Public clinic Public clinic District or provincial hospital District or provincial hospital

86 HEALTH Less than one quarter of all households had any costs for in-patient care, but if costs were made it was usually a large amount with a median of 6.6 thousand Afs. and an average expenditure of 34 thousand Afs. On average households in Afghanistan – including those without costs – mentioned an expenditure of 7.5 thousand Afs. for in-patient care. Expenditure on out-patient care was considerably lower with a median of 300 Afs. and a mean of 1.5 thousand Afs. by all households, but was made twice as often – by 51 percent of all households – as in-patient care costs. Other health-related expenditure was again smaller but more frequent by 63 percent of households. Overall, households in Afghanistan spent on average more than nine thousand Afs. on health care, with a median expenditure of 1.1 thousand Afs. For those households that did make any costs the corresponding igures are, respectively, 11.2 and 1.6 thousand Afs. It is notable that urban households have a signiicantly higher level of expenditure than rural households, which is likely related to lower urban poverty levels and better access to health services. Table 9.3: Mean and median household health-related expenditure for A. Households with speciied expenditure and B. all households, by expenditure type, residence in Afghanis

A. Households with speciied expenditure B. All households

Expenditure type, Households with expenditure All households Mean Median Mean Median

a. In-patient care expenditure

Urban 46,445 8,000 11,376 Rural 30,756 6,000 6,586 Kuchi 21,082 6,000 3,684 Total 34,281 6,600 7,504

b. Out-patient care expenditure

Urban 3,735 1,100 2,119 450 Rural 2,535 1,200 1,301 200 Kuchi 1,903 1,200 901 Total 2,796 1,200 1,463 300

c. Other health-related expenditure

Urban 661 250 429 100 Rural 651 300 371 100 Kuchi 518 200 315 90 Total 646 300 381 100

d. Total health-related expenditure

Urban 16,021 1,600 13,924 1,200 Rural 10,035 1,600 8,258 1,050 Kuchi 6,103 1,380 4,900 1,000 Total 11,232 1,600 9,348 1,100