Once known for her beauty in her village in Kandahar province, the 36-year-old sits on the floor of her mother’s home, rocking silently. After nine pregnancies and six miscarriages, many under pressure from her husband and in-laws, Parwana has slipped into a permanent state of confusion. “Before, at least 30 out of 70 women who came to the clinic needed birth control. For women in rural provinces, the closure of clinics means hours of walking or giving birth at home, often alone. A doctor in the northern province of Jawzjan estimates that 80% of the pregnant and breastfeeding women she sees are malnourished.