Table 4.
Ten most negatively correlated Global Health Security index (GHSI) sub-indicator items against COVID-19 mortality data for 40 countries with highest mortality data in GHSI.
| Sub-indicator | Category | Indicator | Specific question/item | GHSI scoring/scale | Pearson correlation | P-value |
|---|---|---|---|---|---|---|
| 4.6.2a | 4. Health System - Sufficient & Robust Health System To Treat The Sick & Protect Health Workers | Capacity to test and approve new medical countermeasures | Is there a government agency responsible for approving new medical countermeasures (MCM) for humans? | Yes = 1 No = 0 |
−0.463 | 0.003** |
| 5.5.3b |
5. Compliance with International Standards - Commitments To Improving National Capacity, Financing And Adherence To Norms |
Financing | Is there evidence that the country has, in the past three years, either invested finances (from donors or national budget) or provided technical support either to • Support other countries to improve capacity to address epidemic threats? • Improve the country's domestic capacity to address epidemic threats? Needs to meet at least one of the criteria to be scored a 1 on this measure. |
Yes = 1 No = 0 |
−0.250 | 0.119 |
| 3.1.1c | 3. Rapid Response - Rapid Response To And Mitigation Of The Spread Of An Epidemic | Emergency preparedness and response planning | If this plan is in place, does it include considerations for pediatric and/or other vulnerable populations? |
Yes = 1 No/no plan in place = 0 |
−0.250 | 0.120 |
| 5.5.2a |
5. Compliance with International Standards - Commitments To Improving National Capacity, Financing And Adherence To Norms |
Financing | Is there a publicly identified special emergency public financing mechanism and funds which the country can access in the face of a public health emergency (such as through a dedicated national reserve fund, an established agreement with the World Bank pandemic financing facility/other multilateral emergency funding mechanism, or other pathway identified through a public health or state of emergency act)? |
Yes = 1 No = 0 |
−0.242 | 0.133 |
| 6.2.3a | 6. Risk Environment - Overall Risk Environment And Country Vulnerability To Biological Threats | Socio-economic resilience | Poverty headcount ratio at $1.90 a day (2011 PPP) (% of population) |
Yes = 1 No = 0 |
−0.184 | 0.255 |
| 2.3.2a | 2. Detection & Reporting - Early Detection & Reporting For Epidemics Of Potential International Concern | Epidemiology workforce | Is there public evidence that the country has at least 1 trained field epidemiologist per 200,000 people? | Yes = 1 No = 0 |
−0.180 | 0.266 |
| 2.1.2a | 2. Detection & Reporting - Early Detection & Reporting For Epidemics Of Potential International Concern | Laboratory systems | Does the country participate in a regional or international laboratory network? | Yes = 1 No = 0 |
−0.177 | 0.274 |
| 4.5.1a | 4. Health System - Sufficient & Robust Health System To Treat The Sick & Protect Health Workers | Infection control practices and availability of equipment | Has the country published a publicly available plan, strategy, or similar document to address personal protective equipment (PPE) supply issues for both routine national use and during a public health emergency? |
Yes = 1 No = 0 |
−0.138 | 0.396 |
| 1.2.1c | 1. Prevention - Prevention Of The Emergence Or Release Of Pathogens | Zoonotic disease | Is there a department, agency, or similar unit dedicated to zoonotic disease that functions across ministries? |
Yes = 1 No = 0 |
−0.130 | 0.424 |
| 3.6.4a | 3. Rapid Response - Rapid Response To And Mitigation Of The Spread Of An Epidemic | Access to communications infrastructure | Percentage point gap between males and females whose home has access to the Internet |
Yes = 1 No = 0 |
−0.122 | 0.453 |