An assessment of the costs of basic package of health services (BPHS) in Afghanistan
Methodology: Using data compiled from July 1, 2010 June 30, 2011, this study samples 11 provinces and costs service provision in 484 health facilities. The sample represents approximately 27 percent of all BPHS health facilities in Afghanistan and covers 29 percent of the total population.
Results: The total BPHS operating costs across the 11 provinces were USD 30,110,549. This represented an average per capita cost of USD 4.17, ranging from USD 2.43 (Ghazni) to USD 5.93 (Bamyan). The differences in BPHS costs across the provinces were significant (p< 0.001). Salaries and wages comprise the largest share of BPHS costs (40 percent) followed by other operational expenses (21 percent) and drugs and disposables (21 percent).
Conclusions: Findings from this study reveal several interesting trends across geographic clusters, rural and urban locations, and BPHS facilities. The results point to the importance of capturing major cost-drivers within BPHS facilities across Afghanistan. This information could help decision-makers understand how much is being spent on BPHS and how much more will be required in the future as health priorities change. Moreover, this study could support the preparation of county-level service delivery plans and budgets planning as well as assisting the coordination and harmonization of external assistance.
Learning Areas:Administer health education strategies, interventions and programs
Administration, management, leadership
Public health or related research
Discuss and analyze the cost of primary care in a developing country.
Keyword(s): Cost Issues, Primary Care
Qualified on the content I am responsible for because: Dr. Mir Najmuddin Hashimi has been working at Health Economics and Financing Directorate since 2009 and he has extensive experience in the economic evaluations as well as cost analysis of healthcare programs.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.