World Health Organization ranking of health systems in 2000
Ranking
Country | Attainment of goals / Health / Level | Attainment of goals / Health / Distribution | Attainment of goals / Health / Overall goal attainment | Health expenditure per capita in international dollars | Performance / On level of health | Performance / Overall health system performance |
Afghanistan | 164 | 0 | 183 | 184 | 150 | 173 |
102 | 128 | 86 | 149 | 64 | 55 | |
44 | 63 | 56 | 24 | 45 | 81 | |
10 | 25 | 17 | 23 | 7 | 4 | |
165 | 178 | 181 | 164 | 165 | 181 | |
Antigua and Barbuda | 48 | 58 | 71 | 56 | 123 | 86 |
Argentina | 39 | 60 | 49 | 34 | 71 | 75 |
41 | 63 | 81 | 102 | 56 | 104 | |
Australia | 2 | 17 | 12 | 17 | 39 | 32 |
Austria | 17 | 8 | 10 | 6 | 15 | 9 |
65 | 99 | 103 | 162 | 60 | 109 | |
109 | 67 | 64 | 22 | 137 | 98 | |
61 | 72 | 58 | 48 | 30 | 42 | |
Bangladesh | 140 | 125 | 131 | 144 | 103 | 88 |
53 | 36 | 38 | 36 | 87 | 46 | |
83 | 46 | 53 | 74 | 116 | 72 | |
16 | 26 | 13 | 15 | 28 | 21 | |
94 | 95 | 104 | 88 | 34 | 69 | |
157 | 132 | 143 | 171 | 136 | 97 | |
138 | 158 | 144 | 135 | 73 | 124 | |
Bolivia | 133 | 118 | 117 | 101 | 142 | 126 |
56 | 79 | 79 | 105 | 70 | 90 | |
187 | 146 | 168 | 85 | 188 | 169 | |
Brazil | 111 | 108 | 125 | 54 | 78 | 125 |
59 | 42 | 37 | 32 | 76 | 40 | |
Bulgaria | 60 | 53 | 74 | 96 | 92 | 102 |
178 | 137 | 159 | 173 | 162 | 132 | |
179 | 154 | 161 | 186 | 171 | 143 | |
Cambodia | 148 | 150 | 166 | 140 | 157 | 174 |
156 | 160 | 163 | 131 | 172 | 164 | |
Canada | 12 | 18 | 7 | 10 | 35 | 30 |
Cape Verde | 118 | 123 | 126 | 150 | 55 | 113 |
175 | 189 | 190 | 178 | 164 | 189 | |
161 | 175 | 177 | 175 | 161 | 178 | |
32 | 1 | 33 | 44 | 23 | 33 | |
People's Republic of China | 81 | 101 | 132 | 139 | 61 | 144 |
Colombia | 74 | 44 | 41 | 49 | 51 | 22 |
Comoros | 146 | 143 | 137 | 165 | 141 | 118 |
150 | 142 | 155 | 122 | 167 | 166 | |
67 | 92 | 88 | 61 | 95 | 107 | |
Costa Rica | 40 | 45 | 45 | 50 | 25 | 36 |
38 | 33 | 36 | 56 | 57 | 43 | |
Cuba | 33 | 41 | 40 | 118 | 36 | 39 |
Cyprus | 25 | 31 | 28 | 39 | 22 | 24 |
Czech Republic | 35 | 19 | 30 | 40 | 81 | 48 |
Democratic Republic of the Congo | 174 | 174 | 179 | 188 | 185 | 188 |
28 | 21 | 20 | 8 | 65 | 34 | |
166 | 169 | 170 | 163 | 163 | 157 | |
26 | 35 | 42 | 70 | 59 | 35 | |
79 | 97 | 66 | 92 | 42 | 51 | |
93 | 133 | 107 | 97 | 96 | 111 | |
Egypt | 115 | 141 | 110 | 115 | 43 | 63 |
87 | 115 | 122 | 83 | 37 | 115 | |
152 | 151 | 152 | 129 | 174 | 171 | |
Eritrea | 169 | 167 | 176 | 187 | 148 | 158 |
Estonia | 69 | 43 | 48 | 60 | 115 | 77 |
Ethiopia | 182 | 176 | 186 | 189 | 169 | 180 |
104 | 112 | 111 | 81 | 110 | 123 | |
106 | 71 | 78 | 87 | 124 | 96 | |
Finland | 20 | 27 | 22 | 18 | 44 | 31 |
France | 3 | 12 | 6 | 4 | 4 | 1 |
144 | 136 | 141 | 95 | 143 | 139 | |
143 | 155 | 153 | 158 | 109 | 146 | |
Georgia | 44 | 61 | 76 | 125 | 84 | 114 |
Germany | 22 | 20 | 14 | 3 | 41 | 25 |
Ghana | 149 | 149 | 139 | 166 | 158 | 135 |
Greece | 7 | 6 | 23 | 30 | 11 | 14 |
49 | 82 | 68 | 67 | 49 | 85 | |
129 | 106 | 113 | 130 | 99 | 78 | |
167 | 166 | 172 | 159 | 160 | 161 | |
170 | 177 | 180 | 156 | 156 | 176 | |
