world health organization ranking of health systems in 2000 world health organization ranking of health systems in 2000 the world health organization (who) ranked the health systems of its 191 member states in its world health report 2000. it provided a framework and measurement approach to examine and compare aspects of health systems around the world. it developed a series of performance indicators to assess the overall level and distribution of health in the populations, and the responsiveness and financing of health care services. it was the organization's first ever analysis of the world's health systems. ranking country attainment of goals / health / level (dale) attainment of goals / health / distribution attainment of goals / health / overall goal attainment health expenditure per capita in international dollars performance / on level of health performance / overall health system performance afghanistan1640183184150173 albania102128861496455 algeria446356244581 andorra1025172374 angola165178181164165181 antigua and barbuda4858715612386 argentina396049347175 armenia41638110256104 australia21712173932 austria178106159 azerbaijan659910316260109 bahamas10967642213798 bahrain617258483042 bangladesh14012513114410388 barbados533638368746 belarus8346537411672 belgium162613152821 belize9495104883469 benin15713214317113697 bhutan13815814413573124 bolivia133118117101142126 bosnia-herzegovina5679791057090 botswana18714616885188169 brazil1111081255478125 brunei594237327640 bulgaria6053749692102 burkina faso178137159173162132 burundi179154161186171143 cambodia148150166140157174 cameroon156160163131172164 canada12187103530 cape verde11812312615055113 central african republic175189190178164189 chad161175177175161178 chile32133442333 people's republic of china8110113213961144 colombia744441495122 comoros146143137165141118 congo150142155122167166 cook islands6792886195107 costa rica404545502536 croatia383336565743 cuba3341401183639 cyprus253128392224 czech republic351930408148 democratic republic of the congo174174179188185188 denmark28212086534 djibouti166169170163163157 dominica263542705935 dominican republic799766924251 ecuador931331079796111 egypt1151411101154363 el salvador871151228337115 equatorial guinea152151152129174171 eritrea169167176187148158 estonia6943486011577 ethiopia182176186189169180 federated states of micronesia10411211181110123 fiji10671788712496 finland202722184431 france3126441 gabon14413614195143139 gambia143155153158109146 georgia44617612584114 germany22201434125 ghana149149139166158135 greece7623301114 grenada498268674985 guatemala1291061131309978 guinea167166172159160161 guinea-bissau170177180156156176 guyana98126116109104128 haiti153152145155139138 honduras9211912910048131 hungary6240435910566 iceland192416142715 india1913121133118112 indonesia1031561061549092 iran96113114945893 iraq12613012411775103 ireland271325253219 israel23724194028 italy614111132 ivory coast155181157153133137 jamaica36876989853 japan13113910 jordan10183849810083 kazakhstan122526211213564 kenya162135142152178140 kiribati125121123103144142 kuwait685446416845 kyrgyzstan123122135146134151 laos147147154157155165 latvia82566777121105 lebanon958893469791 lesotho171164173123186183 liberia181191187181176186 libya10710297849487 lithuania634852719373 luxembourg1822553116 macedonia6485891066989 madagascar172168167190173159 malawi189187182161187185 malaysia894955938649 maldives13013412876147147 mali183180178179170163 malta2138313725 marshall islands12112011980140141 mauritania158163169141151162 mauritius7877906911384 mexico556551556361 moldova886491108106101 monaco93018121213 mongolia131148136145138145 morocco11011194991729 mozambique180190185160168184 myanmar139162175136129190 namibia17717316566189168 nauru13651754216698 nepal14216116017098150 netherlands1315891917 new zealand311626208041 nicaragua117961011047471 niger190184188185177170 nigeria163188184176175187 niue85100102127108121 north korea137145149172153167 norway1543161811 oman7259596218 pakistan12418313314285122 palau11266634712582 panama479370536795 papua new guinea145157150137146148 paraguay715773915257 peru10510311578119129 philippines113505412412660 poland45534588950 portugal293432281312 qatar665547275344 romania80787210711199 russia916910075127130 rwanda185185171177181172 saint kitts and nevis86919851122100 saint lucia548687865468 saint vincent and the grenadines438992903874 samoa978182121131119 san marino119212153 sao tome and principe132139138167117133 saudi arabia587061631026 senegal15110511814313259 seychelles1087383528356 sierra leone191186191183183191 singapore30292738146 slovakia423939458862 slovenia342329296238 solomon islands1271171081342080 somalia173179189191154179 south africa16012815157182175 south korea5137353110758 spain511192467 sri lanka7680801386676 sudan154159148169149134 suriname77941057277110 swaziland164140164116184177 sweden428472123 switzerland810222620 syria11410711211991108 tajikistan120124127126145154 tanzania176172158174180156 thailand9974576410247 togo159170156180159152 tonga75848573114116 trinidad and tobago577556657967 tunisia9011477794652 turkey7310996823370 turkmenistan128131130128152153 tuvalu119116120151128136 united arab emirates506244351627 uganda186138162168179149 united kingdom1429262418 ukraine70476011110179 united states24321517237 uruguay376850335065 uzbekistan100144109120112117 vanuatu135127134132120127 venezuela527665682954 vietnam116104140147130160 yemen14116514618282120 fr yugoslavia46909511347106 zambia188171174148190182 zimbabwe18498147110191155 methodology the rankings are based on an index of five factors: health (50%) : disability-adjusted life expectancy overall or average : 25% distribution or equality : 25% responsiveness (25%) : speed of service, protection of privacy, and quality of amenities overall or average : 12.5% distribution or equality : 12.5% fair financial contribution : 25% criticism the who rankings are claimed to have been subject to many and varied criticisms since its publication. concerns raised over the five factors considered, data sets used and comparison methodologies have led health bodies and political commentators in most of the countries on the list to question the efficacy of its results and validity of any conclusions drawn. such criticisms of a broad endeavour by the who to rank all the world's healthcare systems must also however be understood in the context of a predisposition to analytical bias commensurate with an individual nation's demographics, socio-economics and politics. in considering such a disparate global spectrum, ranking criteria, methodology, results and conclusions will always be an area for contention. in over a decade of discussion and controversy over the who ranking of 2000, there is still no consensus about how an objective world health system ranking should be compiled. indeed, the 2000 results have proved so controversial that the who declined to rank countries in their world health reports since 2000, but the debate still rages on. with burgeoning and ageing populations, spiralling costs and the recognition by most national governments that constant vigilance and periodic healthcare reform are necessary, the appetite for a means of measuring national performance in broader world contexts is ever increasing and all the more relevant. with this in mind, and in lieu of any further ranking information from the who since 2000, there are many analytical bodies now looking at national healthcare delivery in global contexts and publishing their findings. bloomberg finds "the u.s. spends the most on health care on a relative cost basis with the worst outcome" and notes cubans live longer than americans, but americans pay more than fourteen times as much for less effective health care. the commonwealth fund ranked seven developed countries on health care, the us ranked lowest(au, ca, de, nl, nz, uk, us).