War is an art of destruction and one has to just have one look at Kabul and any misconception on war would be dispelled. Though USA pledged to help in rebuilding the nation that it destroyed, the development of infrastructure is not a one day event and demands a lot of time and financial resources (Gruskin, Grodin, Annas & Marks 2005). Furthermore, since the US is under no obligation to help in rebuilding Kabul, the current financial crisis that has worst hit the US and the rest of the first world nations may lead to a change in stance.
Before the war Kabul could be considered an averagely developed city with infrastructure that would be considered normal for a third world city. After the war, Kabul became the Mogadishu of the Far East as destruction was widespread and roads reduced to oblivion. Buildings and medical institutions were also destroyed in the confusion that characterized destruction from both Taliban and Allied forces (Gruskin, Grodin, Annas & Marks 2005). Rebuilding Kabul is thus mostly about restoring infrastructure that is important in ensuring medical services are easily assessed.
Infrastructure is also important in attracting expertise and support services that are relevant to efficiency in delivery of medical services. Management of medical services is also made easy by well developed infrastructure which ensure ease and professionalism in medical service delivery. Socio-Economic Conditions The first and third world are classifications made on the basis of socio-economic standards. Socio-economic conditions in the third world are far different from those in the first world.
Afghanistan as a nation was faced by the usual problems and challenges that third world nations have to deal with before the invasion. Poverty and inequalities in economic and political power are some challenges that the country was faced with; the invasion of the US only served to complicate the socio-economic conditions. Statistics show that there is a high correlation between access to medical services and individual socio-economic status (Gruskin, Grodin, Annas & Marks 2005).
One of the most common feature of medical service provision in Kabul is the levels with which curative medicine is given precedence over preventive health. This is blamed on limited healthcare resources that cannot accommodate the large number of patients and therefore the immediate and logical approach is to deal with adverse medical conditions. In the end, little or no resource is left for preventive healthcare which is a central facet of healthcare delivery. A common feature of wars is increase in social vices. Prostitution is one of the most common immoral practice in times of war as people try all they can to survive.
Increase in levels of STIs therefore characterize after war environment and complicates healthcare delivery as the system is often under pressure. Cultural Differences American and Arabic culture have always been at logger heads; this is complicated by a large number of terrorist arising from Arabic nation and treatment of Arabs with suspicion (Gruskin, Grodin, Annas & Marks 2005). The differences are made complex by the different religious beliefs adopted by a majority of Americans and native Afghans (Gruskin, Grodin, Annas & Marks 2005).
Even with proper preparation differences in culture and religion always manifest themselves negatively in one way or the other. Cultural issues often pose problems in management of healthcare systems, in that staffing a program with members of one society presents a problem in delivery of program objectives if it addresses members of a different society. On the other hand, management of a program that is staffed with members of different communities or nationalities presents a problem in developing synergy and minimizing conflicts that define such compositions.