Measuring universal health coverage based on an index of effective coverage of health services in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019

Journal article


Lozano, R, Fullman, N, Mumford, JE, Knight, M, Barthelemy, CM, Abbafati, C, Abbastabar, H, Abd-Allah, F, Abdollahi, M, Abedi, A, Abolhassani, H, Abosetugn, AE, Abreu, LG, Abrigo, MRM, Abu Haimed, AK, Abushouk, AI, Adabi, M, Adebayo, OM, Adekanmbi, V, Adelson, J, Adetokunboh, OO, Adham, D, Advani, SM, Afshin, A, Agarwal, G, Agasthi, P, Aghamir, SMK, Agrawal, A, Ahmad, T, Akinyemi, RO, Alahdab, F, Al-Aly, Z, Alam, K, Albertson, SB, Alemu, YM, Alhassan, RK, Ali, M, Ali, S, Alipour, V, Aljunid, SM, Alla, F, Almadi, MAH, Almasi, A, Almasi-Hashiani, A, Almasri, NA, Al-Mekhlafi, HM, Almulhim, AM, Alonso, J, Al-Raddadi, RM, Altirkawi, KA, Alvis-Guzman, N, Alvis-Zakzuk, NJ, Amini, S, Amini-Rarani, M, Amiri, F, Amit, AML, Amugsi, DA, Ancuceanu, R, Anderlini, D, Andrei, CL, Androudi, S, Ansari, F, Ansari-Moghaddam, A, Antonio, CAT, Antony, CM, Antriyandarti, E, Anvari, D, Anwer, R, Arabloo, J, Arab-Zozani, M, Aravkin, AY, Aremu, O, Ärnlöv, J, Asaad, M, Asadi-Aliabadi, M, Asadi-Pooya, AA, Athari, SS, Atout, MMDW, Ausloos, M, Avila-Burgos, L, Ayala Quintanilla, BP, Ayano, G, Ayanore, MA, Aynalem, YA, Aynalem, GL, Ayza, MA, Azari, S, Azzopardi, PS, B, DB, Babaee, E, Badiye, AD, Bahrami, MA, Baig, AA, Bakhshaei, MH, Bakhtiari, A, Bakkannavar, SM, Balachandran, A, Banach, M, Banerjee, SK, Banik, PC and Herteliu, C. (2020). Measuring universal health coverage based on an index of effective coverage of health services in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. The Lancet. 396 (10258), pp. 1250-1284. https://doi.org/10.1016/S0140-6736(20)30750-9
AuthorsLozano, R, Fullman, N, Mumford, JE, Knight, M, Barthelemy, CM, Abbafati, C, Abbastabar, H, Abd-Allah, F, Abdollahi, M, Abedi, A, Abolhassani, H, Abosetugn, AE, Abreu, LG, Abrigo, MRM, Abu Haimed, AK, Abushouk, AI, Adabi, M, Adebayo, OM, Adekanmbi, V, Adelson, J, Adetokunboh, OO, Adham, D, Advani, SM, Afshin, A, Agarwal, G, Agasthi, P, Aghamir, SMK, Agrawal, A, Ahmad, T, Akinyemi, RO, Alahdab, F, Al-Aly, Z, Alam, K, Albertson, SB, Alemu, YM, Alhassan, RK, Ali, M, Ali, S, Alipour, V, Aljunid, SM, Alla, F, Almadi, MAH, Almasi, A, Almasi-Hashiani, A, Almasri, NA, Al-Mekhlafi, HM, Almulhim, AM, Alonso, J, Al-Raddadi, RM, Altirkawi, KA, Alvis-Guzman, N, Alvis-Zakzuk, NJ, Amini, S, Amini-Rarani, M, Amiri, F, Amit, AML, Amugsi, DA, Ancuceanu, R, Anderlini, D, Andrei, CL, Androudi, S, Ansari, F, Ansari-Moghaddam, A, Antonio, CAT, Antony, CM, Antriyandarti, E, Anvari, D, Anwer, R, Arabloo, J, Arab-Zozani, M, Aravkin, AY, Aremu, O, Ärnlöv, J, Asaad, M, Asadi-Aliabadi, M, Asadi-Pooya, AA, Athari, SS, Atout, MMDW, Ausloos, M, Avila-Burgos, L, Ayala Quintanilla, BP, Ayano, G, Ayanore, MA, Aynalem, YA, Aynalem, GL, Ayza, MA, Azari, S, Azzopardi, PS, B, DB, Babaee, E, Badiye, AD, Bahrami, MA, Baig, AA, Bakhshaei, MH, Bakhtiari, A, Bakkannavar, SM, Balachandran, A, Banach, M, Banerjee, SK, Banik, PC and Herteliu, C.
