Afghanistan Health expenditure profile

HEALTH SPENDING IN BRIEF WHO PAYS FOR HEALTH?

5.1%
Health spending (% of GDP) 10.2
17.5%

Health expenditure per capita (US$) 57 Public

Out-of-pocket
Public spending on health per capita (US$) 3 Voluntary prepayment
External
Other
GDP per capita (US$) 561 77.4%

Life expectancy, both sexes (years) 64

RICHER COUNTRIES SPEND MORE ON HEALTH… …BUT NOT NECESSARILY AS A SHARE OF GDP

10,000 25
Health spending per capita (US$, log scale)

20
Health spending % of GDP

1,000
15

10
100

10 0
100 1,000 10,000 100,000 100 1,000 10,000 100,000
GDP per capita (US$, log scale) GDP per capita (US$, log scale)

MORE GOVERNMENT SPENDING ON HEALTH IS

ASSOCIATED WITH LOWER OUT-OF-POCKET SPENDING DOES GOVERNMENT SPEND ENOUGH ON HEALTH?

100 75 6
Out-of-pocket spending % of health spending

80

50 4
60
US$

40
25 2

20

0 0 0
0 2 4 6 8 10 12 14 2006 2008 2010 2012 2014 2016
Public spending on health % of GDP Health spending per capita (US$, bars)
Government health spending % of total government
spending (line)
Afghanistan

PRIORITY OF HEALTH IN BUDGET ALLOCATION IS A POLITICAL CHOICE

20
% of total government spending
Government health spending

15

10

0
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ea

ad
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Bu

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IS RELIANCE ON OUT-OF-POCKET SPENDING DECREASING OVER TIME?
100

80

60

40

20

0
2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

Public External Other Voluntary prepayment Out-of-pocket

WHEN PUBLIC SOURCES SPEND MORE ON HEALTH, DO HOUSEHOLDS SPEND LESS?

1,000 10
GDP per capita (US$, bars)

800 8

% of GDP (lines)
600 6

400 4

200 2

0 0
2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

GDP per capita (US$, bars) Public spending on health (% of GDP) Out-of-pocket spending (% of GDP)

DOES INCREASING AID CROWD OUT PUBLIC SPENDING FROM DOMESTIC SOURCES?

EXTERNAL PUBLIC
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006

15 10 5 0 0 5 10 15
Per capita (US$) Per capita (US$)

Source: Global Health Expenditure Database. Data are for 2016 unless otherwise specified.