Vaccination coverage in children
Vaccination coverage in children 2015 (or last available year)
Sort by
Countries | Percentage of infants vaccinated against diphtheria: Total [Rate] | Percentage of infants vaccinated against tetanus: Total [Rate] | Percentage of infants vaccinated against pertussis: Total [Rate] | Percentage of children vaccinated against measles: Total [Rate] | Percentage of infants vaccinated against poliomyelitis: Total [Rate] | Percentage of infants vaccinated against mumps: Total [Rate] | Percentage of infants vaccinated against rubella: Total [Rate] |
---|---|---|---|---|---|---|---|
Austria | 87.0 | 87.0 | 87.0 | 95.0 | 87.0 | 95.0 | 95.0 |
Belgium | 98.0 | 98.0 | 98.0 | 96.0 | 98.0 | 96.0 | 96.0 |
Bulgaria | 92.0 | 92.0 | 92.0 | 92.0 | 92.0 | 92.0 | 92.0 |
Croatia | 93.0 | 93.0 | 93.0 | 90.0 | 93.0 | 90.0 | 90.0 |
Cyprus | 97.0 | 97.0 | 97.0 | 90.0 | 97.0 | 90.0 | 90.0 |
Czech Republic | 97.0 | 97.0 | 97.0 | 98.0 | 96.0 | 98.0 | 98.0 |
Denmark | 94.0 | 94.0 | 94.0 | 94.0 | 94.0 | 94.0 | 94.0 |
Estonia | 93.0 | 93.0 | 93.0 | 93.0 | 93.0 | 93.0 | 93.0 |
EU28 | 96.2 | 96.2 | 96.2 | 93.6 | 95.6 | 93.6 | 93.5 |
Finland | 92.0 | 92.0 | 92.0 | 95.0 | 92.0 | 95.0 | 95.0 |
France | 99.0 | 99.0 | 99.0 | 90.0 | 99.0 | 90.0 | 91.0 |
Germany | 96.0 | 96.0 | 96.0 | 97.0 | 95.0 | 97.0 | 97.0 |
Greece | 99.0 | 99.0 | 99.0 | 97.0 | 99.0 | 97.0 | 97.0 |
Hungary | 99.0 | 99.0 | 99.0 | 99.0 | 99.0 | 99.0 | 99.0 |
Ireland | 95.0 | 95.0 | 95.0 | 93.0 | 95.0 | 93.0 | 92.0 |
Italy | 93.0 | 93.0 | 93.0 | 85.0 | 93.0 | 85.0 | 85.0 |
Latvia | 98.0 | 98.0 | 98.0 | 93.0 | 98.0 | 93.0 | 93.0 |
Lithuania | 97.0 | 97.0 | 97.0 | 94.0 | 95.0 | 94.0 | 94.0 |
Luxembourg | 99.0 | 99.0 | 99.0 | 99.0 | 99.0 | 99.0 | 99.0 |
Malta | 97.0 | 97.0 | 97.0 | 93.0 | 97.0 | 93.0 | 93.0 |
NETHERLANDS | 95.0 | 95.0 | 95.0 | 94.0 | 95.0 | 94.0 | 94.0 |
Poland | 98.0 | 98.0 | 98.0 | 96.0 | 92.0 | 96.0 | 98.0 |
Portugal | 98.0 | 98.0 | 98.0 | 98.0 | 98.0 | 98.0 | 98.0 |
Romania | 89.0 | 89.0 | 89.0 | 86.0 | 89.0 | 86.0 | 86.0 |
Slovakia | 96.0 | 96.0 | 96.0 | 95.0 | 96.0 | 95.0 | 95.0 |
Slovenia | 95.0 | 95.0 | 95.0 | 94.0 | 95.0 | 94.0 | 92.0 |
Spain | 97.0 | 97.0 | 97.0 | 97.0 | 97.0 | 97.0 | 97.0 |
Sweden | 98.0 | 98.0 | 98.0 | 97.0 | 98.0 | 97.0 | 97.0 |
United Kingdom | 94.0 | 94.0 | 94.0 | 92.0 | 94.0 | 92.0 | 92.0 |
- Last available year differs from country to country and from vaccination to vaccination. See source for details.
56. Vaccination coverage in children
Definition
Percentage of infants who have been fully vaccinated against important infectious childhood diseases.
Rationale
Immunisation is one of the most powerful and cost-effective forms of primary prevention. A classical prevention strategy which should be maintained to continue effective protection.
Relevant policy areas
- Health inequalities (including accessibility of care)
- Health system performance, quality of care, efficiency of care, patient safety
- Health threats, communicable diseases
- (Preventable) Burden of Disease (BoD)
- Child health (including young adults)
More information
- ECHI Documentation sheet 56. Vaccination coverage in children (pdf)
- This indicator is part of the ECHI shortlist
Influenza vaccination rate in elderly
Influenza rate in elderly 2014
Sort by
Countries | Influenza vaccination rate in elderly: Total [Percentage] | Influenza vaccination rate in elderly: Men [Percentage] | Influenza vaccination rate in elderly: Women [Percentage] |
---|---|---|---|
Austria | 20.8 | 22.8 | 19.3 |
Belgium | 59.4 | 58.7 | 59.9 |
Bulgaria | 2.4 | 2.1 | 2.7 |
Croatia | 24.4 | 25.9 | 23.5 |
Cyprus | 32.4 | 32.3 | 32.4 |
Czech Republic | 15.5 | 15.6 | 15.4 |
Denmark | 48 | 47.9 | 48.1 |
Estonia | 1.5 | 1.3 | 1.5 |
EU28 | 45.9 | 47.7 | 44.5 |
France | 55.3 | 57.1 | 53.9 |
Germany | 47.6 | 48.5 | 46.9 |
Greece | 51.4 | 50.7 | 52 |
Hungary | 28.6 | 29.3 | 28.2 |
Ireland | 51.2 | 50 | 52.2 |
Italy | 42.3 | 42.6 | 42 |
Latvia | 3.9 | 4.2 | 3.8 |
Lithuania | 5.2 | 5.9 | 4.9 |
Luxembourg | 46 | 48.7 | 44 |
Malta | 53.4 | 55.2 | 51.9 |
NETHERLANDS | 72.9 | 73.3 | 72.6 |
Poland | 9.6 | 11.1 | 8.7 |
Portugal | 47 | 48.4 | 46 |
Romania | 5.5 | 5 | 5.9 |
Slovakia | 14.3 | 14.5 | 14.2 |
Slovenia | 11.5 | 14.1 | 9.8 |
Spain | 56.8 | 59.3 | 54.8 |
Sweden | 37.8 | 37.1 | 38.4 |
United Kingdom | 78.6 | 79.5 | 77.9 |
57. Influenza vaccination rate in elderly
Definition
Proportion of elderly individuals (65 years or over) reporting to have received one shot of influenza vaccine during the last 12 months.
Rationale
Influenza vaccination in elderly is important for reducing the disease burden of influenza, including mortality.
Relevant policy areas
- Healthy ageing, ageing population
- Health system performance, quality of care, efficiency of care, patient safety
- Health threats, communicable diseases
- (Preventable) Burden of Disease (BoD)
More information
- ECHI Documentation sheet 57. Influenza vaccination rate in elderly (pdf)
- This indicator is part of the ECHI shortlist
Breast cancer screening

