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Sri Lanka Demographic and Health Survey 2016

The Sri Lanka Demographic and Health Survey 2016 is part of phase 7 of the Demographic and Health Survey (DHS) series, a nationally representative household survey series. Topics commonly covered in DHS include child and maternal health, family planning, nutrition, health behaviors, health care access, health care use, birth history, and immunization. For the 2016 Sri Lanka DHS, 18,302 women ages 10-49 were successfully interviewed from 27,210 households. Blood tests were conducted for the presence of anemia in consenting women ages 10-49 and children 6-69 months.

Haiti Demographic and Health Survey 2016-2017

The Haiti Demographic and Health Survey (DHS) 2016-2017 is part of phase 7 of the Demographic and Health Survey (DHS) series, a nationally representative household survey series. Topics commonly covered in DHS include child and maternal health, family planning, nutrition, health behavior and knowledge, health care access and use, and immunization. For the 2016-2017 Haiti DHS, 14,371 women ages 15-49 and 9,795 men ages 15-64 were successfully interviewed from 13,405 households.

Zambia Malaria Control Policy Assessment Results 1990-2010 File icon

These data provide results from IHME's Malaria Control Policy Assessment (MCPA) project. Trend estimates are provided at country and district levels for a range of indicators including under-5 mortality, prevalence of childhood underweight, sociodemographic factors such as mean household size and average years of education, and coverage of child and maternal health interventions including malaria control, immunizations, exclusive breastfeeding, antenatal care, and skilled birth attendance for years 1990-2010.

Guatemala Salud Mesoamérica Initiative First Follow-up Health Facility Survey 2014 File icon

The Salud Mesoamérica Initiative (SMI) focuses on reducing inequalities in maternal and child health in Mesoamerica. This dataset is the product of an SMI impact evaluation. It includes results of a follow-up health facility survey conducted in the departments of Huehuetenango and San Marcos in Guatemala. In total, 60 facilities were surveyed. These represent facilities that provide ambulatory-, basic-, and complete-level Essential Obstetric and Neonatal Care (EONC) services. Surveyors collected data through interviews with facility personnel and direct observation. They recorded information on general facility characteristics, infrastructure, staff, supplies, equipment, and the availability of key maternal and child health care services. They also performed medical record reviews, extracting retrospective data on record-keeping, family planning, treatment practices related to uncomplicated births and medical complications experienced by mothers or infants during delivery, and child medical services.

Mexico Salud Mesoamérica Initiative Baseline Census and Household Survey 2013 File icon

The Salud Mesoamérica Initiative (SMI) focuses on reducing inequalities in maternal and child health in Mesoamerica. This dataset is the product of an SMI impact evaluation. It includes results of a baseline household census and baseline household survey conducted in the state of Chiapas in Mexico, in both intervention and control areas. The census captured basic demographic characteristics of all usual household occupants and was used to produce a sample of households containing eligible women (ages 15-49) and children (ages 0-59 months) for the household survey. In the household survey, any household heads and all eligible women were interviewed. Information was collected on additional demographic characteristics; healthcare use, access, and expenditures; and perceived quality of key interventions for women of reproductive age and children. Height, weight, and anemia measurements were taken for children under age 5. Dried blood spot (DBS) measurements were taken for children ages 12-23 months.

Nicaragua Salud Mesoamérica Initiative Baseline Census and Household Survey 2013 File icon

The Salud Mesoamérica Initiative (SMI) focuses on reducing inequalities in maternal and child health in Mesoamerica. This dataset is the product of an SMI impact evaluation. It includes results of a baseline household census and baseline household survey conducted in five departments in Nicaragua, in both intervention and control areas. The census captured basic demographic characteristics of all usual household occupants and was used to produce a sample of households containing eligible women (ages 15-49) and children (ages 0-59 months) for the household survey. In the household survey, any household heads and all eligible women were interviewed. Information was collected on additional demographic characteristics; healthcare use, access, and expenditures; and perceived quality of key interventions for women of reproductive age and children. Height, weight, and anemia measurements were taken for children under age 5. Dried blood spot (DBS) measurements were taken for children ages 12-23 months.

Uganda Gavi FCE Household Survey 2015 File icon

This survey was conducted as part of the Gavi Full Country Evaluation (FCE) project in Uganda. Gavi FCEs are prospective studies covering the period 2013-2016 that aim to assess the barriers to and drivers of immunization program performance. The Uganda FCE Household Survey was conducted in 19 districts purposely selected to overlap with districts where the FCE Health Facility Survey was conducted in 2014-2015. The initial sample size for the household survey was 3,990 households. Data were collected from heads of households and mothers and/or primary caregivers of children ages 0-59 months. Topics covered include household characteristics, immunization knowledge, birth histories of mothers and child caretakers, pregnancy and postnatal care, child feeding practices, current health and vaccine status of the child, and vaccination experience at health facilities. In a sub-sample of children, a small amount of blood was collected in order to measure vaccine presence.

