Page 128 - U4SSC KPIs Verification Manual - A guide for verifiers

Dimension Society and Culture
Sub-Dimension Education, Health and Culture

Category Health
KPI Name Health Insurance/Public Health Coverage
KPI No. SA: EH: H: 5A Type: Advanced Type: Structural

Definition / Percentage of inhabitants covered by basic health insurance or a public health
Description system

Rationale / Lack of health insurance coverage or a public health system is a significant barrier
Interpretation / to accessing needed health care, including preventive services.
Benchmarking
Basic health insurance would provide financial risk protection and cover essential
healthcare services at an affordable cost and should be counted.
Some countries have no universal health insurance and most health insurance is
delivered by private insurers. However, in these countries, the public hospitals
are free for the poor or offer services at very low cost. Inhabitants covered by this
service should also be counted.
An improving trend and higher values are considered positive.
Source(s) NOTE 1 – Duran.A, Gulati.K, Gunasekar.A, Kumar Gupta. S, Kumar.P, Lahariya.C,
Singh. A.R. Public hospital governance in India.
NOTE 2 – Govindaraj.R, Navaratne.K, Cavagnero.E, Seshadri.S. Health Care in Sri
Lanka: What Can the Private Health Sector Offer?

Methodology Calculate as:
Numerator: Number of inhabitants covered by health insurance or a public health
system.

Denominator: Total number of city inhabitants.
Multiply by 100.
Unit Percentage

Data Sources The data may be collected from local health departments or may need to be
/ Relevant interpreted from national data.
Databases
SDG Reference(s) SDG Target 3.8: Achieve universal health coverage, including financial risk
protection, access to quality essential healthcare services and access to safe,
effective, quality and affordable essential medicines and vaccines for all.
Verification Check population to ensure consistency.
Guidance
Check data sources.

118 U4SSC KPIs Verification Manual-A guide for verifiers