1 Less than 20%
2 20 to 49%
3 50% to 74%
4 75% to 94%
5 95% or more
1 Less than $15
2 $15 to $53
3 $54 to $99
4 $100 to $299
5 $300 to $999
6 $1000 or over
7 no data

Percent of Births Attended by Skilled Personnel

What does it mean ?

This indicator shows the percentage of births that take place in the presence of a skilled healthcare worker who is qualified to attend to births. The definition of a skilled birth attendant is an accredited health professional – such as a midwife, nurse or doctor – who has the necessary skills needed to manage normal pregnancy, childbirth and the period after the birth, and who is able to identify, manage and refer women and newborns if complications occur.

Why does it matter ?

All women should have skilled care during pregnancy and childbirth because the provision of skilled care at every birth significantly reduces the risk of maternal and newborn mortality. This indicator can also give us information on the use of maternity services in a country, and can measure a health system's ability to provide good care during childbirth. Skilled attendance is a crucial factor in reducing maternal and newborn death.

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 babies they have given birth to and when their births occurred. Additional questions were asked about the circumstances at each birth and whether a doctor, midwife, nurse or other skilled person was present. The indicator concerns births that occurred in the three years before the survey.

World Health Organization, Global Health Observatory data repository, accessed in August 2016 http://apps.who.int/gho/data/node.main.REPWOMEN39?lang=en

General Government Expenditure on Health Per Capita expressed in PPP international Dollars

What does it mean ?

This indicator shows how much of the government's own resources are allocated to health per person. It is expressed in Purchasing Power Parity (PPP) international dollars. PPP is a hypothetical exchange rate that allows us to compare expenditure across countries while taking into account differences in the cost of living.

Why does it matter ?

This indicator can tell us whether a government spends enough of its own resources on health per person in order to guarantee universal coverage of essential services, particularly for vulnerable groups such as the poor, pregnant women and children. Universal coverage is unlikely to be achieved unless the government allocates sufficient funds to health so that everybody can access the health services they need regardless of their ability to pay. While other funding sources such as donor funds can also make an important contribution to the provision of equitable services, these funds may not be spent according to the country's priorities and may not provide a reliable source of funding in the long-term. There is no consensus on how much funding a government should allocate to health since different countries will have different needs and different contexts. However 54 (PPP) international dollars is often used as a benchmark - for example, this is the minimum amount required to achieve the health MDGs according to the 2010 Taskforce on Innovative International Financing for Health Systems.

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.

2014 WHO World Health Statistics Report http://apps.who.int/nha/database