Table 1. People’s Voice Survey responses used to quantify domains of WHO framework for health system performance assessment, 2022–2023 .
| Domain, indicatora | Weighted no. of respondents (weighted %)a |
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Country, by World Bank income classification |
Total (n = 27 795) | |||||||||||||||||||
| Low |
Lower middle |
Upper middle |
High |
|||||||||||||||||
| Ethiopia (n = 2 779) | India (n = 2 004) | Kenya (n = 2 305) | Lao People’s Democratic Republic (n = 2 007) | Nigeria (n = 2 555) | Argentina (n = 1 190) | Colombia (n = 1 237) | Mexico (n = 1 002) | Peru (n = 1 255) | South Africa (n = 2 036) | Greece (n = 2 010) | Italy (n = 1 001) | Republic of Korea (n = 2 000) | United Kingdom (n = 1 677) | USA (n = 1 500) | Uruguay (n = 1 237) | |||||
| Intermediate objective: care effectiveness | ||||||||||||||||||||
| Public health effectivenessb | 164 (17.3) |
246 (26.5) |
219 (27.9) |
423 (43.5) |
510 (55.3) |
347 (44.1) |
300 (47.9) |
279 (54.5) |
213 (33.4) |
467 (52.0) |
588 (45.8) |
235 (32.1) |
860 (63.0) |
341 (31.5) |
623 (69.5) |
352 (48.9) |
6 166 (43.7) |
|||
| Quality of own carec | 729 (43.3) |
426 (39.0) |
762 (42.5) |
356 (27.5) |
1 444 (76.6) |
677 (65.9) |
373 (36.2) |
392 (50) |
319 (33.4) |
830 (54.4) |
1 247 (74.0) |
484 (60.8) |
557 (29.4) |
969 (67.5) |
1 019 (74.0) |
650 (60.0) |
11 232 (52.7) |
|||
| Quality of primary care servicesd | 79 (36.9) |
651 (31.9) |
804 (35.1) |
423 (21.3) |
1 229 (47.6) |
190 (36.0) |
1,237 (24.4) |
255 (25.2) |
179 (14.3) |
713 (34.5) |
478 (24.7) |
337 (32.7) |
610 (30.5) |
755 (43.2) |
666 (44.6) |
406 (32.3) |
9 200 (33.0) |
|||
| Intermediate objective: user experience | ||||||||||||||||||||
| Respectc | 458 (16.5) |
252 (12.6) |
663 (28.8) |
162 (8.1) |
997 (39.0) |
566 (47.6) |
322 (26.0) |
260 (25.9) |
195 (15.5) |
542 (26.6) |
1 002 (49.9) |
360 (35.9) |
478 (23.9) |
863 (51.5) |
953 (63.5) |
581 (47.0) |
8 653 (31.1) |
|||
| Voice | 432 (15.6) |
328 (16.4) |
643 (27.9) |
186 (9.3) |
1 192 (46.6) |
567 (47.6) |
273 (22.0) |
273 (27.2) |
205 (16.4) |
724 (35.5) |
1 184 (59.0) |
368 (36.8) |
580 (29.0) |
897 (53.5) |
983 (65.6) |
510 (41.3) |
9 345 (33.6) |
|||
| Customer servicee | 298 (17.7) |
267 (24.9) |
496 (27.7) |
219 (16.8) |
974 (51.6) |
366 (35.6) |
162 (15.8) |
167 (21.3) |
123 (12.9) |
457 (29.9) |
1 023 (60.7) |
231 (29.0) |
201 (10.6) |
483 (33.4) |
629 (45.7) |
296 (27.3) |
6 391 (30.0) |
|||
| Intermediate objective: access | ||||||||||||||||||||
| Connection to health system | 1 991 (71.6) |
973 (48.7) |
1 598 (69.3) |
1 740 (88.5) |
1 976 (77.3) |
993 (83.5) |
967 (78.2) |
820 (81.9) |
956 (76.3) |
1 366 (67.5) |
1 035 (51.5) |
746 (74.7) |
1 258 (62.9) |
448 (87.6) |
1 244 (83.0) |
1 154 (93.8) |
20 265 (73.2) |
|||
| Use of needed health caref | 329 (90.1) |
245 (84.1) |
351 (97.1) |
385 (80. 2) |
279 (88.2) |
463 (94.2) |
314 (93.9) |
204 (86.9) |
286 (91.5) |
514 (92.8) |
622 (94.2) |
294 (91.2) |
762 (97.1) |
807 (96.0) |
594 (97.2) |
508 (95.1) |
6 955 (92.8) |
|||
| No unmet need | 2 474 (89.0) |
1 877 (93.9) |
1 811 (78.6) |
1 669 (83.4) |
2 336 (91.5) |
955 (80.3) |
990 (80.1) |
933 (93.3) |
931 (74.2) |
1 843 (90.5) |
1 846 (91.9) |
938 (93.8) |
1 881 (94.0) |
1 279 (77.6) |
1 217 (81.2) |
1 087 (87.9) |
24 067 (86.7) |
|||
| Final goal: people-centredness | ||||||||||||||||||||
