IHME Data

IHME research applied a novel methodology to death registration data from the National Vital Statistics System (NVSS) in order to estimate annual county-level mortality rates for 21 mutually exclusive causes of death. This dataset provides estimates for cause-specific age-standardized mortality rates at the county level for each state, the District of Columbia, and the United States as a whole for 1980-2014 (quinquennial), as well as the changes in rates during this period. Also included are data on the 10 counties with the highest and lowest mortality rates for each cause in 2014. Study results were published in JAMA in December 2016 in "US county-level trends in mortality rates for major causes of death, 1980–2014."

The Global Burden of Disease Study 2015 (GBD 2015), coordinated by the Institute for Health Metrics and Evaluation (IHME), estimated the burden of diseases, injuries, and risk factors at the global, regional, national, territorial, and, for a subset of countries, subnational level.

This reference life table is used in GBD to calculate Years of Life Lost (YLLs). It was constructed based on the lowest estimated age-specific mortality rates from all locations with populations over 5 million in the 2013 iteration of GBD. YLLs are computed by multiplying the number of estimated deaths by the reference life table’s life expectancy at age of death. The table includes estimates for the probability of death within an age range, the proportion of the hypothetical cohort still alive at age x, and life expectancy at age x for ages 0 to 110+ at five-year intervals.

The Global Burden of Disease Study 2015 (GBD 2015), coordinated by the Institute for Health Metrics and Evaluation (IHME), estimated the burden of diseases, injuries, and risk factors at the global, regional, national, territorial, and, for a subset of countries, subnational level.

Developed by GBD researchers and used to help produce these estimates, the Socio-demographic Index (SDI) is a summary measure of a geography's socio-demographic development. It is based on average income per person, educational attainment, and total fertility rate (TFR). SDI contains an interpretable scale: zero represents the lowest income per capita, lowest educational attainment, and highest TFR observed across all GBD geographies from 1980 to 2015, and one represents the highest income per capita, highest educational attainment, and lowest TFR. This dataset provides tables with SDI values for all estimated GBD 2015 geographies for 1980–2015 and groupings by geography based on 2015 values.

The Global Burden of Disease Study 2015 (GBD 2015), coordinated by the Institute for Health Metrics and Evaluation (IHME), estimated the burden of diseases, injuries, and risk factors at the global, regional, national, territorial, and, for a subset of countries, subnational level.

Disability weights, which represent the magnitude of health loss associated with specific health outcomes, are used to calculate years lived with disability for these outcomes in a given population. The weights are measured on a scale from 0 to 1, where 0 equals a state of full health and 1 equals death. This dataset provides the disability weights for the 235 unique health states used to estimate nonfatal health outcomes for the GBD 2015 study. These data were published in The Lancet in October 2016 in "Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015."

The Global Burden of Disease Study 2015 (GBD 2015), coordinated by the Institute for Health Metrics and Evaluation (IHME), estimated the burden of diseases, injuries, and risk factors globally, for 21 regions, and for 195 countries and territories. Estimates for HIV/AIDS incidence, prevalence, and mortality by country, age, and sex for 1990-2015 (quinquennial) are available from the GBD Results Tool. Files available for download in this record include select tables published in The Lancet in July 2016 in "Global, regional, and national incidence, prevalence, and mortality for HIV, 1980-2015: estimates from the Global Burden of Disease Study 2015." The tables include estimates of antiretroviral therapy (ART) coverage for 2015 and HIV-specific mortality for patients on ART.

The Global Burden of Disease Study 2015 (GBD 2015), coordinated by the Institute for Health Metrics and Evaluation (IHME), estimated the burden of diseases, injuries, and risk factors at the global, regional, national, territorial, and, for a subset of countries, subnational level.

This dataset measures progress towards the Millennium Development Goal 4 (MDG 4) target of reduction of child mortality by two-thirds from 1990-2015. Estimates for neonatal, infant, and under-5 mortality for 21 regions, 195 countries and territories and 4 United Kingdom subnational units for 1990-2015 (quinquennial) are available from the GBD Results Tool. Files available in this record include tables published The Lancet in October 2016 in "Global, regional, national, and selected subnational levels of stillbirths, neonatal, infant, and under-5 mortality, 1980‐2015: a systematic analysis for the Global Burden of Disease Study 2015."

The Global Burden of Disease Study 2015 (GBD 2015), coordinated by the Institute for Health Metrics and Evaluation (IHME), estimated the burden of diseases, injuries, and risk factors at the global, regional, national, territorial, and, for a subset of countries, subnational level.

Estimates for disability-adjusted life years (DALYs) by cause, age, and sex and estimates for healthy life expectancy (HALE) by age and sex for 21 regions, 195 countries and territories and 4 United Kingdom subnational units for 1990-2015 (quinquennial) are available from the GBD Results Tool. Study results were published in The Lancet in October 2016 in "Global, regional, and national disability-adjusted life years (DALYs) for 315 diseases and injuries and healthy life expectancy (HALE) for 195 countries and territories, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015."

