Insecurity and Political Instability

A lesson that can be learned from modern warfare is that return to normalcy may take a number of years as wars are won but battles go on. In general, most wars are about ideologies and have a high degree of complexity (Gruskin, Grodin, Annas & Marks 2005). Kabul is characterized by high level of insecurity as a number of cases involving violence against foreigners have been reported (Gruskin, Grodin, Annas & Marks 2005). Though the Taliban were defeated, their activities are still underground and their operations exhibit pinpoint accuracy.

The government put in place was mainly developed by the US and is yet to be adopted by all Afghanis. In an environment characterized by high levels of instability and political unrest the development of objective medical policies is a key challenge, attracting professionals and other support service providers difficult as their well-being is not guaranteed. Moreover, low standards of living makes Kabul one of the least preferred destinations for medical practitioners (Gruskin, Grodin, Annas & Marks 2005).

A majority of professionals in Kabul escaped war thus there is a gap in service demand and the resources availability that would ensure demand is met (Gruskin, Grodin, Annas & Marks 2005). Risk Assessment Provision of medical services and its management in Kabul is not only risky but also challenging. A key risk factor is the high level of insecurity and instability. The number of cases where entities outside Afghanistan are attacked have decreased considerably.

Normalcy is slowly returning as systems are being developed to ensure basic social services are provided to Afghanis. The financial recession that the US is currently faced with may pose a risk to normalcy since the US has played a major role in development made towards achieving normalcy. However, the threat of recessions that the US economy is faced with is slowly receding and therefore the probability that the US government will reduce its contribution to the development of Afghanistan is lows.

Another key area of concern is the socioeconomic problems that characterize Kabul. The postwar environment is characterized by high levels of strife as people strive to survive, In such an environment it is almost impossible for the public to focus on the development and implementation of preventive healthcare policies. This presents a key risk in that the development of preventive healthcare is important in ensuring high levels of efficiency in delivery of medical services.

The problem is compounded by government policies that promote poor allocation to preventive health as more focus is placed on the development of infrastructure and preventive healthcare. However, there have been remarkable developments achieved in rebuilding Afghanistan thus there is little worry on manifestation of the problems at higher levels than has been experienced already. If the developments achieved are to projected into the future and the effects of the economic crisis assumed to be negligible, there is little doubt that the threat posed by socio-economic conditions is manageable.

The elect US president and government are expected to develop mechanisms that will ensure the financial crisis and economic problems are addressed amicably thus the future effects of the crisis on socioeconomic conditions in Kabul is negligible. It is incorrect to expect that the effects of the crisis on Afghanistan are major since the social infrastructure and economic system were poorly developed and therefore the economic crisis which has hit developed economies the most has had little effect on the socioeconomic situation in Kabul.

Cultural and religious differences present the most risk in management and delivery of medical services in Kabul. Cultural differences are inherent of the people and there is little that can be done to avert the risk that the different cultural and religious backgrounds pose to medical services. It is worth noting that Kabul has a medical problem and the challenges that they are faced with can only be addressed with the intervention of medical expertise from outside Afghanistan due to their inadequacies.

On the other hand, the UN has been a key player in provision of medical services to Kabul and if success that has recorded is anything to go by, manifestation of cultural differences has been limited. This may be due to the position that Afghanis are in where they have limited options and they can therefore not afford to be choosy. However, it is human for one to develop opinions and attitudes with increase in freedom and therefore as the situation gets better as it is expected, problems and challenges relating to cultural and religious differences may crop up thus this risk has to be looked into.