Health care programmes in the refugee villages do not focus on early detection and intervention for conditions which can lead to disabilities. These conditions include eye and ear infections, muscle paralysis and mental disturbance. It is assumed that health services within Afghanistan do not focus on such conditions because of other pressing needs for medical care. 12 2. Recommendations Health education programmes should include information which teaches families that something can be done to improve the conditions which cause disabilities. Immediate Action -Develop simple written and visual guidelines on early detection and intervention. These should be understandable to families as well as to health workers so that families can learn to detect the early signs of conditions which lead to disabilities and can take appropriate measures to deal with the conditions. -Community workers in the health and social services, as well as village school teachers, should be taught how to detect early signs of disabling conditions and to support families in their efforts to detect and deal with these conditions. -In the refugee villages in Pakistan the health care workers at the BHUs and in the community should encourage families to carry out the simple procedures needed to care for eye and ear infections. The BHUs should provide the needed support for medical care of these conditions. -The health and social workers should also refer children who do not move their legs, or do not walk at the appropriate age, to the orthopaedic workshops which provide braces. Workers should also refer amputees who do not have prostheses to the workshops. -Health and social workers should refer those with signs of mental illness to the centres which provide psychiatric care. Medium-Term Action -Procedures for early intervention in disabling conditions should also be developed 
**Analysis**
The text is focused on improving the health care services in refugee villages, specifically in detecting and intervening early to prevent disabilities. It seems that the main goal is to address the health needs of refugees, rather than any economic or environmental concerns.

**Category**
Health, Humanitarian aid and relief