|The human population of the whole Wakhan/Pamir area - both settled Wakhi and nomad Kirghiz - suffer from a compound of problems including chronic poverty, ill health, lack of education, food insecurity, and opium addiction, arising from the remoteness and harshness of their environment and the lack of resources and facilities. The furthest clinic into the Wakhan is at Khandud, one hour driving distance before Qala-e-Panj. On horseback, Khandud is 4 hours from Qala-e-Panj, 4 days from Sarhad-e-Boroghil and up to 10 days from Manara at the easternmost part of the Little Pamir. Furthermore, beyond Sarhad-e-Boroghil into the Small Pamir and beyond Qala-e-Panj into the Big Pamir, there is no education facilities available, which leads to very high illiteracy rates.
Few UN and NGOs have assistance programs in the Wakhan due to its relative isolation, low population densities, and difficult access. One can mention two NGOs: