Health system composite index by country

An equal-weighted index of 4 indicators: Life expectancy at birth, total; Physicians per 1000 people; Hospital beds per 1000 people; Immunization, measles. Each is standardised against that year's spread across all reporting countries before averaging, so a score of 0 is the average country and +1 is one standard...

Countries reporting
196
Highest
1.26 standard deviations from the yearly mean
Kuwait
Lowest
-2.82 standard deviations from the yearly mean
Central African Republic
Median
0.2472 standard deviations from the yearly mean
Years covered
65
1960–2024
Data points
11,062

What the numbers show

Health system composite index is currently reported for 196 countries. The highest value is 1.26 standard deviations from the yearly mean in Kuwait; the lowest is -2.82 standard deviations from the yearly mean in Central African Republic.

The median across all reporting countries is 0.2472 standard deviations from the yearly mean, and the mean is -0.0095 standard deviations from the yearly mean.

Over the past decade 122 countries rose and 73 fell. The largest increase was in El Salvador (up 52,792.6%), and the largest decrease in Montenegro (down 8,146.6%).

Health system composite index: full country ranking

#Country LatestYear 10-year changeTrend
1 Kuwait 1.26 standard deviations from the yearly mean 2024 up 260.6% volatile
2 Andorra 1.23 standard deviations from the yearly mean 2024 up 25.1% rising
3 Luxembourg 1.19 standard deviations from the yearly mean 2024 up 44.6% rising
4 Switzerland 1.17 standard deviations from the yearly mean 2024 up 27.1% falling
5 Spain 1.17 standard deviations from the yearly mean 2024 up 56.1% rising
6 Israel 1.16 standard deviations from the yearly mean 2024 up 63.9% falling
7 South Korea 1.15 standard deviations from the yearly mean 2024 down 11.0% volatile
8 United Arab Emirates 1.15 standard deviations from the yearly mean 2024 up 199.3% volatile
9 Qatar 1.15 standard deviations from the yearly mean 2024 up 282.6% volatile
10 Portugal 1.14 standard deviations from the yearly mean 2024 up 29.3% rising
11 Singapore 1.13 standard deviations from the yearly mean 2024 up 188.0% volatile
12 Japan 1.11 standard deviations from the yearly mean 2024 down 25.8% rising
13 Italy 1.1 standard deviations from the yearly mean 2024 up 81.0% falling
14 Cyprus 1.1 standard deviations from the yearly mean 2024 up 371.7% volatile
15 Iceland 1.09 standard deviations from the yearly mean 2024 up 77.1% falling
16 Norway 1.08 standard deviations from the yearly mean 2024 up 26.4% falling
17 Bahrain 1.07 standard deviations from the yearly mean 2024 up 450.9% volatile
18 Maldives 1.06 standard deviations from the yearly mean 2024 up 107.7% volatile
19 Sweden 1.03 standard deviations from the yearly mean 2024 up 37.1% falling
20 France 1.03 standard deviations from the yearly mean 2024 up 22.1% rising
21 Monaco 1.02 standard deviations from the yearly mean 2024 down 65.9% rising
22 Belgium 1.02 standard deviations from the yearly mean 2024 up 19.4% falling
23 Oman 0.9814 standard deviations from the yearly mean 2024 up 255.6% volatile
24 Slovenia 0.9794 standard deviations from the yearly mean 2024 up 55.2% rising
25 Finland 0.9458 standard deviations from the yearly mean 2024 up 21.9% falling
26 Denmark 0.9398 standard deviations from the yearly mean 2024 up 19.1% falling
27 Germany 0.9088 standard deviations from the yearly mean 2024 down 25.4% rising
28 Australia 0.8853 standard deviations from the yearly mean 2024 up 26.4% falling
29 San Marino 0.8611 standard deviations from the yearly mean 2024 down 0.0% falling
30 Canada 0.8544 standard deviations from the yearly mean 2024 up 136.0% falling
31 Ireland 0.8449 standard deviations from the yearly mean 2024 up 76.1% rising
32 Cuba 0.8379 standard deviations from the yearly mean 2024 down 36.9% rising
33 Chile 0.8376 standard deviations from the yearly mean 2024 up 166.7% volatile
34 Jordan 0.8174 standard deviations from the yearly mean 2024 up 448.5% volatile
35 Costa Rica 0.8113 standard deviations from the yearly mean 2024 up 165.2% volatile
36 Iran 0.8082 standard deviations from the yearly mean 2024 up 643.4% volatile
37 Greece 0.7975 standard deviations from the yearly mean 2024 down 30.7% rising
38 Sri Lanka 0.7951 standard deviations from the yearly mean 2024 up 320.7% volatile
39 Saudi Arabia 0.7777 standard deviations from the yearly mean 2024 up 135.9% volatile