The Global Burden of Disease Study 2015 (GBD 2015), coordinated by the Institute for Health Metrics and Evaluation (IHME), estimated the burden of diseases, injuries, and risk factors at the global, regional, national, territorial, and, for a subset of countries, subnational level.

Life expectancy estimates by age and sex and estimates for deaths and years of life lost (YLLs) by cause, age, and sex for 21 regions, 195 countries and territories, and select subnational units for 1990-2015 are available from the GBD Results Tool. Files available in this record include select tables published in The Lancet in October 2016 in "Global, regional, and national life expectancy, all-cause and cause-specific mortality for 249 causes of death, 1980–2015: a systematic analysis for the Global Burden of Disease Study 2015."

These data were collected as part of the Improving Methods to Measure Comparable Mortality by Cause project, funded by Australia's National Health and Medical Research Council (NHMRC). Verbal autopsy (VA) interviews were collected using the Population Health Metrics Research Consortium (PHMRC) shortened questionnaire on electronic tablets. Data was was collected from three sites: Matlab, Bangladesh; Kalutara, Sri Lanka; and Bohol, Philippines. The datasets correspond to the closed response and open response sections for each of the three sites.

Using Access, Bottlenecks, Costs, and Equity (ABCE) Project data from Kenya, Uganda, and Zambia, Institute for Health Metrics and Evaluation (IHME) researchers conducted the first nationally representative assessment of technical efficiency in African health facilities and predicted the potential scale-up of antiretroviral therapy (ART) services through improvements in technical efficiency. The attached archive contains code and materials used for the following citation: 

Di Giorgio L, Moses MW, Fullman N, Wollum A, Conner RO, Achan J, Achoki T, Bannon KA, Burstein R, Dansereau E, DeCenso B, Delwiche K, Duber HC, Gakidou E, Gasasira A, Haakenstad A, Hanlon M, Ikilezi G, Kisia C, Levine AJ, Maboshe M, Maisye F, Masters SH, Mphuka C, Njuguna P, Odeny TA, Okiro EA, Roberts DA, Murray CJL, Flaxman AD. The potential to expand antiretroviral therapy by improving health facility efficiency: evidence from Kenya, Uganda, and Zambia. BMC Medicine. 2016 20 July. doi: 10.1186/s12916-016-0653-z

This dataset contains estimates of maternal and child health (MCH) indicators in Uganda at the regional and national levels. These estimates were produced by the Institute for Health Metrics and Evaluation (IHME) and the Infectious Diseases Research Collaboration (IDRC) by using multiple data sources and applying complex modeling approaches. Trend estimates in this dataset include under-5 mortality, indicators of childhood nutrition (prevalence of underweight and stunting among children under 5), and a range of MCH interventions including malaria control, childhood immunizations, and other key MCH interventions such as antenatal care, skilled birth attendance, and exclusive breastfeeding. Regional estimates for a number of socio-economic indicators, including women’s educational attainment and household characteristics, are also available.

The Global Burden of Disease Study 2013 (GBD 2013), coordinated by the Institute for Health Metrics and Evaluation (IHME), estimated the burden of diseases, injuries, and risk factors globally, for 21 regions, and for 188 countries. The files available for download include the tables published in The Lancet in September 2015 in "Global, regional, and national comparative risk assessment of 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks in 188 countries, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013." These tables include population attributable fractions (PAFs) for 2013 and estimates of deaths and disability-adjusted life-years (DALYs) for 1990 and 2013 attributable to each risk factor. Estimates of deaths and DALYs for 1990 and 2013 attributable to each risk-outcome pair can be found in the web tables.

This dataset contains estimates of maternal and child health (MCH) indicators in Nigeria at the state and national levels. These estimates were produced by the Institute for Health Metrics and Evaluation (IHME) by using multiple data sources and applying complex modeling approaches. Trend estimates in this dataset include under-5 mortality, indicators of childhood nutrition (prevalence of underweight, stunting, and wasting among children under 5), and a range of MCH interventions including malaria control, childhood immunizations, and other key MCH interventions such as skilled birth attendance, exclusive breastfeeding, and prevalence of modern contraceptive use.

The Global Burden of Disease Study 2013 (GBD 2013), coordinated by the Institute for Health Metrics and Evaluation (IHME), estimated the burden of diseases, injuries, and risk factors globally, for 21 regions, and for 188 countries. The files available for download include the tables published in The Lancet in June 2015 in "Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013." These tables include estimates of incidence, prevalence, and years lived with disability (YLDs) by country, age, cause, and sequelae in 1990 and 2013. 

The Access, Bottlenecks, Costs, and Equity (ABCE) project is a multipronged and multicountry research collaboration focused on understanding what drives and hinders health service provision. Three datasets resulting from the ABCE project in Zambia are available for download: results of a nationally representative facility survey which gathered information on services offered, expenditure, revenue, personnel by category, and other variables related to facility operations; data collected in patient exit interviews conducted after patients visited facilities in the ABCE sample; and information extracted from the charts of HIV-positive patients receiving antiretroviral therapy (ART). Clinical chart extraction data and patient exit interview data can be linked to facility-level information from the ABCE Facility Survey.

