COST EFFECTIVENESS ANALYSIS OF MUTADIN HOSPITAL AND NEJAT HOSPITAL FOR SUBSTANCE USER IN AFGHANISTAN

Abstract

The incidence and prevalence of substance users are increasing day to day and the number of treatment center, which is provided by Public and private is not enough to cover all patients. The Ministry of Public Health and Ministry of Counter and Narcotic in Afghanistan is planning to increase access to drug treatment and expand treatment centers in an effective way.The cost effectiveness is a good economic evaluation tool to find the effective way. The costing is from the provider's perspective for fiscal year 2012 to find each unit cost for each OPD/counseling and IPD, types of substance as well and cost-effective treatment within public and private hospitals. The step down method used for the costing of both hospitals. The outcome for the cost effectiveness is the successful treatment of detoxification. The data were collected for the year of 2012 from a provider's perspective. The study shows that the treatment in a private hospital is more cost-effective than the public as the successful treatment for heroin and opium users in a public hospital is 532 USD for opium 527 USD and for the multi users 532 while it is less in private hospital as it is 509 USD for heroin user, 493 USD for opium and 506 for multi user. In addition the percentage of effectiveness of treatment is higher in private hospital than the public hospital as well. The MoPH should establish the core principles to guide the development and implementation of a positive, productive and collaborative working relationship between the MoPH and the private sector. Through this relationship, the MoPH propose to increase the contribution of the private sector to MoPH goals for the health of the Afghan population by facilitating and supporting private sector investments.