Health system: Grand Duchy ranks 10th worldwide

Andorra heads the ranking; Central Africa is in last place.

22-sante1According to a comparative study published in the medical journal 'The Lancet', the Grand Duchy's health system is one of the best in the world. The Grand Duchy ranks 10th in an international comparison of 195 countries.

The study measures the quality and accessibility of the countries' health systems. The researchers made a close study of the health systems of more than 190 countries, from 1990 to 2015. They then marked the countries on a scale of 0 to 100. The principality of Andorra tops the ranking, with a score of 95, followed by Iceland (94) and Switzerland (92). 13 of the top 15 countries on the list are in Western Europe. The other two are Australia (6th place) and Japan (11th place).

The countries neighbouring the Grand Duchy (which scored 89) are further down the list: France ranks 15th (88), Belgium 16th (88), and Germany 20th (86).

African countries at the bottom of the ranking

The health system of the United States is no higher than 35th place; the United Kingdom is in 30th place. The countries at the bottom of the ranking are mainly in Africa, including Somalia (with a score of 34), Guinea-Bissau (36), Chad and Eritrea (both 38), and the Central African Republic (29), in last place behind Afghanistan (32).

Each country's performance was assessed according to its mortality rate for 32 pathologies for which death could in theory be avoided as long as medical care is readily available (including TB, breast cancer, leukaemia, and certain cardiovascular diseases).

The study also revealed that the gap between the countries with the best and worst performances has widened since 1990. In 2015 the difference between the countries at the top and bottom of the list was 66 points, compared with 62 in 1990.  

(article written by the editorial team of the portal

  • Updated 31-05-2017