United States Infectious Disease Mortality Rates by County 1980-2014 File icon

IHME research produced estimates for age-standardized mortality rates by county from lower respiratory infections (LRIs), diarrheal diseases, HIV/AIDS, meningitis, hepatitis, and tuberculosis. The estimates were generated using de-identified death records from the National Center for Health Statistics (NCHS); population counts from the U.S. Census Bureau, NCHS, and the Human Mortality Database; the cause list from the Global Burden of Disease Study (GBD); and the application of small area estimation models. This dataset provides estimates for age-standardized mortality rates by cause and sex at the county level for each state, the District of Columbia, and the United States as a whole for 1980-2014. Also included are changes in rates during this period and counties with the highest and lowest mortality rates for each cause in 2014. Study results were published in JAMA in March 2018 in "Trends and patterns of differences in infectious disease mortality among US counties, 1980–2014."

United Kingdom - England Global Burden of Disease Study 2013 (GBD 2013) Results 1990-2013 File icon

The Global Burden of Disease Study 2013 (GBD 2013), coordinated by the Institute for Health Metrics and Evaluation (IHME), estimated the burden of diseases, injuries, and risk factors globally, for 21 regions, and for 188 countries. The files available for download from this record include the tables published in The Lancet in September 2015 in "Changes in health in England, with analysis by English regions and areas of deprivation, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013." These tables include estimates of deaths, years of life lost (YLLs), years lived with disability (YLDs), and disability-adjusted life years (DALYs), as well as DALYs attributable to risk factors by sex, in England for 1990 and 2013.

Data files containing the full results set are available for download from this location.

Guatemala Salud Mesoamérica Initiative Baseline Census and Household Survey 2013 File icon

The Salud Mesoamérica Initiative (SMI) focuses on reducing inequalities in maternal and child health in Mesoamerica. This dataset is the product of an SMI impact evaluation. It includes results of a baseline household census and baseline household survey conducted in the departments of Huehuetenango and San Marcos in Guatemala. The census and survey were conducted in both intervention and control areas. The census captured basic demographic characteristics of all usual household occupants and was used to produce a sample of households containing eligible women (ages 15-49) and children (ages 0-59 months) for the household survey. In the household survey, any household heads and all eligible women were interviewed. Information was collected on additional demographic characteristics; healthcare use, access, and expenditures; and perceived quality of key interventions for women of reproductive age and children. Height, weight, and anemia measurements were taken for children under age 5.

Global Educational Attainment 1970-2015 File icon

These are IHME results data from a global analysis of educational attainment spanning the last 50 years. These data are an update to earlier estimates (Educational Attainment and Child Mortality Estimates by Country 1970-2009) and inform the policy report "A Hand Up: Global Progress Towards Universal Education," as well as the Social Determinants of Health Visualization, which is supported by the Center for Health Trends and Forecasts at IHME.

This data file provides estimates of average years of educational attainment per capita for people over the age of 15 for the years 1970-2015 by year, sex, and age group for 188 countries, 21 GBD regions, 7 GBD super regions, and the global aggregate. Age-standardized and population-weighted estimates are included for females 15-44 and for both sexes for the age group 25+.

Population Health Metrics Research Consortium Gold Standard Verbal Autopsy Data 2005-2011 File icon

These data were collected as part of the Population Health Metrics Research Consortium (PHMRC) project. The files contain verbal autopsies (VAs) that were collected at six sites in four countries (India, Mexico, Tanzania, and the Philippines) using a standardized VA questionnaire developed by the PHMRC. The three datasets correspond to the main questionnaire subcomponents: neonate, child, and adult. The individual VAs are matched with "gold standard" diagnoses of underlying causes of death, which were established from medical records using stringent diagnostic criteria, including laboratory, pathology and medical imaging findings. All "open narrative" portions of the VAs were parsed for individual words or stems, which are included as variables in the final dataset, to remove any potentially identifying information in that portion of the interview. Variables that were analyzed as "health care experience" in past research are identified in the codebook.

India - Madhya Pradesh Access, Bottlenecks, Costs, and Equity Project 2014 File icon

The Access, Bottlenecks, Costs, and Equity (ABCE) project is a multipronged and multicountry research collaboration focused on understanding what drives and hinders health service provision. Two datasets resulting from the ABCE project in the Indian state of Madhya Pradesh are available for download. This first contains results of a health facility survey which gathered information on services offered, expenditure, revenue, personnel by category, equipment, capacity, vaccines, and other variables related to facility operations. In total, a nationally representative sample of 203 facilities were surveyed. Data were collected through interviews of health providers, direct observation of facility areas, and assisted observation of facility resources. The second dataset includes information collected in patient exit interviews conducted after patients visited facilities in the ABCE sample.