40 Austria 0.7714 standard deviations from the yearly mean 2024 down 41.1% rising
41 Malta 0.7662 standard deviations from the yearly mean 2024 down 11.6% volatile
42 Uruguay 0.7648 standard deviations from the yearly mean 2024 up 100.9% falling
43 New Zealand 0.7351 standard deviations from the yearly mean 2024 up 53.4% volatile
44 Netherlands 0.7319 standard deviations from the yearly mean 2024 up 5.7% falling
45 Armenia 0.7297 standard deviations from the yearly mean 2024 up 48.0% rising
46 Antigua and Barbuda 0.7271 standard deviations from the yearly mean 2024 up 57.3% falling
47 Hungary 0.7265 standard deviations from the yearly mean 2024 down 16.5% falling
48 Panama 0.7229 standard deviations from the yearly mean 2024 up 2,163.5% volatile
49 United Kingdom 0.69 standard deviations from the yearly mean 2024 up 53.5% volatile
50 China 0.6704 standard deviations from the yearly mean 2024 up 94.5% volatile
51 Latvia 0.6677 standard deviations from the yearly mean 2024 up 10.4% falling
52 Slovakia 0.6586 standard deviations from the yearly mean 2024 down 14.6% rising
53 Brunei 0.6379 standard deviations from the yearly mean 2024 up 372.4% volatile
54 Turkey 0.6273 standard deviations from the yearly mean 2024 up 292.4% volatile
55 United States 0.6214 standard deviations from the yearly mean 2024 up 65.0% volatile
56 Malaysia 0.6212 standard deviations from the yearly mean 2024 up 2,665.8% volatile
57 Seychelles 0.6206 standard deviations from the yearly mean 2024 up 80.2% volatile
58 Tunisia 0.6133 standard deviations from the yearly mean 2024 up 1,585.6% volatile
59 Morocco 0.5999 standard deviations from the yearly mean 2024 up 634.0% volatile
60 Colombia 0.5881 standard deviations from the yearly mean 2024 up 1,963.9% volatile
61 Czechia 0.588 standard deviations from the yearly mean 2024 down 43.2% flat
62 Poland 0.5867 standard deviations from the yearly mean 2024 down 15.0% falling
63 Hong Kong 0.5642 standard deviations from the yearly mean 1995 up 24.2% rising
64 Croatia 0.5495 standard deviations from the yearly mean 2024 down 22.6% rising
65 Vietnam 0.5451 standard deviations from the yearly mean 2024 up 2,085.8% volatile
66 Cape Verde 0.5406 standard deviations from the yearly mean 2024 up 381.0% volatile
67 Algeria 0.5214 standard deviations from the yearly mean 2024 up 221.5% volatile
68 Belarus 0.5183 standard deviations from the yearly mean 2024 down 56.7% rising
69 North Korea 0.5106 standard deviations from the yearly mean 2024 down 15.2% volatile
70 Thailand 0.4904 standard deviations from the yearly mean 2024 up 29.1% volatile
71 Bangladesh 0.4843 standard deviations from the yearly mean 2024 up 216.8% volatile
72 Mauritius 0.4765 standard deviations from the yearly mean 2024 up 82.3% volatile
73 Bulgaria 0.4697 standard deviations from the yearly mean 2024 down 43.0% falling
74 Tonga 0.4619 standard deviations from the yearly mean 2024 down 4.2% volatile
75 Brazil 0.4513 standard deviations from the yearly mean 2024 up 46.6% volatile
76 Peru 0.4405 standard deviations from the yearly mean 2024 up 4,343.5% volatile
77 Uzbekistan 0.4226 standard deviations from the yearly mean 2024 up 23.7% falling
78 Russia 0.4139 standard deviations from the yearly mean 2024 down 53.8% falling
79 Macao 0.4016 standard deviations from the yearly mean 1987 down 26.2% rising
80 Bhutan 0.401 standard deviations from the yearly mean 2024 up 253.5% volatile
81 Isle of Man 0.3935 standard deviations from the yearly mean 2010 — volatile
82 Trinidad and Tobago 0.3893 standard deviations from the yearly mean 2024 up 57.7% volatile
83 Kazakhstan 0.3433 standard deviations from the yearly mean 2024 down 52.6% falling
84 Tajikistan 0.3417 standard deviations from the yearly mean 2024 up 68.1% volatile
85 Saint Vincent and the Grenadines 0.3397 standard deviations from the yearly mean 2024 up 94.5% volatile
86 India 0.3266 standard deviations from the yearly mean 2024 up 166.7% volatile
87 Estonia 0.3142 standard deviations from the yearly mean 2024 down 48.4% falling
88 Kyrgyzstan 0.3012 standard deviations from the yearly mean 2024 up 43.8% volatile
89 Mongolia 0.301 standard deviations from the yearly mean 2024 down 55.5% volatile
90 Egypt 0.2956 standard deviations from the yearly mean 2024 up 188.8% volatile
91 El Salvador 0.2941 standard deviations from the yearly mean 2024 up 52,792.6% volatile
92 Barbados 0.2866 standard deviations from the yearly mean 2024 down 60.3% falling
