Health Policy Project

The Health Policy Project has ended, but work continues under a new USAID five-year project, Health Policy Plus (HP+).


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A Health Insurance Feasibility Study in Afghanistan: Learning from Other Countries, a Legal Assessment, and a Stakeholder Analysis
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Author(s): Health Policy Project

Primary Language: English

Date: 5/31/2015


In the last decade, the health status of Afghans has drastically improved due to implementation of the Basic Package of Health Services (BPHS) and Essential Package of Hospital Services (EPHS). However, the health financing system in Afghanistan is fragile and is experiencing challenges to ensure the sustainability of service delivery in the country due to three interrelated challenges: (1) low government contributions to healthcare. The government contributes to 5% of total health expenditure (THE); (2) high reliance on donor funding. The BPHS and EPHS are largely supported by donors, and donor funding shares 20% of THE; and (3) high household out-of-pocket (OOP) spending on health. OOP bears 75% of THE. To improve the status of the country’s health financing system, the Ministry of Public Health (MoPH) developed health financing strategies, aiming to generating more domestic resources for healthcare, reducing donor dependence, and providing financial protection for households. Health insurance is considered as one strategy to ensure that the health system becomes more sustainable. To assess the feasibility of introducing health insurance in Afghanistan and shed light on the steps needed to prepare Afghanistan to build a more sustainable health financing system, the Health Policy Project (HPP) conducted a health insurance feasibility study in Afghanistan.  The phase one of this study consists of: (1) literature review of health insurance in three selected countries; (2) legal assessment of health insurance in Afghanistan, and (3) stakeholder analysis of health insurance in Afghanistan.

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Health Financing    Other Health Domains    Parliamentarians    Report    Sustainable Financing    Universal Health Coverage (UHC)    Afghanistan  
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The Health Policy Project is a five-year cooperative agreement funded by the U.S. Agency for International Development under Agreement No. AID-OAA-A-10-00067, beginning September 30, 2010. The project's HIV-related activities are supported by the U.S. President's Emergency Plan for AIDS Relief (PEPFAR). It is implemented by Futures Group, in collaboration with Plan International USA, Avenir Health (previously Futures Institute), Partners in Population and Development, Africa Regional Office (PPD ARO), Population Reference Bureau (PRB), RTI International, and White Ribbon Alliance for Safe Motherhood (WRA). The information provided on this Web site is not official U.S. Government information and does not represent the views or positions of the U.S. Agency for International Development or the U.S. Government.

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