Indice de risque de sécurité sanitaire
INFORM-style aggregation, on 0 to 10, of epidemic and AMR hazard, disease burden and undernutrition against health-system and IHR capacity, each component oriented by its own polarity.
geometric
expert weights · floor 0.1 where geometric
1,000 draws
normalisation, weights, aggregation, imputation
5 components
25 leaf indicators
67% minimum
modelled share ≤ 20%
From indicators to the composite
Shows where an outbreak is likely, where it would land on a vulnerable population and where the system could not contain it; each sub-index stays visible.
- Fréquence des événements épidémiquesIndicator · IND · 1Average annual number of distinct infectious-disease outbreak events in the country reported by WHO or a regional public-health agency over the latest five years, counting each event once whatever its duration.
- Cas de choléra signalés, pour 100,000 habitantsIndicator · IND · /10*5Cholera cases reported to WHO in the year per 100,000 of the mid-year population.
- Infections du sang dues au SARMIndicator · IND · %Share of Staphylococcus aureus bloodstream infections that are methicillin-resistant, among patients with a tested blood sample.
- Infections du sang dues à E. coli résistant aux céphalosporines de troisième générationIndicator · IND · %Share of Escherichia coli bloodstream infections resistant to third-generation cephalosporins, among patients with a tested blood sample.
- Taux de mortalité des moins de cinq ansIndicator · IND · /10*3Probability, per 1,000 live births, that a child born in the year dies before reaching age five at current age-specific mortality.
- Taux de mortalité maternelleIndicator · IND · /10*5Deaths of women from pregnancy-related causes during pregnancy or within 42 days of its end, per 100,000 live births, as modelled by the UN inter-agency group.
- Mortalité prématurée due aux principales maladies non transmissiblesIndicator · IND · %Probability, in percent, of dying between exact ages 30 and 70 from cardiovascular disease, cancer, diabetes or chronic respiratory disease.
- Incidence de la tuberculoseIndicator · IND · /10*5Estimated new and relapse tuberculosis cases of all forms per 100,000 population in the year.
- Incidence du paludismeIndicator · IND · /10*3Estimated new malaria cases per 1,000 people living in areas at risk of transmission.
- Incidence du VIHIndicator · IND · /10*3New HIV infections in the year per 1,000 uninfected people of all ages.
- Retard de croissance chez les enfants de moins de cinq ansIndicator · IND · %Share of children under five whose height-for-age is more than two standard deviations below the WHO Child Growth Standards median (modelled estimate).
- Émaciation chez les enfants de moins de cinq ansIndicator · IND · %Share of children under five whose weight-for-height is more than two standard deviations below the WHO Child Growth Standards median, from the latest national survey.
- Anémie chez les femmes en âge de procréerIndicator · IND · %Share of women aged 15 to 49 with haemoglobin below the WHO threshold for their pregnancy status, adjusted for altitude and smoking.
- Médecins pour 1,000 habitantsIndicator · IND · /10*3Practising or professionally active medical doctors, generalists and specialists, per 1,000 population.
- Infirmiers et sages-femmes pour 1,000 habitantsIndicator · IND · /10*3Nursing and midwifery personnel, professional and associate, per 1,000 population.
- Lits d'hôpital pour 1,000 habitantsIndicator · IND · /10*3Inpatient beds in public, private, general and specialised hospitals and rehabilitation centres, per 1,000 population.
- Indice de couverture des services de la CSUIndicator · IND · scoreIndex from 0 to 100 of the average coverage of essential services across reproductive, maternal, newborn and child health, infectious disease, non-communicable disease and service capacity and access.
- Couverture vaccinale DTC3Indicator · IND · %Share of surviving infants who received the third dose of diphtheria-tetanus-pertussis-containing vaccine, as estimated by WHO and UNICEF.
- Couverture vaccinale de la deuxième dose contre la rougeoleIndicator · IND · %Share of children who received the second dose of measles-containing vaccine by the nationally recommended age.
- Naissances assistées par du personnel de santé qualifiéIndicator · IND · %Share of live births attended by a doctor, nurse or midwife trained to manage normal deliveries and refer complications.
- Dépenses courantes de santé, part du PIBIndicator · IND · %Spending on health goods and services consumed in the year, from all financing sources, as a percentage of GDP (SHA 2011).
