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Reproductive, Maternal, Neonatal and Child Health
Adolescent Fertility Rate
Births Attended by Skilled Personnel
Contraceptive Prevalence
Infant Mortality Rate
DPT3 Immunization Coverage in Children
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Under 5s Treated with Anti-Malarial Drugs
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TB Case Detection Rate
TB Treatment Success Rate
Health Finance
General Gov Exp on Health as % of GGE
Out of Pocket Health Expenditure
Per Capita Public Funds for Health

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What does it mean ?
Full Name:Out-of-pocket expenditure on health as percentage of total expenditure on health
Full Unit:%
Year-range of Data:2014
Source:WHO Global Health Expenditure Database
Link :http://apps.who.int/nha/database
Date Source Published:12th April 2016
Date Source Accessed:12th April 2016

The following countries had no data:
Morocco, SADR, Somalia

Alternative Data Sources

Out of Pocket Health Expenditure

What does it mean ?

This indicator reports all direct payments from households to health care providers or pharmacists, as a proportion of all health expenditure in the country. Out of pocket health expenditure is only part of private health spending, and does not include private health insurance. Together, public, external and private health spending make up total health spending.

Why does it matter ?

Certain households may not be able to fund health care expenses out of pocket, meaning their health problems will go uncared for. For others, unplanned health spending will impoverish their whole household as they may be forced to sell their assets or pull their children out of school to afford the cost. Overall, this is a key indicator to measure the equity of the health system and the extent to which accessing health care depends on one’s ability to pay.

How is it collected ?

The preferred source of data for this indicator is a National Health Account, which is an internationally agreed method for collecting information about all financial flows related to health in a country. Where a recent National Health Account is not available, the WHO’s health financing team attempts to collect similar information using technical contacts in-country and publicly available documents.

Find out more about the Summary Definition and the Methodology for Collection and Calculation

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Summary Definition, Methodology for Collection and Calculation

Alternative Data Sources

The data for each indicator on African Health Stats (AHS) are published by the UN agency, or UN inter-agency group, which holds responsibility for global monitoring of the indicator. This varies by indicator. Please refer to ‘Data Source’. AHS uses data from these sources because such data are internationally comparable and it is the mandate of those agencies to prepare such data and monitor progress internationally. In some cases the UN agency has made adjustments to the data in order to make national data internationally comparable, for example they may adjust national estimates to account for differences in survey design, the extent of potential underreporting, and the definition of what is being measured (eg. maternal deaths). This means that at times there may be discrepancies between national and international estimates. Individual countries may prefer to instead rely on national figures for national monitoring. For uniformity, AHS uses only international estimates of the UN agencies in data visualisations.

In 2014, the following countries communicated that they use alternative figures to monitor the indicator out of pocket health expenditure instead of the figures that appear in AHS data visualisations. The most recent alternative figure supplied by these countries, by source are: Zimbabwe 2013 20.5 (no source).

Collection Summary

The preferred source of data for this indicator is a National Health Account, which is an internationally agreed method for collecting information about all financial flows related to health in a country. This method establishes where these funds come from (e.g.: public, private or external sources), who decides how these funds are used, which type of health care providers receive the funds, and which type of health services benefit from these funds. These financial flows are tracked by measuring transactions between different levels of the system.

Where a recent National Health Account is not available, the World Health Organization’s health financing team attempts to collect similar information using technical contacts in-country and publicly available documents such as national accounts or public expenditure reviews. Estimates are validated by Ministries of Health.

For further information, visit: http://apps.who.int/nha/database/DocumentationCentre/Index/en

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