Abstract

© 2020 Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license Background: Achieving universal health coverage (UHC) involves all people receiving the health services they need, of high quality, without experiencing financial hardship. Making progress towards UHC is a policy priority for both countries and global institutions, as highlighted by the agenda of the UN Sustainable Development Goals (SDGs) and WHO's Thirteenth General Programme of Work (GPW13). Measuring effective coverage at the health-system level is important for understanding whether health services are aligned with countries' health profiles and are of sufficient quality to produce health gains for populations of all ages. Methods: Based on the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019, we assessed UHC effective coverage for 204 countries and territories from 1990 to 2019. Drawing from a measurement framework developed through WHO's GPW13 consultation, we mapped 23 effective coverage indicators to a matrix representing health service types (eg, promotion, prevention, and treatment) and five population-age groups spanning from reproductive and newborn to older adults (≥65 years). Effective coverage indicators were based on intervention coverage or outcome-based measures such as mortality-to-incidence ratios to approximate access to quality care; outcome-based measures were transformed to values on a scale of 0–100 based on the 2·5th and 97·5th percentile of location-year values. We constructed the UHC effective coverage index by weighting each effective coverage indicator relative to its associated potential health gains, as measured by disability-adjusted life-years for each location-year and population-age group. For three tests of validity (content, known-groups, and convergent), UHC effective coverage index performance was generally better than that of other UHC service coverage indices from WHO (ie, the current metric for SDG indicator 3.8.1 on UHC service coverage), the World Bank, and GBD 2017. We quantified frontiers of UHC effective coverage performance on the basis of pooled health spending per capita, representing UHC effective coverage index levels achieved in 2019 relative to country-level government health spending, prepaid private expenditures, and development assistance for health. To assess current trajectories towards the GPW13 UHC billion target—1 billion more people benefiting from UHC by 2023—we estimated additional population equivalents with UHC effective coverage from 2018 to 2023. Findings: Globally, performance on the UHC effective coverage index improved from 45·8 (95% uncertainty interval 44·2–47·5) in 1990 to 60·3 (58·7–61·9) in 2019, yet country-level UHC effective coverage in 2019 still spanned from 95 or higher in Japan and Iceland to lower than 25 in Somalia and the Central African Republic. Since 2010, sub-Saharan Africa showed accelerated gains on the UHC effective coverage index (at an average increase of 2·6% [1·9–3·3] per year up to 2019); by contrast, most other GBD super-regions had slowed rates of progress in 2010–2019 relative to 1990–2010. Many countries showed lagging performance on effective coverage indicators for non-communicable diseases relative to those for communicable diseases and maternal and child health, despite non-communicable diseases accounting for a greater proportion of potential health gains in 2019, suggesting that many health systems are not keeping pace with the rising non-communicable disease burden and associated population health needs. In 2019, the UHC effective coverage index was associated with pooled health spending per capita (r=0·79), although countries across the development spectrum had much lower UHC effective coverage than is potentially achievable relative to their health spending. Under maximum efficiency of translating health spending into UHC effective coverage performance, countries would need to reach $1398 pooled health spending per capita (US$ adjusted for purchasing power parity) in order to achieve 80 on the UHC effective coverage index. From 2018 to 2023, an estimated 388·9 million (358·6–421·3) more population equivalents would have UHC effective coverage, falling well short of the GPW13 target of 1 billion more people benefiting from UHC during this time. Current projections point to an estimated 3·1 billion (3·0–3·2) population equivalents still lacking UHC effective coverage in 2023, with nearly a third (968·1 million [903·5–1040·3]) residing in south Asia. Interpretation: The present study demonstrates the utility of measuring effective coverage and its role in supporting improved health outcomes for all people—the ultimate goal of UHC and its achievement. Global ambitions to accelerate progress on UHC service coverage are increasingly unlikely unless concerted action on non-communicable diseases occurs and countries can better translate health spending into improved performance. Focusing on effective coverage and accounting for the world's evolving health needs lays the groundwork for better understanding how close—or how far—all populations are in benefiting from UHC. Funding: Bill & Melinda Gates Foundation.

