Sima is 18, but she has already given birth four times. Her youngest is a newborn, the eldest is four.
Sitting with her children in their mud-brick room in Badghis province, Sima says: "After the Taliban entered the country, I had just finished the sixth grade and was supposed to start the seventh.
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But two months later, my father pressured me immensely to marry my cousin. After being beaten by my father several times, I was forced to accept."
At 13, Sima became a bride inside the compound where she still lives, and where she has given birth to her children.
One child died of pneumonia aged one. She does all the housework: fetching water, tending the cows, baking naan in a tandoor.
All the while, her children cling to her legs, crying.
Sima's case is no longer exceptional.
Interviews with workers at one public hospital in northern Afghanistan revealed that 42 underage girls gave birth in the first five months of this year.
Six were in their second pregnancy. Five had ectopic pregnancies – a leading cause of maternal deaths – and 18 had caesarean sections.
Two died, though their babies survived.
They are victims of a growing trend toward child marriage, driven by Taliban policies legalising the practice and forcing girls out of school, combined with a deepening humanitarian crisis in which families are forced to sell their daughters to pay debts or buy food.
