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DATA IDENTIFICATION


Name
Coverage of tracer interventions (e.g. child full immunization, Antiretroviral therapy, Tuberculosis treatment, hypertension treatment, skilled attendant at birth, etc.)
Indicator purpose

Average coverage of essential services based on tracer interventions.

Abstract

The indicator is an index reported on a unitless scale of 0 to 100, which is computed as the geometric mean of 14 tracer indicators of health service coverage.

Data source

Ministry of Health (MOH)

DATA CHARACTERISTICS



Contact organization person

Ministry of Health (MOH)

Date last updated
04-NOV-2019
Periodicity

Annual

Unit of measure
-
Other characteristics

Indicator 3.8.1 is for health service coverage and indicator 3.8.2 focuses on health expenditures in relation to a household’s budget to identify financial hardship caused by direct health care payments. Taken together, indicators 3.8.1 and 3.8.2 are meant to capture the service coverage and financial protection dimensions, respectively, of target 3.8. These two indicators should be always monitored jointly.

DATA CONCEPTS and CLASSIFICATIONS



Classification used

The index of health service coverage is computed as the geometric means of 14 tracer indicators. The tracer indicators are as follows, organized by four broad categories of service coverage:

I. Reproductive, maternal, new born and child health

  1.  Family planning: Percentage of women of reproductive age (15−49 years) who are married or in-union who have their need for family planning satisfied with modern methods (SDG indicator 3.7.1, metadata available here)
  2. Pregnancy and delivery care: Percentage of women aged 15-49 years with a live birth in a given time period who received antenatal care four or more times
  3. Child immunization: Percentage of infants receiving three doses of diphtheria-tetanus-pertussis containing vaccine
  4. Child treatment: Percentage of children under 5 years of age with suspected pneumonia (cough and difficult breathing NOT due to a problem in the chest and a blocked nose) in the two weeks preceding the survey taken to an appropriate health facility or provider

II. Infectious diseases

  1. Tuberculosis: Percentage of incident TB cases that are detected and successfully treated
  2.  HIV/AIDS: Percentage of people living with HIV currently receiving antiretroviral therapy
  3. Malaria: Percentage of population in malaria-endemic areas who slept under an insecticide-treated net the previous night [only for countries with high malaria burden]
  4. Water and sanitation: Percentage of households using improved sanitation facilities

III. Noncommunicable diseases

  1. Hypertension: Age-standardized prevalence of non-raised blood pressure (systolic blood pressure <140 mm Hg or diastolic blood pressure <90 mm Hg) among adults aged 18 years and older
  2. Diabetes: Age-standardized mean fasting plasma glucose (mmol/L) for adults aged 25 years and older
  3. Tobacco: Age-standardized prevalence of adults >=15 years not smoking tobacco in last 30 days (SDG indicator 3.a.1, metadata available here) IV. Service capacity and access
  4. Hospital access: Hospital beds per capita, relative to a maximum threshold of 18 per 10,000 population
  5. Health workforce: Health professionals (physicians, psychiatrists, and surgeons) per capita, relative to maximum thresholds for each cadre (part of SDG indicator 3.c.1, see metadata here)
  6. Health security: International Health Regulations (IHR) core capacity index, which is the average percentage of attributes of 13 core capacities that have been attained (SDG indicator 3.d.1, see metadata here)
Disaggregation

Equity is central to the definition of UHC, and therefore the UHC service coverage index should be used to communicate information about inequalities in service coverage within countries. This can be done by presenting the index separately for the national population vs disadvantaged populations to highlight differences between them. This indicator is also disaggregated by geographical location.

Key statistical concepts

The index of health service coverage is computed as the geometric means of 14 tracer indicators. Detailed metadata for each of the 14 indicators are given online (http://www.who.int/healthinfo/universal_health_coverage/UHC_Tracer_Indicators_Metadata.pdf).

Formula
-
OTHER ASPECTS



Recommended uses

This indicator assists the Ministry of Health in creating comprehensive strategies and policies to help a wider population receive tracer interventions.

Limitations

N/A

Other comments

All the metadata shown in this document was gathered from United Nation Statistics Division. The metadata was extracted from https://unstats.un.org/sdgs/metadata/.