Afghan Health System Economically a Failure

[BarakzaiAbdali]

A portion of the new Inspector General report indicates that a lot of the nonsense churned out by the Karzai Kleptocrats and emigres is way off the mark:

http://nation.time.com/2013/05/06/unhealthy-hospitals/

Time magazine wrote about this in detail:

"Last week, the federal Special Inspector General for Afghanistan Reconstruction (SIGAR), examined a pair of hospitals the U.S. Agency for International Development is building in the eastern part of the country. It found the hospitals too big for Afghanistan to handle."

"SIGAR John Sopko’s staff details a tragedy of errors, where USAID failed to determine the Afghan government’s ability to operate the two hospitals, and where construction began a full year before USAID coordinated the final design plans with the Afghan Ministry of Public Health (MOPH). A 100-bed provincial hospital is being built in Gardez in Pakitia province, and a second 20-bed district hospital is being built in Khair Khot in Paktika province. “USAID’s $18.5 million investment in these new hospitals,” the inspector general reports, “may not be the most economical and practical use of these funds.”
To put it mildly.
Among SIGAR’s findings:
– The Gardez hospital is 12 times larger than the hospital it is replacing. “A Ministry official stated that they do not need such a large hospital, which will require additional staff for cleaning and security and further strain funding available for future hospital operations,” SIGAR reported.
– Both will cost roughly five times as much to run as the medical facilities they are replacing"

The Afghan governmental lackeys failed to coordinate these issues with USAID:

"There was a lack of coordination between USAID and the Afghan health ministry:"

As an example of the idiocy of emigre contractors and Kabul governance in Khost:

"The Afghans bought a pair of smaller 132-kilowatt generators to power the Khowst hospital to lower their fuel costs. “These officials stated that the smaller generators did not have sufficient capacity to power the entire hospital,” the report adds. “As a result, only about 35% of the space in the new Khowst hospital was operational at the time of our audit, and the two larger generators purchased for this project were not being used.”"

[Admin Khan]

Unfortunately, when most of our health professionals refuse to return and serve their nation with the knowledge they've learned, such 'miscommunications' from rag-tag health professionals will continue; sadly. Afghans need to directly or indirectly serve their nation with their profession.

[Toramana]

Unfortunately, when most of our health professionals refuse to return and serve their nation with the knowledge they've learned, such 'miscommunications' from rag-tag health professionals will continue; sadly. Afghans need to directly or indirectly serve their nation with their profession.

Barakzai will not return even under Mullah Omar's khilafat. Under the present system, he will have to compete with the politically more intelligent Qanunis, Karzais, etc. which he can't due to severe limitations of intellect..so he will continue with his cyber-jahad.

[BarakzaiAbdali]

Barakzai will not return even under Mullah Omar's khilafat. Under the present system, he will have to compete with the politically more intelligent Qanunis, Karzais, etc. which he can't due to severe limitations of intellect..so he will continue with his cyber-jahad.

Lol, reading comprehension is apparently not your strong suit. He is talking about the current situation under Karzai. You dont have mullah omar to blame on this set of failures.

[ComradePashtun]

Please, Mr Barakzai about Mullah Omar. He is mediocre even by the standards of BC. Perhaps Afghanistan needs 21st century and of high standard professionals like you to go and serve Afghanistan. Mullah Omar is directly responsible for intervention of the country you so dearly hold to your heart the USA.

You and your fellow yanks should run an on audit on the 116 billions dollars which you claim to have spent in the name of rebuilding Afghanistan. Of course this attempt is a subterfuge on your part to hide your own mammoth corruption and the rest. Let me give you few examples as microcosm:

1- Your records will show that you have given $40 million in assitance to Daud Khan Hospital as to actually only $1m being recieved.

2- A 5 km of road in Paktia/Khost contracted to company A which runs through a bazar area for and X amount, and the 1 km that runs through the bazar which is contracted to another company too twice the amount of the first contract.

You should read an article that was published on the Politico site; 60% the above mentioned to have been given to Afghanistan above 60% have been overheads costs and have made it back to the US of A.

[ComradePashtun]

Out of every $100 only half a cent has reached the common Afghan. The 30% non overheads have either been racketeered by your corrupt Afghan buddies or your own kind.

[BarakzaiAbdali]

Please, Mr Barakzai about Mullah Omar. He is mediocre even by the standards of BC. Perhaps Afghanistan needs 21st century and of high standard professionals like you to go and serve Afghanistan. Mullah Omar is directly responsible for intervention of the country you so dearly hold to your heart the USA.

You and your fellow yanks should run an on audit on the 116 billions dollars which you claim to have spent in the name of rebuilding Afghanistan. Of course this attempt is a subterfuge on your part to hide your own mammoth corruption and the rest. Let me give you few examples as microcosm:

1- Your records will show that you have given $40 million in assitance to Daud Khan Hospital as to actually only $1m being recieved.

Can I have the references for this? I would like to read into it

2- A 5 km of road in Paktia/Khost contracted to company A which runs through a bazar area for and X amount, and the 1 km that runs through the bazar which is contracted to another company too twice the amount of the first contract.

