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How Progress Can Be Made in Challenging Circumstances

Benjamin Loevinsohn, MD, MPH; Ghulam Dastagir Sayed, MD, MPH

JAMA. 2008;300(6):724-726.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

News from Afghanistan has tended to focus on suicide bombings, the insurgency, and opium production. Relatively less attention has been paid to socioeconomic developments and how day-to-day life has been affected by the ongoing insecurity and the large development effort. The lack of interest in developments in Afghanistan's health sector is unfortunate because there are some potentially useful lessons to be learned for other countries confronting violence, insecurity, or deep poverty.

Beginning with the Communist takeover in 1978, Afghanistan has endured long years of war that have devastated most parts of the country and left more than 1 million Afghans dead.¹ In 2002, after the fall of the Taliban, the under 5-year mortality rate for children was estimated at 257 per 1000 live births,² and the maternal mortality ratio was estimated at 1600 per 100 000 live births. In mountainous Badakshan province . . . [Full Text of this Article]

Author Affiliations: World Bank, Washington, DC.

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RELATED LETTER

Security Force Contributions to the Health Sector in Afghanistan
Aaron Saguil and Ed Farnell
JAMA. 2008;300(22):2607-2608.
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Security Force Contributions to the Health Sector in Afghanistan
Saguil and Farnell
JAMA 2008;300:2607-2608.
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