- Capacité de laboratoire du RSI (SPAR C4)Indicator · IND · scoreSelf-reported SPAR score, from 0 to 100, for national laboratory systems: specimen referral and transport, biosafety, quality and testing for priority pathogens.
- Capacité de surveillance du RSI (SPAR C5)Indicator · IND · scoreSelf-reported SPAR score, from 0 to 100, for early-warning, event-based and indicator-based surveillance and event verification.
- Capacité de gestion des urgences sanitaires du RSI (SPAR C7)Indicator · IND · scoreSelf-reported SPAR score, from 0 to 100, for emergency risk assessment, preparedness planning, emergency operations and logistics.
- Capacité de communication sur les risques du RSI (SPAR C10)Indicator · IND · scoreSelf-reported SPAR score, from 0 to 100, for risk communication systems, community engagement and management of misinformation in emergencies.
- Epidemic and AMR hazard sub-indexSub-index · SUB · w 1 · 22.2%Composite of outbreak event frequency, reported cholera and resistance among MRSA and E. coli bloodstream infections.
- Disease burden sub-indexSub-index · SUB · w 1 · 22.2%Composite of under-five and maternal mortality, premature non-communicable disease mortality and the incidence of tuberculosis, malaria and HIV.
- Undernutrition sub-indexSub-index · SUB · w 0.5 · 11.1%Composite of child stunting, child wasting and anaemia among women of reproductive age.
- Health-system capacity sub-indexSub-index · SUB · w 1 · 22.2%Composite of doctor, nurse and bed density, UHC service coverage, routine immunisation, skilled birth attendance and health spending.
- IHR operational capacity sub-indexSub-index · SUB · w 1 · 22.2%Composite of the SPAR laboratory, surveillance, health emergency management and risk communication capacity scores.
- Indice de risque de sécurité sanitaireDomain index · IDX · geometricINFORM-style aggregation, on 0 to 10, of epidemic and AMR hazard, disease burden and undernutrition against health-system and IHR capacity, each component oriented by its own polarity.
- Vulnérabilité humaine et des systèmesPillar · PILLAR · 8 indicesHow susceptible are people, livelihoods, ecosystems and essential systems to harm when a shock arrives?
- NXS-GRX (canonical data, provenance and risk) Composite RiskComposite · COMPOSITE · four pillarsComposite = (HTE × VUL × MSF × LCC)^(1/4), each pillar on 0–10 floored at 0.1; pillar = expert-weighted geometric mean of its domain indices
Run this index’s own aggregation
Set each component, change the aggregation or the weight uncertainty, and watch the interval, the class probability and each component’s contribution respond.
Treatment, normalisation, weighting, aggregation, uncertainty
- Treatment
- WINSORISE
- Outlier rule
- |skew| > 2, kurtosis > 3.5
- Normalisation
- INFORM 0–10 rescaling
- Imputation
- NONE
- Coverage minimum
- 67% of components
- Modelled share cap
- 20% of weight
- Weighting
- expert
- Aggregation
- geometric
- Scale
- 0 to 10
- Incertitude
- 1,000 Monte Carlo runs over normalisation, weights, aggregation, imputation
- Framework basis
- INFORM Risk methodology (geometric dimensions); IHR (2005) monitoring framework; JRC COIN 10-step guide; OECD/JRC Handbook (2008)
5 components, 25 indicators
Epidemic and AMR hazard sub-index w 1
Composite of outbreak event frequency, reported cholera and resistance among MRSA and E. coli bloodstream infections.
| Indicateur | Unité | Éléments probants | Sources | Part |
|---|---|---|---|---|
Fréquence des événements épidémiquesIND.HLT.epidemic.outbreak_event_frequency | 1 | Class B | who-disease-outbreak-news, who-weekly-bulletin-afro, africa-cdc-epidemic-intelligence | 40.0% |
Cas de choléra signalés, pour 100,000 habitantsIND.HLT.epidemic.cholera_cases.p100k | /10*5 | Class B | who-gho, who-cholera-annual-report | 20.0% |
Infections du sang dues au SARMIND.HLT.amr.mrsa_bloodstream | % | Class B | who-glass, who-gho | 20.0% |
Infections du sang dues à E. coli résistant aux céphalosporines de troisième générationIND.HLT.amr.ecoli_3gc_bloodstream | % | Class B | who-glass, who-gho | 20.0% |
Disease burden sub-index w 1
Composite of under-five and maternal mortality, premature non-communicable disease mortality and the incidence of tuberculosis, malaria and HIV.
