Table 2.
Priority Setting Context.
| Economic level (in 2020) | Country | Geographical Region | Political System | Health system Financing (Public, private, mixed) | UHC Service Coverage Index1 | Pre-COVID Plan | Experience with disease outbreaks | Fragility Index Score (FSI) |
|---|---|---|---|---|---|---|---|---|
| Low (n = 3) | Afghanistan | South Asia | Presidential Islamic republic | Blended (out-of-pocket, government/public, donors) | 37 | Avian & Human Influenza | Yes | 102.1 |
| Somalia | East Africa | Federal parliamentary republic | Private with minimal progress toward national health insurance | 25 | no | Yes | 110.9 | |
| Yemen | Middle East | in transition | Blended (out-of-pocket, government/public, donors) | 42 | Avian flu | Yes | 111.7 | |
| Lower-Middle (n = 4) | Egypt | North Africa | Presidential republic | Blended public–private | 68 | Influenza | Yes | 85 |
| Morocco | North Africa | Parliamentary constitutional monarchy | Blended (public health insurance, private – out-of-pocket and employer health insurance, donors) | 70 | Avian flu | Yes | 71.5 | |
| Palestine | Middle East | Semi-presidential republic | Blended (public-government, private- out-of-pocket, private not-for-profit- donors) | 45 | H1N1 | Yes | 86 | |
| Pakistan | South Asia | Federal parliamentary republic | Blended (national health insurance – public, out-of-pocket, external sources) | 45 | National Epidemic and Pandemic plan* | Yes | 90.5 | |
| Upper-Middle (n = 2) | Jordan | Middle East | Parliamentary constitutional monarchy | Blended public–private | 76 | Influenza | Yes | 76.8 |
| Lebanon | Middle East | Parliamentary republic | Blended public–private (social and private insurance) | 73 | Emergency Health Contingency Plan** | Yes | 89 | |
| High (n = 3) | Qatar | Middle East | Absolute monarchy | National health insurance | 68 | no | Yes | 44.1 |
| Saudi Arabia | Middle East | Absolute monarchy | National health insurance | 74 | Avian and Swine Flu | Yes | 69.7 | |
| United Arab Emirates | Middle East | Federation of monarchies | National health insurance | 76 | no | Yes | 40.4 |
Covers a range of disease: Crimean Congo Haemorrhagic Fever (CCHF), Dengue, Diphtheria, Acute Gastroenteritis, Acute Viral Hepatitis, Influenza H5N1/H1N1, Leishmania, Malaria, Measles, Meningitis, Pertussis, Polio, Typhoid Fever.
identifies the following epidemic diseases of concern: Malaria, Dengue fever, Rift valley fever, Meningitis, Cholera, Shigella, Rotavirus, Measles.
The UHC service coverage index is defined as the average coverage of essential services based on tracer interventions. 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. (https://www.who.int/data/gho/indicator-metadata-registry/imr-details/4834).