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International Military Medical Engagement with the Indigenous Health Sector – Afghan Security Forces Medical Services
  1. Colonel Martin CM Bricknell, L/RAMC, Medical Director1 and
  2. E-J Grigson, Corps Surgeon Mentor2
  1. 1Headquarters Region Command (South), Operation HERRICK, BFPO 772
  2. 2205 (Hero) Corps, Kandahar
  1. HQ Land Forces, Army Medical Directorate, Ramillies Building, Marlborough Lines, Andover, Hampshire SP11 8 HJ martin{at}


This paper presents observations from the engagement of international military medical services with the Afghan security forces medical services. It starts by presenting a model for understanding the health sector of a country in crisis. It then summarises the efforts to develop the medical services of the Afghan National Army (ANA) and Afghan National Police (ANP) since 2001. The paper focuses on experiences and observations at the operational and tactical level from our engagement with the Afghan security forces in 2009/10. The paper concludes with examples of practical challenges and solutions in developing capacity and capability for the medical services of the ANA and ANP in the Southern region of Afghanistan.

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