93 Ukraine 0.2801 standard deviations from the yearly mean 2024 up 307.9% volatile
94 Lithuania 0.2743 standard deviations from the yearly mean 2024 down 69.1% falling
95 Albania 0.2742 standard deviations from the yearly mean 2024 down 46.3% volatile
96 Guyana 0.2627 standard deviations from the yearly mean 2024 up 895.3% volatile
97 Saint Kitts and Nevis 0.2552 standard deviations from the yearly mean 2024 down 29.7% volatile
98 Turkmenistan 0.2542 standard deviations from the yearly mean 2024 up 70.6% volatile
99 Georgia 0.2402 standard deviations from the yearly mean 2024 down 58.1% volatile
100 Nepal 0.2109 standard deviations from the yearly mean 2024 up 144.1% rising
101 Paraguay 0.1913 standard deviations from the yearly mean 2024 up 167.9% volatile
102 Jamaica 0.1689 standard deviations from the yearly mean 2024 up 156.3% volatile
103 Argentina 0.1499 standard deviations from the yearly mean 2024 down 82.6% falling
104 Dominican Republic 0.1457 standard deviations from the yearly mean 2024 up 153.8% volatile
105 Iraq 0.1159 standard deviations from the yearly mean 2024 up 114.4% volatile
106 Botswana 0.1136 standard deviations from the yearly mean 2024 up 157.3% volatile
107 Nicaragua 0.1108 standard deviations from the yearly mean 2023 up 183.6% volatile
108 Serbia 0.1107 standard deviations from the yearly mean 2024 down 73.4% falling
109 Guatemala 0.1018 standard deviations from the yearly mean 2024 up 112.2% volatile
110 Bahamas 0.0944 standard deviations from the yearly mean 2024 down 46.6% volatile
111 Palau 0.0828 standard deviations from the yearly mean 2024 up 121.8% volatile
112 Grenada 0.0298 standard deviations from the yearly mean 2024 down 91.8% volatile
113 Rwanda 0.0213 standard deviations from the yearly mean 2024 up 103.8% volatile
114 Tuvalu -0.0336 standard deviations from the yearly mean 2024 up 90.3% volatile
115 Belize -0.0507 standard deviations from the yearly mean 2024 up 6.6% volatile
116 Libya -0.0532 standard deviations from the yearly mean 2024 down 143.6% volatile
117 Eritrea -0.0649 standard deviations from the yearly mean 2024 up 89.8% rising
118 Mauritania -0.0779 standard deviations from the yearly mean 2024 up 91.9% rising
119 Romania -0.0782 standard deviations from the yearly mean 2024 down 115.0% falling
120 Mexico -0.0899 standard deviations from the yearly mean 2024 down 183.7% volatile
121 Ecuador -0.1467 standard deviations from the yearly mean 2024 down 8.5% volatile
122 Samoa -0.1518 standard deviations from the yearly mean 2024 down 40.5% volatile
123 Saint Lucia -0.1527 standard deviations from the yearly mean 2024 down 152.4% volatile
124 Indonesia -0.1907 standard deviations from the yearly mean 2024 up 51.7% rising
125 Palestine -0.1913 standard deviations from the yearly mean 2024 down 238.4% volatile
126 Uganda -0.2065 standard deviations from the yearly mean 2024 up 65.8% rising
127 Sao Tome and Principe -0.2161 standard deviations from the yearly mean 2024 down 21.6% volatile
128 Moldova -0.2249 standard deviations from the yearly mean 2024 down 156.3% falling
129 Fiji -0.2432 standard deviations from the yearly mean 2024 down 415.9% volatile
130 Syria -0.2482 standard deviations from the yearly mean 2024 up 72.4% volatile
131 North Macedonia -0.2538 standard deviations from the yearly mean 2024 down 153.2% volatile
132 Senegal -0.2871 standard deviations from the yearly mean 2024 up 53.8% rising
133 Honduras -0.288 standard deviations from the yearly mean 2024 down 316.9% volatile
134 Cambodia -0.2996 standard deviations from the yearly mean 2024 up 52.7% rising
135 Bosnia and Herzegovina -0.3 standard deviations from the yearly mean 2024 down 380.6% volatile
136 Malawi -0.3109 standard deviations from the yearly mean 2024 up 54.9% rising
137 Nauru -0.3567 standard deviations from the yearly mean 2024 down 58.9% volatile
138 Dominica -0.3773 standard deviations from the yearly mean 2024 down 250.1% volatile
139 Lebanon -0.382 standard deviations from the yearly mean 2024 down 1,069.5% volatile
140 Marshall Islands -0.3835 standard deviations from the yearly mean 2024 up 46.4% volatile
141 Pakistan -0.4059 standard deviations from the yearly mean 2024 up 58.2% falling
142 Ghana -0.4086 standard deviations from the yearly mean 2024 up 43.4% rising
143 Zambia -0.4231 standard deviations from the yearly mean 2024 up 46.0% falling
144 Suriname -0.4608 standard deviations from the yearly mean 2024 up 13.9% volatile
