Bulletin of the World Health Organization

Contracting for health services: effects of utilization and quality on the costs of the Basic Package of Health Services in Afghanistan

Omid Ameli & William Newbrander

Volume 86, Number 12, December 2008, 920-928

Table 1. Mean and median total costs, drug costs and health facility remoteness scores for 21 contracts for the Basic Package of Health Services in Afghanistan, April 2006–March 2007

Mean Standard deviation Median Range
Annual total costa 975 710 469 553 921 147 150 140–2 150 071
Annual cost per visita 3.27 1.23 2.99 1.48–5.36
Annual drug cost per visita,b 0.3 0.096 0.28 0.14–0.54
Annual cost per capitaa 3.78 1.89 3.19 1.60–10.55
Annual drug cost per capitaa 0.65 0.33 0.57 0.21–1.66
Contract weighted security score (1–4)c 1.62 0.82 1.23 1.0–3.6
Contract weighted remoteness score (1–5)d 1.7 0.97 1.49 1.0–5.0


a Costs in US dollars.
b Drug costs include pharmaceuticals and contraceptives.
c 1 represents the most secure district and 4, the least secure.
d 1 represents the least remote district and 5, the most remote.