Today we’re (re)launching HEFPI—aka the Health Equity and Financial Protection Indicators database. HEFPI sheds light on two major concerns in global health: a concern that the poor do not get left behind in the rush to achieve global health goals; and a concern that health services should be affordable. Neither concern featured in the MDGs; both feature prominently in the SDGs.
The HEFPI database draws on data from over 1,600 household surveys, including the Demographic and Health Survey and the Multiple Indicator Cluster Survey. Most of the 1,600 surveys have been re-analyzed in-house to ensure comparability across surveys and years, since published indicators from different surveys often use different definitions. We have settled on a definition based on recommendations in the relevant literature, and have used that across all surveys and time periods. As a result, the numbers in HEFPI are often different from (and more comparable than) numbers published elsewhere.
The database is, in effect, the fourth in a series. The first was in 2000. That database focused entirely on MDG-era health service and health outcome data—so no financial protection data. It covered just 42 countries, each with one year’s worth of data. The second (in 2007) and third (in 2012) gradually expanded the scope, with the 2012 dataset covering both financial protection and health equity, and getting up to 109 countries, including some high-income countries.