IDEAS home Printed from
   My bibliography  Save this article

Hidden burden of non-medical spending associated with inpatient care among the poor in Afghanistan


  • Mohammad Omar Mashal

    (Tokyo Medical and Dental University)

  • Keiko Nakamura

    () (Tokyo Medical and Dental University)

  • Masashi Kizuki

    (Tokyo Medical and Dental University)


Abstract Objectives To elucidate the household payments required for medical and non-medical spending for inpatient health care and examine the pattern of household payments according to household economic status and the degree of remoteness of the area of residence. Methods The subjects were 5940 individuals included in a nationally representative survey in 2010. Their medical (diagnosis and medicine) and non-medical (accommodation and transportation) expenses for their most recent hospitalization were analyzed. Results Compared with the richest group, the poorest group paid less for diagnosis and medicine (AOR = 0.37, P

Suggested Citation

  • Mohammad Omar Mashal & Keiko Nakamura & Masashi Kizuki, 2016. "Hidden burden of non-medical spending associated with inpatient care among the poor in Afghanistan," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 61(6), pages 661-671, July.
  • Handle: RePEc:spr:ijphth:v:61:y:2016:i:6:d:10.1007_s00038-016-0833-9
    DOI: 10.1007/s00038-016-0833-9

    Download full text from publisher

    File URL:
    File Function: Abstract
    Download Restriction: Access to the full text of the articles in this series is restricted.

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    1. Jeffrey J. Rous & David R. Hotchkiss, 2003. "Estimation of the determinants of household health care expenditures in Nepal with controls for endogenous illness and provider choice," Health Economics, John Wiley & Sons, Ltd., vol. 12(6), pages 431-451.
    2. Edward Anbrasi & Binay Kumar & Faizullah Kakar & Ahmed Shah Salehi & Gilbert Burnham & David H Peters, 2011. "Configuring Balanced Scorecards for Measuring Health System Performance: Evidence from 5 Years’ Evaluation in Afghanistan," Working Papers id:4362, eSocialSciences.
    3. Van Minh, Hoang & Kim Phuong, Nguyen Thi & Saksena, Priyanka & James, Chris D. & Xu, Ke, 2013. "Financial burden of household out-of pocket health expenditure in Viet Nam: Findings from the National Living Standard Survey 2002–2010," Social Science & Medicine, Elsevier, vol. 96(C), pages 258-263.
    4. Ergler, Christina R. & Sakdapolrak, Patrick & Bohle, Hans-Georg & Kearns, Robin A., 2011. "Entitlements to health care: Why is there a preference for private facilities among poorer residents of Chennai, India?," Social Science & Medicine, Elsevier, vol. 72(3), pages 327-337, February.
    5. Needham, Dale M. & Bowman, Dennis & Foster, Susan D. & Godfrey-Faussett, Peter, 2004. "Patient care seeking barriers and tuberculosis programme reform: a qualitative study," Health Policy, Elsevier, vol. 67(1), pages 93-106, January.
    Full references (including those not matched with items on IDEAS)


    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:spr:ijphth:v:61:y:2016:i:6:d:10.1007_s00038-016-0833-9. See general information about how to correct material in RePEc.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Sonal Shukla) or (Rebekah McClure). General contact details of provider: .

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service hosted by the Research Division of the Federal Reserve Bank of St. Louis . RePEc uses bibliographic data supplied by the respective publishers.