Mexico Salud Mesoamérica Initiative Baseline Health Facility Survey 2013 File icon

The Salud Mesoamérica Initiative (SMI) focuses on reducing inequalities in maternal and child health in Mesoamerica. This dataset is the product of an SMI impact evaluation. It includes results of a baseline health facility survey conducted in the state of Chiapas in Mexico. In total, 90 facilities were surveyed. These represent facilities that provide ambulatory-, basic-, and complete-level Essential Obstetric and Neonatal Care (EONC) services. Surveyors collected data through interviews with facility personnel and direct observation. They recorded information on general facility characteristics, infrastructure, staff, supplies, equipment, and the availability of key maternal and child health care services. They also performed medical record reviews, extracting retrospective data on record-keeping, family planning, treatment practices related to uncomplicated births and medical complications experienced by mothers or infants during delivery, and child medical services.

Global Health Spending 1995-2015 File icon

Research by the Global Burden of Disease Health Financing Collaborator Network produced retrospective national health spending estimates for 1995-2015 for 188 countries. The estimates cover total health spending, and health spending disaggregated by source into government spending, out-of-pocket, prepaid private, and development assistance for health. National health spending by source, including development assistance for health, was estimated based on a diverse set of data, including program reports, budget data, national estimates, and National Health Accounts. The resulting estimates were used to help produce prospective health spending estimates for 2016-2040. Results of the analysis were published in The Lancet in April 2018 in "Spending on health and HIV/AIDS: domestic health spending and development assistance in 188 countries, 1995-2015."

United States Physical Activity and Obesity Prevalence by County 2001-2011 File icon

IHME research, published in Population Health Metrics in July 2013, provides physical activity and obesity prevalence estimates by county and sex in the United States from 2001-2011.  The study, "Prevalence of physical activity and obesity in US counties, 2001-2011: a road map for action" examined county-level changes in physical activity and obesity.

United States Global Burden of Disease Results 1990-2010 File icon

The GBD Study 2010 estimated the burden of diseases, injuries, and risk factors globally and for 21 regions for 1990 and 2010. The study was implemented as a collaboration of IHME as coordinating center, University of Queensland, Harvard School of Public Health, Johns Hopkins Bloomberg School of Public Health, University of Tokyo, Imperial College London, and WHO.

These data provide results for the burden of disease and injury in the United States: deaths, years of life lost (YLLs), years lived with disability (YLDs), and disability-adjusted life years (DALYs). The results were published in the Journal of the American Medical Association in July 2013 in “The state of US health, 1990-2010: burden of diseases, injuries, and risk factors.”

Nigeria Maternal and Child Health Results 2000-2013 File icon

This dataset contains estimates of maternal and child health (MCH) indicators in Nigeria at the state and national levels. These estimates were produced by the Institute for Health Metrics and Evaluation (IHME) by using multiple data sources and applying complex modeling approaches. Trend estimates in this dataset include under-5 mortality, indicators of childhood nutrition (prevalence of underweight, stunting, and wasting among children under 5), and a range of MCH interventions including malaria control, childhood immunizations, and other key MCH interventions such as skilled birth attendance, exclusive breastfeeding, and prevalence of modern contraceptive use.

Zambia Gavi FCE Health Facility Survey 2014 File icon

This survey was conducted as part of the Gavi Full Country Evaluation (FCE) project in Zambia. Gavi FCEs are prospective studies covering the period 2013-2016 that aim to assess the barriers to and drivers of immunization program performance. The Zambia FCE Health Facility Survey was conducted in 22 districts purposely selected to overlap with those where a baseline facility survey for the Access, Bottlenecks, Costs, and Equity (ABCE) Project in Zambia was performed. The districts provide a geographically and demographically representative sample of Zambia’s health system. For this survey, data on financing, staffing, facility procedures and guidelines, vaccine stocks, and supply delivery (including cold chain temperature measurements) were collected from a representative sample of 171 health facilities. Data were collected through interviews of health providers, direct observation of facility areas, and assisted observation of immunization sessions.

Honduras Salud Mesoamérica Initiative First Follow-Up Health Facility Survey 2014 File icon

The Salud Mesoamérica Initiative (SMI) focuses on reducing inequalities in maternal and child health in Mesoamerica. This dataset is the product of an SMI impact evaluation. It includes results of a follow-up health facility survey conducted in seven departments in Honduras. In total, 60 facilities were surveyed. These represent facilities that provide ambulatory-, basic-, and complete-level Essential Obstetric and Neonatal Care (EONC) services. Surveyors collected data through interviews with facility personnel and direct observation. They recorded information on general facility characteristics, infrastructure, staff, supplies, equipment, and the availability of key maternal and child health care services. They also performed medical record reviews, extracting retrospective data on record-keeping, family planning, treatment practices related to uncomplicated births and medical complications experienced by mothers or infants during delivery, and child medical services.

