Effectiveness analysis of global health security index (GHSI) assessment

ABSTRACT

Objective To investigate the correlation between Global Health Security Index (GHSI) and the epidemic situation of COVID-19 and to explore the value of GHSI. Methods A crosssectional study of 159 countries from an open database was conducted. Analyze the correlation of GHSI with the COVID-19 pandemic with Spearman and plot the correlation matrix. Fitted multiple linear regression models controlled for variables such as socioeconomic and health conditions in countries, and further studied the association of GHSI with COVID-19 pandemic outcome indicators. Results The mean total GHSI score of the 159 countries in 2021 was (41. 19+/-13. 41), with a minimum of 16. 10 (Yemen) and a maximum of 75.90 (The United States). As of 31 December 2021, the crude case fatality rate of COVID-19 in 159 countries was 0. 02 (0. 01, 0. 03), with a minimum <0. 01 (Bhutan) and a maximum of 0. 20 (Yemen). The total number of confirmed cases per million population was 50 844.42 (5 807. 88, 101 572.70), with a minimum of 22.26 (Republic of Vanuatu) and a maximum of 251 608. 38 (Slovakia). The total number of deaths per million population was 590. 71 (105. 66,1533. 20), with a minimum of 3. 10 (Burundi) and a maximum of 6 075. 95 (Peru). Multiple linear regression analysis results showed that the Detect score of GHS1 was negatively correlated with the total confirmed cases per million population (fi =-0. 34, P =0. 038) and the total deaths per million population (fi = -0.42, P = 0. 025);the Norms score of GHS1 was negatively correlated with the total confirmed cases per million population (fi = -0. 49, P = 0. 041), and the Health score of GHS1 was positively correlated with the total deaths per million population (fi =0.65, P = 0.003). Risk score of GHS1 was inversely correlated with case fatality rate(fi = -0. 91, P = 0. 044). Conclusion The GHS 1ndex has limited value in assessing a country's capacity to respond to the COV1D-19 pandemic. Nevertheless, it has potential value in others. Copyright © 2022, Publication Centre of Anhui Medical University. All rights reserved.