KeywordsGBD 2019 Universal Health Coverage Collaborators; Humans; Health Expenditures; World Health Organization; Global Burden of Disease; Universal Health Insurance
Year2020
JournalThe Lancet
Journal citation396 (10258), pp. 1250-1284
PublisherElsevier BV
ISSN0140-6736
Digital Object Identifier (DOI)https://doi.org/10.1016/S0140-6736(20)30750-9
Publication dates
Print17 Oct 2020
Publication process dates
Deposited01 Dec 2020
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Open
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Changes in disease burden in Poland between 1990–2017 in comparison with other Central European countries: A systematic analysis for the Global Burden of Disease Study 2017
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Mapping local patterns of childhood overweight and wasting in low- and middle-income countries between 2000 and 2017
Kinyoki, D.K., Ross, J.M., Lazzar-Atwood, A. and Herteliu, C. (2020). Mapping local patterns of childhood overweight and wasting in low- and middle-income countries between 2000 and 2017. Nature Medicine. https://doi.org/10.1038/s41591-020-0807-6
Health sector spending and spending on HIV/AIDS, tuberculosis, and malaria, and development assistance for health: progress towards Sustainable Development Goal 3
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Liquidity transmission and the subprime mortgage crisis: a multivariate GARCH approach
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Sustainable consumption behaviours in P2P accommodation platforms: an exploratory study
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Mapping child growth failure across low- and middle-income countries
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Mapping disparities in education across low- and middle-income countries
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Erratum: Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks for 195 countries and territories, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017 (The Lancet (2018) 392(10159) (1923–1994), (S0140673618322256), (10.1016/S0140-6736(18)32225-6))
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Intriguing behavior when testing the impact of quotation marks usage in Google search results
Ileanu, B.V., Ausloos, M., Herteliu, C. and Cristescu, M.P. (2019). Intriguing behavior when testing the impact of quotation marks usage in Google search results. Quality & Quantity. 53 (5), pp. 2507-2519. https://doi.org/10.1007/s11135-018-0771-0
The influence of Lent on marriages and conceptions explored through a new methodology
Herteliu, C., Richmond, P. and Roehner, B.M. (2019). The influence of Lent on marriages and conceptions explored through a new methodology. Physica A: Statistical Mechanics and its Applications. 532, pp. 121768-121768. https://doi.org/10.1016/j.physa.2019.121768
Global, Regional, and National Cancer Incidence, Mortality, Years of Life Lost, Years Lived With Disability, and Disability-Adjusted Life-Years for 29 Cancer Groups, 1990 to 2017
