Countries by UHC service coverage sub-index on service capacity and access

Japan, Korea (Rep.), and the Russian Federation share rank 1 with a perfect score of 100 on the UHC service coverage sub-index on service capacity and access. At the other end, Chad scores 10, placing 193rd among 193 countries ranked. The 90-point gap between the top and bottom of this index reflects wide disparities in hospital access, health workforce availability, and health security across countries.

Population & Health category

Ranking 2023

Countries by UHC service coverage sub-index on service capacity and access
Rank	Country	Value
1	Japan	100
1	South Korea	100
1	Russia	100
4	Belarus	99
4	Canada	99
4	Cuba	99
4	Denmark	99
4	Norway	99
4	United Arab Emirates	99
10	Albania	98
10	China	98
10	Kuwait	98
10	Saudi Arabia	98
10	Singapore	98
10	United Kingdom	98
16	Switzerland	97
16	United States	97
18	Australia	96
18	Malaysia	96
18	Sweden	96
21	France	95
21	Germany	95
21	Israel	95
21	Lithuania	95
21	New Zealand	95
26	Chile	94
26	Finland	94
26	Netherlands	94
26	Portugal	94
30	Slovenia	93
30	Spain	93
32	Czechia	92
32	Monaco	92
34	Belgium	91
34	Brazil	91
34	Croatia	91
34	Ukraine	91
34	Uruguay	91
39	Bulgaria	90
39	Estonia	90
39	Georgia	90
39	Iceland	90
39	Poland	90
39	Serbia	90
39	Turkmenistan	90
46	Brunei	89
46	Hungary	89
46	Ireland	89
46	Italy	89
46	Türkiye	89
51	Austria	88
51	Barbados	88
51	Kazakhstan	88
51	Latvia	88
51	Luxembourg	88
51	Malta	88
51	North Macedonia	88
51	Saint Kitts and Nevis	88
59	Azerbaijan	87
59	Cyprus	87
59	Maldives	87
59	Mongolia	87
59	Namibia	87
59	Qatar	87
59	Tajikistan	87
59	Trinidad and Tobago	87
67	Argentina	86
67	Iran	86
67	South Africa	86
70	Dominica	85
70	Moldova	85
70	Romania	85
70	Thailand	85
70	Tonga	85
70	Uzbekistan	85
76	Bahamas	84
76	Greece	84
78	Armenia	83
78	North Korea	83
78	Palau	83
81	Antigua and Barbuda	82
81	Montenegro	82
81	Panama	82
81	Seychelles	82
81	Saint Vincent and the Grenadines	82
86	Lebanon	81
86	Libya	81
86	Tuvalu	81
89	Eswatini	80
89	Grenada	80
89	Jordan	80
92	Bahrain	79
92	Slovakia	79
94	Algeria	77
94	India	77
94	Kyrgyzstan	77
94	Oman	77
98	Colombia	75
98	Fiji	75
98	Marshall Islands	75
98	Mexico	75
102	Andorra	74
102	Sri Lanka	74
102	Saint Lucia	74
105	Costa Rica	73
105	El Salvador	73
105	Tunisia	73
108	Mauritius	72
108	Nauru	72
110	Ecuador	71
110	Indonesia	71
110	Paraguay	71
110	Zimbabwe	71
114	Bosnia and Herzegovina	70
115	Philippines	68
116	Zambia	67
117	Micronesia	66
117	San Marino	66
119	Bhutan	65
120	Cabo Verde	64
120	Guyana	64
122	Jamaica	63
122	Kiribati	63
124	Suriname	62
125	Gabon	61
125	Peru	61
125	Vietnam	61
128	Botswana	60
128	Egypt	60
130	Bolivia	56
130	Syria	56
132	Iraq	55
132	Kenya	55
132	Sao Tome and Principe	55
135	Belize	54
135	Dominican Republic	54
135	Ghana	54
135	Venezuela	54
139	Comoros	53
139	Samoa	53
139	Solomon Islands	53
139	Vanuatu	53
143	Nepal	50
144	Laos	49
144	Nicaragua	49
146	Equatorial Guinea	48
147	Lesotho	46
148	Eritrea	45
148	Haiti	45
148	Palestine	45
151	Angola	44
151	Bangladesh	44
153	Morocco	43
154	Liberia	42
155	Republic of Congo	41
155	Uganda	41
157	Cameroon	40
158	Myanmar	39
158	Nigeria	39
158	Timor-Leste	39
161	Cambodia	38
161	Rwanda	38
163	Guinea-Bissau	37
163	Pakistan	37
165	Guatemala	36
166	Gambia	35
166	Malawi	35
166	Mozambique	35
169	Sudan	34
169	Tanzania	34
171	Honduras	33
172	Central African Republic	32
172	DR Congo	32
174	Ethiopia	31
174	South Sudan	31
176	Sierra Leone	29
177	Mauritania	27
178	Burundi	26
178	Côte d'Ivoire	26
178	Djibouti	26
178	Senegal	26
182	Papua New Guinea	24
183	Burkina Faso	23
184	Afghanistan	22
184	Benin	22
186	Guinea	21
186	Somalia	21
186	Togo	21
189	Yemen	20
190	Madagascar	19
190	Niger	19
192	Mali	16
193	Chad	10