| Indicateur | Unité | Éléments probants | Sources | Part |
|---|---|---|---|---|
Taux de mortalité des moins de cinq ansIND.HLT.burden.under5_mortality | /10*3 | Class C | un-igme, wb-wdi, who-gho | 16.7% |
Taux de mortalité maternelleIND.HLT.burden.maternal_mortality | /10*5 | Class C | un-mmeig, wb-wdi, who-gho | 16.7% |
Mortalité prématurée due aux principales maladies non transmissiblesIND.HLT.burden.ncd_premature_mortality | % | Class C | who-ghe, wb-wdi | 16.7% |
Incidence de la tuberculoseIND.HLT.burden.tb_incidence | /10*5 | Class C | who-global-tb-programme, wb-wdi | 16.7% |
Incidence du paludismeIND.HLT.burden.malaria_incidence | /10*3 | Class C | who-world-malaria-report, wb-wdi | 16.7% |
Incidence du VIHIND.HLT.burden.hiv_incidence | /10*3 | Class C | unaids, wb-wdi, who-gho | 16.7% |
Undernutrition sub-index w 0.5
Composite of child stunting, child wasting and anaemia among women of reproductive age.
| Indicateur | Unité | Éléments probants | Sources | Part |
|---|---|---|---|---|
Retard de croissance chez les enfants de moins de cinq ansIND.HLT.nutrition.stunting | % | Class C | unicef-who-wb-jme, wb-wdi, who-gho | 33.3% |
Émaciation chez les enfants de moins de cinq ansIND.HLT.nutrition.wasting | % | Class B | unicef-who-wb-jme, wb-wdi, smart-surveys | 33.3% |
Anémie chez les femmes en âge de procréerIND.HLT.nutrition.anaemia_women | % | Class C | who-gho, wb-wdi | 33.3% |
Health-system capacity sub-index w 1
Composite of doctor, nurse and bed density, UHC service coverage, routine immunisation, skilled birth attendance and health spending.
| Indicateur | Unité | Éléments probants | Sources | Part |
|---|---|---|---|---|
Médecins pour 1,000 habitantsIND.HLT.system.physician_density | /10*3 | Class B | who-nhwa, wb-wdi | 11.1% |
Infirmiers et sages-femmes pour 1,000 habitantsIND.HLT.system.nurse_midwife_density | /10*3 | Class B | who-nhwa, wb-wdi | 11.1% |
Lits d'hôpital pour 1,000 habitantsIND.HLT.system.hospital_beds | /10*3 | Class B | who-gho, wb-wdi, oecd-health | 11.1% |
Indice de couverture des services de la CSUIND.HLT.system.uhc_service_coverage | {score} | Class C | who-gho, wb-wdi | 22.2% |
Couverture vaccinale DTC3IND.HLT.system.dtp3_coverage | % | Class C | who-unicef-wuenic, wb-wdi | 11.1% |
Couverture vaccinale de la deuxième dose contre la rougeoleIND.HLT.system.mcv2_coverage | % | Class C | who-unicef-wuenic, wb-hnp-stats | 11.1% |
Naissances assistées par du personnel de santé qualifiéIND.HLT.system.skilled_birth_attendance | % | Class B | unicef-who-joint-database, wb-wdi | 11.1% |
Dépenses courantes de santé, part du PIBIND.HLT.system.health_expenditure.gdp | % | Class B | who-ghed, wb-wdi | 11.1% |
IHR operational capacity sub-index w 1
Composite of the SPAR laboratory, surveillance, health emergency management and risk communication capacity scores.
