Health financing for universal coverage

Test your knowledge on how countries perform on selected service coverage indicators of UHC, given what they spend

1 Of 83 low and middle income countries analysed for 2012, how many reached the target of 80% coverage for DPT (diphtheria, tetanus and pertussis immunization)?

Most countries perform well on DPT coverage, with some countries which reach this target spending as little as $8-$20 per capita (public) on their health systems overall. Of the countries not reaching 80% most have very low public spending on health.

2 Of those countries achieving 80% DPT coverage, in how many was public spending on health less than $86 per capita?

More than half the countries reaching 80% DPT coverage spend significantly less than the widely referred to amount of $86 per capita (public). Whilst the amount a country spends in terms of public funds is critical to universal health coverage, countries can still make progress on priority services at low levels of spending.

3 Of 83 low and middle income countries analysed for 2012, how many reached the target of 80% coverage for live births attended by skilled health personnel (SAB)?

Only half of the countries analysed reached an 80% SAB coverage rate; whilst some low spending countries ($41-49 public per capita) achieved this target, total public spending on health was generally higher at an average of $450 per capita.

4 In those countries achieving 80% SAB, in how many is public spending on health at least 5% GDP?

Another spending target widely used is that public spending needs to be 5% of GDP. Only four of the countries achieving 80% SAB had spending at this level. On average the countries in our sample spent 3.1%. Whilst UHC clearly refers to much broader range of services, even at lower levels of health spending improving the way health systems are organised can have a positive impact on UHC performance.