Population Health Index

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The Population Health Index (INES), a comprehensive, holistic, and multi-dimensional measure, consists of two components for assessing the health of the population: Health Outcomes and Health Determinants.

These components are divided into 6 dimensions (two focusing on Health Outcomes and four focusing on Health Determinants) which correspond to broad areas of concern in relation to the health of the population and to the political areas of intervention with potential health impact.

The 6 dimensions aggregate 43 evaluation criteria, used to evaluate the health of the population (see Structure).

There are also 45 indicators assigned to these evaluation criteria which describe each municipality’s performance in relation to each criterion.

Health Outcomes

The Health Outcomes enable the assessment of the collective state of health (physical, mental, and well-being) of a given geographical area for a specific moment in time. They are measured indirectly (as proxies), namely via the severity and frequency of disease and/or death. The Health Outcomes under study integrate dimensions of:

    Health Determinants

    The Health Determinants represent the contextual factors defined as the environmental conditions (social, economic, and physical) in which people are born, live, work, and age and which directly and/or indirectly influence health outcomes as well as distribution. Health Determinants comprise the dimensions of:


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    The following graph illustrates the INES index’s global structure: 2 broad areas which address Health Outcomes and Health Determinants, 6 Dimensions, and 43 Evaluation Criteria.