NATO/ISAF UNCLASS

ENABLE ANSF Health System

22

NATO/ISAF UNCLASS

LOE 2 – ANSF Health Development

Medically proficient ANSF

ENABLE

G1 G2 G3

2 Nov – 30 Nov 1 Dec – 31 Dec 10 1 Jan – 30 Jan 1 Feb – 15 Mar

D1 D2

S3

P1 P2

Define roles and responsibilitiesDetermine mentor/partner coverageProvide training guidanceMonitor and assess development Review metrics and revise program

S2

Publish SOP & Conduct SAVs

Develop Comprehensive SOP

Gather Information

Staff SOP with Stakeholders

• F

un

ctio

nal

Lea

der

ship

• P

rofe

ssio

nal

Ad

vice

• S

taff

Su

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ort

an

d

PROJECTSPROJECTS

2. ENABLE ANSF Health System Corps & Below

Program Management

G

D

S

P

Gather Info: 1 – NTMA & ISAF 2 – ADAB 3 – Select RC’s Develop SOP:

1 – Begin SOP 2 – Draft 1 3 – Draft 2

Staff SOP: 1 – Socialize Assess Tool w/IJC 2 – Staff w/RC(E) & RC(S) 3 – Staff w/RC(SW) & RC(N) 4 – Final staff reviews

Publish & Train: 1 – Publish FRAGO w/SOP 2 – RC SAV’s 3 – ANSF Dev Conf

D3

S4

P3

S1

NATO/ISAF UNCLASS

ANA OMLT Medical Mentoring Requirement Summary

ANA Mentoring Structure - Corps Officer EnlistedCorps HQ's 1 x Medical Officer (OF3-4) Corps CSS Battalion 1 x Medical Service Officer (OF2) 1 x Medical NCO (OR5) Corps Artillery Battalion 1 x Medic (OR6)Brigade HQ's (3 - 4 per Corps) 1 x Medical Service Officer (OF2) 1 x Medical NCO (OR7) Briagde Garrison Spt Unit 1 x Medical Service Officer (OF3) Infantry KANDAK ( 4 per BDE) 1 x Medic (OR6) CS KANDAK 1 x Medic (OR6) CSS KANDAK 1 x Medical Service Officer (OF2) 1 x Medical NCO (OR5)

Total 11 - 14 Officers 23 - 30 NCO's

Summary: 1 Medical Officer 7 - 9 Medical NCO's10 - 13 Medical Service Officers 16 - 21 Medics

Division HQ's 1 x Medical Officer (OF3-4)

Brigade HQ's (2 per Div) 1 x Medical Service Officer (OF2) 1 x Medical NCO (OR7)

Infantry KANDAK ( 4 per BDE) 1 x Medic (OR6) CS KANDAK 1 x Medic (OR6)

Total 8 15

Summary: 1 Medical Officer 5 Medical NCO's

Infantry KANDAK Medical Platoon Personnel Tashkil AUTH

Medical Platoon Leader 1Medical Platoon Sergeant 1Field Surgeon 1Physician Assistant 1Health Care Sergeant 3Health Care Specialist 3Emergency Care Sergeant 2Ambulance Aide / Evacuation Specialist 2Ambulance Aide / Driver 4Trauma Specialists 3Trauma Specialists 9

TOTAL 30

Partnered units are vital to successful

development

NATO/ISAF UNCLASS

ANA Medical Capability Statement

ANA MEDICAL CAPABILITY: a garrison-oriented but mobile, non-expeditionary defense force medical support capability that:

• provides primary health care, which includes routine sick call and management of minor sick and injured personnel for immediate return to duty.

• performs triage, specialized first aid, resuscitation and stabilization.• reduces the incidence of disease and non-battle injury in the force through

good sanitation, hygiene, and preventive health measures.• performs casualty collection from the point of injury, primarily by ground

evacuation.• prepares casualties for evacuation to a higher level medical treatment facility

by ground or pre-coordinated air evacuation. • provides minimal patient holding capacity, primary dental care, and basic

laboratory testing. • performs health service support planning functions to support their

Commander’s tactical plan.• provides basic occupational and preventive medical advice to the chain of

command.• coordinates and participates in medical disaster and major incident

response activities.

