Nine years of violence and war in Chechnya has produced a lot of people like Nurayev, whose body and mind have been scarred forever by the conflict.

Until the current war began in 1999, he had a good job as manager of a construction yard that brought in a more than decent salary. 

Then in the autumn his family house in Grozny was damaged by an air raid. Nurayev climbed up onto the roof to mend it but was caught in an artillery barrage in which a small piece of shrapnel pierced his spine, leaving him paralyzed. 

No more job, and the 1,700 rubles (about 55 dollars) monthly pension he now receives as a "second group invalid" is not even enough to cover the cost of his medicine. 

From being the family breadwinner he must now depend on his children for both personal care and money. 

People disabled by shells, bullets, mines and bombs can be found in their thousands throughout Chechnya, struggling to survive. Of the 33,000 people officially registered as disabled by Chechnya's Ministry of Labor and Social Welfare - out of a total population of 1.1 million - most are of working age and another 7,500 of them children. 

Chechnya's Society of Invalids, the largest group defending the rights of the disabled in the republic, operates from an office in a semi-ruined building in central Grozny. 

Society head Rabu Azdayeva told Institute of War and Peace Reporting (IWPR) that life is tough for their 15,000 members on small pensions. "As they are not getting either free healthcare or medicine, this money is not enough to provide them with food, toiletries, clothes, basic products," she said. 

The society is having trouble helping, as much of its income used to be generated by a small network of businesses and shops which have been destroyed. 

And it is no good looking to local government. 

"In 2002 we were promised a one-off grant of 400,000 rubles (13,000 dollars) to get the organization back on its feet, but the money never materialized," says Azdayeva. 

Ministry of Labor and Social Welfare aide Imran Iriskhanov concedes that last year's budget of 34 million rubles (about 1.1 million dollars) to help the disabled was not nearly enough, but said it was simply not possible to redraw priorities at this stage. 

"The allocations for buying coal for regions without gas and procuring prosthetic limbs are well-provided for, but there is clearly not enough money for wheelchairs or sanatorium places. It's not possible to reallocate money from one article of the budget to another." 

Instead it is international organizations that shoulder the burden. Dr Ute Enderlein, Public Health Officer for the North Caucasus with the World Health Organization, WHO, says responsibilities have been divided up between the various agencies. Her organization, UNICEF and various partners are dealing with young disabled people under 21, while the International Committee of the Red Cross look after the adults. 

Altogether the WHO center in Vladikavkaz has fitted 400 false limbs, mostly legs, to Chechens in the last three years. Handicap International, a WHO partner, has provided limbs for another 300 people, while a new orthopedic center set up by the Red Cross in Grozny in April plans to treat another 100 more every year. 

Even so, one Chechen non-government organization, Laman Az, estimates that there are 2,500 untreated victims of mines and unexploded shells. 

Then there are the demands for bribes. Azdayeva says she hears a lot of complaints about disabled people being forced to pay up to get registered. 

"Starting with laboratory tests and ending with the doctor's commission, they end up paying up to 3,000 rubles (100 dollars). That's a big sum for a disabled person." 

Nurayev, who cannot walk, said that he was given only "category two" disabled status because he could not afford to pay more. 

Rustam Bakhmataliev, a former weight-lifter with a knee injury, says he received an offer for his disabled status to be moved up from category three to two in exchange for a bribe of 6,000 rubles - but he refused. 

"I imagined myself queuing for my benefit payment and I felt ashamed," he said.