| 1 | Less than 15% |
| 2 | 15%-29.9% |
| 3 | 30%-39.9% |
| 4 | 40%-49.9% |
| 5 | 50% and over |
| 6 | No data |
| 1 | Less than 10 |
| 2 | 10 to 49 |
| 3 | 50 to 99 |
| 4 | 100 to 499 |
| 5 | 500 to 999 |
| 6 | More than 1000 |
| 7 | No data |
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Out of Pocket Health Expenditure
What does it mean ?
This indicator is calculated by adding together all direct payments from every household to health care providers or pharmacists, as a proportion of the total health-related spending in a country. Out of pocket health expenditure is only part of private health spending, because it does not include private health insurance. Together, government, external and private health spending make up the total health care spending in a country.
Why does it matter ?
Out of pocket health expenditure is a core indicator measuring the equity of health systems and the extent to which access to health care depends on one's ability to pay. Certain households may not be able to fund health care expenses out of pocket, resulting in untreated health problems and lack of care. For others, unplanned health spending will impoverish their whole household as they may be forced borrow money, to sell their assets or pull their children out of school to afford the costs.
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 collects similar information using technical contacts in-country and publicly available documents.
WHO World Health Statistics 2014. Estimates for 2012 http://apps.who.int/nha/database
Maternal Mortality Ratio
What does it mean ?
The Maternal Mortality Ratio (MMR) is the rate at which women die from maternal causes (any cause related to pregnancy, during childbirth, pregnancy or within 42 days of childbirth). It is measured as the number of maternal deaths per every 100,000 live births. A live birth refers to any baby that is born that shows signs of life outside of the womb. A maternal death refers to the death of woman while she is pregnant or within 42 days of childbirth, from any cause related to or aggravated by the pregnancy or its management. Maternal deaths exclude accidental or other non-related causes of death. The MMR represents the risk associated with each pregnancy and birth.
Why does it matter ?
Problems during pregnancy and childbirth are a leading cause of death and disability of women of reproductive age (15-49 years) in low income countries. This indicator acts as a record of deaths related to pregnancy and childbirth and reflects the ability of a country's healthcare system to provide safe care during pregnancy and childbirth. The Maternal Mortality Ratio is an indicator for monitoring Sustainable Development Goal 3 Health and Wellbeing Target 3.1: By 2030, reduce the global maternal mortality ratio to less than 70 per 100,000 live births.
How is it collected ?
In high income countries the data for MMR are from nationally registered deaths to women, with maternal death as the cause, then dividing by the number of registered live births. If birth and death registration is incomplete other methods are used such as a special survey or population censuses. Where there are no data, an estimate is generated from three factors: GDP, fertility rate and births attended by a skilled attendant.
WHO, UNICEF, UNFPA and World Bank (2015). Trends in Maternal mortality 1990-2015. http://www.who.int/reproductivehealth/publications/monitoring/maternal-mortality-2015/en/
