Patients struggle to access effective health care due to ongoing violence, distance, costs and health service performance in Afghanistan

International Health

Volumn 7, Issue 3, 2015, Pages 169-175

  Carthaigh, Niamh Nic ^a   De Gryse, Benoit ^b   Esmati, Abdul Sattar ^c   Nizar, Barak ^d   Van Overloop, Catherine ^a   Fricke, Renzo ^a   Bseiso, Jehan ^a   Baker, Corinne ^a   Decroo, Tom ^a   Philips, Mit ^a  

^a MÉDECINS SANS FRONTIÈRES   (Belgium)

^b MÉDECINS SANS FRONTIÈRES   (Switzerland)

^c Ahmad Shah Baba General Hospital   (Afghanistan)

^d Ministry of Health Afghanistan Direction Boost Provincial Hospital   (Afghanistan)

Author keywords

Afghanistan; Armed conflict; Delivery of health care; Health service accessibility

Indexed keywords

ADOLESCENT; ADULT; AFGHAN; AFGHANISTAN; ARTICLE; CHILD; DEATH; FAMILY; FEMALE; HEALTH CARE; HEALTH CARE ACCESS; HEALTH CARE COST; HEALTH CARE FACILITY; HEALTH CARE UTILIZATION; HEALTH SERVICE; HELP SEEKING BEHAVIOR; HUMAN; MALE; OUTCOME ASSESSMENT; PERCEPTION; PRIORITY JOURNAL; VIOLENCE; COST; HEALTH CARE DELIVERY; HEALTH CARE PERSONNEL; OUTPATIENT DEPARTMENT; PATIENT ATTITUDE; STANDARDS; UTILIZATION; WAR; YOUNG ADULT;

ADOLESCENT; ADULT; AFGHANISTAN; AMBULATORY CARE FACILITIES; ARMED CONFLICTS; COSTS AND COST ANALYSIS; FEMALE; HEALTH PERSONNEL; HEALTH SERVICES; HEALTH SERVICES ACCESSIBILITY; HUMANS; MALE; PATIENT ACCEPTANCE OF HEALTH CARE; VIOLENCE; YOUNG ADULT;

EID: 84930062475     PISSN: 18763413     EISSN: 18763405     Source Type: Journal    
DOI: 10.1093/inthealth/ihu086     Document Type: Article

References (22)

1. United Nations Assistance Mission in Afghanistan. Afghanistan Annual Report 2013: Protection of Civilians in Armed Conflict. http://unama.unmissions.org/Portals/UNAMA/human%20rights/Feb_8_2014_PoCreport_2013-Full-report-ENG.pdf [accessed 14 February 2014].
2. United Nations High Commission for Refugees (UNHCR). 2014. UNHCR welcomes Afghanistan's new IDP policy. http://www.unhcr.org/52fa062a9.html [accessed 11 February 2014].
3. United Nations Development Programme. Human Development Report 2013. The Rise of the South: Human Progress in a Diverse World. 2013; http://hdr.undp.org/en/content/human-development-report-2013 [accessed 14 February 2014].
4. WHO. World Health Statistics 2014. Geneva: World Health Organization; 2014. http://www.who.int/gho/publications/world_health_statistics/2014/en/ [accessed 10 June 2014].
5. Viswanathan K, Becker S, Hansen PM et al. Infants and under-five mortality in Afghanistan: current estimates and limitations. Bull World Health Organ 2010;88:576-83.
6. Ministry of Public Health Afghanistan. A Basic Package of Health Services for Afghanistan. Kabul: Islamic Republic of Afghanistan Ministry of Public Health; 2005.
7. Ministry of Public Health Afghanistan. A Basic Package of Health Services for Afghanistan. Kabul: Islamic Republic of Afghanistan Ministry of Public Health; 2009.
8. Palmer N, Strong L,Wali A, Sondorpl E. Contracting out health services in fragile states. BMJ 2006;32:718-21.
9. Edward A, Kumar B, Kakar F et al. Configuring balanced scorecards for measuring health system performance: evidence from 5 years' evaluation in Afghanistan. PLoS Med 2011;8(7):e1001066.
10. Dalil S, Newbrander W, Loevinsohn B et al. Aid effectiveness in rebuilding the Afghan health system: a reflection. Glob Public Health 2014;9(Suppl 1):S124-36.
11. Newbrander W, Ickx P, Feroz F, Stanekzai H. Afghanistan's Basic Package of Health Services: Its development and effects on rebuilding the health system. Glob Public Health 2014;9 (Suppl 1):S6-28.
12. Michael M, Pavignani E, Hill PS. Too good to be true? An assessment of health system progress in Afghanistan, 2002-2012. Med Confl Surviv 2013;29:322-45.
13. Giustozzi A. 2009. Getting Worse before Getting Better? A Writenet Report, commissioned by United Nations High Commissioner for Refugees, Emergency Preparedness and Response Section-EPRS. Writenet; 2009. http://www.unhcr.org/refworld/pdfid/4a9797572.pdf [accessed 30 January 2013].
14. IPSOS, ICRC. Our World. Views from the Field. Summary Report:Afghanistan, Colombia, Democratic Republic of the Congo, Georgia, Haiti, Lebanon, Liberia and the Philippines: Opinion Survey and In-Depth Research; 2009. Geneva: IPSOS & International Committee of the Red Cross; 2010. https://www.icrc.org/eng/assets/files/other/icrc_002_1008.pdf [accessed 10 June 2014].
15. Humanitarian Outcomes. The Aid Worker Security Database. Total incidents by country (1997-2013). https://aidworkersecurity.org/incidents/report/country [accessed 16 July 2014].
16. Humanitarian Outcomes. The New Normal: Coping with the kidnapping threat. Aid Worker Security Report 2013. https://aidworkersecurity.org/sites/default/files/AidWorkerSecurityReport_2013_web.pdf [accessed 16 July 2014].
17. Bornemisza O, Ranson MK, Poletti TM, Sondorp E. Promoting health equity in conflict-affected fragile states. Soc Sci Med 2010;70:80-8.
18. Steinhardt LC, Rao KD, Hansen PM et al. The effects of user fees on quality and utilization of primary health care services in Afghanistan: a quasi-experimental health financing pilot study in a post-conflict setting. Int J Health Plann Manage 2013;28:e280-97.
19. Meessen B, Zhenzhong Z, Van Damme W et al. Iatrogenic poverty. Trop Med Int Health 2003;8:581-4.
20. Worldbank. Afghanistan. World Development Indicators. 2011. http://data.worldbank.org/country/afghanistan#cp_wdi [accessed 16 July 2014].
21. Menkhaus K. Stabilization and humanitarian access in a collapsed state: the Somali case. Disasters 2010;34(Suppl 3):S320-41.
22. Goniewicz M, Goniewicz K. Protection of medical personnel in armed conflicts-case study: Afghanistan. Eur J Trauma Emerg Surg 2013;39:107-12.