YEAR 3 GLOBAL REPORTEXECUTIVE SUMMARY

The Hologic
Global Women’sHealth Index
Pathways to a Healthy
Future For Women

MEASURED BY

A Letter From
Hologic’s CEO
As a company focused on early detection, diagnosis and treatment ofwomen’s health conditions, Hologic knows firsthand that you can’t
improve what you don’t measure. That’s why we joined forces withleading independent research firm Gallup to create the Hologic Global
Women’s Health Index.
This annual survey, now in its third year, is one of the most comprehensive
initiatives measuring the state of health for 97% of the world’s women andgirls aged 15 and older. Our Year 3 Index reflects the real-life experiences
and opinions of more than 147,000 women and men from 143 countries.
Regrettably, this year’s findings reveal that women’s health globally has
not only stagnated but is moving in the wrong direction. Last year, only
11% of women were screened for cancer and just 10% were tested forsexually transmitted diseases and infections, raising the risk of maternal
and fetal mortality. At the same time, the gaps between rich and poor
nations and urban and rural communities continued to grow. It is anexperience that the United Nations has characterized as a “staggeringbacksliding” in women’s health.
While the most recent survey results give us cause for concern, they also
inspire us to redouble our efforts to enable healthier lives everywhere,every day. Working together, I am confident that we can do better. I invite
you to read our report and join us in our quest.

Stephen P. MacMillan
Chairman, President and Chief Executive Officer

2The Hologic Global Women’s Health Index | Year 3 Report | Executive Summary© 2024 Hologic, Inc. All rights expressly reserved.

About The Index
Hologic and Gallup launched the Hologic Global Women’s Health Index
in response to an urgent need for more timely, comprehensive andactionable data on women’s health.
The inaugural report, conducted in 2020, provided a troubling baseline
account of women’s health worldwide across five dimensions of health.
It showed that even in the wealthiest countries, the health needs of many
women were not being met.
The Year 3 survey included more than 147,000 participants from 143
countries and territories. It represents the voices of 97% of women andgirls aged 15 and older, making it one of the most authoritative surveys ofits kind. Men and boys were also surveyed to help identify gender gaps.
The Index score is a summary indicator of women’s answers to survey
questions that, together, account for approximately 70% of the variancein a woman’s average life expectancy at birth. Scores on the Index range
from 0 (worst) to 100 (best). Although the survey includes men, scores andrankings are based only on responses from women and girls.
Review the full findings and methodology at WomensHealthIndex.com.
The Five Dimensions of the Hologic Global Women’s Health Index

Preventive Care

Individual Health

Basic Needs© 2024 Hologic, Inc. All rights expressly reserved.

Emotional Health

Opinions ofHealth and Safety

The Hologic Global Women’s Health Index | Year 3 Report | Executive Summary

3

Key Findings
Despite global recovery from COVID-19, women’s health remains in state of emergency

Testing for conditions is low. Women told us that in the past 12 months:

36%

19%

11%

10%

1 in 3women(Nearly one billion)
spent a lot of the previous day in physical pain

had been tested forHigh Blood Pressure

had been tested for
Diabetes

had been tested forCancer

had been tested for
STDs/STIs
The percentage of women struggling toafford food and shelter has increased byEmotional health is getting worse, with notable gaps between men and women.
Women told us that during “a lot of the day yesterday” they experienced:+50%

in the last decade
42%

Worry

39%

Stress30%

SadnessAnger

25%

More than

4 in 10women

aged 15-24 don’t feel safe walking alone at night4

The Hologic Global Women’s Health Index | Year 3 Report | Executive Summary© 2024 Hologic, Inc. All rights expressly reserved.

Global Scores and Rankings
Overall, the world scored 54 out of 100 on the Index in Year 3.
At the country level, Index scores ranged from a high of 72 in Taiwan to a low of 26 in Afghanistan.
Notably, not all high-income countries or countries with high healthcare expenditures have high Index scores. The United States has fallen
seven places to number 30 in the overall country rankings, on par with Kazakhstan. Other countries with surprisingly low rankings include theUnited Kingdom (37), France (40) and Canada (61).