You should read an article that was published on the Politico site; 60% the above mentioned to have been given to Afghanistan above 60% have been overheads costs and have made it back to the US of A.

Agreed my man. War is a racket. Thats my issue with Karzai's "We are a Lion Speech." Its well known in the US how our economy has shifted to a war profiteering economy on the backs of Iraqis and Afghans. Caucasian Americans have tied a dog to a pole in Baghdad and stolen an xray machine from a hospital and called that Airport security and charged the government millions as security agencies. Same has been done in Afghanistan. Yet Karzai, as I have repeatedly said, and his corrupt technocrats, believe they can somehow make something of this and do what Daud (who was SMARTER than karzai) failed to do... strategically balance Afghan interests against those of the kharijaan.

I await your references and do very much appreciate any inside documentation you can provide due to your influence and position.

[khushal]

2- A 5 km of road in Paktia/Khost contracted to company A which runs through a bazar area for and X amount, and the 1 km that runs through the bazar which is contracted to another company too twice the amount of the first contract.
.

I know people that have worked on building roads in paktia. They told me the biggest obstacle for them was the governor who wanted more than half the funds and when they refused to give him any, the governor would send in men to hassle them, create roadblocks, tell villagers to harass them and create disputes about a tree being cut down or how the road would affect their crop, etc, even send in armed men to extort them, and this governor is appointed by Karzai. You guys are complete joke.

[ComradePashtun]

BA, the Daud Khan Hospital scandal was widely reported on by the media last year or sometime back. Both of the cases I came to know about through media myself, but I will provide a reference when I stumble across it.

Khushala, you are a plain idiot about you guys, what are you idiot implying?

[BarakzaiAbdali]

BA, the Daud Khan Hospital scandal was widely reported on by the media last year or sometime back. Both of the cases I came to know about through media myself, but I will provide a reference when I stumble across it.

Khushala, you are a plain idiot about you guys, what are you idiot implying?

Thank you very much.

Remember Comrade - there is never a way we could hate you or despise you as you are our brother.

But what we need is actual leadership.

Allow me to give you an example and where my frustration lies:

I find it repulsive that each time something happens Karzai and co. speak out of both sides of his/their mouth. He tries and tries to make it appear as if he is a strong savvy leader and views his own people as cattle who he can manipulate with some simple words if "get out of wardag." yet in each and every case when this has happened rarely is do words and deeds meet.

These people need to quit thinking and rationalizing about how they are so slick that they will bamboozle the West out of Ghost Monies and let it trickle down to the masses - but then think that they are somehow more gifted than all others in Afghanistan itself (including those that never left it). Its like they psychologically justify their lemming behavior by giving themselves platitudes.

Every single Pashtun around the world would be proud of these people if they actually stood up for their people and quit justifying not doing so with catcalls of "Bakistan, Iran, strategic balancing, etc." If they just took some pragmatic and honest steps and took complete personal responsibility for governance that would impress a whole lot of folks.

We would all follow you if you just for heavan sakes spoke up and made it clear that Afghanistan has its own culture, its own religion, its own right to complete autonomy and stood firm. As Mostafa said - why should Karzai and others present this aid and support in light of "we Afghans too suffered at the hands of islamic fundamentalists and now come here and impose a completely different system" as opposed to reparations for all the interventionalism and misery these various empires bought to the Afghan doorstep?

A great leader should take a humanistic stance on all of this. Karzai's brother Qayum has an American citizenship and should try his best to now let his ethnic or national brethren be used as cannon fodder against eachother.

Bottom line Comrade - we need honesty and pragmatism and the Afghans need folks like you to not worry so much about how many G8 portfolios come to Afghanistan's doorstep but rather about standing up for all Afghans of every stripe and persuasion.

This pragmatism has to be coupled to a complete understanding of history and how great nations are never born indebted to other nations. Great nations are built with a nidus of hope and centuries of hard work.

I have read your past work here and I very clearly know that you have the capability of honest and pragmatic assessment.

[ComradePashtun]

Thank you BA, that is spot on. I fully agree, and please by no means my general stand on issues should be taken for defending Karzai, his ways as you have so nicely put or his cronies.

[khushal]

BA, the Daud Khan Hospital scandal was widely reported on by the media last year or sometime back. Both of the cases I came to know about through media myself, but I will provide a reference when I stumble across it.

Khushala, you are a plain idiot about you guys, what are you idiot implying?

Dont you understand anything dumnbshyt. Your the one throwing insults every time I criticize the Afghan Government so that makes it "you guys." The funds that build roads and other projects are funneled through the NGOs. They give it to the contractors in exchange for comleted projects. The Governor harasses the contractors and construction crews until they get paid a percent of the contract. The governor is supposed to assist in the rebuilding, not putting roadblocks and obstacles for progress you incompetent fool. You cant pin that on America(even though their are Americans that are fleecing the whole Aid package and spending in other areas), Thats "you guys."

Here is the Daud Khan Hospital scandal:

http://www.alarabiya.net/articles/2012/07/29/229156.html