India - Andhra Pradesh and Telangana Access, Bottlenecks, Costs, and Equity Project 2013 File icon

The Access, Bottlenecks, Costs, and Equity (ABCE) project is a multipronged and multicountry research collaboration focused on understanding what drives and hinders health service provision. Two datasets resulting from the ABCE project in the Indian state of Andhra Pradesh (now Andhra Pradesh and Telangana) are available for download. This first contains results of a health facility survey which gathered information on services offered, expenditure, revenue, personnel by category, equipment, capacity, HIV/AIDS care, and other variables related to facility operations. In total, a nationally representative sample of 98 facilities were surveyed. Data were collected through interviews of health providers, direct observation of facility areas, and assisted observation of facility resources. The second dataset includes information collected in patient exit interviews conducted after patients visited facilities in the ABCE sample.

Honduras Salud Mesoamérica Initiative Baseline Census and Household Survey 2013 File icon

The Salud Mesoamérica Initiative (SMI) focuses on reducing inequalities in maternal and child health in Mesoamerica. This dataset is the product of an SMI impact evaluation. It includes results of a baseline household census and baseline household survey conducted in nine departments in Honduras. The census and survey were conducted in both intervention and control areas. The census captured basic demographic characteristics of all usual household occupants and was used to produce a sample of households containing eligible women (ages 15-49) and children (ages 0-59 months) for the household survey. In the household survey, any household heads and all eligible women were interviewed. Information was collected on additional demographic characteristics; healthcare use, access, and expenditures; and perceived quality of key interventions for women of reproductive age and children. Height, weight, and anemia measurements were taken for children under 5.

United States Cancer Mortality Rates by County 1980-2014 File icon

IHME research used de-identified death records from the National Center for Health Statistics (NCHS) and population counts from the U.S. Census Bureau, NCHS, and the Human Mortality Database and small area estimation models in order to estimate county-level mortality rates from 29 cancers. This dataset provides estimates for age-standardized mortality rates by cancer type and sex at the county level for each state, the District of Columbia, and the United States as a whole for 1980-2014, as well as the changes in rates for each location during this period. Also included are data on the 10 counties with the highest and lowest mortality rates for each cancer type in 2014 and the top 10 causes of death by cancer type for each county. Study results were published in JAMA in January 2017 in "Trends and patterns of disparities in cancer mortality among US counties, 1980-2014."

United States Life Expectancy and Age-specific Mortality Risk by County 1980-2014 File icon

Research by IHME used small area estimation methods to produce annual life tables and calculate age-specific mortality risk at the county level for the United States. De-identified death records from the National Center for Health Statistics (NCHS) and population counts from the census bureau, NCHS, and the Human Mortality Database were used in the analysis. This dataset provides estimates for life expectancy at birth and mortality risk for under-5 and 20-year age groups at the county level for each state, the District of Columbia, and the United States as a whole for 1980-2014, as well as the changes in life expectancy and mortality risk for each location during this period. Also included are data on the 30 counties with the highest and lowest life expectancy and mortality risks. Results of the study were published in JAMA in May 2017 in "Inequalities in life expectancy among US counties, 1980–2014."

United States Substance Use Disorders and Intentional Injuries Mortality Rates by County 1980-2014 File icon

IHME research produced estimates for age-standardized mortality rates by county from alcohol use disorders, drug use disorders, self-harm, and interpersonal violence. The estimates were generated using de-identified death records from the National Center for Health Statistics (NCHS); population counts from the U.S. Census Bureau, NCHS, and the Human Mortality Database; the cause list from the Global Burden of Disease Study (GBD); and the application of small area estimation models. This dataset provides estimates for age-standardized mortality rates by cause and sex at the county level for each state, the District of Columbia, and the United States as a whole for 1980-2014. Also included are changes in rates during this period and counties with the highest and lowest mortality rates for each cause in 2014. Study results were published in JAMA in March 2018 in "Trends and patterns of geographic variation in mortality from substance use disorders and intentional injuries among US counties, 1980–2014."

