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Kharim Ahmad, 22, suffered shrapnel wounds on his face and the...

Kharim Ahmad, 22, suffered shrapnel wounds on his face and the...

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Kharim Ahmad, 22, suffered shrapnel wounds on his face and the loss of a leg from fighting in Sangin. He was being treated at the emergency hospital in Lashkar Gah, Afghanistan on March 25, 2015. 

More than 11,000 Afghan civilians were killed or wounded last year, according to a recent U.N. report. Reportage photographer Paula Bronstein, supported by a grant from the Pulitzer Center, visited some of these victims at the country’s hospitals.

“I’m constantly amazed by their response to decades of war,” Paula tells TIME. “There’s a strength and resilience in these people beyond what I think we could imagine. It can’t get any easier, but they deal with it because it’s all they have known.”

See more of Paula’s work on TIME Lightbox.

Afghanistan: Between Hope and Fear,” a book compiling 15 years of Paula’s photography in the country, is available from UT Press in August.

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