NATO/ISAF UNCLASS

ملی تشریح اردود قدرت صحی د : حرکت د چه دګارنیزون قدرت صحی اردو او پهدملی ملاتر صحی د قوتونو دفاعی د او کی تیا پیاوخت ده په ور دول لاندی :

ول برابر اسانتیاو صحی د, د برابول ناجوریو غورو د او ویل ناجوری دوامداره د شاملوی چهشی ستانه ته دنندی خپلی دوی چه توگه عاجل په پاره د کسانو .زخمی

, , استواروالی او نجات مرستو امرنیو د مخصوصا ارزیابی چارو صحی .د

ساتل پاک خای د زخمیانو بغیر نه محاربی د قوتونو د او کموالی پیشو د ناروغیو ددی ساتل معیارو صحی د او نظافت او پاکی بدن د .او

, په کول تصفیه سیمی د توگه خاصه په غوندول را تپیانو د کی جمله په تافاتو ددول .اساسی

خخه الری له هوا یا مخکی د دپاره چارو صحی دپرمختللو کول اماده تلفاتو .د

, , معایعنات البراتواری ساده او تداوی غاشو د دایمی خای تاکلی پاره د مریضانو د

دی مالتر پالن د چارو تخنیکی د قومندان د مالتر پالن د اسانتیاو د چارو صحی .و

لورو د قومندانی د الرشوونی پاره د مخنیوی د ناروغیو او کری زده مسلکی سادهپاره د .چارواکو

وخت په حادثو لویو او کی وخت په افاتو صحی د اخیستل برخه او کول هماهنکفعالیتونه کی

Pashtu – ANA Medical Capability Statement

NATO/ISAF UNCLASS

اردوی طبی های توانمندیافغان ملی

: شکل به اما فرقه یک صحییه مشابه افغان ملی اردوی طبی های توانمندی شرح : که باشد نمی دفاعی نیروی جزتامهای صحی توانمندی حمایه به وابسته اما سیار،

تداوی • و وقته همه معاینات شامل که مینماید فراهم را ابتدائی صحی های کمکوظیفه به عاجل عودت برای پرسونل و ها زخمی تداوی و جزئی های مریضی

میباشد.به • و تنفسمصنوعی دادن صحی، اولیه های کمک مقدماتیصحی، ارزیابی اجرای

مریضها اوردن ثبات حالتوسطحفظ • قطعات در را محاربوی غیر های زخم و مریضی حوادث کاهشدادن

. صحی وقایوی تدابیر و نظافت خوب، الصحهطریق • از ابتداء گرفته، جراحتصورت که نقطه از ها زخمی آوری جمع اجرای

. زمینی صحی تخلیهذریعه • باالتر سطح های شفاخانه مریصبه انتقال برای مجروح نمودن آماده

. هوائی شده همآهنگ انتقال یا زمینی ترانسپورتتست • و دندان، ابتدائی تداوی مریض، داشت نگاه محدود ظرفیت نمودن فراهم

ابتدائی البراتواری هایقوماندان • تکتیکی پالنهای برای صحی حمایه گذاری پالن وظایف تهیهقوماندانی • برای وقایوی و معالجوی ابتدائی های مشوره تهیه•. عمده حوادث و حوادتصحی با مقابله های فعالیت در اشتراک و همآهنگی

Dari – ANA Medical Capability Statement

NATO/ISAF UNCLASS

ANP Medical Capability Statement

ANP MEDICAL CAPABILITY: medical support capability that:

• provides specialized first aid, triage and evacuation of casualty from point of injury to an appropriate medical treatment facility.

• relies primarily upon the civilian health sector capability and capacity, but is also supported by ANA medical capability.

• reduces the incidence of disease and non-battle injury through good sanitation, hygiene, and preventive health measures.

• provides basic occupational and preventive medical advice to the chain of command.

• coordinates and participates in medical disaster and major incident response activities.

NATO/ISAF UNCLASS

ملی تشریح پولیسود قدرت صحی د• : پولیسودملی حرکت د چه دګارنیزون قدرت صحی پهصحی د قوتونو دفاعی د او کی وخت

او او ده په تیا پیاورملاتر دول لاندی :• محل د کسانو تپی د انتقال د تلفاتو د او مرستو لمرنی د

ته مرکز اسانتیاو د چارو صحی معین یو تر .خخه• پر خای او توان برخی صحی کسانو ملکی د چه ولری یاد په

کیزی مالتر په توانیدولو صحی د اردو ملی د کول .خای• بغیر نه محاربی د قوتونو د او کموالی پیشو د ناروغیو د

د او نظافت او پاکی بدن د او ساتل پاک خای د زخمیانودی ساتل معیارو .صحی

• پاره د مخنیوی د ناروغیو او کری زده مسلکی سادهپاره د چارواکو لورو د قومندانی د .الرشوونی