Analysis

This metric measures the UHC service coverage sub-index on service capacity and access, one of four sub-indexes underlying the overall UHC service coverage index. As defined in the source: it is based on three tracer indicators — (i) hospital access, (ii) health workforce, (iii) health security — and is presented on a scale of 0 to 100 index points. The data come from the World Bank World Development Indicators (indicator code: SH_UHC_SCI_CAPACITY), with values drawn from 2023. All 193 ranked countries have data from the last seven years, 100% of datapoints are classified as official-quality, and no extreme outliers were identified using a 3-standard-deviation threshold. The index ranges from 10 (Chad) to 100 (Japan, Korea Rep., Russia), a spread of 900%.

The top of the ranking is concentrated among high-income countries and a small number of upper-middle-income nations. Japan, Korea (Rep.), and the Russian Federation all score 100 and share rank 1. Belarus, Canada, Cuba, Denmark, Norway, and the United Arab Emirates score 99 at rank 4. A score of 98 is shared by Albania, China, Kuwait, Saudi Arabia, Singapore, and the United Kingdom at rank 10. Switzerland and the United States score 97 at rank 16. High scores in this range reflect strong performance across all three component tracer indicators: hospital access, health workforce, and health security.

Notable placements appear across the middle and lower tiers. Namibia scores 87 at rank 59, placing it alongside Azerbaijan, Cyprus, Maldives, Mongolia, Qatar, Tajikistan, and Trinidad and Tobago. South Africa scores 86 at rank 67, the same value as Argentina and Iran. India scores 77 at rank 94, grouped with Algeria, the Kyrgyz Republic, and Oman. The Slovak Republic scores 79 at rank 92, lower than Cuba (99, rank 4) and Albania (98, rank 10), illustrating that EU membership does not guarantee high placement. At rank 114, Bosnia and Herzegovina scores 70, while the Philippines scores 68 at rank 115. In the lower half, Nigeria scores 39 at rank 158, while Ethiopia scores 31 at rank 174 and Chad scores 10 at rank 193.

This sub-index is a composite of only three tracer indicators and does not capture the full breadth of health system performance. Countries with strong performance in one tracer — such as health security — may score higher than their overall system quality might suggest. The index does not account for within-country variation, equity across population groups, or quality of care beyond access and capacity. Scores are assigned on a 0-to-100 scale, but the methodology for converting tracer indicators to index points may introduce imprecision at country boundaries, particularly where multiple countries share identical scores across several rank positions.

Methodology

Data source: World Bank World Development Indicators, indicator code SH_UHC_SCI_CAPACITY, data year 2023. The metric is defined as follows: the UHC service coverage sub-index on service capacity and access is based on three tracer indicators — (i) hospital access, (ii) health workforce, (iii) health security — and is presented on a scale of 0 to 100 index points, and is one of the four sub-indexes underlaying the overall UHC service coverage index. Rankings cover 193 countries, exceeding the 80-country coverage threshold. All 193 countries (100%) have data from within the last seven years, and 100% of datapoints are classified as official quality, above the 70% threshold. No extreme outliers were detected at the 3-standard-deviation threshold. Average year-over-year change is 4.5%, well below the 50% volatility threshold. The index ranges from 10 (Chad) to 100 (Japan, Korea Rep., Russia), a 900% spread. No microstates under 1 million population are included in the dataset.

Sources

World Bank