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Maternal, Newborn, Child and Adolescent Health
Life expectancy at birth
Maternal mortality ratio
Stillbirth rate
Neonatal mortality rate
Infant mortality rate
Under 5 mortality rate
Antenatal care coverage: 4+ visits
Antenatal care coverage: 8+ visits
Births attended by skilled health personnel
Postpartum care coverage for mothers
Postnatal care coverage for newborns
Exclusive breastfeeding for infants under 6 months
Coverage of first dose of measles vaccination
Stunting - short height for age under age 5
Wasting – low weight for height under age 5
Overweight - heavy for height under 5
Sexual and Reproductive Health
Child marriage before age 15
Child marriage before age 18
Female genital mutilation
Sexual violence by age 18 - female
Sexual violence by age 18 - male
Very early child bearing under age 16
Adolescent birth rate ages 15 to 19
Contraceptive prevalance rate, modern methods, all women
Demand satisfied for modern contraception
Communicable Diseases
New HIV infections
Antiretroviral treatment coverage
Preventing mother-to-child transmission of HIV
Condom use
New TB infections
New malaria infections
Non-Communicable Diseases
Mortality from non-communicable diseases
Suicide mortality rate
Current tobacco use among females aged 15 and over
Current tobacco use among males aged 15 and over
Harmful alcohol use aged 15 and over
Health Financing
External health expenditure as % current health expenditure
Government health expenditure as % current health expenditure
Government health expenditure as % GDP
Government health expenditure as % general govt expenditure
Government health expenditure per capita
Out-of-pocket health expenditure as % of current health expenditure
Percentage of national health budget allocated for reproductive health
Health systems and policies
Density of health workers - physicians
Density of health workers - nurses and midwives
Density of health workers - pharmaceutical staff
Qualified obstetricians
Birth registration
At least basic drinking water
At least basic sanitation services
Open defecation
Implementation of AMRH Initiative

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What does it mean ?
Full Name:Out-of-pocket expenditure on health as a percentage of current expenditure on health (OOP % CHE)
Full Unit: Percentage,%
Year-range of Data:2011 - 2016
Source:WHO Global Health Expenditure Database
Link to Source:http://apps.who.int/nha/database/Select/Indicators/en
Date Source Published:1st December 2018
Date Source Accessed:22nd March 2019

The following countries had no data:
SADR, Somalia, South Sudan, Tunisia

Alternative Data Sources
   

Out-of-pocket health expenditure as % of current health expenditure

What does it mean ?

This indicator estimates how much households spend on formal or informal fees at the time of using health services, or as co-payments, when their health insurance or government funding does not cover the full costs of care. This is another indicator of financial protection, giving some indication of whether households have to purchase additional services.

Why does it matter ?

This shows the proportion of domestic expenditure that is not pre-paid by households. Unplanned health spending can be catastrophic for some households as they may be forced to use their savings, sell their assets or pull their children out of school to afford the cost, leading to impoverishment. Overall, this is a key indicator to measure the equity of the health system, the extent to which accessing health care depends on one’s ability to pay, and the level of financial protection. High out-of-pocket payments also mean that the financing system has weak ability to pool funds and implement strategic purchasing. Certain households may not be able to fund health care expenses out of pocket at all, meaning that this indicator may under-estimate these problems.

How is it collected ?

The data available from the WHO Global Health Expenditure database are reported by country governments using the framework of System of Health Accounts 2011 (SHA2011). Since 2015, the new classification system, which separates out external grant funding from government expenditure, reports current and capital expenditure separately, and distinguishes tax-financed government expenditure from social health insurance, more accurately captures health financing reforms taking place among UN member states, and improves comparability over time and across countries (for example, capital expenditures fluctuate and do not finance access to health services, but improve future resilience of the health sector).

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More about indicator, sources and calculations

More about indicator and sources

The numerator reports all direct payments from households to health care providers or pharmacists, as a proportion of all current health expenditure in the country, as well as co-payments for services not covered by insurance . A household represents an individual or group of persons living in the same accommodation who pool some or all their income and wealth, and collectively consume certain types of goods and services.

More information on calculations

Further details of SHA2011 application in individual countries can be seen in the country footnotes and the metadata on the WHO Global Health Expenditure Database. To calculate many of the indicators, macro-economic and demographic estimates from other organisations, such as the World Bank, IMF and United Nations Population Division were also used.

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

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