98 | 126 | 116 | 109 | 104 | 128 | |
Haiti | 153 | 152 | 145 | 155 | 139 | 138 |
92 | 119 | 129 | 100 | 48 | 131 | |
62 | 40 | 43 | 59 | 105 | 66 | |
Iceland | 19 | 24 | 16 | 14 | 27 | 15 |
India | 19 | 13 | 121 | 133 | 118 | 112 |
Indonesia | 103 | 156 | 106 | 154 | 90 | 92 |
Iran | 96 | 113 | 114 | 94 | 58 | 93 |
Iraq | 126 | 130 | 124 | 117 | 75 | 103 |
Ireland | 27 | 13 | 25 | 25 | 32 | 19 |
Israel | 23 | 7 | 24 | 19 | 40 | 28 |
Italy | 6 | 14 | 11 | 11 | 3 | 2 |
155 | 181 | 157 | 153 | 133 | 137 | |
36 | 87 | 69 | 89 | 8 | 53 | |
Japan | 1 | 3 | 1 | 13 | 9 | 10 |
Jordan | 101 | 83 | 84 | 98 | 100 | 83 |
Kazakhstan | 122 | 52 | 62 | 112 | 135 | 64 |
Kenya | 162 | 135 | 142 | 152 | 178 | 140 |
125 | 121 | 123 | 103 | 144 | 142 | |
68 | 54 | 46 | 41 | 68 | 45 | |
Kyrgyzstan | 123 | 122 | 135 | 146 | 134 | 151 |
Laos | 147 | 147 | 154 | 157 | 155 | 165 |
82 | 56 | 67 | 77 | 121 | 105 | |
95 | 88 | 93 | 46 | 97 | 91 | |
171 | 164 | 173 | 123 | 186 | 183 | |
181 | 191 | 187 | 181 | 176 | 186 | |
Libya | 107 | 102 | 97 | 84 | 94 | 87 |
63 | 48 | 52 | 71 | 93 | 73 | |
18 | 22 | 5 | 5 | 31 | 16 | |
64 | 85 | 89 | 106 | 69 | 89 | |
172 | 168 | 167 | 190 | 173 | 159 | |
189 | 187 | 182 | 161 | 187 | 185 | |
Malaysia | 89 | 49 | 55 | 93 | 86 | 49 |
130 | 134 | 128 | 76 | 147 | 147 | |
Mali | 183 | 180 | 178 | 179 | 170 | 163 |
21 | 38 | 31 | 37 | 2 | 5 | |
121 | 120 | 119 | 80 | 140 | 141 | |
Mauritania | 158 | 163 | 169 | 141 | 151 | 162 |
78 | 77 | 90 | 69 | 113 | 84 | |
Mexico | 55 | 65 | 51 | 55 | 63 | 61 |
88 | 64 | 91 | 108 | 106 | 101 | |
9 | 30 | 18 | 12 | 12 | 13 | |
131 | 148 | 136 | 145 | 138 | 145 | |
Morocco | 110 | 111 | 94 | 99 | 17 | 29 |
180 | 190 | 185 | 160 | 168 | 184 | |
Myanmar | 139 | 162 | 175 | 136 | 129 | 190 |
177 | 173 | 165 | 66 | 189 | 168 | |
136 | 51 | 75 | 42 | 166 | 98 | |
Nepal | 142 | 161 | 160 | 170 | 98 | 150 |
Netherlands | 13 | 15 | 8 | 9 | 19 | 17 |
New Zealand | 31 | 16 | 26 | 20 | 80 | 41 |
117 | 96 | 101 | 104 | 74 | 71 | |
190 | 184 | 188 | 185 | 177 | 170 | |
Nigeria | 163 | 188 | 184 | 176 | 175 | 187 |
85 | 100 | 102 | 127 | 108 | 121 | |
North Korea | 137 | 145 | 149 | 172 | 153 | 167 |
15 | 4 | 3 | 16 | 18 | 11 | |
Oman | 72 | 59 | 59 | 62 | 1 | 8 |
Pakistan | 124 | 183 | 133 | 142 | 85 | 122 |
112 | 66 | 63 | 47 | 125 | 82 | |
47 | 93 | 70 | 53 | 67 | 95 | |
145 | 157 | 150 | 137 | 146 | 148 | |
Paraguay | 71 | 57 | 73 | 91 | 52 | 57 |
105 | 103 | 115 | 78 | 119 | 129 | |
Philippines | 113 | 50 | 54 | 124 | 126 | 60 |
Poland | 45 | 5 | 34 | 58 | 89 | 50 |
Portugal | 29 | 34 | 32 | 28 | 13 | 12 |
Qatar | 66 | 55 | 47 | 27 | 53 | 44 |
Romania | 80 | 78 | 72 | 107 | 111 | 99 |
Russia | 91 | 69 | 100 | 75 | 127 | 130 |
185 | 185 | 171 | 177 | 181 | 172 | |
86 | 91 | 98 | 51 | 122 | 100 | |
54 | 86 | 87 | 86 | 54 | 68 | |
43 | 89 | 92 | 90 | 38 | 74 | |
97 | 81 | 82 | 121 | 131 | 119 | |
San Marino | 11 | 9 | 21 | 21 | 5 | 3 |
132 | 139 | 138 | 167 | 117 | 133 | |
Saudi Arabia | 58 | 70 | 61 | 63 | 10 | 26 |
Senegal | 151 | 105 | 118 | 143 | 132 | 59 |
108 | 73 | 83 | 52 | 83 | 56 | |
Sierra Leone | 191 | 186 | 191 | 183 | 183 | 191 |
Singapore | 30 | 29 | 27 | 38 | 14 | 6 |
