According to data from the World Bank, the present mortality rate is still very high, over seven times higher than in neighboring country Spain. In 2014, Morocco adopted a national plan to increase progress on maternal and child health. The Moroccan Plan was started by the Moroccan Minister of Health, Dr. El Houssaine Louardi, and Dr. Ala Alwan, WHO Regional Director for the Eastern Mediterranean Region, on 13 November 2013 in Rabat. Morocco has made significant progress in reducing deaths among both children and mothers. Based on World Bank data, the nation's maternal mortality ratio fell by 67% between 1990 and 2010. In 2014, spending on healthcare accounted for 5.9% of the country's GDP. Since 2014, spending on healthcare as part of the GDP has decreased. However, health expenditure per capita (PPP) has steadily increased since 2000. In 2015, the Moroccan health expenditure was $435.29 per capita. In 2016 the life expectancy at birth was 74.3, or 73.3 for men and 75.4 for women, and there were 6.3 physicians and 8.9 nurses and midwives per 10,000 inhabitants. In 2017, Morocco ranked 16th out of 29 countries on the Global Youth Wellbeing Index. Moroccan youths experience a lower self-harm rate than the global index by an average of 4 encounters per year.