58. Breast cancer screening
Definition
Proportion of women (aged 50-69) reporting to have undergone a breast cancer screening test within the past two years.
Rationale
Breast cancer is the most frequent cancer among women; it represents 15 to 35% of all cancers diagnosed in Europe. Population-based cancer registries have consistently documented a continuing rise of incidence rates since the 1960s. Breast cancer screening programmes based on mammography and organised at the population level allow an effective decrease of breast cancer mortality by 30% among women aged 50 to 69 years. Information collected in population surveys can be directly used by the public health decision makers in order to possibly adapt the organisation of the prevention/screening programmes. The domain of breast cancer screening is a priority in European Community public health policy.
Relevant policy areas
- Healthy ageing, ageing population
- Health system performance, quality of care, efficiency of care, patient safety
- Non-Communicable diseases (NCD), chronic diseases
- (Preventable) Burden of Disease (BoD)
- (Planning of) health care resources
More information
- ECHI Documentation sheet 58. Breast cancer screening (pdf)
- This indicator is part of the ECHI shortlist
Cervical cancer screening

59. Cervical cancer screening
Definition
Proportion of women (aged 20-69) reporting to have undergone a cervical cancer screening test within the past three years.
Rationale
Among all malignant tumors, cervical cancer is the one that can be most effectively controlled by screening. Detection of cytological abnormalities by microscopic examination of Pap smears, and subsequent treatment of women with high-grade cytological abnormalities avoids development of cancer. Information collected in population surveys can be directly used by the public health decision makers in order to possibly adapt the organization of the prevention/screening programmes. The domain of cervical cancer screening is a priority in European Community public health policy.
Relevant policy areas
- Healthy ageing, ageing population
- Health system performance, quality of care, efficiency of care, patient safety
- Non-Communicable diseases (NCD), chronic diseases
- (Preventable) Burden of Disease (BoD)
- (Planning of) health care resources
More information
- ECHI Documentation sheet 59. Cervical cancer screening (pdf)
- This indicator is part of the ECHI shortlist
Colon cancer screening

