Friday, October 10, 2008

Day 146: Patience is a virtue

An Afghan National Army recruit is finger printed so sign for his equipment. (Photo by G. A. Volb)


But their first step is determining boot size. Here the recruit has his boot size written on his hand. (Photo by G. A. Volb)

It’s 90 degrees in the shade as some 90-plus new Afghan National Army recruits make their way into Kabul Military Training Center’s in-processing building here.

Like the practice stateside, recruits fill out paperwork, have their educational history reviewed, and are given a physical to ensure they can handle the rigors of army life.

To ensure the process of inducting a healthy force into the ANA has the best chance of succeeding two American Air Force mentors routinely observe their methods, offering feedback and advice honed over the years to help make it all more efficient and effective. And patience throughout is very much a virtue ... something those in the west find hard to understand sometimes.

“I work directly with the medical providers and quartermaster to coach them in anticipating their logistics and administration requirements,” said Maj. Ron Greenaway, a medical administrator and chief of medical manpower for Headquarters Air Combat Command at Langley Air Force Base, Va., now serving an Army “in-lieu-of” deployment here. “Logistics is probably the most challenging aspect of their system.”

Greenaway has already noticed some improvement since his arrival in February though. “The ANA medics now routinely process recruits for induction without relying on mentors for direction,” he said. “They have completely taken over the vaccine administration process and require very little in the way of direction from us to maintain the process. Our goal now is to refine and streamline their procedures, while adding additional disease screenings.

“In the short term, we’d like to establish a more robust disease screening process and build complete medical records during in processing,” said Greenaway. “Long term, we’d like to improve their logistics processes – helping them to anticipate needs and address them before they become emergencies.”

“Infection control,” is another priority, said Capt. Matt Hayes, physician mentor at the in-processing center. “We want to begin working on standard precautions like hand washing, wearing gloves, and disposing of needles properly.

Hayes, who is deployed here from Charleston Air Force Base, S.C., where he’s a primary care physician with the 437th Medical Group said “their medical technicians have already begun wearing gloves on a consistent basis during immunizations,” which is a step in the right direction.

The quality of the ANA starts with recruiting, emphasized Greenaway. “As their screening process becomes more robust, efficient and effective, the already high caliber of recruits will improve.”