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Longevity Governance


Longevity Progressiveness Ranking of 50 Regions

Longevity Progressiveness Ranking is affected by various factors and their impact varies across countries. For this reason, Aging Analytics Agency’s Longevity Progressiveness Ranking is based on the quantitative analysis of seven domains: economy, health status, ecology, society, demography, government care and policy. 


These domains consist of 50 indicators derived from international data sources, including the World Bank, the World Health Organization (WHO), the International Labour Organization (ILO), Organization of Economic Cooperation and Development (OECD).


The rankings show how countries compare in terms of health and wellbeing. The values, on which the rankings are based, show how countries are performing. In particular, they show how different countries compare with the best-performing countries and their potential for improvement. The difference in Metrics values between countries is sometimes minimal, as there are several countries with a high level of life expectancy and of the same level of development. A difference of 0.1 or more points can be considered statistically significant.


The Ranking has been calculated using the most relevant, reliable data for 2019 from international sources that is comparable across countries. Data from national sources is often more up to date than international data sets because of the time it takes to process, standardize and introduce data into international data sets.

This means that the Ranking does not necessarily reflect the current situation, such as the outcomes of policies that have recently been introduced.

  • Economy

Measured by the unemployment rate, the poverty rate in old age, living standards using GDP per capita, income Gini coefficient.

  • Health status

Measured by life expectancy at birth, healthy life expectancy at birth, chronicle disease burden, healthcare expenditures and psychological well-being. Good physical and mental health is critical to the social and economic engagement of people.

  • Ecology

Quantifies and numerically marks the environmental performance of a state's policies. Research reveals that when sustainable efforts are applied to policy and business, it typically bodes well for longevity developments. Ecology metrics can be critical to measuring national sustainability efforts.

  • Society

Measured by social connection and development of human capital. The metrics of this group take into account the gender gap, corruption perceptions, Human Development Index Score and 

R&D Personnel per Thousand Total Employment across the countries in question. 

  • Demography

Measured by major demographic indicators.

  • Government care 

Metrics that were taken into account involve among others immunization, healthcare expenditures, international health regulations, effectiveness ratios. 

  • Government policy

Involves mainly the operational programs and initiatives launched by national governments for the purpose of improving the longevity performance of the states.

To conduct an in-depth analysis of Global Healthy Longevity, we applied a compound annual growth rate (CAGR) to several metrics from 1-3 levels of key importance. What is CAGR? The compound annual growth rate is a business and investing specific term for the geometric progression ratio that provides a constant rate of return over the time period. It could be calculated using the following formula:
 Therefore, we were able to explore different dimensions of countries’ performance in some of the crucial indicators. As a result, the following 4-6 levels of metrics have been set up to evaluate countries’ performance over a set period of time through CAGR evaluation. 

Longevity Ranking of 50 Countries

Inequality in health, education and income levels of the population across countries are increasing between top-ranked, high-income countries and bottom-ranked, predominantly low-income countries. The countries doing best in the Ranking have social and economic policies to improve healthcare systems, and wellbeing, decrease disease burden and engage healthy lifestyle. They have long-standing social welfare policies on better access to healthcare, as well as, minimization of behavioral risk factors including smoking and alcohol use, as well as diet and low physical activity.
At the same time, bottom-rank low-income countries care about their citizens less than countries doing best in the Ranking. It comes out of medicine, insurance, policies, and dealing with economic issues. This complex is a reason for inequality in health.

Japan has got the highest score of the Ranking thereby significantly improving its position from 16th place to 1st from the time of the last evaluation of countries progressiveness. The list of the states which have the highest performance over the last publication of the report include India, Spain, Canada, Italy and Iran. On the contrary, Argentina, Qatar, Mexico, Ireland are the states that have sharply lost positions in the final rating.

Health Status

Japan is the first in health and healthcare ranking with the highest life expectancy in the world. Denmark is the second and the Republic of Korea is the third. These countries has developed an effective healthcare system, developed medical facilities and improved access to healthcare infrastructure, relatively low level of chronic disease. Although it is worth noting that the difference in Index values between top-ranked countries is not large. Chile leads the Latin America and Caribbean region (Panama was the leader in the previous Rankings). The relatively high scores are due in large part to the existence and effectiveness of government policies, with an orientation towards social policy in general and policies on aging in particular.

Both Sexes HALE





The ranking is correlated with health-adjusted life expectancy (HALE) across observed countries. It means that a combination of macroeconomic indicators influences the span of living in good health. 

Among observed countries, Japan has the highest HALE and topped the ranking with Singapore at second place. It prioritized health and education and established universal health insurance and social pensions. South Africa, India and Indonesia have the lowest HALE and score. Older people in the country experience many hardships, with few able to access basic services. Family ties remain strong, but traditional support systems are changing and older people are increasingly left with the responsibility of childcare without any formal support. Low quality of healthcare services and poverty contribute to low HALE and high mortality.

Both Sexes Life Expectancy

This metric assumes that the age-specific death rates for the year in question will apply throughout the lifetime of individuals born in that year. The estimate, in effect, projects the age-specific mortality (death) rates for a given period over the entire lifetime of the population born (or alive) during that time. The measure differs considerably by sex, that’s why the report also takes into account the difference of value between sexes:

Hong Kong, Japan, Switzerland have received the highest scores of the life expectancy of the population. South Africa, India and Indonesia have been placed on the bottom of both sexes life expectancy subrating. 


DALY Rates per 100 000 Population

DALYs for a disease or health condition is the sum of the years of life lost due to premature mortality (YLLs) and the years lived with a disability (YLDs) due to prevalent cases of the disease or health condition in a population attributed to leptospirosis.

DALYs for a specific cause is calculated as the sum of the years of life lost due to premature mortality (YLLs) from that cause and the years of healthy life lost due to disability (YLDs) for people living in states of less than good health resulting from the specific cause.


DALY represents the loss of the equivalent of one year of full health. The highest burden of disease among chosen countries is in India and China. The burden of disease, expressed in DALYs per 1000 population, has decreased in all regions during the beginning of the 21st century. The Ranking Report reveals that Iceland, Malta and Luxembourg have the best performance as DALYs rates of these countries are the lowest while the values of India, China and the USA  are the highest.

Government care