US troops in Afghanistan face tough battle: Making 'clear, hold, and build' work

But some warn that extreme caution is needed for such a strategy to succeed. In a culture that prizes privacy, troops have to be careful not to inflame local sensitivities by their presence, says Dr. Wardak. "The people in my district complained to me after the Americans set up a base near their houses," she says, "because they were worried that the soldiers will look into their homes or that they will be caught in a crossfire."

Insurgents displaced, but still active

Even when the guerrillas are pushed out of one area, abandoning it to the Americans, they usually reassemble in an adjacent area, US military officials here say. Insurgents have been largely dislodged from Jalrez District, for instance, but some have regrouped in neighboring areas.

In other cases, the US has enough forces to capture only a district center. In Jaghatu District, Taliban forces had run the area as a fiefdom, complete with a court and administrative apparatus. The district government had fled, leaving a cluster of four ramshackle buildings that makes up the capital, called the district "center."

In mid-May, American forces entered and occupied the district center, displacing the insurgents. They set up a makeshift camp among the devastated buildings – one pockmarked structure, ravaged by frequent mortar fire, is an abandoned school, while another is an empty office. A small contingent of Afghan police and Army took up residence in the other buildings.

Together, this combined force is able to maintain control of the district center, but the Taliban still enjoy sovereignty in the surrounding countryside, according to residents. When an American patrol visits these areas, the insurgents melt into the surroundings, sometimes waiting to ambush the soldiers, other times waiting to fight another day.

'Nastier before it gets better'

Military officials here say they are still in the process of clearing most areas of insurgents.

"Creating a lasting presence in Sayadabad is going to be hard," says an American intelligence officer associated with the forces here, who spoke on the condition of anonymity. "Maybe Jalrez is the only district that we can hold and build by the end of our deployment," which is scheduled for the end of this year, she says.

In Sayadabad and other areas, fighting is growing more intense as the summer months arrive. "It's going to get nastier before it gets better," she says.

Mortar fire regularly hits Sayadabad's Combat Outpost Carwile, which sits close to Jaghatu District. Improvised explosive devices, such as roadside bombs, go off almost daily on the main highways here. In May, the unit suffered its first losses – a Taliban ambush killed two soldiers as they were on a foot patrol.

Civilians have been feeling the toll of war as well. In the midst of a recent firefight with insurgents, troops mistakenly shot a vehicle full of civilians, killing one and wounding others. Earlier this year, the Taliban abducted two interpreters who worked for the troops. There have also been some demonstrations against the troop presence .

Small victories

The troops admit there are no easy solutions. In the meantime, some soldiers are finding their own ways to win hearts and minds.

Pfc. Joshua Lipori has decided to learn Pashto, the prevalent language here. While standing on guard duty one day at a combat outpost in Sayadabad, he practices his fledgling Pashto with some passing locals.

"Tsenga Ye?" or "How are you?" he asks. "Jore Ye?" – "Are you doing OK?"

The Afghans stare in wide-eyed astonishment at the foreign soldier speaking their tongue. They whisper to each other in Pashto.

"See," one says to the other, "there are some good Americans."

• Part 1: In Afghanistan surge, soldiers negotiate complex web of local loyalties

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