The incident occurred Saturday in the Azra district of Logar province when a truck packed with explosives detonated, according to Sifatiullah Haqmal, a member of the provincial council.

The head of the UN Assistance Mission in Afghanistan said "much of the damage was in the maternity ward of the hospital, and many of those killed and injured were women and children."

The mission noted that assaults on hospitals "are strictly prohibited under international humanitarian law" and that "medical workers, clinics and hospitals must be respected and protected in all circumstances."

The Afghan President Hamid Karzai and NATO's International Security Assistance Force also issued statements condemning both incidents, and said the violence underscores warnings from military commanders that insurgents are intent on pursuing large-scale strikes.

There have been 48 international troop deaths in June and 264 this year.

France announced on Thursday that it would also begin to reduce troop numbers, saying it "will initiate a progressive withdrawal of troops in Afghanistan, and will follow a timetable comparable to the withdrawal of the American troops."

French President Nicolas Sarkozy's office said the withdrawal will be done in consultation with NATO allies and the Afghan government.