Table 2.
Health System Functionality Index values overall by capacity and vital sign for each country of the WHO African Region
| Country | Health system functionality (range of 0–100) | ||||||||||
| Index | Access | Quality | Demand | Resilience | |||||||
| Physical | Financial | Socio-cultural | User experiences | Safety | Care effective-ness | Healthy actions | Health seeking | Non-specific resilience | Specific Resilience (IHR core capacity) | ||
| Algeria | 67.7 | 62.3 | 68.6 | 68.7 | 71.4 | ||||||
| 62.7 | 55.2 | 68.8 | 39.3 | 70.7 | 95.8 | 69.5 | 67.8 | 54.7 | 88.0 | ||
| Angola | 48.8 | 36.3 | 55.9 | 44.6 | 58.3 | ||||||
| 16.1 | 54.9 | 37.8 | 53.7 | 46.7 | 67.2 | 45.6 | 43.7 | 22.6 | 94.0 | ||
| Benin | 48.3 | 41.4 | 68.3 | 60.4 | 23.2 | ||||||
| 12.0 | 49.5 | 62.6 | 71.9 | 60.9 | 72.3 | 73.3 | 47.5 | 13.4 | 33.0 | ||
| Botswana | 69.2 | 71.6 | 77.9 | 58.0 | 69.3 | ||||||
| 64.6 | 69.4 | 80.7 | 83.3 | 82.9 | 67.5 | 46.7 | 69.4 | 69.7 | 69.0 | ||
| Burkina Faso | 57.2 | 44.4 | 75.0 | 39.6 | 70.0 | ||||||
| 13.2 | 59.8 | 60.2 | 79.7 | 78.5 | 66.7 | 31.7 | 47.5 | 100.0 | 40.0 | ||
| Burundi | 49.8 | 43.3 | 65.9 | 30.2 | 59.9 | ||||||
| 15.1 | 58.2 | 56.5 | 72.7 | 55.4 | 69.5 | 11.2 | 49.2 | 47.7 | 72.0 | ||
| Cabo Verde | 57.7 | 62.7 | 65.4 | 65.7 | 37.0 | ||||||
| 45.6 | 63.0 | 79.5 | 36.4 | 85.6 | 74.2 | 46.1 | 85.3 | 26.9 | 47.0 | ||
| Cameroon | 46.1 | 41.7 | 63.5 | 46.2 | 33.0 | ||||||
| 30.3 | 39.0 | 55.9 | 58.1 | 69.8 | 62.5 | 46.0 | 46.3 | 40.0 | 26.0 | ||
| Central African Republic | 40.4 | 37.2 | 47.9 | 35.0 | 41.8 | ||||||
| 24.1 | 50.8 | 36.5 | 53.7 | 25.4 | 64.4 | 42.9 | 27.0 | 38.6 | 45.0 | ||
| Chad | 34.4 | 32.2 | 51.9 | 29.2 | 24.3 | ||||||
| 11.0 | 46.1 | 39.6 | 56.3 | 40.5 | 58.8 | 32.0 | 26.3 | 25.7 | 23.0 | ||
| Comoros | 52.4 | 44.1 | 54.6 | 54.1 | 56.8 | ||||||
| 32.1 | 40.4 | 60.0 | 53.7 | 37.1 | 73.0 | 63.6 | 44.6 | 44.5 | 69.0 | ||
| Congo, Dem. Rep | 49.4 | 46.6 | 52.3 | 52.4 | 46.6 | ||||||
| 42.8 | 52.2 | 44.7 | 36.7 | 39.4 | 80.8 | 60.4 | 44.3 | 33.2 | 60.0 | ||
| Congo, Rep | 48.8 | 39.2 | 72.2 | 50.5 | 33.2 | ||||||
| 11.6 | 51.6 | 54.3 | 53.7 | 83.2 | 79.5 | 41.1 | 60.0 | 6.3 | 60.0 | ||
| Cote d'Ivoire | 48.6 | 40.0 | 49.5 | 40.8 | 63.9 | ||||||
| 19.7 | 49.9 | 50.4 | 57.3 | 48.5 | 42.8 | 36.2 | 45.5 | 75.9 | 52.0 | ||
