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CHINA General & Internal General & Internal Medicine Life Sciences & Biomedicine MEXICO Medicine Science & Technology 19·0 (14·3–23·7) in Somalia 40-PERCENT AMENABLE MORTALITY Background A key component of achieving universal health coverage is ensuring that all populations have access to quality health care. Examining where gains have occurred or progress has faltered across and within countries is crucial to guiding decisions and strategies for future improvement. We used the Global Burden of Diseases CARE COVERAGE DEVELOPMENT ASSISTANCE GOVERNMENT HAQ Index performance spanned from a high of 97·1 (95% UI 95·8–98·1) in Iceland INDICATOR INEQUALITIES Injuries MORTALITY NATIONS PREPAID PRIVATE STATES SYSTEMS TRANSITION TRENDS UNIVERSAL COVERAGE a summary measure of overall development. As derived from the broader GBD study and other data sources and 100 as the 99th percentile (best) and 23·4 (20·2–26·8) in Guinea-Bissau. The pace of progress achieved between 1990 and 2016 varied