| Indicateur | Unité | Éléments probants | Sources | Part |
|---|---|---|---|---|
Capacité de laboratoire du RSI (SPAR C4)IND.HLT.security.spar_laboratory | {score} | Class B | who-spar, who-jee | 25.0% |
Capacité de surveillance du RSI (SPAR C5)IND.HLT.security.spar_surveillance | {score} | Class B | who-spar, who-jee | 25.0% |
Capacité de gestion des urgences sanitaires du RSI (SPAR C7)IND.HLT.security.spar_emergency_management | {score} | Class B | who-spar, who-jee | 25.0% |
Capacité de communication sur les risques du RSI (SPAR C10)IND.HLT.security.spar_risk_communication | {score} | Class B | who-spar, who-jee | 25.0% |
Santé
Disease burden, health-system capacity and health-security preparedness.
| Sub-domain | Indicateurs |
|---|---|
| Disease burden and mortality | 8 |
| Health system capacity | 11 |
| Health security (IHR) | 5 |
| Epidemic and outbreak | 2 |
| Antimicrobial resistance | 2 |
| Nutrition | 3 |
Anchor frameworks (pillar structure and definitions only): WHO GHO; IHR JEE 3rd ed.; IHR SPAR 2nd ed.; SDG 3.
All 31 health indicators
| Indicateur | Domaine | Sub-domain | Composant | Unité | Niveaux | Crosswalks |
|---|---|---|---|---|---|---|
Taux de mortalité des moins de cinq ansIND.HLT.burden.under5_mortality | HLT | Disease burden and mortality | vulnerability | /10*3 | COUNTRY | WB_WDI SH.DYN.MORT SDG 3.2.1 WHO_GHO MDG_0000000007 |
Taux de mortalité néonataleIND.HLT.burden.neonatal_mortality | HLT | Disease burden and mortality | vulnerability | /10*3 | COUNTRY | WB_WDI SH.DYN.NMRT SDG 3.2.2 |
Taux de mortalité maternelleIND.HLT.burden.maternal_mortality | HLT | Disease burden and mortality | vulnerability | /10*5 | COUNTRY | WB_WDI SH.STA.MMRT SDG 3.1.1 WHO_GHO MDG_0000000026 |
Espérance de vie à la naissanceIND.HLT.burden.life_expectancy | HLT | Disease burden and mortality | vulnerability | a | COUNTRY | WB_WDI SP.DYN.LE00.IN WHO_GHO WHOSIS_000001 |
Mortalité prématurée due aux principales maladies non transmissiblesIND.HLT.burden.ncd_premature_mortality | HLT | Disease burden and mortality | vulnerability | % | COUNTRY | WB_WDI SH.DYN.NCOM.ZS SDG 3.4.1 WHO_GHO NCDMORT3070 |
Incidence de la tuberculoseIND.HLT.burden.tb_incidence | HLT | Disease burden and mortality | hazard | /10*5 | COUNTRY | WB_WDI SH.TBS.INCD SDG 3.3.2 WHO_GHO MDG_0000000020 |
Incidence du paludismeIND.HLT.burden.malaria_incidence | HLT | Disease burden and mortality | hazard | /10*3 | COUNTRY | WB_WDI SH.MLR.INCD.P3 SDG 3.3.3 WHO_GHO SDGMALARIA |
Incidence du VIHIND.HLT.burden.hiv_incidence | HLT | Disease burden and mortality | hazard | /10*3 | COUNTRY | WB_WDI SH.HIV.INCD.TL.P3 SDG 3.3.1 WHO_GHO SDGHIV WB_WDI SH.HIV.INCD.ZS |
Médecins pour 1,000 habitantsIND.HLT.system.physician_density | HLT | Health system capacity | coping capacity | /10*3 | COUNTRY | WB_WDI SH.MED.PHYS.ZS WHO_GHO HWF_0001 SDG 3.c.1 |
Infirmiers et sages-femmes pour 1,000 habitantsIND.HLT.system.nurse_midwife_density | HLT | Health system capacity | coping capacity | /10*3 | COUNTRY | WB_WDI SH.MED.NUMW.P3 WHO_GHO HWF_0006 SDG 3.c.1 |
Lits d'hôpital pour 1,000 habitantsIND.HLT.system.hospital_beds | HLT | Health system capacity | coping capacity | /10*3 | COUNTRY | WB_WDI SH.MED.BEDS.ZS WHO_GHO WHS6_102 |
Indice de couverture des services de la CSUIND.HLT.system.uhc_service_coverage | HLT | Health system capacity | coping capacity | {score} | COUNTRY | SDG 3.8.1 WHO_GHO UHC_INDEX_REPORTED WB_WDI SH.UHC.SRVS.CV.XD |
Population confrontée à des dépenses de santé directes catastrophiquesIND.HLT.system.catastrophic_oop | HLT | Health system capacity | vulnerability | % | COUNTRY | SDG 3.8.2 WB_WDI SH.UHC.OOPC.10.ZS |