60. Colon cancer screening
Definition
Proportion of persons (aged 50-74) reporting to have undergone a colorectal cancer screening test in the past 2 years.
Rationale
- Colorectal cancer is the third most frequent cancer among males and the second among women. Colorectal cancer mortality can be reduced through screening from the age of 50.
- Information collected in population surveys can be directly used by the public health decision makers in order to possibly adapt the organisation of the prevention/screening programmes. The domain of colon cancer screening is a priority in European Community public health policy.
Relevant policy areas
- Healthy ageing, ageing population
- Health system performance, quality of care, efficiency of care, patient safety
- Non-Communicable diseases (NCD), chronic diseases
- (Preventable) Burden of Disease (BoD)
- (Planning of) health care resources
More information
- ECHI Documentation sheet 60. Colon cancer screening (pdf)
- This indicator is part of the ECHI shortlist
Timing of first antenatal visit among pregnant women

61. Timing of first antenatal visit among pregnant women
Definition
Percentage of women having their first antenatal visit in 1st, 2nd, and 3rd trimester or having no visits. Antenatal visit refers to a visit to a certified health care professional, e.g. general practitioner, obstetrician, midwife and public health nurse. Only visits to examinations and/or pregnancy-related advice are to be included. Mere prescription of a pregnancy test or booking in a maternity unit should be excluded.
Rationale
Antenatal care is the best preventive care for pregnant women to reduce morbidity and mortality in both mothers and their babies. Antenatal visits allow for the management of pregnancy, detection and treatment of complications and promotion of good health. It provides an indication of access to antenatal care. It is a better indicator for international comparisons than an indicator based on recommendations about the optimal number of antenatal visits, which vary according to policy differences among Member States.
Relevant policy areas
- Health inequalities (including accessibility of care)
- Health system performance, quality of care, efficiency of care, patient safety
- Maternal and perinatal health
- (Preventable) Burden of Disease (BoD)
- Child health (including young adults)
- (Planning of) health care resources
More information
- ECHI Documentation sheet 61. Timing of first antenatal visit among pregnant women (pdf)
- This indicator is part of the ECHI shortlist
Patient mobility