Top 20 Countries/Territories by Index Score
Rank

Country/Territory

Hologic Global Women’s Health Index Score

Bottom 20 Countries/Territories by Index Score
Rank

Country/Territory

Hologic Global Women’s Health Index Score

1

Taiwan, Province of China

72

123

Cameroon

42

2

Kuwait

68

124

Peru

41

3

Austria

67

125

Niger

41

4

Germany

67

126

Ecuador41

5

Switzerland

66

127

Togo

41

6

Israel66

128

Mauritania

41

7Japan65

129

Gambia40

8Denmark

64

130

Iraq

40

9Poland64

131

Côte d’Ivoire

40

10Czech Republic

64

132

The Comoros

40

11Finland

64

133

Guinea4012Netherlands

64

134

Morocco39

13South Korea

64

135

Gabon

39

14

Belgium

64

136

Liberia38

15

Vietnam

64

137

Chad

37

16

Norway

64

138

Benin

37

17

Singapore

64

139

The Democratic Republic of the Congo

36
35

18

United Arab Emirates

63

140

The Republic of the Congo

19

China

63

141

Sierra Leone

34

20

Latvia63

142*

Afghanistan

26*The Year 3 survey includes 143 countries. Several questions could not be asked in Ukraine due to the ongoing conflict. Because of these missing questions, Gallup could not calculate Ukraine’s
overall Index score and certain dimension scores. Some rankings in this report only include 142 countries.

© 2024 Hologic, Inc. All rights expressly reserved.

The Hologic Global Women’s Health Index | Year 3 Report | Executive Summary

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Scores and Rankings

PREVENTIVE CARE

The global score for Preventive Care was just 19 out of 100 inYear 3. This score has not changed since the first year of theIndex, when many women could not access health testing due toCOVID-19 restrictions.

Testing for Deadly
Diseases is Low

Highest Ranked Countries/Territories

Most women hadn’t been tested for cancer, diabetes,
high blood pressure or STDs/STIs in the past 12 months,
meaning billions of women went untested for potentiallylife-threatening conditions.
HIGH BLOOD PRESSURE

36%Tested

CANCER

Rank

Country/Territory

Score

1

Puerto Rico*

51

2

South Africa

423

Eswatini*

40

4Lesotho*38

5Portugal

38

11%
TestedLowest Ranked Countries/Territories
36% of women were tested for highblood pressure — a major risk factor
for heart disease and stroke.

Just 11% of women say
they were tested for anytype of cancer.

DIABETES

STDs/STIs

19%Tested

10%Rank

Country/Territory

Score

139

Afghanistan

10140

Vietnam

9141

Togo

9142

Benin8143

Ivory Coast8Tested*First appearance in the Index.
Although diabetes is a leading
cause of death for women, only
19% of women were tested.

6

Just 10% of women were tested for
an STD/STI — leaving nearly 2 billion
women of reproductive age at riskof infertility, increased maternal andfetal mortality and deadly diseases.

The Hologic Global Women’s Health Index | Year 3 Report | Executive Summary© 2024 Hologic, Inc. All rights expressly reserved.

EMOTIONAL HEALTH

Scores and Rankings
The global score for Emotional Health was 66 in Year 3 — up from64 in Year 2, but still not as high as Year 1 (68).

Negative Emotions areGetting Worse, with
Notable Gaps Between
Men and Women

Highest Ranked Countries/Territories
Rank

More women are sad, angry and worried now thanthey were three years ago. They are also much more
likely than men to feel these emotions.

39%

Stress30%

Sadness

Women weremore likely thanmen to reportfeeling negativeemotions.

© 2024 Hologic, Inc. All rights expressly reserved.

Score

1Vietnam89

2Kazakhstan

86

3Taiwan, Province of China

86

4Kuwait*84

5Poland

84

42%

WorryAnger

Country/Territory25%

For example, women are

20%

Lowest Ranked Countries/Territories
Rank

Country/Territory

Score

139

Armenia47

140

Sierra Leone

46141

Northern Cyprus*

43142

Iraq

43

143

Afghanistan

38*First appearance in the Index.

more likely than men to say
they experienced sadness alot of the previous day

The Hologic Global Women’s Health Index | Year 3 Report | Executive Summary

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OPINIONS OF HEALTH AND SAFETYMany Women Feel Unsafe
Walking Alone at Night;
Many Dissatisfied withHealthcare
Many women — including more than 4 in 10 young
women aged 15-24 — do not feel safe walking alone
at night. And many women are dissatisfied with theavailability of quality healthcare where they live.