| Quality of public health system | 968 (34.9) |
420 (21.9) |
592 (25.8) |
514 (25.6) |
698 (27.4) |
348 (29.7) |
185 (15.0) |
184 (18.9) |
186 (14.9) |
572 (28.1) |
168 (8.6) |
207 (20.9) |
847 (42.4) |
703 (42.3) |
284 (18.9) |
333 (27.3) |
7 208 (26.2) |
|||
| Quality of private health system | 891 (33.1) |
527 (27.6) |
1 335 (59.0) |
509 (26.1) |
1 533 (60.2) |
308 (30.2) |
267 (22.5) |
253 (25.7) |
230 (18.5) |
1088 (54.4) |
572 (31.3) |
318 (33.7) |
651 (32.5) |
672 (54.3) |
616 (41.1) |
426 (35.7) |
10 197 (38.5) |
|||
| Endorsement | 829 (30.2) |
622 (33.6) |
582 (25.4) |
744 (37.7) |
458 (17.9) |
199 (16.9) |
229 (18.6) |
227 (22.9) |
180 (14.4) |
434 (21.3) |
219 (11.1) |
311 (31.1) |
821 (41.1) |
239 (14.5) |
344 (23.0) |
321 (26.0) |
6 758 (24.6) |
|||
| Involvement in decision-making | 2 180 (79.6) |
1 440 (76.5) |
1 409 (62.5) |
1 553 (79.0) |
1 192 (47.2) |
316 (27.2) |
476 (38.7) |
730 (73.7) |
495 (39.5) |
1 047 (51.6) |
500 (26.3) |
395 (40.8) |
1 058 (52.9) |
427 (25.9) |
535 (35.7) |
439 (37.0) |
14 192 (52.1) |
|||
| Final goal: health improvement | ||||||||||||||||||||
| Self-rated health | 400 (33.7) |
483 (24.1) |
849 (36.9) |
268 (13.3) |
1800 (7 0.5) |
400 (33.7) |
287 (23.3) |
223 (22.4) |
154 (12.2) |
779 (38.3) |
815 (40.6) |
319 (31.9) |
490 (24.5) |
692 (41.4) |
683 (45.5) |
346 (28.0) |
9 689 (34.9) |
|||
| Self-rated mental health | 535 (45.0) |
475 (23.7) |
1 291 (56.1) |
216 (10.8) |
1 876 (73.4) |
535 (45.0) |
410 (33.2) |
330 (32.9) |
309 (24.7) |
972 (47.8) |
1 050 (52.3) |
541 (54.0) |
715 (35.8) |
785 (46.9) |
835 (55.8) |
492 (39.9) |
12 183 (43.9) |
|||
| Absence of disease | 696 (58.6) |
1 710 (85.4) |
1 944 (84.3) |
1 526 (76.1) |
2 235 (87.6) |
696 (58.6) |
901 (72.9) |
766 (76.6) |
942 (75.1) |
1 481 (72.8) |
1 348 (67.1) |
677 (67.8) |
1 215 (60.7) |
811 (49.1) |
889 (59.3) |
346 (28.0) |
20 257 (73.0) |
|||
| Final goal: financial protection | ||||||||||||||||||||
| Insurance | 1 734 (62.4) |
489 (24.6) |
701 (30.5) |
2 007 (100.0) |
370 (14.5) |
1 190 (100.0) |
1 206 (99.4) |
558 (58.8) |
1 038 (82.9) |
269 (13.3) |
1 828 (91.1) |
1 001 (100.0) |
1 954 (99.1) |
1 677 (100.0) |
1 382 (92.2) |
1 227 (100.0) |
18 631 (67.4) |
|||
| Health security | 1 332 (48.3) |
1 293 (69.2) |
984 (43.0) |
1 424 (71.3) |
1 660 (65.0) |
381 (32.9) |
372 (30.7) |
649 (65.8) |
329 (26.4) |
985 (48.5) |
401 (21.0) |
628 (63.9) |
1 187 (59.4) |
785 (48.8) |
861 (57.7) |
440 (37.1) |
13 711 (50.3) |
|||
Note: The frequencies for number of respondents are rounded up to the nearest whole number as weighting can produce decimal frequencies.
a See Box 1 for definitions of survey indicators.
b The indicator only includes participants aged 40 years or older.
c The indicator includes questions only asked to participants who reported a visit to a health facility in the last 12 months.
d The indicator shows the average percentage of 3 questions. People were included if they had rated at least one of the questions as very good or excellent responses on the Likert scale.
e The indicator includes an additional question about the time spent waiting for an appointment that was only asked in six countries with appointment systems (Greece, Italy, Mexico, Republic of Korea, United Kingdom and USA).
f The indicator is only for participants with chronic disease.