Skip to main content

Table 7 Kakwani's Indices of Financing Systems in 29 Countries

From: Equity in health care financing: The case of Malaysia

Countries, Year

Proportion of main finance source (%)

Kakwani's Indices

Progressivity

Tax financed

   

Malaysia1, 1999

60.3

0.2166

Progressive

Thailand, 2000 (O'Donnell et al 2005)

56.3

0.1972

 

Hong Kong, 2000 (O'Donnell et al 2005)

55.6

0.1689

 

Sri Lanka2, 1997 (O'Donnell et al 2005)

49.5

0.0850

Mildly progressive

United Kingdom, 1993 (Wagstaff et al 1999)

64.0

0.0510

 

India (Punjab), 1996 (O'Donnell et al 2005)

40.7

0.0485

 

Australia, 1989 (Lairson et al 1995)

62.6

0.0100

 

Kyrgyzstan, 2000 (O'Donnell et al 2005)

44.5

0.0087

 

Finland, 1994 (Wagstaff et al 1999)

75.0

0.0050

 

Spain, 1990 (Wagstaff et al 1999)

56.3

0.0004

 

Denmark, 1987 (Wagstaff et al 1999)

84.7

-0.0047

Mildly regressive

Sweden, 1990 (Wagstaff et al 1999)

71.9

-0.0158

 

Portugal, 1990 (Wagstaff et al 1999)

55.2

-0.0445

 

Social insurance

   

Italy3, 1991 (Wagstaff et al 1999)

39.2

0.0413

Mildly progressive

France, 1989 (Wagstaff et al 1999)

73.6

0.0012

 

Belgium, 1997 (Wagstaff et al 1999)

42.1

-0.0001

Nearly proportional

Hungary, 1999 (Wagstaff et al 1999)

44.1

-0.0181

Mildly regressive

South Korea, 2000 (O'Donnell et al 2005)

33.9

-0.0239

 

Taiwan, 2000 (O'Donnell et al 2005)

51.8

-0.0292

 

West Germany, 1989 (O'Donnell et al 2005)

65.0

-0.0452

 

Japan, 2001 (O'Donnell et al 2005)

54.0

-0.0688

 

Netherlands, 1992 (Wagstaff et al 1999)

64.7

-0.0703

 

Private insurance

   

United States, 1987 (Wagstaff et al 1999)

29.2

-0.1303

Regressive

Switzerland, 1992 (Wagstaff et al 1999)

40.5

-0.1402

 

Out-of-pocket

   

Bangladesh, 1999 (Institute of Policy Studies 2002)

27.2

0.2142

Progressive

Indonesia, 2001 (O'Donnell et al 2005)

33.0

0.1732

 

Philippines, 1999 (O'Donnell et al 2005)

39.7

0.1631

 

Nepal, 1996 (O'Donnell et al 2005)

23.5

0.0625

Mildly progressive

China, 2000 (O'Donnell et al 2005)

14.9

0.0404

 
  1. Note:
  2. 1The proportion of taxation based on the World Health Report 2006, in which government expenditure constitute 52.9% of the total health expenditure and 99% of this comes from revenue or taxation.
  3. 2 Kakwani's index calculated using consumption as the proxy for ability to pay, from the Equitap project.
  4. 3Italy is grouped under social insurance, based on the highest proportion of finance sources from social insurance.