1 in 3

do not feel safe walking alone
at night in their own community– meaning that nearly 1 billion
women feel unsafe.

–8

The global score for Opinions of Health and Safety was 70 in Year3, which is up from 66 in Year 2, but unchanged from Year 1.

Highest Ranked Countries/Territories
RankCountry/Territory

Score

1Kuwait*97

2United Arab Emirates

95

3Singapore

93

4

Tajikistan

90

5Taiwan, Province of China

89

Lowest Ranked Countries/Territories

More thanwomenScores and Rankings

Nearly3 in 10womenare dissatisfied with theavailability of quality
healthcare where they live.

Rank

Country/Territory

Score

138

Peru

37

139

Ecuador

35140

Gabon

33

141

Venezuela

32

142

Afghanistan

22*First appearance in the Index.
Decreased from Year 2 to Year 3+

Increased from Year 2 to Year 3

The Hologic Global Women’s Health Index | Year 3 Report | Executive Summary© 2024 Hologic, Inc. All rights expressly reserved.

BASIC NEEDS

Scores and Rankings

Nearly 1 Billion Women
Still Struggling toAfford FoodAt least three in 10 women worldwide — nearly 1 billion
women — cannot afford the food and shelter that theyor their families need.

36%
Couldn’t
Afford Food

The global score for Basic Needs was 67 in Year 3, which isstatistically unchanged from Years 1 and 2.

Highest Ranked Countries/Territories
Rank

Country/Territory

Score

1

Sweden972Israel96

3

Netherlands

95

4

Taiwan, Province of China

94

5Poland94

Lowest Ranked Countries/Territories

3 in 10women

say there have been times
in the past 12 months when
they were unable to afford
adequate shelter or housing forthemselves or their families.

RankCountry/Territory

Score

139

Kenya

31140

The Democratic Republic of the Congo*

30

141

Niger*

28

142

Benin

27

143

Afghanistan

19*First appearance in the Index.

© 2024 Hologic, Inc. All rights expressly reserved.

The Hologic Global Women’s Health Index | Year 3 Report | Executive Summary

9INDIVIDUAL HEALTH

Scores and Rankings

Physical Pain Is aSignificant Problem
Nearly a billion women – 1 in 3 – say they spent a lotof the previous day in physical pain. And nearly 700
million have health problems that keep them fromdoing normal activities.

The global score for Individual Health was 71 in Year 3, which isunchanged from Year 2, but down from 75 in Year 1.

Highest Ranked Countries/Territories
Rank

Country/Territory

Score

1

Vietnam89

2

Poland873Israel87

4

Kuwait*86

5

Taiwan, Province of China

85

Lowest Ranked Countries/Territories

34%

Experienced
Physical Pain

24%
Have HealthProblems

Rank

Country/Territory

Score

139

Benin

48140

Mauritania

47141Iraq

45142

Sierra Leone

41143

Chad*

39

*First appearance in the Index.

10The Hologic Global Women’s Health Index | Year 3 Report | Executive Summary© 2024 Hologic, Inc. All rights expressly reserved.

Call to Action for
Women’s HealthFindings from the Year 3 Report lead to an inescapable conclusion:
women’s health is in a state of emergency. Even where we’re seeing
improvements, the pace of progress is far too slow.
If we don’t do more, and quickly, far too many women will suffer and die
prematurely. The next generation will be at even greater risk. And any
hope of achieving the Sustainable Development Goals by 2030 will be lost.
To reignite progress in women’s health:• Global leaders must make good on their commitments, including
pledges to include women and girls in decision making.
• Countries must pass strong legislation and commit funding toadvance women’s health and safety.
• Women’s health advocates must engage broader coalitions ofpartners to ensure that women’s health and safety are prioritized
across movements.
If we follow the roadmap set out in this Index, we can meaningfully improvethe health and well-being of all women for generations to come. The dataare clear. Now let’s seize the opportunity.
For the full report, Year 3 data and other resources, please visit
WomensHealthIndex.com.

© 2024 Hologic, Inc. All rights expressly reserved.

The Hologic Global Women’s Health Index | Year 3 Report | Executive Summary

11

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For more information about this research, please visit
WomensHealthIndex.com or contact womenshealthindex@hologic.com© 2024 Hologic, Inc. All rights expressly reserved.
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