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Global, regional, and national disability-adjusted life-years (DALYs) for 359 diseases and injuries and healthy life expectancy (HALE) for 195 countries and territories, 1990-2017: A systematic analysis for the Global Burden of Disease Study 2017
Kyu, HH, Abate, D, Abate, KH, Abay, SM, Abbafati, C, Abbasi, N, Abbastabar, H, Abd-Allah, F, Abdela, J, Abdelalim, A, Abdollahpour, I, Abdulkader, RS, Abebe, M, Abebe, Z, Abil, OZ, Aboyans, V, Abrham, AR, Abu-Raddad, LJ, Abu-Rmeileh, NME, Accrombessi, MMK, Acharya, D, Acharya, P, Ackerman, IN, Adamu, AA, Adebayo, OM, Adekanmbi, V, Ademi, Z, Adetokunboh, OO, Adib, MG, Adsuar, JC, Afanvi, KA, Afarideh, M, Afshin, A, Agarwal, G, Agesa, KM, Aggarwal, R, Aghayan, SA, Agrawal, A, Ahmadi, A, Ahmadi, M, Ahmadieh, H, Ahmed, MB, Ahmed, S, Aichour, AN, Aichour, I, Aichour, MTE, Akinyemiju, T, Akseer, N, Al-Aly, Z, Al-Eyadhy, A, Al-Mekhlafi, HM, Al-Raddadi, RM, Alahdab, F, Alam, K, Alam, T, Alashi, A, Alavian, SM, Alene, KA, Alijanzadeh, M, Alizadeh-Navaei, R, Aljunid, SM, Alkerwi, A, Alla, F, Allebeck, P, Alonso, J, Alsharif, U, Altirkawi, K, Alvis-Guzman, N, Aminde, LN, Amini, E, Amiresmaili, M, Ammar, W, Amoako, YA, Anber, NH, Andrei, CL, Androudi, S, Animut, MD, Anjomshoa, M, Ansha, MG, Antonio, CAT, Anwari, P, Arabloo, J, Aremu, O, Ärnlöv, J, Arora, A, Arora, M, Artaman, A, Aryal, KK, Asayesh, H, Ataro, Z, Ausloos, M, Avila-Burgos, L, Avokpaho, EFGA, Awasthi, A, Ayala Quintanilla, BP, Ayer, R, Azzopardi, PS, Babazadeh, A, Badali, H and Balakrishnan, K (2018). Global, regional, and national disability-adjusted life-years (DALYs) for 359 diseases and injuries and healthy life expectancy (HALE) for 195 countries and territories, 1990-2017: A systematic analysis for the Global Burden of Disease Study 2017. The Lancet. 392 (10159), pp. 1859-1922. https://doi.org/10.1016/S0140-6736(18)32335-3
Measuring performance on the Healthcare Access and Quality Index for 195 countries and territories and selected subnational locations: A systematic analysis from the Global Burden of Disease Study 2016
Fullman, N, Yearwood, J, Abay, SM, Abbafati, C, Abd-Allah, F, Abdela, J, Abdelalim, A, Abebe, Z, Abebo, TA, Aboyans, V, Abraha, HN, Abreu, DMX, Abu-Raddad, LJ, Adane, AA, Adedoyin, RA, Adetokunboh, O, Adhikari, TB, Afarideh, M, Afshin, A, Agarwal, G, Agius, D, Agrawal, A, Agrawal, S, Ahmad Kiadaliri, A, Aichour, MTE, Akibu, M, Akinyemi, RO, Akinyemiju, TF, Akseer, N, Al Lami, FH, Alahdab, F, Al-Aly, Z, Alam, K, Alam, T, Alasfoor, D, Albittar, MI, Alene, KA, Al-Eyadhy, A, Ali, SD, Alijanzadeh, M, Aljunid, SM, Alkerwi, A, Alla, F, Allebeck, P, Allen, C, Alomari, MA, Al-Raddadi, R, Alsharif, U, Altirkawi, KA, Alvis-Guzman, N, Amare, AT, Amenu, K, Ammar, W, Amoako, YA, Anber, N, Andrei, CL, Androudi, S, Antonio, CAT, Araújo, VEM, Aremu, O, Ärnlöv, J, Artaman, A, Aryal, KK, Asayesh, H, Asfaw, ET, Asgedom, SW, Asghar, RJ, Ashebir, MM, Asseffa, NA, Atey, TM, Atre, SR, Atteraya, MS, Avila-Burgos, L, Avokpaho, EFGA, Awasthi, A, Ayala Quintanilla, BP, Ayalew, AA, Ayele, HT, Ayer, R, Ayuk, TB, Azzopardi, P, Azzopardi-Muscat, N, Babalola, TK, Badali, H, Badawi, A, Banach, M, Banerjee, A, Banstola, A, Barber, RM, Barboza, MA, Barker-Collo, SL, Bärnighausen, T, Barquera, S, Barrero, LH, Bassat, Q, Basu, S, Baune, BT, Bazargan-Hejazi, S, Bedi, N and Beghi, E (2018). Measuring performance on the Healthcare Access and Quality Index for 195 countries and territories and selected subnational locations: A systematic analysis from the Global Burden of Disease Study 2016. The Lancet. 391 (10136), pp. 2236-2271. https://doi.org/10.1016/S0140-6736(18)30994-2
