http://www.nytimes.com/2015/05/03/world/middleeast/maimed-defending-afghanistan-then-neglected.html?hp&action=click&pgtype=Homepage&module=first-column-region&region=top-news&WT.nav=top-news&_r=0
LASHKAR GAH, Afghanistan — Saheb had a problem: His left leg had been
blown off by a Taliban bomb and he could not afford a prosthesis. He
also had a solution: His 11-year-old daughter, Noor Bibi, whom he sold
last year for $3,000 to pay for a new leg. Saheb is among the tens of
thousands of soldiers and policemen who have been wounded fighting for
the government in the country’s long-running civil war. Faced with
inadequate or nonexistent official support, many are resorting to
desperate measures to survive.

Others who are getting support find themselves on the margins of a
society that treats people with disabilities as outcasts.

In a war with a fatality rate that rises each year, the number of
those who survive attacks but are disabled permanently is soaring as
well, overwhelming the resources available from the Afghan government
and charitable organizations. Even by the most conservative estimate,
Afghanistan has 130,000 disabled people who had served in the police
or other security forces, 40,000 of whom had amputations, according to
government figures for those receiving pensions. The total is almost
certainly much higher because the government releases no figures on
disabled former members of the regular military.
Many, like Fardeen, 24, a former police sergeant who lost his right
leg below the knee to a Taliban bomb in 2013, which also destroyed his
left ankle and foot, do not get even the meager pensions to which they
are entitled.

Fardeen, who like many Afghans uses one name, instead waits until dark
and then rolls his wheelchair into the heavy evening traffic in the
Macrorayan neighborhood of Kabul to beg — while praying that none of
his former colleagues see him.

“Sometimes I hear the girls in the cars saying, ‘Look at that handsome
young man. Why is he begging in the street?’ ” he said, sitting with a
blanket over his legs. “They don’t see what’s down there.”

The scope of the problem is daunting. In just one fighting season here
in the southern province of Helmand last year, a single Afghan police
battalion, the 2nd Police Battalion in Sangin, had 154 men disabled by
their wounds — out of 344 in all, according to Dr. Abdul Hamidi, head
of the Helmand Police Clinic. “This year is worse than all previous
years; it’s really bad,” Dr. Hamidi said in December.

Most of the seriously wounded men come to the Emergency Hospital here,
run by an international aid group based in Italy. Many of the wounded
expressed anger with what they said was a lack of help from the
central authorities.

“The government is only a government in name — they will not give me
anything,” said Mohammad Qassim, 28, who lost his right leg in a
bombing in Marja, where he was an officer with the Afghan Local
Police, a militia nominally under the command of the central
government. Both his brothers are also militia members who have
received nothing from the government after being wounded. “With the
Taliban, if one Talib dies they give 15,000 afghanis to the family a
month for two years. Our government is weaker than the Taliban.” That
pension would be about $275 a month.
Police or army who are disabled are supposed to get a pension equal to
their last salary for life. Survivors of those who are killed should
get the same pension. But a combination of corruption, mismanagement
and daunting bureaucracy keeps many from getting paid.

Officers with the Afghan Local Police, who are paid by the government
for fighting, get nothing when they are wounded, even though they have
a disproportionately high share of casualties in places like Helmand,
where fighting is intense.

That is why Saheb, who also has one name, found himself so desperate.
An Afghan Local Police commander in Paktika Province, Saheb was
wounded when his vehicle hit a land mine while in pursuit of Taliban
fighters. Months after his injury, he had stopped receiving his salary
and he was not entitled to a pension.

In Kabul and at six other locations around the country, the
International Committee of the Red Cross runs rehabilitation centers
that fit prostheses for free, teach patients how to walk again and
provide job training. But Saheb could not afford transportation to go
to the nearest center, in Kabul, and to stay there for the months of
therapy he would need once he got a prosthesis.

“It was a very sad moment for me,” he said. “And it was a very sad
moment for her as well,” he added, referring to his daughter, Noor
Bibi. The girl was unhappy about being sold for marriage, he said, but
“in Pashtun society, when the father wants something, the daughter has
to give it, even if she is not happy.”

Saheb was not happy either. “Selling my daughter was worse than losing
my leg,” he said. After getting his new leg in Kabul, Saheb returned
to his village in Paktika Province, where he remains jobless.

Alberto Cairo, who runs the orthopedic rehabilitation program for the
Red Cross, said there were plenty of facilities to help Afghanistan’s
wounded with rehabilitation. But what is more difficult, he said, is
helping people survive in communities where wheelchair ramps and other
accommodations are unknown or impractical, and where they often find
themselves shunned.

Fardeen, the former police officer, says that is what befell him. His
wife took their two children and left, and his father threw him out of
his house. He burst into tears telling his story. “I live in a hell of
difficulties,” he said.

Officials at the Ministry of Labor, Social Affairs, Martyred and
Disabled said they had no record he had ever applied for his pension.
Fardeen said that he had, but had never received the money.

It is a common complaint, and the Afghan government’s chronic
financial problems over the past year have meant that payments are
often late and the processing of applications is slow. Disabled
officers from the national police and soldiers with the regular army
should receive a 100 percent pension, and qualify for preferential
treatment for scholarships and other benefits. But even those who
qualify often complain of random and missing payments.

Continue reading the main story

Continue reading the main story

Regular Afghan National Army soldiers tend to fare better than the
police, and unpaid pensions are less of a problem for them. The
treatment they get at the country’s main military hospital in Kabul is
far better than policemen can hope to find in ordinary hospitals. An
entire ward is set aside for those who have had recent amputations.
Soldiers there praised their medical treatment, but many said they
felt neglected by the society they served.

“There’s no sense of appreciation in Afghanistan for what we have done
and the sacrifices we have made,” said Sgt. Hashmatullah Barakzai, 26,
a special forces soldier who was attacked while on leave by an
insurgent who threw a grenade into his home, costing him his right
leg. He was engaged when that happened; his fiancée broke it off at
her family’s insistence, he said.

The police and soldiers, as bad as their problems are, represent only
a small portion of Afghanistan’s disabled population. Nearly four
decades of war have left an estimated 3 million people disabled, said
Abdul Khaliq Zazai, executive director of Accessibility Organization
for Afghan Disabled. The figures include mental and physical
disabilities, and encompass both civilians and security forces.

Civilian victims are entitled to government pensions of just $100 a
month. Those who receive them are only a fraction of the total; nearly
300,000 such pensions are being disbursed.

Many Afghans have disabilities that are not immediately visible, Mr.
Zazai said, citing severe mental problems from trauma. One woman had
severe burns, he said, and was ashamed to show anyone her wounds.
“There are many such cases.”



Jawad Sukhanyar contributed reporting from Kabul, Afghanistan.

A version of this article appears in print on May 3, 2015, on page A6
of the New York edition with the headline: Maimed Defending
Afghanistan, Then Neglected .


-- 
Avinash Shahi
Doctoral student at Centre for Law and Governance JNU



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