• او کی وخت په افاتو صحی د اخیستل برخه او کول هماهنکفعالیتونه کی وخت په حادثو لویو

Pashtu – ANP Medical Capability Statement

NATO/ISAF UNCLASS

پولیس طبی های توانمندیافغان ملی

: طبی حمایه ظرفیت افغان پولیسملی طبی توانمندی: میباشد ذیل های توانائی بر شامل

های • ارزیابی تخصصی، اولیه کمکهای نمودن فراهمبه حادثه محل از مجروحین انتقال و تخلیه طبی، مقدماتی

تداوی جهت مناسب کلینیکامکانات • به پولیسعمدتا_ خدمات، این نمودن فراهم در

نیز ملی اردوی امکانات از ولی بوده متکی ملکی طبی. مینماید استفاده

طریق • از محاربوی غیر جراحات امراضو کاهشموارد. وقایوی تدابیر و الصحه حفظ نظافت، رعایت

سلسله • به ابتدائی مشوره و معلومات نمودن فراهموقایوی طب و وظیفه محل در صحت مورد در مراتب

های • مصیبت به مربوط فعالیتهای در سهمگیری و تنظیم. عمده حادثات به جوابگوئی و صحی

Dari – ANP Medical Capability Statement

NATO/ISAF UNCLASS

Assessing Health Development

• 4 Key Objective Metrics– Personnel Fill – Auth vs On-Hand

– Personnel Individual Training – On-Hand personnel minimum required skills training or experience

– Equipment Fill – Auth vs On-Hand

– Collective Training – Go/No-Go/NA Assessment

• Objective Metrics feed Subjective Rating Definition Level (RDL)

• Rollups into a Health Development “Dashboard”

• Highlights those units and areas that need focused attention

NATO/ISAF UNCLASS

Medical Assessment Definitions

Status NEAR MID LONG TOTAL PERS EQUIP TRAIN

Not AssessedNA NA NA NA NA NA NA

Established<50% <50% <50% <50% <50% <50% <50%

Developing

<70% <70% <70% <70% <70% <70% <70%

Effective w/Assist<85% <85% <85% <85% <85% <85% <85%

Effective w/Advice

<95% <95% <95% <95% <95% <95% <95%

Independent

<=100% <=100% <=100% <=100% <=100% <=100% <=100%

Target timelines 3 - 9 months9 - 12

months12 - 18 months

RDL 2: Capable of utilizing ANSF medical systems to provide Role 1 medical care to unit personnel with minimal assistance.

RDL 1: ANSF unit is planning, leading, and conducting the full spectrum of its missions with occassional, limited staff assistance, occassional limited support, and Joint Enablers from Coalition Forces or ANSF.

RDL 5: Not capable of providing Role 1 medical care to unit personnel even with partnered unit.

RDL 6: Not Assessed

RDL 4: Adequate capability of providing Role 1 medical care to unit personnel but dependent on partnered unit presence/assistance.

RDL 3: Capable of providing Role 1 medical care to unit personnel with mentor assistance only.

ANA RATING DEFINITION LEVELSOBJECTIVES & RESOURCE RATINGS LEVEL

Expressing degrees of operating INDEPENDTLY

NATO/ISAF UNCLASS

ANA Collective Training Tasks Summary & Density Plot

End state: An independent and skilled ANSF Health Service Support System providing sustainable healthcare to its ANSF forces.

Medical Logistics1. Provide Medical Supply Support

Supervise Supply Ops

Request Additional Supplies

Receive Supplies

Issue Supplies

Perform Emergency Resupply

N – Near TermM – Mid TermL – Long Term

Preventive Medicine

1. Perform Field Sanitation

2. Supervise Prev Med Ops

3. Perform Pest Control Ops

Command & Control

1. Supervise Health Spt Ops

2. Coord Med Regulating Ops

3. Coord Med Log Spt

4. Coord Health Spt Ops

5. Develop Health Ops Estimate

6. Develop Medical Disaster Plan

Evacuation

1. Provide Ground Evac

Prepare Patient for Evac

Perform Evac

Prepare for Next Evac

Conduct Evac Exchange Point

Treatment

1. Treat Casualties

2. Provide Emergency Treatment

3. Provide Sick Call Services

4. Provide Patient Hold

MedicalLogistics5 Total Tasks

Evacuation4 Total Tasks

Command &Control14 Total Tasks

Treatment17 Total Tasks

1 0

3 6

1 1

5 9

2 0

PreventiveMedicine9 Total Tasks

4

2

0

15

0

491221 16Near 3-9 Months Mid 9-12 Months Long 12-18 Months

NATO/ISAF UNCLASS

ANP Collective Training Tasks Summary & Density Plot

End state: An independent and skilled ANSF Health Service Support System providing sustainable healthcare to its ANSF forces.

