At least 372 civilians were killed and another 397 injured as a result of cross-border violence between Afghanistan and Pakistan during the first three months of 2026, according to a United Nations report published on Tuesday.
The UN Assistance Mission in Afghanistan (UNAMA) said Pakistani security forces were responsible for civilian harm in 94 of the 95 documented incidents in the first quarter, while Afghanistan’s de facto Taliban authorities were blamed in one case.
The majority of deaths and injuries were attributed to Pakistani airstrikes carried out in February and March.
One of the deadliest incidents occurred on March 16 in Kabul, when Pakistani airstrikes hit the Omid Drug Rehabilitation Hospital in Kabul.
UNAMA said at least 269 civilians were killed and more than 122 injured after three airstrikes struck the 2,000-bed facility, which was located on the grounds of the former NATO base Camp Phoenix. The majority of the victims were patients receiving treatment for drug addiction.
However, the UN mission said the actual death toll could be significantly higher, as some bodies could not be identified and families continue to search for missing relatives.
Afghanistan said shortly after the attack that more than 400 people had been killed and over 261 injured. Pakistan has denied targeting civilians.
Pakistan accuses Afghanistan’s Taliban authorities of backing the Tehreek-e-Taliban Pakistan (TTP), a militant group responsible for decades of attacks in Pakistan. Kabul denies the allegation, and the United Nations says Islamabad has not provided evidence that Taliban authorities directed TTP operations.
Pakistan has said it is targeting alleged militant sites inside Afghanistan.
