Tuesday, October 15, 2024

Healthcare access and quality by level of healthcare spending (2000 to 2013): Timor Leste vs Maldives

Timor Leste and Maldives are both small island countries in Asia. Geographically, Maldives is more isolated than Timor Leste. Timor Leste's economy relies mostly on offshore oil and gas resources, and Maldives relies mostly on tourism and fisheries sectors. The total population of Timor Leste is more than twice of Maldives'. In 2013, the population of Timor Leste was 1,153,295 and of Maldives was 415,593. With a slightly higher growth rate in Timor Leste.

Healthcare access and quality by level of healthcare spending (2000 to 2013) show Timor Leste's differences compared to Maldives. Healthcare access and quality are measured by the Institute for Health Metrics and Evaluation HAQ Index. 32 causes considered amenable to health care comprise the HAQ Index, representing a range of health service areas:

·       vaccine-preventable diseases

·       infectious diseases

·       maternal and child health

·       non-communicable diseases

·       conditions from which surgery can easily avert death.

In 2000, the HAQ Index of Timor Leste was 38.2 and of Maldives was 59.3. In 2013, the HAQ Index of Timor Leste was 51.6 and of Maldives was 75.5. During the 13 years period, Maldives performs better in increasing the HAQ Index (16.2 points) than Timor Leste (13.4 points). We should also consider that Maldives' starting point is higher, which reflects the better infrastructure and health system available that essential to health care access and quality level.

In 2000, the healthcare expenditure per capita of Timor Leste was 45.23 and of Maldives was 274.25. In 2013, the healthcare expenditure per capita of Timor Leste was 96.32 and of Maldives was 1259.6. Maldives in 2013 spent about four-fold what it had in 2000 for healthcare, while Timor Leste only spent about two-fold. We can learn that it takes more resources per capita to maintain and increase the HAQ index. This will become more complicated when we have a larger population. As the newly recognized independent country, Timor Leste has done well.

References:

1.     https://data.worldbank.org/indicator/SP.POP.TOTL?end=2019&locations=TL-MV&start=2000&view=chart

2.     https://ourworldindata.org/grapher/haq-by-level-of-healthcare-spending-endpoints?time=2000..2013&country=MDV~TLS

3.     https://www.cia.gov/the-world-factbook/countries/maldives/

4.     https://www.cia.gov/the-world-factbook/countries/timor-leste/

https://healthsystemsfacts.org/comparisons-of-health-systems/healthcare-access-quality-index-overview/ 

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