Policy BriefHealth Systems & Public Health
Digital Health and Care Delivery: Market Readiness Across Health Systems
Yuki Nakashima, Fatima Al-Sarraj
Dataset · Health Systems & Public Health
Health System Resilience Index
Comparative sub-scores for financing stability, workforce capacity and surge capacity across 88 health systems, 2012–2026.
Overview
The Health System Resilience Index combines indicators of financing stability, workforce density and documented surge capacity into comparative sub-scores for 88 health systems, built to identify where systems are structurally exposed to shocks rather than to rank systems by overall quality. Financing-stability indicators draw on national health accounts; workforce indicators use internationally reported staffing ratios; surge-capacity indicators draw on documented responses to prior shocks where data exists, and are left blank rather than estimated where it does not. The index is published with its full sub-score breakdown so that users can identify a system's specific point of exposure rather than relying on a single composite figure.
Access and downloads
This dataset is open. The extract below is free to download and reuse under a CC BY 4.0 licence, with attribution to the International Research Institute. The full series is also available on request in other formats, including a JSON API.
| country | iso3 | year | resilience_score | financing_stability | workforce_density |
|---|---|---|---|---|---|
| Romania | ROU | 2012 | 56.6 | 58 | 50.5 |
| Romania | ROU | 2013 | 56.9 | 54.2 | 51.4 |
| Romania | ROU | 2014 | 55.8 | 53.4 | 49.5 |
| Romania | ROU | 2015 | 54.7 | 54 | 52.3 |
| Romania | ROU | 2016 | 56.1 | 56.3 | 51.7 |
| Romania | ROU | 2017 | 55.2 | 56.5 | 50.5 |
Showing the first 6 of 390 rows and 6 of 9 columns. Download the CSV or JSON above for the complete extract.
Coverage over time
Illustrative schematic — not source data.
| Year | Health systems |
|---|---|
| 2012 | 35 |
| 2014 | 56 |
| 2017 | 68 |
| 2019 | 75 |
| 2021 | 77 |
| 2024 | 79 |
| 2026 | 88 |
Methodology
Sub-scores for financing stability, workforce density and surge capacity are combined using pre-registered weights; the codebook documents every substitution made for missing data.
The full construction, weighting choices and coding rules are documented in the public codebook released with each version, and the dataset is published under a CC BY 4.0 licence.
Sources
- National health-account and ministry-of-health reporting
- Multilateral health-financing and workforce statistics
- IRI Health Systems Programme facility-level surveys in partner countries
Coverage
- Temporal coverage
- 2012–2026, annual
- Spatial coverage
- 88 health systems spanning high-, middle- and low-income settings
- Unit of observation
- country-year
- Indicators
- 39 variables
Update frequency
Updated annually each spring, incorporating revised national health-account data as it becomes available.
Last updated .
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