Dépenses directes, part des dépenses courantes de santéIND.HLT.system.oop_share | HLT | Health system capacity | vulnerability | % | COUNTRY | WB_WDI SH.XPD.OOPC.CH.ZS WHO_GHO GHED_OOPSCHE_SHA2011 |
Dépenses courantes de santé, part du PIBIND.HLT.system.health_expenditure.gdp | HLT | Health system capacity | coping capacity | % | COUNTRY | WB_WDI SH.XPD.CHEX.GD.ZS |
Couverture vaccinale DTC3IND.HLT.system.dtp3_coverage | HLT | Health system capacity | coping capacity | % | COUNTRY | WHO_GHO WHS4_100 WB_WDI SH.IMM.IDPT SDG 3.b.1 |
Couverture vaccinale de la deuxième dose contre la rougeoleIND.HLT.system.mcv2_coverage | HLT | Health system capacity | coping capacity | % | COUNTRY | WHO_GHO MCV2 WB_WDI SH.IMM.MEA2 SDG 3.b.1 |
Naissances assistées par du personnel de santé qualifiéIND.HLT.system.skilled_birth_attendance | HLT | Health system capacity | coping capacity | % | COUNTRY | WB_WDI SH.STA.BRTC.ZS SDG 3.1.2 |
Temps de trajet jusqu'à l'établissement de santé le plus procheIND.HLT.system.health_facility_travel_time | HLT | Health system capacity | vulnerability | min | COUNTRY, ADM1, ADM2, CITY, GRID | |
Score des capacités fondamentales du RSI (SPAR)IND.HLT.security.spar_capacity | HLT | Health security (IHR) | coping capacity | {score} | COUNTRY | SDG 3.d.1 WHO_GHO SDGIHR2021 WHO_GHO SDGIHR2018 |
Capacité de laboratoire du RSI (SPAR C4)IND.HLT.security.spar_laboratory | HLT | Health security (IHR) | coping capacity | {score} | COUNTRY | SPAR C4 WHO_GHO IHRSPAR2_C04 JEE D1 |
Capacité de surveillance du RSI (SPAR C5)IND.HLT.security.spar_surveillance | HLT | Health security (IHR) | coping capacity | {score} | COUNTRY | SPAR C5 WHO_GHO IHRSPAR2_C05 JEE D2 |
Capacité de gestion des urgences sanitaires du RSI (SPAR C7)IND.HLT.security.spar_emergency_management | HLT | Health security (IHR) | coping capacity | {score} | COUNTRY | SPAR C7 WHO_GHO IHRSPAR2_C07 JEE R1 |
Capacité de communication sur les risques du RSI (SPAR C10)IND.HLT.security.spar_risk_communication | HLT | Health security (IHR) | coping capacity | {score} | COUNTRY | SPAR C10 WHO_GHO IHRSPAR2_C10 JEE R5 |
Fréquence des événements épidémiquesIND.HLT.epidemic.outbreak_event_frequency | HLT | Epidemic and outbreak | hazard | 1 | COUNTRY, ADM1 | |
Cas de choléra signalés, pour 100,000 habitantsIND.HLT.epidemic.cholera_cases.p100k | HLT | Epidemic and outbreak | hazard | /10*5 | COUNTRY | WHO_GHO CHOLERA_0000000001 |
Infections du sang dues au SARMIND.HLT.amr.mrsa_bloodstream | HLT | Antimicrobial resistance | hazard | % | COUNTRY | WHO_GHO AMR_INFECT_MRSA SDG 3.d.2 |
Infections du sang dues à E. coli résistant aux céphalosporines de troisième générationIND.HLT.amr.ecoli_3gc_bloodstream | HLT | Antimicrobial resistance | hazard | % | COUNTRY | WHO_GHO AMR_INFECT_ECOLI SDG 3.d.2 |
Retard de croissance chez les enfants de moins de cinq ansIND.HLT.nutrition.stunting | HLT | Nutrition | vulnerability | % | COUNTRY | WB_WDI SH.STA.STNT.ME.ZS SDG 2.2.1 WHO_GHO NUTSTUNTINGPREV FAO_FAOSTAT 21025 |
Émaciation chez les enfants de moins de cinq ansIND.HLT.nutrition.wasting | HLT | Nutrition | vulnerability | % | COUNTRY, ADM1 | WB_WDI SH.STA.WAST.ZS SDG 2.2.2 WHO_GHO NUTRITION_WH_2 FAO_FAOSTAT 21026 |
Anémie chez les femmes en âge de procréerIND.HLT.nutrition.anaemia_women | HLT | Nutrition | vulnerability | % | COUNTRY | WB_WDI SH.ANM.ALLW.ZS WHO_GHO NUTRITION_ANAEMIA_REPRODUCTIVEAGE_PREV SDG 2.2.3 FAO_FAOSTAT 21043 |
Health security risk index, world
The world reading of this index, every country as a tile and the largest movements since the previous edition.