145 Philippines -0.4749 standard deviations from the yearly mean 2024 up 26.7% volatile
146 Azerbaijan -0.4763 standard deviations from the yearly mean 2024 down 290.6% volatile
147 Solomon Islands -0.4955 standard deviations from the yearly mean 2024 up 17.0% volatile
148 Tanzania -0.5232 standard deviations from the yearly mean 2024 up 15.1% rising
149 Zimbabwe -0.5991 standard deviations from the yearly mean 2024 up 20.6% volatile
150 Venezuela -0.6141 standard deviations from the yearly mean 2024 down 231.5% volatile
151 Kenya -0.6182 standard deviations from the yearly mean 2024 down 2.8% falling
152 Micronesia (country) -0.6249 standard deviations from the yearly mean 2024 down 14.6% volatile
153 Gambia -0.6442 standard deviations from the yearly mean 2024 down 65.8% volatile
154 Sierra Leone -0.6788 standard deviations from the yearly mean 2024 up 49.3% rising
155 Namibia -0.6882 standard deviations from the yearly mean 2024 up 24.5% rising
156 Burundi -0.6941 standard deviations from the yearly mean 2024 up 11.7% rising
157 Eswatini -0.6992 standard deviations from the yearly mean 2024 up 2.0% volatile
158 Kiribati -0.7545 standard deviations from the yearly mean 2024 down 141.7% volatile
159 Burkina Faso -0.8022 standard deviations from the yearly mean 2024 up 17.0% rising
160 South Africa -0.8876 standard deviations from the yearly mean 2024 down 21.4% volatile
161 East Timor -0.9219 standard deviations from the yearly mean 2024 up 1.2% rising
162 Djibouti -0.9329 standard deviations from the yearly mean 2024 up 14.7% falling
163 Haiti -0.9365 standard deviations from the yearly mean 2024 up 24.6% rising
164 Laos -0.9385 standard deviations from the yearly mean 2024 down 23.9% rising
165 Ethiopia -0.9437 standard deviations from the yearly mean 2024 up 48.7% rising
166 Togo -0.9451 standard deviations from the yearly mean 2024 up 13.9% falling
167 Liberia -0.9519 standard deviations from the yearly mean 2024 up 50.1% falling
168 Lesotho -0.9804 standard deviations from the yearly mean 2024 up 9.0% volatile
169 Myanmar -1.02 standard deviations from the yearly mean 2024 down 98.0% rising
170 Bolivia -1.05 standard deviations from the yearly mean 2024 down 171.9% rising
171 Niger -1.05 standard deviations from the yearly mean 2024 up 7.2% rising
172 Congo -1.06 standard deviations from the yearly mean 2024 down 35.3% volatile
173 Comoros -1.06 standard deviations from the yearly mean 2024 down 44.3% falling
174 Vanuatu -1.06 standard deviations from the yearly mean 2024 down 4,780.3% volatile
175 Cote d'Ivoire -1.23 standard deviations from the yearly mean 2024 up 28.6% falling
176 Cameroon -1.24 standard deviations from the yearly mean 2024 up 11.0% falling
177 Gabon -1.44 standard deviations from the yearly mean 2024 down 5.1% falling
178 Mali -1.45 standard deviations from the yearly mean 2024 up 1.2% rising
179 Guinea-Bissau -1.45 standard deviations from the yearly mean 2024 down 47.6% flat
180 Mozambique -1.48 standard deviations from the yearly mean 2024 down 56.1% flat
181 South Sudan -1.66 standard deviations from the yearly mean 2024 up 42.8% rising
182 Afghanistan -1.67 standard deviations from the yearly mean 2024 down 22.7% rising
183 Angola -1.86 standard deviations from the yearly mean 2024 up 3.0% falling
184 Somalia -1.87 standard deviations from the yearly mean 2024 down 1.2% falling
185 Guinea -1.88 standard deviations from the yearly mean 2024 up 3.8% falling
186 Equatorial Guinea -1.92 standard deviations from the yearly mean 2024 up 6.0% falling
187 Yemen -1.97 standard deviations from the yearly mean 2024 down 77.8% falling
188 Democratic Republic of Congo -1.98 standard deviations from the yearly mean 2024 down 29.2% falling
189 Sudan -1.99 standard deviations from the yearly mean 2024 down 219.3% rising
190 Montenegro -2.03 standard deviations from the yearly mean 2024 down 8,146.6% volatile
191 Chad -2.06 standard deviations from the yearly mean 2024 up 13.9% falling
192 Papua New Guinea -2.09 standard deviations from the yearly mean 2024 down 57.5% volatile
193 Madagascar -2.19 standard deviations from the yearly mean 2024 down 75.4% falling
194 Nigeria -2.44 standard deviations from the yearly mean 2024 up 18.2% falling
195 Benin -2.47 standard deviations from the yearly mean 2024 down 73.4% falling
196 Central African Republic -2.82 standard deviations from the yearly mean 2024 up 19.5% falling

