanitarian Affairs
Original Publication Date: 
26 Jun 2022
Document type: 
Situation Report
Coordination hub(s): 
National Level Coordination