75. Patient mobility
Definition
Absolute number and percentage of non-resident people among all people being discharged from hospital.
Rationale
Meets the increasingly important EU-health policy issue of cross-border care. Increased patient mobility raises a number of issues and concerns in Member States in respect of e.g. health care availability and utilisation, health infrastructure development, cost sharing and patient safety.
Relevant policy areas
- Sustainable health care systems
- Health inequalities (including accessibility of care)
- Health system performance, quality of care, efficiency of care, patient safety
- (Planning of) health care resources
- Health care costs and utilization
More information
- ECHI Documentation sheet 75. Patient mobility (pdf)
- This indicator is part of the ECHI shortlist
Insurance coverage
Insurance coverage 2016
Sort by
Country | Percentage of population covered by government/social health insurance | Percentage of population covered by private health insurance | Total public and primary private health insurance, percentage of population covered |
---|---|---|---|
Austria | 99.9 | 36.5 | 99.9 |
Belgium | 99.0 | 82.7 | 99.0 |
Czech Republic | 100.0 | 0.0 | 100.0 |
Denmark | 100.0 | 32.5 | 100.0 |
Estonia | 94.0 | 94.0 | |
Finland | 100.0 | 21.0 | 100.0 |
France | 99.9 | 99.9 | |
Germany | 89.3 | 33.9 | 100.0 |
Greece | 100.0 | 100.0 | |
Hungary | 95.0 | 0.0 | 95.0 |
Ireland | 100.0 | 45.4 | 100.0 |
Italy | 100.0 | 100.0 | |
Latvia | 14.6 | ||
Lithuania | 92.5 | 1.5 | 92.5 |
NETHERLANDS | 99.9 | 87.3 | 99.9 |
Poland | 91.5 | 0.0 | 91.5 |
Portugal | 100.0 | 26.0 | 100.0 |
Slovakia | 94.5 | 0.0 | 94.5 |
Slovenia | 100.0 | 84.3 | 100.0 |
Sweden | 100.0 | 100.0 | |
United Kingdom | 100.0 | 10.5 | 100.0 |
76. Insurance coverage
Definition
The proportion of the population covered by health insurance, taking into account both public and private insurance schemes.
Rationale
Indicator describing (equal) access to services. Indicator for social inequalities in health care system.
Relevant policy areas
- Sustainable health care systems
- Health inequalities (including accessibility of care)
More information
- ECHI Documentation sheet 76. Insurance coverage (pdf)
- This indicator is part of the ECHI shortlist
Expenditures on health care
Current health care expenditure 2012
Sort by
Countries | Current health care expenditure (PPS): Million PPS [Million purchasing power standards (PPS)] | Health care expenditure (PPS): Million PPS [Million purchasing power standards (PPS)] | Current health care expenditure (GDP): Percentage of GDP [Percentage of gross domestic product (GDP)] | Health care expenditure (GDP): Percentage of GDP[Percentage of gross domestic product (GDP)] |
---|---|---|---|---|
Austria | 29028.6 | 30943 | 10.4 | 11.1 |
Belgium | 36282.3 | 36282.3 | 10.9 | 10.9 |
Bulgaria | 6785.9 | 6837.3 | 7.7 | 7.7 |
Croatia | 4640.1 | 4767.1 | 7 | 7.2 |
Cyprus | 1447.6 | 1475.5 | 7.3 | 7.4 |
Czech Republic | 16720.6 | 17010 | 7.4 | 7.6 |
Denmark | 17906.5 | 18567.7 | 10.6 | 11 |
Estonia | 1431.8 | 1451.3 | 5.8 | 5.9 |
Finland | 13579.5 | 14247.1 | 8.7 | 9.1 |
France | 207256.9 | 215655.1 | 11.2 | 11.6 |
Germany | 288890.9 | 298853.1 | 10.9 | 11.3 |
Greece | 19916.5 | 20155.4 | 9.2 | 9.3 |
Hungary | 13607.6 | 14030.2 | 7.7 | 8 |
Latvia | 1691.3 | 1830.6 | 6 | 6.5 |
Lithuania | 3582.1 | 3752.2 | 6.4 | 6.7 |
Luxembourg | 2128.7 | 2256.3 | 6.8 | 7.2 |
NETHERLANDS | 63382.7 | 64945.6 | 11.8 | 12.1 |
Poland | 45452 | 48493.2 | 6.3 | 6.8 |
Portugal | 19464 | 20606.7 | 9.7 | 10.2 |
Romania | 14766.4 | 15031.2 | 5.5 | 5.6 |
Slovakia | 7846.9 | 8219.8 | 7.6 | 8 |
Slovenia | 3637.1 | 3768 | 8.6 | 8.9 |
Spain | 99817.7 | 101303.8 | 9.2 | 9.3 |
Sweden | 27196 | 28735.5 | 9.1 | 9.6 |
- Most recent year for Latvia is 2010
- Most recent year for Bulgaria, Portugal, Slovakia en Slovenia is 2011
- Most recent year for The Netherland (Health care expenditure ) is 2011
77. Expenditures on health care
Definition
Current and total national health expenditure for total, public, and private sectors, as percentage of gross domestic product (GDP), and expressed in millions of Purchasing Power Standard (PPS).
Rationale
Next to external, biological and environmental factors, the provision of health care goods and services and its financing within country’s health care system is perceived as a main determinant of health. Health care expenditure is an indicator for long-term sustainability of health care systems.
Relevant policy areas
- Sustainable health systems
- Health system performance, quality of care, efficiency of care, patient safety
- Health care costs and utilization
More information
- ECHI Documentation sheet 77. Expenditures on health care (pdf)
- This indicator is part of the ECHI shortlist
Survival rates cancer

78. Survival rates cancer
Definition
The relative survival rate for (10 different groups of) cancer; the proportion of patients who survive at least five years after diagnosis, after correction for background mortality.
Rationale
High burden diseases. Cancer survival is an indicator of the effectiveness of a country’s health care system in the area of cancer screening, screening/early detection and treatment. The health care system can improve the survival of certain cancers through early detection and appropriate treatment. Monitoring of a larger array of important cancers is important for the overall effectiveness of the system, including prevention.
Relevant policy areas
Health inequalities (including accessibility of care)
Health system performance, quality of care, efficiency of care, patient safety
More information
- ECHI Documentation sheet 78. Survival rates cancer (pdf)
- This indicator is part of the ECHI shortlist
30-day in-hospital case-fatality of acute myocardial infarction (AMI) and ischemic stroke