- Édition précédente
- –
- Range since 2016
- –
- Composite couplé
- –
- Score de couplage S
- –
- Pulse, dernière semaine
- –
- Outlook, 12 months
- –
- Méthode
- Indicator Standard 1.0 · NXS-GRX 2026
- Tirages
- 1,000
Aucune valeur publiée pour l'instant. La première édition trace ici l'historique avec sa bande d'intervalle et les bornes de classe.
Country values
- Tuiles
/api/v1/public/grix/risk-products/tiles/hlt/{z}/{x}/{y}.mvt- Clé d'observation
nis:IDX.HLT.security.health_security_risk:{ISO3}:{YEAR}:A
Series that read this index
Crosswalks and validity checks
Crosswalks map leaf indicators to source code lists; established indices are used for validity checks, never re-weighted as inputs.
| Code system | Leaf indicators mapped |
|---|---|
WHO_GHO | 22 |
WB_WDI | 18 |
SDG | 17 |
SPAR | 4 |
JEE | 4 |
FAO_FAOSTAT | 3 |
Platforms, standards and ways to take part
Field and service platforms of GCRI, GRF and GRA, the Nexus Risk Standards for this domain, learning, working groups and open calls. Every link is a live page.
Citer et réutiliser
See this index in every country profile
Each profile shows this index with its interval and class once released.
Statut
La méthodologie, la structure et les définitions de The Global Risks Index constituent un projet de travail préparatoire (2026), diffusé pour examen et commentaires et non pour mise en œuvre. Aucune valeur n'apparaît avant la publication d'une édition à partir d'une coupe de données probantes encadrée ; les valeurs comportent alors des intervalles, des classes, des sources et leur voie de correction. Les simulateurs appliquent les méthodes publiées à des nombres que vous choisissez et n'affichent jamais de valeur NXS-GRX.
Ce que NXS-GRX n'est pas
NXS-GRX est une information de recherche et d'analyse des risques. Ce n'est pas une notation de crédit ou ESG et il n'utilise aucune échelle de notation ; ce n'est pas un indice de référence pour des instruments financiers, ni une statistique officielle, ni une alerte d'urgence ou une classification officielle, ni un conseil. Il ne doit pas servir à évaluer des personnes physiques. Les classes de risque sont des bandes sur une échelle publiée, jamais des classements de pays ou de personnes.
Institutions et sources
The Nexus Consortium is stewarded by three independent not-for-profit institutions: The Global Centre for Risk and Innovation (GCRI), through GCRI US in Washington, DC and GCRI Canada in Ontario, with GCRI Canada as Lead Institution, Consortium Secretariat and lead contracting organisation; The Global Risks Forum (GRF); and The Global Risks Alliance (GRA). Technology, infrastructure and service providers work with the Consortium at arm’s length under written agreements, like every other external party in the public-private-planet model, and hold no role in its stewardship.
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Avis en français
La méthodologie et les définitions du NXS-GRX sont un projet de travail préparatoire (2026). Le NXS-GRX est une information de recherche et d’analyse des risques : ni notation, ni indice de référence financier, ni statistique officielle, ni alerte, ni conseil. Les classes de risque sont des bandes sur une échelle publiée, non des classements.