Khas Kunar, Afghanistan – Stoori was pulled out from under the rubble of his house in Kunar province after it was destroyed by the magnitude 6 earthquake which struck on the night of August 31. But the guilt of not being able to save his wife haunts him.

“I barely had enough time to pull out the body of my dead wife and place her on the rubble of our collapsed home before my children and I were evacuated,” the grief-stricken 40-year-old farmer says.

Authorities say about 2,200 people have been killed and more than 5,000 homes destroyed in eastern Afghanistan, most of them in Kunar province, where houses mostly built from wood and mud bricks crumbled in the shocks of the quake.

Stoori, who only gave one name, is now staying with his children in a sprawling evacuation camp 60km (37 miles) from his village – in Khas Kunar.

“My village has become a graveyard. All 40 families lost their homes. The earthquake killed 12 people in my community and left 22 others badly injured,” he says.

Winter is coming

In all, the UN says half a million people have been affected by the quake.

In this camp, which is lined with tents provided by international NGOs, nearly 5,000 people are sheltering, each with stories of loss and pain.

Thankfully, the camp has access to water and sanitation, and there are two small clinics ready to receive injured newcomers, as well as an ambulance which can be dispatched to collect people.

Right now, workers are digging a trench to install another water pipe, which will divert water to areas in need around the camp.

Just a few hundred metres away, what were once United States military warehouses have been transformed into government offices coordinating the emergency response.

The Taliban, which returned to power after US-led forces withdrew in 2021 after 20 years of occupation, has been overwhelmed by the scale of the disaster.

Tens of thousands of people are without any shelter at all just weeks before the onset of winter, and the mountainous terrain makes relief and rescue efforts difficult.

Najibullah Haqqani, Kunar’s provincial director for the Ministry of Information and Culture, says the authorities are working through a three-step emergency plan: Evacuate those at risk, provide shelter, food, and medical care in camps, and, eventually, rebuild homes or find permanent housing.

But the situation is becoming more challenging by the day. “Fortunately, we have received support from the government, local businesses, volunteers and international NGOs. They all came and helped with food and money for the displaced people,” he tells Al Jazeera.

‘The smell of dead animals fills the air’

More than 10 days after the tremor, new arrivals join the camp daily, inside the fortified walls of the former US base on the banks of the Kabul River.

Among them is Nurghal, a 52-year-old farmer from Shalatak village who was able to reunite with the surviving members of his family only on Wednesday morning. “From my large extended family, 52 people were killed and almost 70 were left badly injured,” he says. The devastation is “unimaginable”, he adds.

“The weather is cold in our area, and we don’t sleep outside this time of the year. That is why many people were trapped in their houses when the earthquake hit, and they were killed. Everything is destroyed back home, and all our animals are buried in debris. The smell of dead animals fills the air in my village.”

Life before the quake, he says, was stable. “Before the earthquake, we had everything we wanted: A home, livestock, our crops, and land. Now life is in the hospital and tents.”

Women face particular challenges in the aftermath of this disaster, as Taliban laws prevent them from travelling without male guardians – meaning it is hard for them to either get medical assistance or, in the case of female medical workers, to provide it.

The World Health Organization (WHO) asked Taliban authorities last week to lift travel restrictions for Afghan female aid workers, at least, to allow them to travel to help women in difficulties following the earthquake.

“A very big issue now is the increasing paucity of female staff in these places,” Dr Mukta Sharma, the deputy representative of WHO’s Afghanistan office, told the Reuters news agency.

Furthermore, since women have been banned from higher education by the Taliban, the number of qualified female medical staff is dwindling.

Despite these difficulties, the Taliban leadership says it is committed to ensuring that women will be properly treated, by male health workers if necessary.

Haqqani, Kunar’s provincial director for the Ministry of Information and Culture, tells Al Jazeera: “During the emergency situation, the military and volunteers evacuated and cared for everyone. On the second day, UNICEF set up a medical clinic in Nurghal district and they had female doctors as well. We took as many injured people as the clinic could handle there and they were treating everyone, male and female. In any emergency situation, there is no gender-based discrimination; any doctor available will treat any patients coming in. The priority is life saving.”

At a field hospital which has been set up inside the old US barracks by the displacement camp at Khas Kunar, six male doctors and one female doctor, 16 male nurses and 12 female nurses are tending to the injured. Currently, there are 34 patients here, 24 of whom are women and children – most of them were taken to Gamberi from their remote villages by Taliban military helicopters and then transferred the last 50km (30 miles) to the hospital by car.

The hospital’s director, Dr Shahid, who only gave one name, says male doctors and nurses are permitted to treat women and have been doing so without any issue.

‘A curse from the sky’

From his bed in the field hospital, Azim, a farmer in his mid-40s from Sohail Tangy village, 60km (37 miles) away, is recovering from fractures to his spine and right shoulder.

He fears returning to the devastation at home.

“The earthquake was like a curse from the sky. I don’t want to move back to that hell,” he tells Al Jazeera. “The government should give us land to rebuild our lives. My village has become the centre of destruction. My only request is to give us land somewhere else.”

Azim is still coming to terms with the loss of his loved ones. “Yesterday, my son told me that three of my brothers are dead. Some of my family members are in the Kabul and Jalalabad hospitals. And my wife is in Kabul military hospital,” he says.

Back in the evacuation camp, Stoori says he is holding onto hope, but only just.

“If God blesses us, maybe we can go back to our village before the winter comes,” he says.

“We have nothing left except our trust in God, and we ask the international community and authorities for help.”