Afghan soldier Mehrullah Safi's military career ended in southern Helmand province last year when a rocket-propelled grenade exploded next to him, severing his right leg. Now he sells mobile telephone cards in the street.

Tens of thousands of Afghan troops have been disabled in the 16 years since a US-led campaign ousted the Taliban in 2001. In city streets and marketplaces all over the country, they offer a stark reminder of the human cost of the war.

“It was the worst day of my life,” Safi, a former army lieutenant, said.

“We were surrounded by dozens of Taliban, there was a heavy fight going on and I was in a bad condition for two days until I was transferred to hospital.”

With his left leg and a hand also shattered, Safi's leg was amputated in the field. After eight unsuccessful operations on his badly damaged left leg, he hopes a ninth will stabilise it.

“I served my country and I don't regret being wounded but when I see my wounds have no value for my government, then I do regret it.”

Safi says he received a one-off payment of 184,000 afghani (£2,081) when he was disabled, besides 10,500 afghani (£119) every month.

Unable to walk, he sits in a small booth in a market in the eastern city of Jalalabad, supplementing his pension with about 5,000 to 8,000 afghani (£56-90) earned from the sales of mobile phone scratch cards each month.

“I've built a small business to feed my family but now municipal workers harass me in the market,” he said. “My family blames me for ruining their lives.”

Khushhal Khan Ayobi, 34, a disabled Afghan National Armysoldier, walks with his children at his house in Jalalabad province (Parwiz Parwiz/Reuters)

The government says it does what it can as it battles an insurgency that kills and wounds thousands of soldiers each year and tries to rebuild an economy destroyed by decades of strife.

Wounded soldiers usually get a year's pay and a monthly pension. About 130,000 severely disabled military and civilian individuals now receive benefits, said government spokesman Fatah Ahmadzai.

But officials say they know the sum is far too small for veterans supporting families of five or more.

“As much as we provide support to our disabled, it is nothing to what they have suffered,” said defence ministry spokesman Dawlat Waziri.

“The ministry is working day and night to find a way to increase the amount our soldiers are paid. But Afghanistan does not have the money to solve this issue on its own.”

As US forces prepare for an intensified engagement in Afghanistan, an end to the fighting appears a distant prospect and casualty numbers will certainly grow. That risks adding to the war-weariness of Afghan troops and their families and the difficulty in finding new recruits to fill the gaps.

“My family tried to make me leave the army the first time I was wounded, but I refused,” said Hayatullah Sahar, who suffered two more injuries before leaving to work as a taxi driver.

An Afghan man leaves after morning prayers to celebrate the first day of the Muslim holiday of the Eid al-Adha in Kabul (Mohammad Ismail/Reuters)

“When I was wounded the second and third times, my mother cried and begged me to leave. She even tore up my army identification and hospital papers.”

Afghanistan has run several advertising campaigns to whip up pride in its security forces and has trumpeted an Afghan team's participation in the Invictus Games for disabled soldiers.

But the bitter reality is hard to counter, leaving many feeling painfully conflicted.

Afghanistan: Between Hope and Fear Show all 16 1 /16 Afghanistan: Between Hope and Fear Afghanistan: Between Hope and Fear 2001 Afghans at the Killi Faizo refugee camp desperately reach for bags of rice being handed out to the thousands who escaped the bombardment in southern Afghanistan during Operation Enduring Freedom. (Chaman, Pakistan, December 4, 2001) Paula Bronstein Afghanistan: Between Hope and Fear 2002 Mahbooba stands against a bullet-ridden wall, waiting to be seen at a medical clinic. The seven-year-old girl suffers from leishmaniasis, a parasitical infection. (Kabul, March 1, 2002) All photos Paula Bronstein Afghanistan: Between Hope and Fear 2003 A mother and her two children look out from their cave dwelling. Many families who, fleeing the Taliban, took refuge inside caves adjacent to Bamiyan’s destroyed ancient Buddha statues now have nowhere else to live. (Bamiyan, November 19, 2003) Paula Bronstein Afghanistan: Between Hope and Fear 2007 Students recite prayers in a makeshift outdoor classroom in the Wakhan Corridor, a mountainous region in northeastern Afghanistan that extends to China and separates Tajikistan from India and Pakistan. (Northeastern Afghanistan, September 2, 2007) Paula Bronstein Afghanistan: Between Hope and Fear 2007 Bodybuilders in the 55-60 kg category square off during a regional bodybuilding competition. Many Afghan men, like others around the world, feel that a macho image of physical strength is important. (Kabul, August 6, 2007) Paula Bronstein Afghanistan: Between Hope and Fear 2008 A woman in a white burqa enjoys an afternoon with her family feeding the white pigeons at the Blue Mosque. (Mazar-e-Sharif, March 8, 2008) Paula Bronstein Afghanistan: Between Hope and Fear 2009 Addicts inject heroin while trying to keep warm inside the abandoned Russian Cultural Center, which the capital city’s addicts use as a common gathering point. Heroin is readily available, costing about one dollar a hit. (Kabul, February 9, 2009) Paula Bronstein Afghanistan: Between Hope and Fear 2009 An elderly man holds his granddaughter in their tent at a refugee camp after they were forced to flee their village, which US and NATO forces had bombed because, they claimed, it was a Taliban hideout. (Surobi, Nangarhar Province, February 7, 2009) Paula Bronstein Afghanistan: Between Hope and Fear 2009 Seven-year-old Attiullah, a patient at Mirwais Hospital, stands alongside an X ray showing the bullet that entered his back, nearly killing him. Attiullah was shot by US forces when he was caught in a crossfire as he was herding sheep. (Kandahar, October 13, 2009). Paula Bronstein Afghanistan: Between Hope and Fear 2010 US Army Sargeant Jay Kenney (right), with Task Force Destiny, helps wounded Afghan National Army soldiers exit a Blackhawk helicopter after they have been rescued in an air mission. (Kandahar, December 12, 2010) Paula Bronstein Afghanistan: Between Hope and Fear 2010 An Afghan National Army battalion marches back to barracks at the Kabul Military Training Center. (Kabul, October 4, 2010) Paula Bronstein Afghanistan: Between Hope and Fear 2014 Eid Muhammad, seventy, lives in a house with a view overlooking the hills of Kabul. He and millions of other Afghans occupy land and housing without possessing formal deeds to them. (Kabul, November 21, 2014) Paula Bronstein Afghanistan: Between Hope and Fear 2014 Razima holds her two-year-old son, Malik, while waiting for medical attention at the Boost Hospital emergency room. (Lashkar Gah, Helmand Province, June 23, 2014) Paula Bronstein Afghanistan: Between Hope and Fear 2014 Young women cheer as they attend a rally for the Afghan presidential candidate Ashraf Ghani. (Kabul, April 1, 2014) Paula Bronstein Afghanistan: Between Hope and Fear 2014 Burqa-clad women wait to vote after a polling station runs out of ballots. (Kabul, April 5, 2014) Paula Bronstein Afghanistan: Between Hope and Fear 2015 Relatives, friends, and women’s rights activists grieve at the home of Farkhunda Malikzada, who was killed by a mob in the center of Kabul. Farkhunda was violently beaten and set on fire after a local cleric accused her of burning a Qur’an. (Kabul, March 22, 2015) Paula Bronstein

“When I think back to when I joined the army, I regret it and blame myself,” said former soldier Riazullah, who lost both legs to a roadside bomb in the southeastern province of Ghazni.

“My family also blames me for what happened, but I tell my children to study, and one day, they will understand the value of what I did for this country.”