The Access, Bottlenecks, Costs, and Equity (ABCE) project is a multipronged and multicountry research collaboration focused on understanding what drives and hinders health service provision. Three datasets resulting from the ABCE project in Kenya are available for download: results of a nationally representative facility survey which gathered information on services offered, expenditure, revenue, personnel by category, and other variables related to facility operations; data collected in patient exit interviews conducted after patients visited facilities in the ABCE sample; and information extracted from the charts of HIV-positive patients receiving antiretroviral therapy (ART). Clinical chart extraction data and patient exit interview data can be linked to facility-level information from the ABCE Facility Survey. 

The Global Burden of Disease Study 2013 (GBD 2013), coordinated by the Institute for Health Metrics and Evaluation (IHME), estimated the burden of diseases, injuries, and risk factors globally and for 21 regions.

The sixth Millennium Development Goal (MDG 6) brought special attention to HIV, tuberculosis, and malaria. This dataset provides estimates of mortality and incidence for each of the three diseases, as well as prevalence of HIV and tuberculosis, for 188 countries, 21 regions, and globally by age group and sex, for 1990-2013. The results were published in The Lancet in July 2014 in "Global, regional, and national incidence and mortality for HIV, tuberculosis, and malaria during 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013." 

The Global Burden of Disease Study 2013 (GBD 2013), coordinated by the Institute for Health Metrics and Evaluation (IHME), estimated the burden of diseases, injuries, and risk factors globally and for 21 regions.

This dataset measures progress towards the Millennium Development Goal 4 (MDG 4) target of reduction of child mortality by two-thirds from 1990-2015. The data provide under-5 mortality numbers and rates per 1,000 live births for 188 countries, 21 regions, and globally by age group and sex, for 1990-2013. It also includes a Shapley decomposition analysis of the change in the number of under-5 deaths related to changes in various factors, from 1990-2013. The results were published in The Lancet in May 2014 in "Global, regional, and national levels of neonatal, infant, and under-5 mortality during 1990-2013: a systematic analysis from the Global Burden of Disease Study 2013."

The Global Burden of Disease Study 2013 (GBD 2013), coordinated by the Institute for Health Metrics and Evaluation (IHME), estimated the burden of diseases, injuries, and risk factors globally and for 21 regions. This dataset provides prevalence of overweight and obesity, and obesity alone, for 188 countries, 21 regions, and globally by age group and sex, for 1990-2013. The results were published in The Lancet in May 2014 in "Global, regional, and national prevalence of overweight and obesity in children and adults during 1980–2013: a systematic analysis for the Global Burden of Disease Study 2013."

Updated estimates from GBD 2015 are now available.

These data provide results from IHME's Malaria Control Policy Assessment (MCPA) project. Trend estimates are provided at country and district levels for a range of indicators including under-5 mortality, prevalence of childhood underweight, sociodemographic factors such as mean household size and average years of education, and coverage of child and maternal health interventions including malaria control, immunizations, exclusive breastfeeding, antenatal care, and skilled birth attendance for years 1990-2010.

These are IHME results data from a global analysis of tobacco use published in the Journal of the American Medical Association in January 2014.  The study, "Smoking Prevalence and Cigarette Consumption in 187 countries, 1980-2012," provides smoking prevalence, cigarette consumption, and annual rate of change estimates by country and sex from 1980 to 2012. 

The GBD Study 2010 (http://www.healthdata.org/gbd) estimated the burden of diseases, injuries, and risk factors globally and for 21 regions for 1990 and 2010.

These files provide estimates for relative risks due to exposure to particulate matter for ischemic heart disease, stroke, chronic obstructive pulmonary disease, lung cancer, acute lower respiratory infection, and the code used to create the estimates. The integrated exposure response curve is based on studies on exposure to ambient air pollution, second hand tobacco smoke, household air pollution, and active smoking.

The GBD Integrated Exposure-Response functions were published in the Journal of Environmental Health Perspectives and presented at the 2013 annual meeting of the International Society for Environmental Epidemiology in Basel, Switzerland (http://ehp.niehs.nih.gov/ehbasel13/?s=burnett ).  The paper and slides from the presentation are provided here.

IHME research, published in Population Health Metrics in July 2013, provides physical activity and obesity prevalence estimates by county and sex in the United States from 2001-2011.  The study, "Prevalence of physical activity and obesity in US counties, 2001-2011: a road map for action" examined county-level changes in physical activity and obesity.

The GBD Study 2010 estimated the burden of diseases, injuries, and risk factors globally and for 21 regions for 1990 and 2010. The study was implemented as a collaboration of IHME as coordinating center, University of Queensland, Harvard School of Public Health, Johns Hopkins Bloomberg School of Public Health, University of Tokyo, Imperial College London, and WHO.

These data provide results for the burden of disease and injury in the United States: deaths, years of life lost (YLLs), years lived with disability (YLDs), and disability-adjusted life years (DALYs). The results were published in the Journal of the American Medical Association in July 2013 in “The state of US health, 1990-2010: burden of diseases, injuries, and risk factors.”