Quantitative methods to analyze the severe obesity in Romania and its impact over public administration health expenditures
Andrei, CL, Sinescu, RD, Herteliu, C. and Mirică, A (2018). Quantitative methods to analyze the severe obesity in Romania and its impact over public administration health expenditures. Transylvanian Review of Administrative Sciences. 14 (55), pp. 5-17. https://doi.org/10.24193/tras.55E.1
Global, regional, and national age-sex-specific mortality and life expectancy, 1950-2017: A systematic analysis for the Global Burden of Disease Study 2017
Dicker, D, Nguyen, G, Abate, D, Abate, KH, Abay, SM, Abbafati, C, Abbasi, N, Abbastabar, H, Abd-Allah, F, Abdela, J, Abdelalim, A, Abdel-Rahman, O, Abdi, A, Abdollahpour, I, Abdulkader, RS, Abdurahman, AA, Abebe, HT, Abebe, M, Abebe, Z, Abebo, TA, Aboyans, V, Abraha, HN, Abrham, AR, Abu-Raddad, LJ, Abu-Rmeileh, NME, Accrombessi, MMK, Acharya, P, Adebayo, OM, Adedeji, IA, Adedoyin, RA, Adekanmbi, V, Adetokunboh, OO, Adhena, BM, Adhikari, TB, Adib, MG, Adou, AK, Adsuar, JC, Afarideh, M, Afshin, A, Agarwal, G, Aggarwal, R, Aghayan, SA, Agrawal, S, Agrawal, A, Ahmadi, M, Ahmadi, A, Ahmadieh, H, Ahmed, MLCB, Ahmed, S, Ahmed, MB, Aichour, AN, Aichour, I, Aichour, MTE, Akanda, AS, Akbari, ME, Akibu, M, Akinyemi, RO, Akinyemiju, T, Akseer, N, Alahdab, F, Al-Aly, Z, Alam, K, Alebel, A, Aleman, AV, Alene, KA, Al-Eyadhy, A, Ali, R, Alijanzadeh, M, Alizadeh-Navaei, R, Aljunid, SM, Alkerwi, A, Alla, F, Allebeck, P, Allen, CA, Alonso, J, Al-Raddadi, RM, Alsharif, U, Altirkawi, K, Alvis-Guzman, N, Amare, AT, Amini, E, Ammar, W, Amoako, YA, Anber, NH, Andrei, CL, Androudi, S, Animut, MD, Anjomshoa, M, Anlay, DZ, Ansari, H, Ansariadi, A, Ansha, MG, Antonio, CAT, Appiah, SCY, Aremu, O, Areri, HA, Ärnlöv, J, Arora, M, Artaman, A and Aryal, KK (2018). Global, regional, and national age-sex-specific mortality and life expectancy, 1950-2017: A systematic analysis for the Global Burden of Disease Study 2017. The Lancet. 392 (10159), pp. 1684-1735. https://doi.org/10.1016/S0140-6736(18)31891-9
Measuring progress from 1990 to 2017 and projecting attainment to 2030 of the health-related Sustainable Development Goals for 195 countries and territories: a systematic analysis for the Global Burden of Disease Study 2017
Lozano, R, Fullman, N, Abate, D, Abay, SM, Abbafati, C, Abbasi, N, Abbastabar, H, Abd-Allah, F, Abdela, J, Abdelalim, A, Abdel-Rahman, O, Abdi, A, Abdollahpour, I, Abdulkader, RS, Abebe, ND, Abebe, Z, Abejie, AN, Abera, SF, Abil, OZ, Aboyans, V, Abraha, HN, Abrham, AR, Abu-Raddad, LJ, Abu-Rmeileh, NM, Abyu, GY, Accrombessi, MMK, Acharya, D, Acharya, P, Adamu, AA, Adebayo, OM, Adedeji, IA, Adedoyin, RA, Adekanmbi, V, Adetokunboh, OO, Adhena, BM, Adhikari, TB, Adib, MG, Adou, AK, Adsuar, JC