GC21CH · Executive Baseline

From Longer Lives to Healthier Lives

A global baseline for understanding where health systems stand today—and what must change to extend healthy years, not only years lived.

We Have Extended Life. Have We Improved Health?
The central finding

Longevity is outrunning healthy longevity

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GC21CH · Complete Data Atlas

Every baseline value, made visible

The summary establishes the story. This atlas exposes the underlying values across population, income, longevity, healthy longevity, insurance, NCD burden and health financing—so every conclusion can be inspected rather than inferred.

Population by income group
GDP per capita
Income groupPopulation (m)Share of worldGDP per capita (US$)Population aged 65+
Life expectancy and HALE
Years lived in ill health
Income groupLE 2021LE 2023HALE 2021Ill-health gapHALE / LE
Insurance premium density
Health spending per capita
Interpretation: Insurance premium density and health spending are shown together because coverage alone does not reveal financial protection. The large gradient between income groups is a system-design constraint, not merely a consumer-market difference.
Income groupInsurance premium / capita (US$)Health spending / capita (US$)Premature NCD risk, age 30–70 (%)
Global NCD deaths by cause
Global NCD burden markers
43mNCD deaths annually
75%of non-pandemic deaths
~66%of global DALYs
82%of premature NCD deaths occur in low- and middle-income countries
NCD causeDeaths (millions)Share of NCD deaths
Source basis: global-health-baseline(1).xlsx. Values retain the workbook’s reference years and units. “—” means the source workbook does not report a value for that group; no missing value is treated as zero.
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GC21CH · Leadership dashboard

Living Longer
to Living Healthier.

The central questionWe Have Extended Life. Have We Improved Health?

A policy-oriented view of how health systems can move beyond extending life toward protecting healthy years through prevention, immunization, early detection, proactive delivery and stronger systems.

The central question

Are countries converting longer lives into more years lived in full health—and where can upstream action close the gap?

From reactive care to preemptive, proactive health.

GC21CH frames healthy longevity as a system outcome shaped by prevention, access, early action, social conditions and health-system capability.

01 · Global overview

The outcome is not only how long people live, but how well they live.

This dashboard combines country-level health indicators with immunization profiles, healthy-longevity measures and a separate global disease-burden benchmark. Reference years and data scope are retained so comparisons are interpreted responsibly.

Derived measures, including overall immunization coverage and the core immunization index, are descriptive calculations from the supplied data. They are not official standalone WHO or UNICEF indicators.
02 · Longevity and healthy ageing

Are healthy years keeping pace with longer lives?

Longevity at age 60 describes expected remaining life. HALE at age 60 describes expected remaining years in full health. Their difference is the healthy-life gap—a mathematical indicator of years not expected to be lived in full health.

Global unweighted trajectory

Unweighted average across available country-year observations in the supplied 2016–2024 series.

Healthy-life gap by country

Countries are shown using the latest available row in the supplied longevity series.
03 · Immunization coverage

Immunization is an upstream protection layer.

Select a country to examine the mean of all available reported vaccine indicators, the separate core index, every reported vaccine value and the three lowest reported coverages.

Reported vaccine coverage profile

Three lowest reported vaccine coverages

Missing values are excluded and are never treated as zero. The number of indicators included is shown in the country summary.
04 · Global immunization comparison

Where is reported coverage strongest—and where are the gaps?

Rankings use the mean of all available vaccine indicators for each country, or a selected vaccine when the vaccine selector is used. Countries with missing values for a selected indicator are excluded from that ranking.

Ranking is based on available reported vaccine values. Missing values are excluded, not converted to 0%. For mean coverage, the chart includes the number of vaccine indicators used in each country’s calculation.

Core immunization coverage map

Map uses the core index: average of BCG, DTP3 and MCV1. Countries without all three values are shown as unavailable.
05 · Immunization and healthy longevity

How does healthy longevity vary across immunization coverage levels?

These line charts group countries into core immunization coverage bands and show the average HALE within each band. This makes the overall pattern easier to interpret than a country-level scatter plot while preserving the distinction between association and causation.