Panama Salud Mesoamérica Initiative Baseline Health Facility Survey 2013 File icon

The Salud Mesoamérica Initiative (SMI) focuses on reducing inequalities in maternal and child health in Mesoamerica. This dataset is the product of an SMI impact evaluation. It includes results of a baseline health facility survey conducted in two provincial-level regions in Panama: Emberá-Wounaan and Guna Yala. In total, 38 facilities were surveyed. These represent facilities that provide ambulatory-, basic-, and complete-level Essential Obstetric and Neonatal Care (EONC) services. Surveyors collected data through interviews with facility personnel and direct observation. They recorded information on general facility characteristics, infrastructure, staff, supplies, equipment, and the availability of key maternal and child health care services. They also performed medical record reviews, extracting data on record-keeping, family planning, treatment practices related to uncomplicated births and medical complications experienced by mothers or infants during delivery, and child medical services.

India - Odisha Access, Bottlenecks, Costs, and Equity Project 2014-2015 File icon

The Access, Bottlenecks, Costs, and Equity (ABCE) project is a multipronged and multicountry research collaboration focused on understanding what drives and hinders health service provision. Two datasets resulting from the ABCE project in the Indian state of Odisha are available for download. This first contains results of a health facility survey which gathered information on services offered, expenditure, revenue, personnel by category, equipment, capacity, HIV/AIDS care, and other variables related to facility operations. In total, a nationally representative sample of 108 facilities were surveyed. Data were collected through interviews of health providers, direct observation of facility areas, and assisted observation of facility resources. The second dataset includes information collected in patient exit interviews conducted after patients visited facilities in the ABCE sample.

Mortality in Iraq Associated with the 2003-2011 Invasion and Occupation File icon

IHME research published in PLOS Medicine in October 2013, "Mortality in Iraq Associated with the 2003-2011 War and Occupation: Findings from a National Cluster Sample Survey by the University Collaborative Iraq Mortality Study," provides estimates of all cause mortality from 2001 to 2011. The files include data collected by two stage cluster sampling and data analysis source code used to produce estimates.

Guatemala Salud Mesoamérica Initiative Baseline Health Facility Survey 2013 File icon

The Salud Mesoamérica Initiative (SMI) focuses on reducing inequalities in maternal and child health in Mesoamerica. This dataset is the product of an SMI impact evaluation. It includes results of a baseline health facility survey conducted in the departments of Huehuetenango and San Marcos in Guatemala. In total, 93 facilities were surveyed. These represent facilities that provide ambulatory-, basic-, and complete-level Essential Obstetric and Neonatal Care (EONC) services. Surveyors collected data through interviews with facility personnel and direct observation. They recorded information on general facility characteristics, infrastructure, staff, supplies, equipment, and the availability of key maternal and child health care services. They also performed medical record reviews, extracting retrospective data on record-keeping, family planning, treatment practices related to uncomplicated births and medical complications experienced by mothers or infants during delivery, and child medical services.

Global HIV/AIDS Spending 2000-2015 File icon

Research by the Global Burden of Disease Health Financing Collaborator Network estimated HIV/AIDs spending for 188 countries for 2000-2015. The estimates cover HIV/AIDS spending disaggregated by source into government spending, out-of-pocket, prepaid private, and development assistance for health. Spending is also disaggregated by function, including care and treatment, prevention, and other spending. HIV/AIDS spending by source and function was estimated based on a diverse set of data, including country reports, National AIDS Spending Assessments, and National Health Accounts. Development assistance for health data was sourced from budgets, project records, and financial statements. Results of the study were published in The Lancet in April 2018 in "Spending on health and HIV/AIDS: domestic health spending and development assistance in 188 countries, 1995-2015."

United States Mortality Rates by County 1980-2014 File icon

IHME research applied a novel methodology to death registration data from the National Vital Statistics System (NVSS) in order to estimate annual county-level mortality rates for 21 mutually exclusive causes of death. This dataset provides estimates for cause-specific age-standardized mortality rates at the county level for each state, the District of Columbia, and the United States as a whole for 1980-2014 (quinquennial), as well as the changes in rates during this period. Also included are data on the 10 counties with the highest and lowest mortality rates for each cause in 2014. Study results were published in JAMA in December 2016 in "US county-level trends in mortality rates for major causes of death, 1980–2014."

India - Gujarat Access, Bottlenecks, Costs, and Equity Project 2015-2016 File icon

The Access, Bottlenecks, Costs, and Equity (ABCE) project is a multipronged and multicountry research collaboration focused on understanding what drives and hinders health service provision. Two datasets resulting from the ABCE project in the Indian state of Gujarat are available for download. This first contains results of a health facility survey which gathered information on services offered, expenditure, revenue, personnel by category, equipment, capacity, vaccines, and other variables related to facility operations. In total, a nationally representative sample of 103 facilities were surveyed. Data were collected through interviews of health providers, direct observation of facility areas, and assisted observation of facility resources. The second dataset includes information collected in patient exit interviews conducted after patients visited facilities in the ABCE sample.