, Afarideh, M, Afshari, M, Afshin, A, Agarwal, G, Aghayan, SA, Agius, D, Agrawal, A, Agrawal, S, Ahmadi, A, Ahmadi, M, Ahmadieh, H, Ahmed, MB, Ahmed, S, Akalu, TY, Akanda, AS, Akbari, ME, Akibu, M, Akinyemi, RO, Akinyemiju, T, Akseer, N, Alahdab, F, Al-Aly, Z, Alam, K, Alam, T, Albujeer, A, Alebel, A, Alene, KA, Al-Eyadhy, A, Alhabib, S, Ali, R, Alijanzadeh, M, Alizadeh-Navaei, R, Aljunid, SM, Alkerwi, A, Alla, F, Allebeck, P, Allen, CA, Almasi, A, Al-Maskari, F, Al-Mekhlafi, HM, Alonso, J, Al-Raddadi, RM, Alsharif, U, Altirkawi, K, Alvis-Guzman, N, Amare, AT, Amenu, K, Amini, E, Ammar, W, Anber, NH, Anderson, JA, Andrei, CL, Androudi, S, Animut, MD, Anjomshoa, M, Ansari, H, Ansariadi, A, Ansha, MG, Antonio, CAT, Anwari, P and Appiah, LT (2018). Measuring progress from 1990 to 2017 and projecting attainment to 2030 of the health-related Sustainable Development Goals for 195 countries and territories: a systematic analysis for the Global Burden of Disease Study 2017. The Lancet. 392 (10159), pp. 2091-2138. https://doi.org/10.1016/S0140-6736(18)32281-5
Population and fertility by age and sex for 195 countries and territories, 1950–2017: a systematic analysis for the Global Burden of Disease Study 2017
Murray, CJL, Callender, CSKH, Kulikoff, XR, Srinivasan, V, Abate, D, Abate, KH, Abay, SM, Abbasi, N, Abbastabar, H, Abdela, J, Abdelalim, A, Abdel-Rahman, O, Abdi, A, Abdoli, N, Abdollahpour, I, Abdulkader, RS, Abebe, HT, Abebe, M, Abebe, Z, Abebo, TA, Abejie, AN, Aboyans, V, Abraha, HN, Abreu, DMX, Abrham, AR, Abu-Raddad, LJ, Abu-Rmeileh, NME, Accrombessi, MMK, Acharya, P, Adamu, AA, Adebayo, OM, Adedeji, IA, Adekanmbi, V, Adetokunboh, OO, Adhena, BM, Adhikari, TB, Adib, MG, Adou, AK, Adsuar, JC, Afarideh, M, Afshin, A, Agarwal, G, Agesa, KM, Aghayan, SA, Agrawal, S, Ahmadi, A, Ahmadi, M, Ahmed, MB, Ahmed, S, Aichour, AN, Aichour, I, Aichour, MTE, Akanda, AS, Akbari, ME, Akibu, M, Akinyemi, RO, Akinyemiju, T, Akseer, N, Alahdab, F, Al-Aly, Z, Alam, K, Alebel, A, Aleman, AV, Alene, KA, Al-Eyadhy, A, Ali, R, Alijanzadeh, M, Alizadeh-Navaei, R, Aljunid, SM, Alkerwi, A, Alla, F, Allebeck, P, Almasi, A, Alonso, J, Al-Raddadi, RM, Alsharif, U, Altirkawi, K, Alvis-Guzman, N, Amare, AT, Ammar, W, Anber, NH, Andrei, CL, Androudi, S, Animut, MD, Ansari, H, Ansha, MG, Antonio, CAT, Appiah, SCY, Aremu, O, Areri, HA, Arian, N, Ärnlöv, J, Artaman, A, Aryal, KK, Asayesh, H, Asfaw, ET, Asgedom, SW, Assadi, R, Atey, TMM and Atique, S (2018). Population and fertility by age and sex for 195 countries and territories, 1950–2017: a systematic analysis for the Global Burden of Disease Study 2017. The Lancet. 392 (10159), pp. 1995-2051. https://doi.org/10.1016/S0140-6736(18)32278-5
Global, regional, and national incidence, prevalence, and years lived with disability for 354 Diseases and Injuries for 195 countries and territories, 1990-2017: A systematic analysis for the Global Burden of Disease Study 2017
