Cross-National Benchmarks · SDG 3.8.1 & 3.8.2
UHC Service Coverage Index & Out-of-Pocket Reference Ledger
High service coverage scores under SDG 3.8.1 do not automatically guarantee financial protection under SDG 3.8.2. Several middle-income countries reach coverage indices above 65 while households still shoulder 35% to 45% of total health expenditure out of pocket for outpatient medicines.
Reference dataset: WHO GHO UHC Data Portal and observatory country syntheses.
| Country / Reference Norm | SDG 3.8.1 Index | RMNCH Sub-Index | NCD Sub-Index | OOP % THE | Financial Risk Tier |
|---|---|---|---|---|---|
| South Sudan (HSSRP Baseline) | 32 | 34 | 38 | 54.2% | Critical OOP |
| Sudan (West Darfur Cohort) | 44 | 49 | 52 | 51.8% | Critical OOP |
| Papua New Guinea (PHA Cohort) | 41 | 46 | 48 | 18.9% | Access Deficit |
| Cambodia (NCD Pilot Cohort) | 58 | 69 | 54 | 41.5% | Drug OOP Burden |
| Tunisia (Dialogue Cohort) | 70 | 81 | 62 | 36.1% | Outpatient Gap |
| Prepaid UHC Target Threshold | 80+ | 85+ | 78+ | <15.0% | Protected Target |
SDG 3.8.1 Coverage vs. Out-of-Pocket Share Divergence
Higher service coverage reduces catastrophic risk only when paired with prepaid drug benefits