Priority setting in a context of insecurity, epidemiological transition and low financial risk protection, Afghanistan

摘要

In the last two decades, the Governmentof Afghanistan has achieved improvements in population health despiteserious episodes of violence. Between2000 and 2015, the maternal mortalityratio reduced from 1100 to 396 deathsper 100 000 live births1 and under-fivemortality from 257 to 55 per 1000 livebirths.2The high level of insecurity in someprovinces has had a negative effect onthe provision and coverage of healthservices, especially for child vaccination.However, thanks to the concerted effortsof all health system actors, between 2000and 2015 all provinces in the countryincreased the coverage of maternal andchild health services.3 Despite theseimprovements, significant differencesexist in terms of health outcomes andcoverage of health services, for instancebetween the poorest and the wealthiestpopulations, between rural and urbanareas, and between provinces.