James, SL, Abate, D, Abate, KH, Abay, SM, Abbafati, C, Abbasi, N, Abbastabar, H, Abd-Allah, F, Abdela, J, Abdelalim, A, Abdollahpour, I, Abdulkader, RS, Abebe, Z, Abera, SF, Abil, OZ, Abraha, HN, Abu-Raddad, LJ, Abu-Rmeileh, NME, Accrombessi, MMK, Acharya, D, Acharya, P, Ackerman, IN, Adamu, AA, Adebayo, OM, Adekanmbi, V, Adetokunboh, OO, Adib, MG, Adsuar, JC, Afanvi, KA, Afarideh, M, Afshin, A, Agarwal, G, Agesa, KM, Aggarwal, R, Aghayan, SA, Agrawal, S, Ahmadi, A, Ahmadi, M, Ahmadieh, H, Ahmed, MB, Aichour, AN, Aichour, I, Aichour, MTE, Akinyemiju, T, Akseer, N, Al-Aly, Z, Al-Eyadhy, A, Al-Mekhlafi, HM, Al-Raddadi, RM, Alahdab, F, Alam, K, Alam, T, Alashi, A, Alavian, SM, Alene, KA, Alijanzadeh, M, Alizadeh-Navaei, R, Aljunid, SM, Alkerwi, A, Alla, F, Allebeck, P, Alouani, MML, Altirkawi, K, Alvis-Guzman, N, Amare, AT, Aminde, LN, Ammar, W, Amoako, YA, Anber, NH, Andrei, CL, Androudi, S, Animut, MD, Anjomshoa, M, Ansha, MG, Antonio, CAT, Anwari, P, Arabloo, J, Arauz, A, Aremu, O, Ariani, F, Armoon, B, Ärnlöv, J, Arora, A, Artaman, A, Aryal, KK, Asayesh, H, Asghar, RJ, Ataro, Z, Atre, SR, Ausloos, M, Avila-Burgos, L, Avokpaho, EFGA, Awasthi, A, Ayala Quintanilla, BP, Ayer, R, Azzopardi, PS, Babazadeh, A, Badali, H, Badawi, A and Bali, AG (2018). Global, regional, and national incidence, prevalence, and years lived with disability for 354 Diseases and Injuries for 195 countries and territories, 1990-2017: A systematic analysis for the Global Burden of Disease Study 2017. The Lancet. 392 (10159), pp. 1789-1858. https://doi.org/10.1016/S0140-6736(18)32279-7
Global, regional, and national age-sex-specific mortality for 282 causes of death in 195 countries and territories, 1980–2017: a systematic analysis for the Global Burden of Disease Study 2017
Roth, GA, Abate, D, Abate, KH, Abay, SM, Abbafati, C, Abbasi, N, Abbastabar, H, Abd-Allah, F, Abdela, J, Abdelalim, A, Abdollahpour, I, Abdulkader, RS, Abebe, HT, Abebe, M, Abebe, Z, Abejie, AN, Abera, SF, Abil, OZ, Abraha, HN, Abrham, AR, Abu-Raddad, LJ, Accrombessi, MMK, Acharya, D, Adamu, AA, Adebayo, OM, Adedoyin, RA, Adekanmbi, V, Adetokunboh, OO, Adhena, BM, Adib, MG, Admasie, A, Afshin, A, Agarwal, G, Agesa, KM, Agrawal, A, Agrawal, S, Ahmadi, A, Ahmadi, M, Ahmed, MB, Ahmed, S, Aichour, AN, Aichour, I, Aichour, MTE, Akbari, ME, Akinyemi, RO, Akseer, N, Al-Aly, Z, Al-Eyadhy, A, Al-Raddadi, RM, Alahdab, F, Alam, K, Alam, T, Alebel, A, Alene, KA, Alijanzadeh, M, Alizadeh-Navaei, R, Aljunid, SM, Alkerwi, A, Alla, F, Allebeck, P, Alonso, J, Altirkawi, K, Alvis-Guzman, N, Amare, AT, Aminde, LN, Amini, E, Ammar, W, Amoako, YA, Anber, NH, Andrei, CL, Androudi, S, Animut, MD, Anjomshoa, M, Ansari, H, Ansha, MG, Antonio, CAT, Anwari, P, Aremu, O, Arnlov, J, Arora, A, Arora, M, Artaman, A, Aryal, KK, Asayesh, H, Asfaw, ET, Ataro, Z, Atique, S, Atre, SR, Ausloos, M, Avokpaho, EFGA, Awasthi, A, Ayala Quintanilla, BP, Ayele, Y, Ayer, R, Azzopardi, PS, Babazadeh, A, Bacha, U, Badali, H, Badawi, A and Herteliu, C. (2018). Global, regional, and national age-sex-specific mortality for 282 causes of death in 195 countries and territories, 1980–2017: a systematic analysis for the Global Burden of Disease Study 2017. The Lancet. 392 (10159), pp. 1736-1788. https://doi.org/10.1016/S0140-6736(18)32203-7
Global, regional, and national under-5 mortality, adult mortality, age-specific mortality, and life expectancy, 1970-2016: A systematic analysis for the Global Burden of Disease Study 2016