United States Chronic Respiratory Disease Mortality Rates by County 1980-2014 File icon

IHME research produced estimates for age-standardized mortality rates by county from chronic respiratory diseases. The estimates were generated using de-identified death records from the National Center for Health Statistics (NCHS); population counts from the U.S. Census Bureau, NCHS, and the Human Mortality Database; the cause list from the Global Burden of Disease Study (GBD); and the application of small area estimation models. This dataset provides estimates for age-standardized mortality rates by disease type and sex at the county level for each state, the District of Columbia, and the United States as a whole for 1980-2014, as well as the changes in rates for each location during this period. Also included are data on the 10 counties with the highest and lowest mortality rates for each disease type in 2014. Study results were published in JAMA in September 2017 in "Trends and patterns of differences in chronic respiratory disease mortality among US counties, 1980–2014."

India - Tamil Nadu Access, Bottlenecks, Costs, and Equity Project 2012-2013 File icon

The Access, Bottlenecks, Costs, and Equity (ABCE) project is a multipronged and multicountry research collaboration focused on understanding what drives and hinders health service provision. Two datasets resulting from the ABCE project in the Indian state of Tamil Nadu are available for download. This first contains results of a health facility survey which gathered information on services offered, expenditure, revenue, personnel by category, equipment, capacity, and other variables related to facility operations. In total, a nationally representative sample of 168 facilities were surveyed. Data were collected through interviews of health providers, direct observation of facility areas, and assisted observation of facility resources. The second dataset includes information collected in patient exit interviews conducted after patients visited facilities in the ABCE sample.

Panama Salud Mesoamérica Initiative Baseline Census and Household Survey 2013 File icon

The Salud Mesoamérica Initiative (SMI) focuses on reducing inequalities in maternal and child health in Mesoamerica. This dataset is the product of an SMI impact evaluation. It includes results of a baseline household census and baseline household survey conducted in two provincial-level indigenous regions, or comarcas, in Panama: Emberá-Wounaan and Guna Yala. The census captured basic demographic characteristics of all usual household occupants and was used to produce a sample of households containing eligible women (ages 15-49) and children (ages 0-59 months) for the household survey. In the household survey, any household heads and all eligible women were interviewed. Information was collected on additional demographic characteristics; healthcare use, access, and expenditures; and perceived quality of key interventions for women of reproductive age and children. Height, weight, and anemia measurements were taken for children under age 5.

United States Children's Personal Health Care Spending 1996-2013

IHME research produced estimates on US health care spending by age, sex, condition, and type of care, from 1996 through 2013, for children and adolescents ages 19 years and younger. Government budgets, insurance claims, facility surveys, household surveys, and official US records for the period were collected and combined. In total, 183 sources of data were used to estimate spending for 155 conditions. For each record, spending was extracted, along with the age and sex of the patient, and the type of care. Study results were published in JAMA Pediatrics in December 2016 in “Spending on Children’s Personal Health Care in the United States, 1996-2013.”

Nicaragua Salud Mesoamérica Initiative Baseline Health Facility Survey 2013 File icon

The Salud Mesoamérica Initiative (SMI) focuses on reducing inequalities in maternal and child health in Mesoamerica. This dataset is the product of an SMI impact evaluation. It includes results of a baseline health facility survey conducted in five departments in Nicaragua. In total, 64 facilities were surveyed. These represent facilities that provide ambulatory-, basic-, and complete-level Essential Obstetric and Neonatal Care (EONC) services. Surveyors collected data through interviews with facility personnel and direct observation. They recorded information on general facility characteristics, infrastructure, staff, supplies, equipment, and the availability of key maternal and child health care services. They also performed medical record reviews, extracting retrospective data on record-keeping, family planning, treatment practices related to uncomplicated births and medical complications experienced by mothers or infants during delivery, and child medical services.

Uganda Malaria Control Policy Assessment Results 1990-2011 File icon

This dataset contains estimates of maternal and child health (MCH) indicators in Uganda at the regional and national levels. These estimates were produced by the Institute for Health Metrics and Evaluation (IHME) and the Infectious Diseases Research Collaboration (IDRC) by using multiple data sources and applying complex modeling approaches. Trend estimates in this dataset include under-5 mortality, indicators of childhood nutrition (prevalence of underweight and stunting among children under 5), and a range of MCH interventions including malaria control, childhood immunizations, and other key MCH interventions such as antenatal care, skilled birth attendance, and exclusive breastfeeding. Regional estimates for a number of socio-economic indicators, including women’s educational attainment and household characteristics, are also available.