Regions and income groups

Aggregates are excluded from the country ranking above so that a region can never outrank a country.

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Health system composite index by country. Statizoid, drawing on Statizoid (derived). Retrieved 10 October 2026, from https://health.statizoid.com/stat/health-system-composite-index/

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How this figure is calculated

An equal-weighted index of 4 indicators: Life expectancy at birth, total; Physicians per 1000 people; Hospital beds per 1000 people; Immunization, measles. Each is standardised against that year's spread across all reporting countries before averaging, so a score of 0 is the average country and +1 is one standard deviation above it.

Equal-weighted mean of the standardised inputs below.

Computed from

Statizoid computes this series; the underlying measurements belong to the publishers named above. The arithmetic is applied to every country and year where both inputs report, and nothing is estimated unless the page says so.

About this data

Indicator
Health system composite index
Unit
standard deviations from the yearly mean
Source
Statizoid (derived)
Licence
Derived by Statizoid from the sources named on the page
Coverage
243 places, 11,062 data points, 1960–2024
Last refreshed

An equal-weighted index of 4 indicators: Life expectancy at birth, total; Physicians per 1000 people; Hospital beds per 1000 people; Immunization, measles. Each is standardised against that year's spread across all reporting countries before averaging, so a score of 0 is the average country and +1 is one standard deviation above it.