Country: Afghanistan Source: UN Office for the Coordination of Humanitarian Affairs Please refer to the attached file. Cross-border hostilities continue to drive humanitarian needs in Afghanistan Cross-border hostilities between Afghanistan and Pakistan since October 2025 have caused significant humanitarian consequences, including civilian casualties, displacement and disruptions to essential services. Although a ceasefire reached in October 2025 temporarily reduced the intensity of hostilities, violence has continued intermittently in border provinces. Between January and March 2026, cross-border armed violence between Afghanistan’s de facto security forces and the Pakistani military resulted in 769 civilian casualties, according to the United Nations Assistance Mission in Afghanistan (UNAMA). This includes 372 people killed and 397 injured, among them 72 women, 554 men, 48 girls and 95 boys. UNAMA reports that the majority of incidents occurred in February and March, largely driven by airstrikes following Pakistan’s announcement of Operation Ghazab lil-Haq on 26 February. Airstrikes accounted for approximately 64 per cent of total civilian casualties, while the remainder resulted from indirect cross-border fire and isolated incidents, including the targeted killing of a humanitarian worker. Displacement and damage to civilian infrastructure Humanitarian partners estimate that more than 100,000 people have been displaced across Khost, Kunar, Nangarhar, Nuristan, Paktia, and Paktika provinces since the escalation of hostilities. While displacement has largely been temporary, affected populations continue to experience significant humanitarian needs. Assessments indicate that airstrikes or clashes linked to cross-border violence have been reported in 11 provinces. In addition, nearly 1,000 homes have been damaged or destroyed. Civilian infrastructure, including schools, health facilities and water systems, has also been damaged or destroyed. Approximately 19 health facilities have been suspended, closed or reduced to partial operations, limiting access to health care for an estimated 78,000 people. In the education sector, more than 13,000 students in Kunar and Nangarhar provinces have experienced disruptions. Access constraints and operational challenges Humanitarian access has been constrained in several affected areas due to insecurity, shelling, and road closures. In Kamdesh and Bargmatal districts of Nuristan Province, access to nearly 100,000 people was restricted for almost two months, limiting the delivery of essential services. The main supply route between Nari District in Kunar Province and Kamdesh District in Nuristan Province was closed due to ongoing hostilities, causing shortages of food, medicine, and fuel, and disrupting health referral pathways and humanitarian operations. On 13 April, the road was reopened following engagement by community elders from both sides and humanitarian actors. Since then, humanitarian organizations have resumed the delivery of food, medical supplies and other essential assistance to affected communities. Humanitarian needs and ongoing response Despite intermittent improvements and ongoing humanitarian response efforts, humanitarian needs remain severe across the affected provinces. Needs assessments conducted in affected areas have identified critical gaps in food security, emergency shelter, health services, nutrition support, water, sanitation and hygiene (WASH) and multi-purpose cash assistance. The World Food Programme estimates that approximately 160,000 people in affected areas are facing heightened food insecurity. Nutrition partners have also raised concerns regarding acute malnutrition among children under five, as well as pregnant and breastfeeding women. Protection risks remain high in conflict-affected areas, particularly for women and children exposed to displacement, shelling, and explosive remnants of war. While the intensity of hostilities has fluctuated in recent weeks, the humanitarian situation remains fragile. Continued insecurity, restricted access and funding shortfalls are likely to sustain humanitarian needs in the coming months. Humanitarian partners emphasize the importance of sustained humanitarian access, the protection of civilians, and adequate funding to ensure the continuity of life-saving assistance. Floods in Afghanistan: Widespread destruction amid compounding climate risks Between late March and April, heavy rainfall triggered widespread flash flooding across Afghanistan, affecting 31 of 34 provinces, 165 districts, and 546 villages, approximately one-third of the country. The floods caused significant loss of life, extensive damage to homes and infrastructure, and major disruption to livelihoods, leaving thousands of families in urgent need of humanitarian assistance. Scale of impact and humanitarian needs An estimated 31,000 people (9,984 families) were affected by the floods across Afghanistan. At least 55 people were killed and 148 injured. In total, 7,751 houses were damaged and 1,731 destroyed, forcing many families into temporary shelter arrangements or unsafe living conditions. The eastern region, particularly Nangarhar Province, was among the most affected, followed by southern and western regions. Rural communities were among the hardest hit, with widespread damage to agricultural land, irrigation systems, and rural infrastructure further weakening already fragile livelihoods and food security. Beyond immediate shelter needs, the floods have significantly deepened existing vulnerabilities. Many households have lost both their homes and primary sources of income, particularly in rural areas dependent on agriculture and seasonal labour. Displacement patterns remain fluid. While some families have returned to partially damaged homes due to a lack of alternatives, others remain in temporary shelters. Access to safe water, sanitation, and basic services remains limited in several affected districts, increasing health and protection risks. Humanitarian response Humanitarian partners, in coordination with local authorities, have scaled up emergency response efforts across affected areas. As of May, 37,845 people have received assistance (including 22,821 people with food assistance, 37,536 with non-food items, 16,151 with shelter support, 32,473 with WASH assistance and 21,232 with cash assistance). Response efforts are ongoing, but challenges persist due to damaged infrastructure, access constraints, and limited resources in some of the hardest-hit areas. Funding constraints are also contributing to critical gaps in assistance, particularly in hard-to-reach and severely affected communities where needs remain unmet. Multiple shocks, growing needs The recent floods are part of a broader pattern of climate-related shocks affecting communities across Afghanistan. Environmental pressures, fragile infrastructure and climate change continue to increase exposure to disasters and deepen existing vulnerabilities. At the same time, prolonged drought conditions continue to affect large parts of the country. Afghanistan is facing its sixth consecutive year of drought-like conditions, with continued below-normal precipitation and higher temperatures expected into 2026. These overlapping shocks are compounding humanitarian needs, particularly in rural areas where households have limited coping capacities and depend