Evidence map›Paper›PMID 38053205›Full record

ReviewInternational journal for equity in health2023

Measuring health equity in the ASEAN region: conceptual framework and assessment of data availability.

Capucine Barcellona, Yzabel Bryanna Mariñas, Si Ying Tan, Gabriel Lee, Khin Chaw Ko, Savina Chham, Chhea Chhorvann, Borwornsom Leerapan, Nam Pham Tien, Jeremy Lim

Erratum issuedAbstract readReview
In one paragraph

Review in International journal for equity in health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Capucine BarcellonaSaw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore. cbarcellona@nus.edu.sg.
Yzabel Bryanna MariñasYale-NUS College, National University of Singapore, Singapore, Singapore.
Si Ying TanSaw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.
Gabriel LeeSaw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.
Khin Chaw KoIndependent Consultant, Singapore, Singapore.
Savina ChhamNational Institute of Public Health Cambodia, Phnom Penh, Cambodia.
Chhea ChhorvannNational Institute of Public Health Cambodia, Phnom Penh, Cambodia.
Borwornsom LeerapanFaculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Nam Pham TienHanoi University of Public Health, Hanoi, Vietnam.
Jeremy LimSaw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.

Funding

Equity Initiative 21-400
6 · The paper itself

Abstract

backgroundExisting research on health equity falls short of identifying a comprehensive set of indicators for measurement across health systems. Health systems in the ASEAN region, in particular, lack a standardised framework to assess health equity. This paper proposes a comprehensive framework to measure health equity in the ASEAN region and highlights current gaps in data availability according to its indicator components.

methodsA comprehensive literature review was undertaken to map out a core set of indicators to evaluate health equity at the health system level. Secondary data collection was subsequently conducted to assess current data availability for ASEAN states in key global health databases, national health accounts, and policy documents.

resultsA robust framework to measure health equity was developed comprising 195 indicators across Health System Inputs and Processes, Outputs, Outcomes, and Contextual Factors. Total indicator data availability equated to 72.9% (1423/1950). Across the ASEAN region, the Inputs and Processes sub-component of Health Financing had complete data availability for all indicators (160/160, 100%), while Access to Essential Medicine had the least data available (6/30, 20%). Under Outputs and Outcomes, Coverage of Selected Interventions (161/270, 59.63%) and Population Health (350/350, 100%) respectively had the most data available, while other indicator sub-components had little to none (≤ 38%). 72.145% (384/530) of data is available for all Contextual Factors. Out of the 10 ASEAN countries, the Philippines had the highest data availability overall at 77.44% (151/195), while Brunei Darussalam and Vietnam had the lowest data availability at 67.18% (131/195).

conclusionsThe data availability gaps highlighted in this study underscore the need for a standardised framework to guide data collection and benchmarking of health equity in ASEAN. There is a need to prioritise regular data collection for overlooked indicator areas and in countries with low levels of data availability. The application of this indicator framework and resulting data availability analysis could be conducted beyond ASEAN to enable cross-regional benchmarking of health equity.

Indexed as

Health EquityPopulation HealthData CollectionGlobal HealthHealth StatusHumansASEANData availabilityGlobal HealthHealth disparitiesHealth EquityHealth systemsPublic Health

Identifiers

PMID38053205
PMCPMC10696689

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.