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 3. Correlation of cost per capita and cost per visit to a health facility with health service delivery variables,a Afghanistan, April 2006–March 2007

Health service delivery variable
Contract weighted security score Contract weighted remoteness score Number of CHCs Number of BHCs Average utilization at BHCs Average utilization at CHCs Presence of at least one female staff member
Cost per capita
NC female staffb r = –0.265 NSC r = 0.120 NSC r = –0.592 Negative correlation* r = –0.408 NSC r = 0.467 Positive correlation* r = 0.114 NSC r = 0.168NSC
C female staffc r = –0.210 NSC r = 0.096 NSC r = –0.586 Negative correlation** r = –0.393 NSC r = 0.479 Positive correlation* r = 0.098 NSC NA

Cost per visit
NC female staffb r = 0.186 NSC r = –0.142NSC r = –0.261 NSC r = –0.397 NSC NA NA r = –0.227NSC
C female staffc r = 0.186 NSC r = –0.111NSC r = –0.294 NSC r = –0.447 Negative correlation* NA NA NA

*P < 0.05; **P < 0.01. BHC, basic health centres; CHC, comprehensive health centres; NA, not applicable; NSC, no significant correlation; r, Pearson’s correlation coefficient.
a Bold typeface indicates statistically significant correlations.
b Not controlled for the presence of female staff.
c Controlled for the presence of female staff.