Remember when Myanmar came second last in a study of health systems in the early noughts? Not any more! There are many countries below Myanmar using this multidimensional index. http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(17)30818-8/fulltext Big download here: http://www.thelancet.com/pdfs/journals/lancet/PIIS0140-6736(17)30818-8.pdf Most importantly, the areas for improvement are made clear. Jamie