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简介：A nurse weighs an Afghan child at a U.S.-funded clinic in Farza, Afghanistan, in September. A new U.S.-sponsored survey shows dramatic gains in life expectancy and other aspects of health care in Afghanistan. But some experts are questioning the accuracy of the results.

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Dr. Mohammad Rasooly
Ken Yamashita
USAID
But defenders of the study say people can't believe the numbers because they've gotten used to thinking that Afghanistan is hopeless. Dr. Mohammad Rasooly says health is improving in many different ways. He was lead technician from the Afghan side on the survey. For instance, if we consider only the example of midwife, 10 years back we had only 400 midwife at the national level. So today, we have more than 3,000. So this is very important for maternal care. Also, new paved roads mean a journey to the clinic takes hours instead of days, says Rasooly. Widespread mobile phones help people call for assistance. Dr. Rasooly says the survey's margin of error is pretty big, but he has no doubt health is much better now than 10 years ago. It's not about knowing the exact number, says Ken Yamashita, USAID mission director in Afghanistan. We're quite confident of the numbers. In the end, it's a survey, and so, any survey has an error margin. Yamashita says the new mortality survey is the best ever done here, but it will take more studies like this one some years down the road to do a comparison and establish a trend. What it represents is a more representative survey on the one hand, and two, a very real improvement in health. So while the experts debate whether life expectancy could have really jumped 20 years since 2004, doctors now have a better baseline. And even the most optimistic numbers still show that Afghanistan will need help for many years to improve the health of its people. On that, at least, all the experts agree.