Average HALE at birth by immunization coverage band

Each point represents the mean HALE at birth for countries within the indicated core immunization coverage band.

Average HALE at age 60 by immunization coverage band

Each point represents the mean HALE at age 60 for countries within the indicated core immunization coverage band.

Correlation summary

Countries with higher reported immunization coverage tend to have higher HALE in this dataset. This is an association and does not establish that immunization alone causes higher HALE. The relationship may also reflect healthcare access, income, nutrition, education, disease burden and health-system quality.
06 · From reactive care to anticipatory health

Preemptive care is the operating principle for healthy longevity.

Healthy longevity requires health systems to identify risks earlier, intervene before avoidable deterioration and help people preserve functional ability across the life course.

This strategic framework complements the dashboard’s quantitative evidence. It is not presented as an additional country-level dataset indicator.

GC21CH strategic framework

Move from treating illness after it appears to protecting health before decline becomes harder to reverse.

Preemptive Care establishes the principle: anticipate risk, act early and preserve healthy years. Proactive Delivery is the mechanism through which health systems turn that principle into timely, coordinated action.

The goal

Healthy Longevity

More years lived in good health, with functional ability, independence and well-being.

Operating principle

Preemptive Care

Identify risks and early decline, then prevent, detect or manage problems before they become avoidable harm.

Delivery model

Proactive Delivery

Reach people with screening, follow-up, monitoring, referrals and support before crisis care is required.

Enabling capabilities

Genomic and Risk-Informed Prevention

Use clinically appropriate genetic, genomic and risk information to support earlier surveillance and more targeted prevention, with consent, counselling, privacy and equity safeguards.

AI-Enabled Health Intelligence

Use AI for early risk identification, clinical decision support, population-health surveillance and care prioritisation, supported by human oversight, transparency and bias monitoring.

Integrated Data, Diagnostics and Digital Infrastructure

Connect timely diagnostics, interoperable records, remote monitoring and coordinated pathways so that early insight can lead to effective action.

Leadership implication: Measure success not only by treatment delivered or lives extended, but by whether systems reduce preventable deterioration, improve equitable access to early action and increase the number of years people can live in good health.

What this means for policymakers

Build prevention-oriented financing, strengthen primary and community care, establish risk-based outreach, invest in diagnostics and data infrastructure, and create governance frameworks for genomics and AI.

Interpretation guardrail

The dashboard’s quantitative sections report observed or derived data. The preemptive-care framework translates those findings into strategic questions and possible system responses; it does not prove that any single intervention causes a particular HALE outcome.

07 · Global Burden of Disease benchmark

What does the global burden of disease look like across time, age and cause?

The incorporated GBD file is global-level data only. It is used here as contextual benchmarking and must not be interpreted as country-level disease burden or used for country rankings.

Data scope: Global only. The supplied GBD export contains global estimates by year, age, cause, measure and metric. It does not provide country or regional rows.

Global disease burden over time

Global disease burden by age group

Global NCD burden by age and health outcome

Global burden by cause

Definitions: Deaths = number of deaths; DALYs = healthy life-years lost due to illness, disability or premature death; YLDs = years lived with disability; YLLs = years of life lost due to premature death. Number and percentage are different metrics and should not be mixed on one axis.
08 · Sources and methodology

Transparent by design.

The dashboard distinguishes reported values from derived measures, preserves missingness, and displays the relevant reference year and scope wherever possible.

Immunization

Source layer: WHO/UNICEF WUENIC 2025 revision as supplied. Overall coverage is the mean of all available vaccine percentages. Core index is the mean of BCG, DTP3 and MCV1.

Healthy longevity

HALE at birth is from the supplied WHO 2021 layer. The age-60 series uses the supplied 2016–2024 local GC21CH series and retains its source note and estimation status.

GBD

Source layer: IHME GBD 2023 export. Scope is global only, with years 2003–2023 and measures including deaths, DALYs, YLDs and YLLs.

Publication note: verify the underlying provenance and estimation status of the local longevity series before public release. Correlations are exploratory and not causal estimates.