At least 372 civilians were killed and 397 others injured in cross-border clashes between Afghanistan and Pakistan during the first three months of 2026, according to a new report by the UN Assistance Mission in Afghanistan.
The United Nations Assistance Mission in Afghanistan (UNAMA) said it recorded 95 incidents of civilian harm during the first quarter of the year, adding that Pakistani armed forces were responsible for civilian casualties in 94 cases, while Afghanistan’s Taliban authorities were blamed in one incident.
Airstrikes accounted for nearly two-thirds of the civilian casualties, while the remaining deaths and injuries were caused mainly by cross-border artillery and mortar fire.
According to the report, the casualties included 72 women, 554 men, 48 girls and 95 boys.
One of the deadliest incidents took place in Kabul on March 16, when Pakistani airstrikes targeted the Omid Drug Rehabilitation Hospital. The UNAMA report said at least 269 civilians were killed and more than 122 others injured in the attack.
After visiting the site and interviewing survivors, family members and medical staff, UNAMA said Pakistani airstrikes struck several sections of the hospital complex, including sleeping quarters, a mosque area and vocational training buildings.
The United Nations independently verified at least 269 deaths and 122 injuries from the attack, though it warned that the actual toll could be significantly higher because patient records were destroyed and some bodies were unidentifiable due to burns and dismemberment.
Afghanistan’s Taliban authorities had claimed immediately after the attack that more than 400 people were killed and more than 261 others injured.
Pakistani authorities denied targeting civilians or medical facilities.
The UNAMA report called on both Pakistan and the Taliban authorities to comply with international humanitarian law, protect civilians and investigate alleged violations.