| Equatorial Guinea | 40.7 | 24.1 | 63.5 | 30.6 | 44.6 | ||||||
| 26.9 | 13.7 | 31.6 | 53.7 | 79.9 | 56.8 | 31.4 | 29.8 | 34.3 | 55.0 | ||
| Eritrea | 50.2 | 40.6 | 61.3 | 63.9 | 35.2 | ||||||
| 25.2 | 39.6 | 57.1 | 53.7 | 61.1 | 69.1 | 78.1 | 49.7 | 30.3 | 40.0 | ||
| Eswatini | 70.6 | 56.9 | 71.8 | 71.9 | 81.7 | ||||||
| 43.5 | 66.4 | 60.8 | 80.5 | 84.8 | 50.1 | 70.5 | 73.3 | 63.5 | 100.0 | ||
| Ethiopia | 44.8 | 38.2 | 52.6 | 44.9 | 43.4 | ||||||
| 15.1 | 55.1 | 44.5 | 53.3 | 23.8 | 80.8 | 47.1 | 42.6 | 46.8 | 40.0 | ||
| Gabon | 43.2 | 53.4 | 53.4 | 50.7 | 15.4 | ||||||
| 54.1 | 62.8 | 43.4 | 6.7 | 86.5 | 67.0 | 46.7 | 54.8 | 5.8 | 25.0 | ||
| Gambia | 55.7 | 43.8 | 62.0 | 57.6 | 59.7 | ||||||
| 9.0 | 58.2 | 64.1 | 53.7 | 56.9 | 75.3 | 53.1 | 62.1 | 56.3 | 63.0 | ||
| Ghana | 58.2 | 54.6 | 69.3 | 68.6 | 40.2 | ||||||
| 27.9 | 57.1 | 78.9 | 70.9 | 60.5 | 76.5 | 69.0 | 68.1 | 44.4 | 36.0 | ||
| Guinea | 46.9 | 42.2 | 53.6 | 52.8 | 39.1 | ||||||
| 29.2 | 47.1 | 50.1 | 23.9 | 65.3 | 71.8 | 52.1 | 53.5 | 70.2 | 8.0 | ||
| Guinea-Bissau | 49.6 | 42.4 | 49.4 | 49.6 | 57.1 | ||||||
| 15.2 | 59.0 | 53.1 | 53.7 | 18.6 | 75.9 | 58.5 | 40.8 | 71.2 | 43.0 | ||
| Kenya | 62.5 | 48.0 | 69.1 | 63.7 | 69.1 | ||||||
| 16.7 | 58.5 | 68.7 | 70.9 | 43.5 | 92.8 | 61.3 | 66.0 | 58.2 | 80.0 | ||
| Lesotho | 63.0 | 56.1 | 57.3 | 55.6 | 82.8 | ||||||
| 35.4 | 66.8 | 66.1 | 60.1 | 70.1 | 41.7 | 44.1 | 67.1 | 65.6 | 100.0 | ||
| Liberia | 55.4 | 39.0 | 64.4 | 62.3 | 55.8 | ||||||
| 37.0 | 37.9 | 42.0 | 53.7 | 63.2 | 76.2 | 52.9 | 71.7 | 31.6 | 80.0 | ||
| Madagascar | 54.5 | 51.0 | 51.7 | 57.4 | 58.0 | ||||||
| 28.7 | 65.0 | 59.1 | 6.7 | 74.0 | 74.6 | 65.0 | 49.7 | 62.9 | 53.0 | ||
| Malawi | 47.0 | 44.8 | 64.6 | 56.6 | 22.0 | ||||||
| 13.6 | 62.2 | 58.6 | 44.3 | 63.2 | 86.4 | 45.9 | 67.4 | 36.0 | 8.0 | ||
| Mali | 50.6 | 44.5 | 54.5 | 49.7 | 53.7 | ||||||
| 33.5 | 55.7 | 44.5 | 66.4 | 31.1 | 66.1 | 46.3 | 53.1 | 67.4 | 40.0 | ||
| Mauritania | 47.0 | 37.3 | 60.9 | 31.8 | 58.0 | ||||||
| 20.7 | 49.3 | 41.8 | 54.3 | 52.7 | 75.9 | 19.6 | 44.0 | 76.0 | 40.0 | ||
| Mauritius | 61.8 | 64.2 | 81.9 | 54.4 | 46.6 | ||||||
| 63.0 | 50.2 | 79.6 | 75.0 | 100.0 | 70.8 | 33.7 | 75.1 | 22.1 | 71.0 | ||
| Mozambique | 58.2 | 42.6 | 67.3 | 52.7 | 70.2 | ||||||
| 7.1 | 69.6 | 51.2 | 45.9 | 71.3 | 84.6 | 43.0 | 62.4 | 54.4 | 86.0 | ||
