The Afghan health system has been under stress in recent years. As a fragile and conflict-affected country(FCSList-FY23 World Bank), primary health care (PHC) is provided by nongovernmental organizations funded by multilateral or bilateral donors, not by the government.
This study evaluates the relative technical efficiency of the different levels of PHC services in terms of coverage and access to health care, and explores its determinants.
The Basic Package of Health Services (PBSS) was introduced in 2003 in Afghanistan to provide a set of priority PHC services. Since the introduction of the PBSS, PHC coverage has improved substantially. With the expansion of PHC services through the BPHS, more people are able to access health care. PHC is considered to be the right approach to universal health coverage, and this study shows how to efficiently use the available funding.
The results show that public health facilities in Afghanistan that provide more comprehensive PHC services use their resources more efficiently. However, funding gaps are widening over time, and improving utilization efficiency has become increasingly critical to ensure population coverage.
You can download the document by clicking on the link below.
For more information, please refer to the documents section of our Afghanistanpage .