79. 30-day in-hospital case-fatality of AMI and ischemic stroke
Definition
OECD indicator: admission-based AMI and ischemic stroke 30 day in-hospital (same hospital) mortality rate. This indicator is defined as the age-sex standardised percentage of people aged 45+ who die within 30 days of being admitted to a hospital in a specified year with principal diagnosis of: a) acute myocardial infarction (AMI) or b) ischemic stroke.
Rationale
AMI and ischemic stroke are important causes of death in European countries. Also the burden of disease and health care costs are considerable. Adequate and timely treatment can improve survival. This indicator measures the quality of the treatment of acute exacerbations of chronic cardiovascular diseases in hospitals.
Relevant policy areas
- Health inequalities (including accessibility of care)
- Health system performance, quality of care, efficiency of care, patient safety
More information
- ECHI Documentation sheet 79. 30-day in-hospital case-fatality of AMI and ischemic stroke
- This indicator is part of the ECHI shortlist
Equity of access to health care services

80. Equity of access to health care services
Definition
Index of self-declared unmet need for health care services. Defined as the total self-reported unmet need for medical care (medical examination or treatment) for the following three reasons: financial barriers + waiting times + too far to travel.
Rationale
The self-reported unmet need for medical examination or treatment is an indicator for equity of access to health care services. It gives insight into the need for medical care and the obstacles that stand in the way of the actual use of health care services. As such it can provide useful information on how to overcome the obstacles for use and improve health. The underlying assumption is that the self-reported unmet need corresponds with the actual need for medical care.
Relevant policy areas
- Sustainable health systems
- Health inequalities (including accessibility of care)
- Health system performance, quality of care, efficiency of care, patient safety
- Health in All Policies (HiAP)
More information
- ECHI Documentation sheet 80. Equity of access to health care services (pdf)
- This indicator is part of the ECHI shortlist
Waiting times for elective surgeries (D)

81. Waiting times for elective surgeries
Definition
Average inpatient waiting time for elective (i.e. non-urgent) surgeries of Percutanerous Transluminal Coronary Angioplasty (PTCA), hip replacement and cataract operation, measured in number of days. Elective surgery is defined as when surgery is necessary, but the timing of the procedure can be scheduled and the patient can be sent home.
Rationale
Indicator for the accessibility of health care, with focus on elective interventions. Long waiting times can lead to deterioration in health, loss of effectiveness and extra costs. They generate dissatisfaction for the patients and among the general public
Relevant policy areas
- Health inequalities (including accessibility of care)
- Health system performance, quality of care, efficiency of care, patient safety
- (Planning of) health care resources
More information
- ECHI Documentation sheet 81. Waiting times for elective surgeries (pdf)
- This indicator is part of the ECHI shortlist
Surgical wound infections (D)

82. Surgical wound infections
Definition
To be developed (see key issues and problems)
Rationale
Indicator for the safety of operative interventions. Wound infection can lead to re-operation and prolonged hospital stay, to increased morbidity and mortality for patients and to increased costs for the health care system. Amenable to interventions: the incidence of wound infection can be reduced by proper pre-, intra- and post-operative care, in particular strict hygiene.
Relevant policy areas
- Health system performance, quality of care, efficiency of care, patient safety
- Health threats, communicable diseases
- Preventable health risks
More information
- ECHI Documentation sheet 82. Surgical wound infections (pdf)
- This indicator is part of the ECHI shortlist
Cancer treatment delay (D)

83. Cancer treatment delay
Definition
To be established, e.g. the average time (in days) between the date of first visit to general practitioner and the date of first treatment, by cancer site (breast, colon and rectal cancer). Time between incidence date and date of first treatment could also be an option.
Rationale
Indicator for the quality of cancer care. Indicators on cancer treatment quality are necessary to investigate the determinants of inequalities across Europe in terms of care. Explains part of the differences in cancer survival.
Relevant policy areas
- Health inequalities (including accessibility of care)
- Health system performance, quality of care, efficiency of care, patient safety
- Non-Communicable diseases (NCD), chronic diseases
More information
- ECHI Documentation sheet 83. Cancer treatment delay (pdf)
- This indicator is part of the ECHI shortlist
Diabetes control (D)

84. Diabetes control
Definition
Proportion of adult diabetics receiving appropriate care, in terms of regular retinal exams.
Rationale
Indicator for the quality of diabetes care. Nearly all patients who have type 1 diabetes for about 20 years will have evidence of diabetic retinopathy. Timely treatment and appropriate follow-up care can delay progression and eventual blindness.
Relevant policy areas
- Healthy ageing, ageing population
- Health inequalities (including accessibility of care)
- Health system performance, Quality of care, Efficiency of care, patient safety
- Non-Communicable diseases (NCD), chronic diseases
- Preventable health risks
More information
- ECHI Documentation sheet 84. Diabetes control (pdf)
- This indicator is part of the ECHI shortlist