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 * WHO releases the largest global collection of health inequality data

WHO / Michael Duff
Nurse Fatmata Forna (right) and Nurse Ramatu Conteh (left) at a mobile COVID-19
vaccination clinic in Rofunta, Sierra Leone on 6 December 2022.
© Credits


WHO RELEASES THE LARGEST GLOBAL COLLECTION OF HEALTH INEQUALITY DATA

20 April 2023
News release
Reading time: 2 min (630 words)
العربية
中文
Français
Español

Today, WHO is launching the Health Inequality Data Repository, the most
comprehensive global collection of publicly available disaggregated data and
evidence on population health and its determinants. The repository allows for
tracking health inequalities across population groups and over time, by breaking
down data according to group characteristics, ranging from education level to
ethnicity.

The data from the repository show that, in just a decade, the rich-poor gap in
health service coverage among women, newborns and children in low- and
middle-income countries has nearly halved. They also reveal that, in these
countries, eliminating wealth-related inequality in under-five mortality could
help save the lives of 1.8 million children.

The Health Inequality Data Repository (HIDR) includes nearly 11 million data
points and consists of 59 datasets from over 15 sources. The data include
measurements of over 2000 indicators broken down by 22 dimensions of inequality,
including demographic, socioeconomic and geographical factors. Topics covered
include: the Sustainable Development Goals (SDGs); COVID-19; reproductive,
maternal and child health; immunization; HIV; tuberculosis; malaria; nutrition;
health care; non-communicable diseases and environmental health.

“The ability to direct services to those who need them the most is vital to
advancing health equity and improving lives. Designed as a one-stop-shop for
data on health inequality, the Repository will help us move beyond only counting
births and deaths, to disaggregating health data according to sex, age,
education, region and more,” said Dr Tedros Adhanom Ghebreyesus, WHO
Director-General. “If we are truly committed to leaving no one behind, we must
figure out who is being missed.”

However, disaggregated data are still not available for many health indicators,
and where they are available, they are most frequently broken down only by sex
and, to a lesser extent, by age and place of residence. For instance, only 170
of the 320 indicators in WHO’s gateway for health-related statistics, the Global
Health Observatory, are disaggregated, of which 116, or two thirds, are
disaggregated only by sex.

Though limited, the available disaggregated data reveal important inequality
patterns. In high-income countries, hypertension is more common among men than
women and obesity rates are similar among men and women. By contrast, in
low-income countries, hypertension rates are similar among women and men, but
obesity rates are higher among women than men.

The repository also reveals inequalities in national COVID-19 responses. In
2021, in more than a third of the 90 countries with data, COVID-19 vaccination
coverage among the most educated was at least 15 percentage points higher than
among the least educated.

Releasing the HIDR, WHO is calling on countries to adopt routine health
inequality monitoring, make disaggregated data publicly available, expand data
collection and increase capacity for analysis and reporting. Inequality analyses
should be conducted regularly at the global, national and subnational levels,
with health inequality monitoring integrated into global and national goals,
indicators and targets, and health performance assessments. WHO is committed to
working with countries and partners to update and expand this resource annually.


NOTES TO EDITORS

In addition to WHO, major data sources include: the UNICEF Data Warehouse; DHS
Program; UNAIDS; United Nations Development Programme (UNDP); United Nations
Statistics SDG Indicators Database; Eurostat; World Bank; Organisation for
Economic Co-operation and Development (OECD); Global Data Lab; Global COVID-19
Trends and Impact Survey; and the Institute for Health Metrics and Evaluation
(IHME).

All the datasets of the HIDR can be explored using the Health Equity Assessment
Toolkit (HEAT) software and downloaded through the Health Inequality Monitor
website, as well as via an Application Programming Interface (API).

The HIDR will be launched during a webinar on 20 April 2023, from 13:00 – 14:15
CET.

A review of WHO resources and contributions for strengthening and expanding
health inequality monitoring for the advancement of health equity can also be
found in the International Journal for Equity in Health.

 

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