“The tables in this technical annex present new concepts and measures which lay the empirical basis for assessing health system performance. The main body of the report provides detail on the different goals for health systems and the measures of performance. Both the text of the report and the annex are based on the WHO framework for health system performance assessment.1 The work leading to these annex tables was undertaken mostly by the WHO Global Programme on Evidence for Health Policy in collaboration with counterparts from the Regional Offices of WHO. This analytical effort was organized in eleven working groups. Membership of these working groups is listed in the Appendix. The material in these tables will be presented on an annual basis in each World health report. Because this is the first year of presentation for the material in Annex Tables 1 and 5-10, working papers have been prepared which provide details on the concepts, methods and results that are only briefly mentioned here. The footnotes to these technical notes include a complete listing of the detailed working papers.
“As with any innovative approach, methods and data sources can be refined and improved. It is hoped that careful scrutiny and use of the results will lead to progressively better measurement of performance in the coming World health reports. All the main results are reported with uncertainty intervals in order to communicate to the user the plausible range of estimates for each country on each measure.
“Although not provided in any table, extensive use has been made of estimates of income per capita in international dollars, average years of schooling for the population over age 15 years, percentage of the population in absolute poverty and the income Gini coefficient. In all cases, there are multiple and often conflicting sources of information from international agencies on these indicators; in addition, there are many countries for which there are no published estimates. To facilitate the analyses presented here, consistent and complete estimates of these key indicators have been developed through a variety of techniques including factor analysis, multiple imputation methods for missing data, remote sensing data from public use satellites and systematic reviews of household survey data. The details on methods and data sources for the final figures on income per capita, educational attainment, poverty and income distribution are outlined elsewhere.2“
Source: World Health Organization. The World Health Report 2000: Health Systems : Improving Performance. Geneva: World Health Organization, 2000.
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Page last updated July 4, 2021 by Doug McVay, Editor.