42 | 39 | 39 | 45 | 88 | 62 | |
Slovenia | 34 | 23 | 29 | 29 | 62 | 38 |
127 | 117 | 108 | 134 | 20 | 80 | |
173 | 179 | 189 | 191 | 154 | 179 | |
South Africa | 160 | 128 | 151 | 57 | 182 | 175 |
South Korea | 51 | 37 | 35 | 31 | 107 | 58 |
Spain | 5 | 11 | 19 | 24 | 6 | 7 |
Sri Lanka | 76 | 80 | 80 | 138 | 66 | 76 |
Sudan | 154 | 159 | 148 | 169 | 149 | 134 |
77 | 94 | 105 | 72 | 77 | 110 | |
164 | 140 | 164 | 116 | 184 | 177 | |
4 | 28 | 4 | 7 | 21 | 23 | |
Switzerland | 8 | 10 | 2 | 2 | 26 | 20 |
Syria | 114 | 107 | 112 | 119 | 91 | 108 |
Tajikistan | 120 | 124 | 127 | 126 | 145 | 154 |
Tanzania | 176 | 172 | 158 | 174 | 180 | 156 |
Thailand | 99 | 74 | 57 | 64 | 102 | 47 |
159 | 170 | 156 | 180 | 159 | 152 | |
75 | 84 | 85 | 73 | 114 | 116 | |
Trinidad and Tobago | 57 | 75 | 56 | 65 | 79 | 67 |
90 | 114 | 77 | 79 | 46 | 52 | |
Turkey | 73 | 109 | 96 | 82 | 33 | 70 |
Turkmenistan | 128 | 131 | 130 | 128 | 152 | 153 |
119 | 116 | 120 | 151 | 128 | 136 | |
United Arab Emirates | 50 | 62 | 44 | 35 | 16 | 27 |
Uganda | 186 | 138 | 162 | 168 | 179 | 149 |
United Kingdom | 14 | 2 | 9 | 26 | 24 | 18 |
Ukraine | 70 | 47 | 60 | 111 | 101 | 79 |
United States | 24 | 32 | 15 | 1 | 72 | 37 |
37 | 68 | 50 | 33 | 50 | 65 | |
Uzbekistan | 100 | 144 | 109 | 120 | 112 | 117 |
135 | 127 | 134 | 132 | 120 | 127 | |
Venezuela | 52 | 76 | 65 | 68 | 29 | 54 |
Vietnam | 116 | 104 | 140 | 147 | 130 | 160 |
Yemen | 141 | 165 | 146 | 182 | 82 | 120 |
46 | 90 | 95 | 113 | 47 | 106 | |
188 | 171 | 174 | 148 | 190 | 182 | |
184 | 98 | 147 | 110 | 191 | 155 |
Methodology
The rankings are based on an index of five factors:- Health : disability-adjusted life expectancy
- * Overall or average : 25%
- * Distribution or equality : 25%
- Responsiveness : speed of service, protection of privacy, and quality of amenities
- * Overall or average : 12.5%
- * Distribution or equality : 12.5%
- Fair financial contribution : 25%
Criticism
In over a decade of discussion and controversy over the WHO Ranking of 2000, there is still no consensus about how an objective world health system ranking should be compiled. Indeed, the 2000 results have proved so controversial that the WHO declined to rank countries in their World Health Reports since 2000, but the debate still rages on. With burgeoning and ageing populations, spiralling costs and the recognition by most national governments that constant vigilance and periodic healthcare reform are necessary, the appetite for a means of measuring national performance in broader world contexts is ever increasing and all the more relevant. With this in mind, and in lieu of any further ranking information from the WHO since 2000, there are many analytical bodies now looking at national healthcare delivery in global contexts and publishing their findings. Bloomberg finds "the U.S. spends the most on health care on a relative cost basis with the worst outcome" and notes Cubans live longer than Americans, but Americans pay more than fourteen times as much for less effective health care. The Commonwealth Fund ranked seven developed countries on health care, the US ranked lowest.