Medical Logistics1. Provide Medical Supply Support

Request Additional Supplies

Receive Supplies

Perform Emergency Resupply

N – Near TermM – Mid TermL – Long Term

Preventive Medicine

1. Perform Field Sanitation

Command & Control1. Develop Medical Disaster Plan

Evacuation

1. Provide Ground Evac

Prepare Patient for Evac

Perform Evac

Treatment

1. Treat Casualties

2. Provide Emergency Treatment

MedicalLogistics3 Total Tasks

Evacuation2 Total Tasks

Command &Control1 Total Tasks

Treatment12 Total Tasks

0 0

1 0

0 0

0 1

0 0

PreventiveMedicine1 Total Tasks

3

2

0

12

0

19117 1Near 3-9 Months Mid 9-12 Months Long 12-18 Months

NATO/ISAF UNCLASS

SAMANGAN

HELMAND

ZABOL

KANDAHARNIMRUZ

DAIKONDI

ORUZGAN

BADGHIS

HERAT

GHOWR

FARAH

BAGHLAN

BADAKHSHAN

TAKHARKONDUZ

SAR-E POL

FARYAB

BALKHJOWZJAN

BAMIAN

GHAZNI

PAKTIKA

PAKTIA

NANGARHAR

KHOST

PARWAN

WARDAK

LOW

GAR

KONAR

NURESTAN

LAGHMAN

PANJSHER

KAPISA

1*

HQ

H

CAP

NEAR MID LONG TOTAL PERS EQUIP TRAINLOGISTICS 55% 75% 20% 60% 58% 37% 83%PREV MED 45% 39% 53% 48%

EVAC 44% 59% 5% 43% UNIT RDLC2 68% 56% 42% 49% RDL5

TREATMENT 65% 38% 0% 60%OPERA

TIONA

L GO

ALSANA Unit: 205 Corps Rollup

OBJECTIVES RESOURCES

NEAR MID LONG TOTAL PERS EQUIP TRAINLOGISTICS 55% 75% 20% 60% 58% 37% 83%PREV MED 45% 39% 53% 48%

EVAC 44% 59% 5% 43% UNIT RDLC2 68% 56% 42% 49% RDL5

TREATMENT 65% 38% 0% 60%OPE

RATI

ON

AL

GO

ALS

ANA Unit: 215 Corps RollupOBJECTIVES RESOURCES

NEAR MID LONG TOTAL PERS EQUIP TRAINLOGISTICS 55% 75% 20% 60% 58% 37% 83%PREV MED 45% 39% 53% 48%

EVAC 44% 59% 5% 43% UNIT RDLC2 68% 56% 42% 49% RDL5

TREATMENT 65% 38% 0% 60%OPER

ATIO

NAL

GOAL

S

ANA Unit: 209 Corps RollupOBJECTIVES RESOURCES

NEAR MID LONG TOTAL PERS EQUIP TRAINLOGISTICS 55% 75% 20% 60% 58% 37% 83%PREV MED 45% 39% 53% 48%

EVAC 44% 59% 5% 43% UNIT RDLC2 68% 56% 42% 49% RDL5

TREATMENT 65% 38% 0% 60%OPER

ATIO

NAL

GOAL

S

ANA Unit: 207 Corps RollupOBJECTIVES RESOURCES

NEAR MID LONG TOTAL PERS EQUIP TRAINLOGISTICS 55% 75% 20% 60% 58% 37% 83%PREV MED 45% 39% 53% 48%

EVAC 44% 59% 5% 43% UNIT RDLC2 68% 56% 42% 49% RDL5

TREATMENT 65% 38% 0% 60%OPER

ATIO

NAL

GOAL

S

ANA Unit: 201 Corps RollupOBJECTIVES RESOURCES

NEAR MID LONG TOTAL PERS EQUIP TRAINLOGISTICS 55% 75% 20% 60% 58% 37% 83%PREV MED 45% 39% 53% 48%

EVAC 44% 59% 5% 43% UNIT RDLC2 68% 56% 42% 49% RDL5

TREATMENT 65% 38% 0% 60%OPER

ATIO

NAL

GOAL

S

ANA Unit: 203 Corps RollupOBJECTIVES RESOURCES

Theater RollupNotional

NATO/ISAF UNCLASS

Questions