Afghanistan’s health system has been under stress in recent years. As a country in a fragile and conflict affected situation (FCSList-FY23 World Bank), primary healthcare (PHC) is delivered by non-governmental organizations funded by multilateral or bilateral donors, not the government.
This study assesses the relative technical efficiency of different levels of PHC services in terms of coverage and access to healthcare, and explores its determinants.
The Basic Package of Health Services (BPHS) was introduced in 2003 in Afghanistan to provide an umbrella of priority PHC services. Since the introduction of BPHS, the coverage of PHC has been improved substantially. With the expansion of PHC services through BPHS, more people can access healthcare. PHC is considered to be the appropriate focus for UHC, and this study shows how to efficiently use available financing.
The findings show that public health facilities in Afghanistan that provide more comprehensive PHC services use their resources more efficiently. However, the funding gaps are widening over time, and improving efficiency in utilization has become increasingly critical to ensure coverage for the population.
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