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Afghanistan, Islamic Republic of

Capital: KabulArea: 652 . 230 km2Population: 35 . 320 . 000Official Language: Pashtu, DariArmed Forces Personnel: 190 . 700Medical Officers: 753Military hospitals / institutes / schools: 6 / 1 / n/aMissions: n/a
Map
Portrait

Surgeon General
Prof Abdul Rasaq Siawash
Major General

Ministry of Defence
Wazir Akbar Khan Road
Kabul
AFGHANISTAN

Vision
Having a strong and self-sustaining healthcare system in accordance with international standards for the Afghanistan National Army (ANA).

Basic Task of the Military Medical Service

  • Education and training
  • Treatment and medical ground evacuation
  • Prevention
  • Medical logistics
  • Consolidating discipline
  • Continuously monitoring of all health institutions
  • Developing and improving the job description of every echelon.
  • Creating the internal SOP for all ANA hospitals.
  • Developing and implementation for transition plans after 2014
  • Reducing the mortality rate
  • Good leadership
  • Provide rehabilitive services to soldiers
  • Incorporate Air Transportable Transfer Units into the health care system
  • Taking into account transparency and accountability
  • Reform of organizational formation and equipment tashkil


Structure

The Medical Command (MEDCOM) office is a department with in the General Chief of Staff of Ministry of Defence. Medical Command is responsible for the overall health and welfare of all Afghan National Army and police soldiers. This includes the ANA central hospital, annex hospital, regional hospitals, clinics, brigade level troop medical clinics (TMC), infantry medics and Combat Physician Assistants from the

corps down to small unit level.


Military Hospitals
The ANA has 6 main hospitals located throughout the country. The National Military Hospital (NMH) in Kabul is the largest hospital in Afghanistan providing a high level of general and specialized services to include general surgery, thoracic surgery, orthopedic surgery, trauma surgery, plastic and burn surgery, maxillofacial surgery, neurosurgery, ENT, urology, emergency medicine, internal medicine, cardiology,
nephrology, dermatology, obstetrics, radiology, pediatric, PACU/ICU, ophthalmology, neuro-psychiatry, blood bank, lab, and nursing.

PhotoNational Military Hospital Kabul Photo

MEDCOM incorporates 5 regional hospitals located in Kandahar, Gardez, Herat, Mezar-e-Sharif and Jalalabad. An additional regional hospital is currently being built in Helmand. NMH has a capacity for 410 beds while the regional hospitals have a 100 bed capacity. To ensure
communication, each regional hospital reports to Medical Command daily in a teleconference.

Hospitals
Beds
Location
Departments
NMH
410   beds
Kabul
25
Kandahar   regional hospital
100   beds
Kandahar
20
Gardezregional hospital
100   beds
Paktia
20
Herat   regional hospital
100   beds
Herat
20
Mezar   -e- Sharif regional hospital
100   beds
Balkh
20
Gambari   regional hospital
100   beds
Jalalabad
20


Regional Medical Facilities
There is a total of 5 regional medical facilities and 31 Troop Medical Clinics (TMC). The regional medical facilities have professional staff and are well-equipment. There are future plans to install CT scanners in each regional medical facility. The hospitals provide the 3rd echelon of care that includes, surgery and postoperative treatments. At the regional hospitals, the patients are stabilized and when appropriate return
to duty or continue with the theatre evacuation policy and transferred to the National Military Hospital in Kabul.

Troop Medical Clinics
The garrison troop medical clinics (TMC) provide 2nd echelon of care. They have the capability to provide emergency medical treatments, to include initiating resuscitation. At the medical company, the patient is examined and vitals are evaluated to determine best treatment and evacuation urgency either as a single casualty or a collection of other casualties. ANA mostly do the ground evacuation 90 %.
There are more than 1000 well equipped ambulances and 10% of evacuation was done by ANA Air Force.

Number of Medical Personnel


Staff
Authorize
Assigned
Shortfall
Students in AFAMS
Doctor
753
609
144
175
CPA
632
596
36
70
Pharmacists
119
97
22
24
Nurse
479
393
86
20
x-raytech
58
46
12
0
Dental tech
54
49
5
6
Anesthesia
37
31
6
0
Functional diagnosis
12
7
5
0
Physical traphy
29
25
4
12
Preventive med
58
38
20
15
Bio med
34
25
9
6
Lab
97
61
18
0
Total
2362
1977
385
















Combat Medic
Authorized
Assigned
Shortfall




NCOMEDIC
2474
1619
855




MEDIC
3774
2835
939




Total
6248
4454
1794






Training
The Armed Forces Academy of Medical Sciences (AFAMS) serves as the Afghan Security Forces Medical Education and Training Center providing medical care education, individual skills training, leadership development and unit collective training programs necessary to meet the operational requirements of the ANA and other Afghan National Ministries. Courses range from enlisted medical specialty courses to
graduate medical education residency courses. The eight Warrior Care Residency Programs include: Internal Medicine, General Surgery, Orthopedics, Preventive Medicine, Anesthesiology, ENT, Urology, and Critical Care. Specific training courses include: Basic Military Physician, Combat Physician Assistant, Combat Medic, Medical Officer Basic, Medical Non Commissioned Officer, Medical Logistics, Nursing,
Nursing Assistant, Laboratory Technician, Radiology Technician, Preventive Medicine Technician, Ultrasound Technician, Dental Therapy, Pharmacy Technician, Biomedical Technician, and Physical Therapy. AFAMS is considered a Center of Excellence in Afghanistan
and represents the highest caliber military care available in the country. Graduates from the AFAMS programs are sent throughout the country to provide care to all ANSF members.