Honduras Salud Mesoamérica Initiative Baseline Health Facility Survey 2013 File icon

The Salud Mesoamérica Initiative (SMI) focuses on reducing inequalities in maternal and child health in Mesoamerica. This dataset is the product of an SMI impact evaluation. It includes results of a baseline health facility survey conducted in nine departments in Honduras. In total, 90 facilities were surveyed. These represent facilities that provide ambulatory-, basic-, and complete-level Essential Obstetric and Neonatal Care (EONC) services. Surveyors collected data through interviews with facility personnel and direct observation. They recorded information on general facility characteristics, infrastructure, staff, supplies, equipment, and the availability of key maternal and child health care services. They also performed medical record reviews, extracting retrospective data on record-keeping, family planning, treatment practices related to uncomplicated births and medical complications experienced by mothers or infants during delivery, and child medical services.

Mexico Salud Mesoamérica Initiative First Follow-Up Health Facility Survey 2014 File icon

The Salud Mesoamérica Initiative (SMI) focuses on reducing inequalities in maternal and child health in Mesoamerica. This dataset is the product of an SMI impact evaluation. It includes results of a follow-up health facility survey conducted in the state of Chiapas in Mexico. In total, 60 facilities were surveyed. These represent facilities that provide ambulatory-, basic-, and complete-level Essential Obstetric and Neonatal Care (EONC) services. Surveyors collected data through interviews with facility personnel and direct observation. They recorded information on general facility characteristics, infrastructure, staff, supplies, equipment, and the availability of key maternal and child health care services. They also performed medical record reviews, extracting retrospective data on record-keeping, family planning, treatment practices related to uncomplicated births and medical complications experienced by mothers or infants during delivery, and child medical services.

Uganda Gavi FCE Health Facility Survey 2014-2015 File icon

This survey was conducted as part of the Gavi Full Country Evaluation (FCE) project in Uganda. Gavi FCEs are prospective studies covering the period 2013-2016 that aim to assess the barriers to and drivers of immunization program performance. The Uganda FCE was conducted in 19 districts purposely selected to overlap with those where a baseline facility survey for the Access, Bottlenecks, Costs, and Equity (ABCE) Project in Uganda was performed. The districts provide a geographically and demographically representative sample of Uganda’s health system. For the FCE Health Facility Survey, data on financing, staffing, facility procedures and guidelines, vaccine stocks, and supply delivery (including cold chain temperature measurements) were collected from a representative sample of 177 health facilities. Data were collected through interviews of health providers, direct observation of facility areas, and assisted observation of immunization sessions.

United States Personal Health Care and Public Health Spending 1996-2013

IHME research produced estimates for US health care spending by age, sex, condition, and type of care from 1996 to 2013. Government budgets, insurance claims, facility surveys, household surveys, and official US records for the period were collected and combined. In total, 183 sources of data were used to estimate spending for 155 conditions (including cancer, which was disaggregated into 29 conditions), and 38 age and sex groups. For each record, spending was extracted, along with the age and sex of the patient, and the type of care. Study results were published in JAMA in December 2016 in “US Spending on Personal Health Care and Public Health, 1996-2013.”

Global Expected Health Spending 2016-2040 File icon

Research by the Global Burden of Disease Health Financing Collaborator Network produced projected health spending estimates for 2016-2040 for 188 countries. The estimates cover total health spending, and health spending disaggregated by source into government spending, out-of-pocket, prepaid private, and development assistance for health. GDP and all-sector government spending were extracted for 1980–2015 and used with retrospective health spending estimates for 1995-2015 to forecast GDP, all-sector government spending, and health spending through 2040. Results of the study were published in The Lancet in April 2018 in "Trends in future health financing and coverage: future health spending and universal health coverage in 188 countries, 2016–2040."

South Africa HealthRise Health Facility Survey 2015 File icon

HealthRise is a collaborative multicountry initiative to implement and evaluate innovative community-based programs intended to improve heart disease and diabetes care in underserved communities. Conducted as part of HealthRise South Africa, this health facility survey was carried out at 86 facilities in Umgungundlovu district in KwaZulu-Natal province and Pixley ka Seme district in Northern Cape province. The survey was based on based on the WHO package of essential NCD interventions and South Africa’s Essential Medicine List and Standard Treatment Guidelines for Primary Health Care 2014. It was adapted from a questionnaire created for the Access, Bottlenecks, Costs, and Equity (ABCE) study. Data were collected about facility capacity, equipment availability, pharmaceutical and supply stocks, staffing, and services provided. The data were collected through computer-assisted personal interviews (CAPI).

Global Burden of Disease Study 2015 (GBD 2015) Stillbirths, Neonatal, Infant, and Under-5 Mortality 1980-2015 File icon

The Global Burden of Disease Study 2015 (GBD 2015), coordinated by the Institute for Health Metrics and Evaluation (IHME), estimated the burden of diseases, injuries, and risk factors at the global, regional, national, territorial, and, for a subset of countries, subnational level.

