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Health sector development in Afghanistan: the way forward.

OVERVIEW Health sector development is a critical component of nation-building and a cornerstone of any exit strategy for US and coalition forces in Afghanistan. The current fragmented organizational structure of military health care assets is not conducive to comprehensive development efforts. 1 Centralized planning and direction are essential to unity of effort and a necessary ingredient to the coordination of health sector development in Afghanistan. An organizational structure is needed that enables leaders with vision to vector military health sector strategy development. The direction must be aligned with the Afghan National Development Strategy, civilian organizations, and coalition partners operating throughout the theatre. As a lesson for future nation-building operations and reinforcement of the concepts outlined in this paper, Jones et al 2 observed that successful health sector development efforts must include effective planning, coordination, and leadership. The price of failure to act can be quantified not only in fiscal and material terms, but in human tragedy as well.