Wang, H, Abajobir, AA, Abate, KH, Abbafati, C, Abbas, KM, Abd-Allah, F, Abera, SF, Abraha, HN, Abu-Raddad, LJ, Abu-Rmeileh, NME, Adedeji, IA, Adedoyin, RA, Adetifa, IMO, Adetokunboh, O, Afshin, A, Aggarwal, R, Agrawal, A, Agrawal, S, Ahmad Kiadaliri, A, Ahmed, MB, Aichour, AN, Aichour, I, Aichour, MTE, Aiyar, S, Akanda, AS, Akinyemiju, TF, Akseer, N, Al-Eyadhy, A, Al Lami, FH, Alabed, S, Alahdab, F, Al-Aly, Z, Alam, K, Alam, N, Alasfoor, D, Aldridge, RW, Alene, KA, Alhabib, S, Ali, R, Alizadeh-Navaei, R, Aljunid, SM, Alkaabi, JM, Alkerwi, A, Alla, F, Allam, SD, Allebeck, P, Al-Raddadi, R, Alsharif, U, Altirkawi, KA, Martin, EA, Alvis-Guzman, N, Amare, AT, Ameh, EA, Amini, E, Ammar, W, Amoako, YA, Anber, N, Andrei, CL, Androudi, S, Ansari, H, Ansha, MG, Antonio, CAT, Anwari, P, Ärnlöv, J, Arora, M, Artaman, A, Aryal, KK, Asayesh, H, Asgedom, SW, Asghar, RJ, Assadi, R, Atey, TM, Atre, SR, Avila-Burgos, L, Avokpaho, EFGA, Awasthi, A, Ayala Quintanilla, BP, Babalola, TK, Bacha, U, Badawi, A, Balakrishnan, K, Balalla, S, Barac, A, Barber, RM, Barboza, MA, Barker-Collo, SL, Bärnighausen, T, Barquera, S, Barregard, L, Barrero, LH, Baune, BT, Bazargan-Hejazi, S, Bedi, N, Beghi, E, Béjot, Y, Bekele, BB, Bell, ML, Bello, AK, Bennett, DA and Bennett, JR (2017). Global, regional, and national under-5 mortality, adult mortality, age-specific mortality, and life expectancy, 1970-2016: A systematic analysis for the Global Burden of Disease Study 2016. The Lancet. 390 (10100), pp. 1084-1150. https://doi.org/10.1016/S0140-6736(17)31833-0
Quantitative and qualitative analysis of editor behavior through potentially coercive citations
Herteliu, C, Ausloos, M, Ileanu, BV, Rotundo, G and Andrei, T (2017). Quantitative and qualitative analysis of editor behavior through potentially coercive citations. Publications. 5 (2), pp. 15-15. https://doi.org/10.3390/publications5020015
Global, regional, and national age-sex specific mortality for 264 causes of death, 1980–2016: a systematic analysis for the Global Burden of Disease Study 2016
Naghavi, Mohsen, Abajobir, Amanuel Alemu, Abbafati, Cristiana, Abbas, Kaja M, Abd-Allah, Foad, Abera, Semaw Ferede, Aboyans, Victor, Adetokunboh, Olatunji, Afshin, Ashkan, Agrawal, Anurag, Ahmadi, Alireza, Ahmed, Muktar Beshir, Aichour, Amani Nidhal, Aichour, Miloud Taki Eddine, Aichour, Ibtihel, Aiyar, Sneha, Alahdab, Fares, Al-Aly, Ziyad, Alam, Khurshid, Alam, Noore, Alam, Tahiya, Alene, Kefyalew Addis, Al-Eyadhy, Ayman, Ali, Syed Danish, Alizadeh-Navaei, Reza, Alkaabi, Juma M, Alkerwi, Ala'a, Alla, François, Allebeck, Peter, Allen, Christine, Al-Raddadi, Rajaa, Alsharif, Ubai, Altirkawi, Khalid A, Alvis-Guzman, Nelson, Amare, Azmeraw T, Amini, Erfan, Ammar, Walid, Amoako, Yaw Ampem, Anber, Nahla, Andersen, Hjalte H, Andrei, Catalina Liliana, Androudi, Sofia, Ansari, Hossein, Antonio, Carl Abelardo T, Anwari, Palwasha, Ärnlöv, Johan, Arora, Megha, Artaman, Al, Aryal, Krishna Kumar, Asayesh, Hamid, Asgedom, Solomon W, Atey, Tesfay Mehari, Avila-Burgos, Leticia, Avokpaho, Euripide 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