This dataset measures progress towards the Millennium Development Goal 4 (MDG 4) target of reduction of child mortality by two-thirds from 1990-2015. Estimates for neonatal, infant, and under-5 mortality for 21 regions, 195 countries and territories and 4 United Kingdom subnational units for 1990-2015 (quinquennial) are available from the GBD Results Tool. Files available in this record include tables published The Lancet in October 2016 in "Global, regional, national, and selected subnational levels of stillbirths, neonatal, infant, and under-5 mortality, 1980‐2015: a systematic analysis for the Global Burden of Disease Study 2015."

Global Burden of Disease Study 2015 (GBD 2015) Incidence, Prevalence, and Years Lived with Disability 1990-2015

The Global Burden of Disease Study 2015 (GBD 2015), coordinated by the Institute for Health Metrics and Evaluation (IHME), estimated the burden of diseases, injuries, and risk factors at the global, regional, national, territorial, and, for a subset of countries, subnational level.

Estimates for incidence, prevalence, and years lived with disability (YLDs) by cause, age, and sex for 21 regions, 195 countries and territories and 4 United Kingdom subnational units for 1990-2015 (quinquennial) are available from the GBD Results Tool. Study results were published in The Lancet in October 2016 in "Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015."

Bangladesh Gavi FCE Health Facility Survey 2014 File icon

This survey was conducted as part of the Gavi Full Country Evaluation (FCE) project in Bangladesh. Gavi FCEs are prospective studies covering the period 2013-2016 that aim to assess the barriers to and drivers of immunization program performance. The Bangladesh FCE focused on selected locations stratified by urban/rural and low/high immunization coverage performance areas. It was conducted in one rural district and one city corporation each in the divisions of Sylhet and Rajshahi. The health facility survey collected data from facilities administering vaccinations as part of a measles-rubella vaccine campaign. Data on vaccine campaign proceedings were collected through interviews of health providers and the direct observation of child vaccinations. Topics covered include general characteristics of the location, campaign logistics and functionality, supply chain and record keeping.

Global Burden of Disease Study 2015 (GBD 2015) Smoking Prevalence 1980-2015 File icon

The Global Burden of Disease Study 2015 (GBD 2015), coordinated by the Institute for Health Metrics and Evaluation (IHME), estimated the burden of diseases, injuries, and risk factors at the global, regional, national, territorial, and, for a subset of countries, subnational level.

As part of this study, estimates for daily smoking prevalence and smoking-attributable mortality and disease burden, as measured by disability-adjusted life years (DALYs), were produced by sex, age group, and year for 195 countries and territories. Estimates for deaths and DALYs (1990-2015) are available from the GBD Results Tool. Files available in this record include daily smoking prevalence (1980-2015) and annualized rate of change estimates. Study results were published in The Lancet in April 2017 in "Smoking prevalence and attributable disease burden in 195 countries and territories, 1990–2015: a systematic analysis from the Global Burden of Disease Study 2015."

Africa Under-5 Diarrhea Incidence, Prevalence, and Mortality Geospatial Estimates 2000-2015 File icon

Estimates were produced for the prevalence and incidence of diarrhea and diarrhea-related mortality among children younger than 5 years of age at the 5x5 km-level in 52 countries in Africa between 2000-2015. These estimates were produced using data on diarrhea and geographical locations from censuses, several household survey series, including the Demographic and Health Survey (DHS) and Multiple Indicator Cluster Survey (MICS), and other country‐specific surveys.

This dataset includes the following:

  • GeoTIFF raster files for pixel-level estimates of diarrhea prevalence, incidence of severe diarrheal episodes, diarrhea-related mortality, annualized rates of change for severe incidence and diarrheal mortality, and the probability that a unit will reach GAPPD goals for the reduction of incidence and mortality for given years
  • CSV files of aggregated estimates for each country at the first and second administrative divisions
  • Code files used to generate the estimates

Efficiency Simulation of Health Production in Low- to Middle-Income Countries File icon

As part of a study to analyze the measurement of health service provision in low- and middle-income countries (LMICs), IHME researchers developed a simulation environment which reproduces the characteristics of health service production in LMICs, and evaluated the performance of Data Envelopment Analysis (DEA) and Stochastic Distance Function (SDF) for assessing efficiency. The attached archive contains the code used in this study, which is described in the following publication:

Di Giorgio L, Flaxman AD, Moses MW, Fullman N, Hanlon M, Conner RO, Wollum A, Murray CJL. Efficiency of Health Care Production in Low-Resource Settings: A Monte-Carlo Simulation to Compare the Performance of Data Envelopment Analysis, Stochastic Distance Functions, and an Ensemble Model. PLoS ONE 11(1): e0147261. doi:10.1371/journal.pone.0147261.

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