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It is not hard to see why Alla Gul is upset. Her two-year-old daughter cries weakly in her arms with barely enough energy to eat.
The child stares vacantly at the other patients in the Charikar hospital ward, her muscles wasted with malnutrition, her angular bones protruding like twigs beneath her papery skin.
When Alla Gul returned with her family from a refugee camp in Iran six years ago to Afghanistan, they expected better things.
"It's indeed very difficult. For months, we haven't been able to afford to buy meat for our children. It's very painful to watch," she said.
Alla Gul says she never wanted handouts. But she and her husband - a contract farmer who gets a portion of the produce from the land he works - always believed they would lead a comfortable life.
Now, he simply can't earn enough to feed the family.
Dr Aslam Fawad is despairing. Each day he walks the malnutrition ward, watching more and more patients arrive from across this otherwise fertile farming district.
Poverty is so deep that even many farmers are unable to feed their families.
Dr Fawad does his best to help, but the dire state of the economy means that some patients keep returning, time after time.
"The malnutrition problem in Afghanistan, and especially Parwan province, is very bad. That's because of the years of fighting, the damage to our infrastructure and rising unemployment.
"It's all helped to make things worse," he said.
Deep discontent
The statistics bear him out: officially, unemployment is about 40%, though it is probably far higher than that; of those who do have a job in Parwan, 45% earn less than one dollar a day; chronic malnutrition for children under five across Afghanistan is 54%.
And perhaps most surprising of all, on a UN scale of human development indicators, Afghanistan has slipped from 117th in the world, to 181st - second from the bottom - since the Taliban were ousted.
Professor Sayed Massood, an economist from Kabul University, believes that backsliding is responsible for much of the deep discontent with the government, and growing support for the Taliban.
He blames the crisis of public confidence on the policy of pouring billions of dollars in development aid into regions.
Prof Massood argues that the international community has adopted an aid policy that has been entirely counter-productive.
"They have politicized aid; they have tried to use their money to bring about political change in the frontline provinces - they have tried to bribe their 'enemies'.
"But they don't understand that it works the other way around. If you improve the economics of the people, the politics will follow. If you don't, you will lose them."
Slowly switching sides
Rural Parwan province, just to the north of Kabul, is still quiet, but there are growing signs of discontent with the government, and resentment at the way the people have been neglected.
Abdullah Khan heads another family struggling to find enough food. He is a tractor driver, working the fields for neighboring farms.
But a month ago, his two-year-old daughter Rabia also had to be admitted to hospital with severe malnutrition.
Rabia is recovering with Dr Fawad's help, but several days ago his wife gave birth to another girl - one more mouth to feed just when they can least afford it.
"Instead of aid going to those like me who need it, it goes to rich, corrupt people. I'm very angry at the government," Abdullah Khan said.
The government badly needs the trust of Abdullah Khan and those like him - people who just want a peaceful life.
PHOTO CAPTION
Children play in front of their home in Kabul January 1, 2010.
Source: BBC
