Health and wealth in Mesoamerica: findings from Salud Mesomérica 2015

Table 2 Variation in household wealth, catastrophic health expenditure, and health score by country

Country	Average monthly household expenditure in USD^a (LCU)	Monthly expenditure per capita in USD (LCU)	Lowest monthly household expenditure in USD (LCU)		Average % of monthly household expenditure for healthcare	Highest average % of monthly household expenditure for healthcare		% household with catastrophic health expenditure^b	Highest % household with catastrophic health expenditure		Average health score^c	Lowest average health score
			Municip	Seg		Municip	Seg		Municip	Seg		Municip	Seg
El Salvador	167 (167)	46 (46)	123 (123)	74 (74)	5.4	8.7	20.9	7.4	11.3	33.3	5.6	5.3	4.3
Guatemala	157.4 (1,237)	43.6 (343)	89.3 (702)	46.3 (364)	3.6	8.7	15.3	5.5	16.7	30.0	2.8	1.6	0.8
Honduras	202.8 (3,837)	42.8 (809)	104.5 (1,978)	69.3 (1,312)	3.9	11.4	11.4	19.0	45.5	63.3	4.9	3.7	3.2
Mexico	187.5 (2,395)	40.3 (515)	77.6 (991)	58.7 (750)	4.7	10.6	14.4	11.9	37.6	50.0	3.9	1.9	1.6
Nicaragua	202.3 (5,001)	44.2 (1,092)	105.9 (2,617)	57.0 (1,408)	3.0	6.7	7.9	9.4	20.0	28.6	5.5	4.7	4.4
Panama^d	254 (254)	53 (53)	225 (225)	44 (44)	2.4	2.6	11.2	13.2	18.1	100	3.4	3.4	1.0

ANC antenatal care, Municip municipality, ORS oral rehydration salts, Seg Segment, LCU local currency unit
^aBased on World Bank official exchange rate, 2009–2013 period average, except for Honduras (2011 rate)
^bCatastrophic health expenditure defined as >25 % of monthly household expenditure on health care
^cHealth score ranges from zero to eight, indicating achievement of: one ANC visit with a skilled attendant, four ANC visits with a skilled attendant, delivery with a skilled birth attendant, use of ORS treatments for recent diarrhea, initiation of breastfeeding within 24 hours of birth, complete childhood vaccination based on age, absence of stunting, absence of wasting
^dIn Panama, these are provinces, not municipalities

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