Criteria for the Evaluation of Health Systems in Developing Countries
Evaluation of the health system should not use different criteria in developing and developed countries.A good health system is one where inequalities should be removed. The health system has the responsibility to remove the inequalities, if necessary, through interventions.
Goodness and fairness are the principles of good health. Whatever sources contribute to the financing, the distribution must be fair and equal. The provision of good health services at cost-effective rates requires a minimum level of resources that could serve an entire population. The measurements of attainment have used existing data and new data. Goal achievement is a health system that has five parameters of measurement: the overall level of health, the distribution of health in the population, the overall level of responsiveness, the distribution of responsiveness, and the distribution of financial contribution are the measures of a good health system. All nations are ranked according to their achievement performance and variation and noted for different situations: the ranking is not based on whether the nation is wealthy or poor. The same criteria are used for the different aspects. A given country may have different rankings for different attainments.
Mortality rates and the Disability of Life Days Lost are calculated in the same way for developed and developing countries for estimating the burden of disease. Disability Adjusted Life expectancy is used to assess overall population health. Disability makes a difference in developed and developing countries because injury, blindness, tropical diseases, and paralysis are found to affect children and youth in poorer countries. When life expectancy is divided into good years and disability years, the marginal difference widens out. The disability ranges from 9% in the developed or wealthier nations to 14% in the poorer regions. Health care finance is considered perfectly fair “if the ratio of total health contribution to total non-food spending is identical for all households, independently of their income, their health status or the use of the health system.” In a satisfactory health system, the rich and poor are treated alike, poverty is a disability and wealth a disadvantage.