Country Comparisons: Health, Development, and Economic Status

Economic Characteristics of Countries

  • Classification: The World Bank classifies countries by Gross National Income (GNI) per capita:

    • Low income: $1,135\$1,135 or less.

    • Middle income: $1,136−$13,845\$1,136 - \$13,845 (lower and upper).

    • High income: $13,846+\$13,846+

  • Poverty:

    • Low-income countries: Large proportion in poverty.

    • Middle-income countries: Some in poverty.

    • High-income countries: Small amount in poverty.

  • Industries:

    • Low-income: Limited, centered on farming and primary production.

    • Middle-income: Mixture of industries.

    • High-income: Wide range including mining, manufacturing, education, healthcare and technology.

  • Global Trade:

    • Low-income: Few opportunities due to limited goods and infrastructure.

    • Middle-income: Emerging global trade.

    • High-income: High levels of global trade due to robust infrastructure.

Social Characteristics of Countries

  • Gender Equality:

    • Low-income countries: Females have limited opportunities.

    • Middle-income countries: Increasing gender equality.

    • High-income countries: Relatively high levels of gender equality.

  • Birth and Population Growth:

    • Low-income countries: High birth rates.

    • Middle-income countries: High birth rates.

    • High-income countries: Low birth rates and slow population growth.

  • Education and Employment Levels:

    • Low-income countries: Limited education systems and career options.

    • Middle-income countries: Improving education system.

    • High-income countries: High education and employment rates.

  • Social Security Systems:

    • Low-income countries: Limited or no social security.

    • Middle-income countries: Limited social security.

    • High-income countries: Developed social security systems.

  • Health Systems

    • Low-income countries: Lack access to suitable health care.

    • Middle-income countries: Developing public health systems.

    • High-income countries: Generally have public health systems.

  • Access to Technology

    • Low-income countries: Lack access to technology.

    • Middle-income countries: Improving access to technology.

    • High-income countries: More accessible technology.

  • Legal Systems

    • Low-income countries: Experience unstable governments and political unrest.

    • Middle-income countries: Improving legal systems.

    • High-income countries: Experience strong political and legal systems.

Environmental Characteristics of Countries

  • Safe Water and Sanitation:

    • Low-income countries: Lack of safe water and sanitation.

    • Middle-income countries: Improving safe water and sanitation.

    • High-income countries: Safe water and sanitation.

  • Food Security:

    • Low-income countries: Often lack food security.

    • Middle-income countries: Improving food security.

    • High-income countries: Generally have access to a quality food supply.

  • Adequate Housing:

    • Low-income countries: Lack access to adequate housing and have urban slums.

    • Middle-income countries: Lack access to adequate housing and have urban slums.

    • High-income countries: Adequate housing.

  • Adequate infrastructure:

    • Low-income countries: Lack access to infrastructure.

    • Middle-income countries: Improving infrastructure.

    • High-income countries: Adequate infrastructure.

  • Carbon Dioxide Emissions:

    • Low-income countries: low carbon dioxide emissions.

    • Middle-income countries: Medium carbon dioxide emissions.

    • High-income countries: High carbon dioxide emissions.

Human Development

  • Definition: Creating an environment for people to develop to their full potential, lead productive and creative lives, expand choices, enhance capabilities, access knowledge, health, a decent standard of living, and participate in community life.

  • Focus: Centers on people, their freedoms, choices, and equity.

  • Critical Elements: Access to choices, capabilities, and freedoms must be present and sustainable to acheive human development.

Human Development Index (HDI)

  • Definition: Tool by the UN to measure and rank countries' social and economic development.

  • Dimensions:

    • A long and healthy life.

    • Knowledge.

    • A decent standard of living.

  • Indicators:

    • Life expectancy at birth.

    • Mean years of schooling.

    • Expected years of schooling.

    • Gross National Income (GNI) per capita.

  • Scale: 0-1, closer to 1 indicates greater development.

  • Limitations:

    • Doesn't reflect inequalities within countries.

    • Based on averages.

    • Doesn't capture all aspects of human development (gender equality, freedom, etc.).

  • Advantages:

  • Provides a broad overview of regional trends and differences.

  • Allows for easier comparisons between countries and global standings.

  • Can highlight areas needing attention for policy development.

Health Status and Human Development

  • Key Indicators: Life expectancy, mortality, morbidity, burden of disease.

  • Life Expectancy: Increased globally, but can fluctuate due to conflict or disease.

  • Child Mortality: Under-5 mortality rate (U5MR) reflects nutritional and health status of mothers, health literacy, immunization, health services, income, food, water, and sanitation.

  • Adult Mortality: Influenced by lifestyle factors like smoking, alcohol, and HIV/AIDS.

  • Double Burden of Disease: Coexistence of conditions associated with both poverty and wealth (undernutrition and obesity).

  • Burden of Disease: Measured using YLL (years of life lost) and YLD (years lived with disability).

  • Human Development Index: Generally decreases from high to middle to low-income countries.

Access to Safe Water

  • Water that is not contaminated with disease-causing pathogens or chemicals.

  • Essential for consumption, agriculture, food preparation, and hygiene.

  • Lack of access contributes to diseases like diarrhea, cholera, and dysentery.

  • Can reduce education levels due to illness and time spent collecting water.

Access to Sanitation

  • Provision of facilities and services for the safe disposal of human waste.

  • Lack of sanitation leads to contaminated water supplies and infectious diseases.

  • Can prevent girls from attending school.

Poverty

  • Deprivation of material resources (food, shelter, water, healthcare) and intangible resources (social inclusion, education).

  • Measured as absolute/extreme poverty (living on < PPP $2.15 per day) or relative poverty (living on < 50% of country’s average income).

  • Restricts access to resources like nutritious food, clean water, sanitation, education, and healthcare.

  • Reduces opportunities for employment and perpetuates the cycle of poverty.

Discrimination

  • Unequal treatment due to race, religion, sex, sexual orientation, or gender identity.

  • Leads to inequalities in health status and human development.

    • higher rates of depression/anxiety

    • higher rates of premature death, like U5MR, reducing the ability to lead long and healthy lives

    • more likely to be the victim of intentional violence.

  • Groups discriminated againist:

    • Discrimination against Race: those from minority racial groups, including indigenous peoples and migrants

    • Religion: those from minority religious groups

    • Sex: females

    • people in the LGBTQIA+ community

    • those who identify as a gender different from the sex assigned to them at birth.

PEOPLE

Human development is about creating an environment in which people can:

  • Participate in decisions that affect their lives

  • Expand their knowledge and choices

  • Opportunities for a productive and creative life

  • Participate in the life of the community

  • Lead long and healthy lives

  • Essential resources for a decent standard of living