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Most health systems aspire to deliver health services to people who need them, without causing financial hardship for the families involved. How close do health systems around the world come to achieving this goal of universal health coverage?

What percentage of children and women in different countries get key preventive health interventions such as antenatal care and cervical cancer screening? How does this percentage differ between the poor and less poor? What percentage of adults in different countries receive inpatient care, and how does this percentage compare to the WHO benchmark? What does the gradient across socioeconomic groups look like, and does it look different in low-, middle- and high-income countries? What are the gaps between the poor and the less poor in health outcomes, such as childhood stunting and adult obesity?

What fraction of households spend more than 10% of their income or out-of-pocket consumption on health care? Is the fraction higher among the poor? What fraction of households are impoverished by out-of-pocket health expenses? How do these numbers vary across countries? How have they changed over time?

The Health Equity and Financial Protection Indicators (HEFPI) dataset allows you to answer these questions. The dataset has grown over time from the first dataset published in 2000 which pulled data from 42 surveys and one type of survey, covered just 42 countries, and included just 34 indicators, which all concerned maternal and child health. In 2013, for the first time, the database included household out-of-pocket health expenditures, noncommunicable disease indicators (NCD), and data from high-income countries. The 2018 database follows this trend by employing over 1,600 surveys, covering 183 countries, and encompassing multiple years of data, richer NCD data, and more extensive data on household out-of-pocket expenditures.







The 2019 Update of the Health Equity and Financial Protection Indicators Database : An Overview

This paper outlines changes that have been made in the 2019 version of the Health Equity and Financial Protection Indicators database. On the financial protection side, the changes include an increase in the number of indicators from five to 14; revisions to several previous data points, reflecting the analysis of new surveys (or adaptations thereof); and refinements to the estimation of out-of-pocket expenditures. On the health equity side, the 2019 database includes 198 more data points than the 9,733 in the 2018 database, reflecting the addition of 535 new datapoints, and the dropping of 337 previously included data points now considered to be substandard.



Citation

Wagstaff, Adam; Eozenou, Patrick; Neelsen, Sven; Smitz, Marc. 2019. The 2019 Update of the Health Equity and Financial Protection Indicators Database : An Overview. Policy Research Working Paper;No. 8879. World Bank, Washington, DC. © World Bank. https://openknowledge.worldbank.org/handle/10986/31869 License: CC BY 3.0 IGO.

URL

http://hdl.handle.net/10986/31869

Collection(s)

Polic Research Working Papers

Dataset(s)

https://datacatalog.worldbank.org/node/142861

The 2018 Health Equity and Financial Protection Indicators Database : Overview and Insights

The 2018 database on Health Equity and Financial Protection indicators provides data on equity in the delivery of health service interventions and health outcomes, and on financial protection in health. This paper provides a brief history of the database, gives an overview of the contents of the 2018 version of the database, and then gets into the details of the construction of its two sides -- the health equity side and the financial protection side. The paper also provides illustrative uses of the database, including the extent of and trends in inequity in maternal and child health intervention coverage, the extent of inequities in women's cancer screening and inpatient care utilization, and trends and inequalities in the incidence of catastrophic health expenditures.



Citation

Wagstaff, Adam; Eozenou, Patrick; Neelsen, Sven; Smitz, Marc. 2018. The 2018 Health Equity and Financial Protection Indicators Database : Overview and Insights. Policy Research Working Paper;No. 8577. World Bank, Washington, DC. © World Bank. https://openknowledge.worldbank.org/handle/10986/30598 License: CC BY 3.0 IGO.

URL

http://hdl.handle.net/10986/30598

Collection(s)

Polic Research Working Papers

Dataset(s)

https://datacatalog.worldbank.org/node/142861