1 Less than 15%
2 15%-29.9%
3 30%-39.9%
4 40%-49.9%
5 50% and over
6 No data
0 No Data
1 Less than 2%
2 2-5%
3 5-10%
4 10-20%
5 More than 20%

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

Adolescent Birth Rate

What does it mean ?

This indicator represents the number of babies born to girls and women aged 15-19 each year. It can be understood as the expected number of girls that will become pregnant between the ages of 15-19 each year out of 1,000 girls in that age group.

Why does it matter ?

In countries where child marriage is common, it is also likely that a high adolescent fertility rate will result. The marriage of girls followed by multiple childbearing either in early or late teen years is a violation of human and reproductive rights, as well as a missed opportunity to improve levels of female literacy, education and the economic progress that is associated with female participation in the labour force.

How is it collected ?

A national survey was undertaken in each country from a representative sample of households where women and girls were asked how many children they have given birth to and when they occurred. Using data from girls aged 15-19, a fertility rate was calculated by adding the number of births within the year before the survey, and dividing by the number of girls in the survey aged 15-19.

World Population Prospects: The 2015 Revision https://esa.un.org/unpd/wpp/Download/Standard/Fertility/