| Namibia | 65.0 | 56.3 | 80.2 | 55.1 | 68.5 | ||||||
| 35.1 | 69.4 | 64.4 | 76.7 | 94.6 | 69.2 | 36.8 | 73.3 | 46.9 | 90.0 | ||
| Niger | 47.4 | 45.9 | 61.7 | 54.0 | 28.0 | ||||||
| 36.8 | 48.5 | 52.3 | 65.5 | 42.3 | 77.4 | 66.8 | 41.1 | 41.1 | 15.0 | ||
| Nigeria | 44.8 | 41.1 | 39.7 | 42.4 | 56.0 | ||||||
| 32.8 | 34.7 | 56.0 | 43.6 | 9.0 | 66.5 | 37.4 | 47.5 | 62.1 | 50.0 | ||
| Rwanda | 52.0 | 48.7 | 70.1 | 49.7 | 39.4 | ||||||
| 15.6 | 65.8 | 64.6 | 53.7 | 76.6 | 79.8 | 39.2 | 60.1 | 53.9 | 25.0 | ||
| Sao Tome and Principe | 56.6 | 59.2 | 72.1 | 60.0 | 35.0 | ||||||
| 52.7 | 61.1 | 63.7 | 53.7 | 79.6 | 82.9 | 49.3 | 70.7 | 30.1 | 40.0 | ||
| Senegal | 57.3 | 38.1 | 62.1 | 65.5 | 63.5 | ||||||
| 13.3 | 52.2 | 48.8 | 50.0 | 55.1 | 81.2 | 71.7 | 59.3 | 75.1 | 52.0 | ||
| Seychelles | 75.8 | 83.4 | 84.7 | 65.2 | 69.8 | ||||||
| 71.8 | 78.6 | 99.8 | 98.0 | 100.0 | 56.0 | 44.6 | 85.8 | 39.6 | 100.0 | ||
| Sierra Leone | 50.2 | 46.1 | 57.9 | 50.9 | 45.8 | ||||||
| 35.4 | 44.3 | 58.5 | 50.3 | 68.7 | 54.8 | 35.9 | 66.0 | 31.7 | 60.0 | ||
| South Africa | 71.5 | 62.0 | 60.4 | 69.8 | 93.8 | ||||||
| 47.7 | 67.3 | 71.0 | 51.3 | 76.3 | 53.5 | 50.1 | 89.4 | 87.6 | 100.0 | ||
| South Sudan | 42.4 | 46.8 | 51.6 | 32.4 | 38.8 | ||||||
| 17.3 | 84.3 | 39.0 | 36.7 | 38.2 | 79.9 | 2.6 | 62.2 | 37.6 | 40.0 | ||
| Togo | 44.8 | 40.3 | 62.3 | 48.6 | 27.8 | ||||||
| 6.3 | 36.2 | 57.5 | 40.6 | 56.0 | 63.7 | 70.3 | 62.8 | 31.6 | 24.0 | ||
| Uganda | 58.3 | 54.3 | 54.5 | 45.1 | 79.2 | ||||||
| 29.9 | 47.7 | 43.4 | 50.9 | 73.8 | 62.3 | 36.9 | 60.3 | 76.3 | 82.0 | ||
| United Republic of Tanzania | 50.1 | 33.3 | 53.4 | 66.6 | 47.0 | ||||||
| 35.8 | 62.1 | 65.0 | 44.0 | 34.7 | 84.7 | 38.7 | 51.5 | 63.9 | 30.0 | ||
| Zambia | 59.0 | 51.8 | 72.6 | 59.2 | 52.6 | ||||||
| 35.7 | 65.2 | 54.5 | 67.3 | 67.9 | 82.5 | 46.2 | 72.2 | 55.2 | 50.0 | ||
| Zimbabwe | 65.8 | 55.1 | 69.1 | 66.3 | 72.6 | ||||||
| 24.0 | 64.0 | 77.1 | 65.0 | 74.4 | 68.0 | 60.4 | 72.2 | 78.3 | 67.0 | ||
| Regional average | 52.9 | 46.3 | 61.6 | 51.4 | 48.4 | ||||||
| 25.2 | 53.4 | 55.8 | 50.5 | 56.2 | 69.8 | 46.4 | 55.6 | 43.1 | 47.6 | ||
Red text denotes the lowest capacity for a given country. Green represent the countries with the highest overall functionality.
IHR, International Health Regulations.