SeraSeal Global Hemorrhage Preparedness Index

The Hemorrhage Preparedness Index evaluates each nation across seven clinical and infrastructure dimensions that determine a country's capacity to prevent death from uncontrolled bleeding. Each dimension is scored from 0 to 100, where higher scores indicate greater need for durable solutions. The overall GAP Score is the average of all seven dimension scores, producing a single composite measure of hemorrhage preparedness for each nation.

The Seven Dimensions

1. HOSPITAL & EMERGENCY ACCESS — Availability and proximity of surgical and emergency facilities relative to population.
2. BLOOD SUPPLY INDEX — Adequacy of blood banking, collection, and distribution infrastructure.
3. MATERNAL HEMORRHAGE RISK — Prevalence of maternal hemorrhage as a cause of maternal death, weighted by MMR.
4. FIRST RESPONDER COVERAGE — Ratio of trained emergency medical personnel to population.
5. TRAUMA RESPONSE WINDOW — Average time from injury to definitive surgical intervention.
6. OR COST BURDEN — Financial burden of surgical care relative to national income, affecting access.
7. CONFLICT / DISASTER EXPOSURE — Presence of active armed conflict, displacement, or recurring natural disaster.

How the GAP Score Is Calculated

Each dimension is scored independently on a 0–100 scale based on publicly available data from WHO, World Bank, UNICEF, and peer-reviewed literature. A score of 0 indicates full capacity; a score of 100 indicates critical deficiency. The GAP Score is the unweighted arithmetic mean of all seven dimension scores, rounded to the nearest whole number.

Score Bands

• Critical (90–100) — Severe systemic deficiency across most dimensions. Immediate need.
• Severe (70–89) — Major gaps in multiple dimensions. High unmet need.
• Significant (50–69) — Meaningful deficiencies that affect outcomes. Moderate unmet need.
• Moderate (30–49) — Some gaps exist but baseline infrastructure is present.
• Elevated (0–29) — Generally adequate preparedness with localized or minor gaps.

Disclaimer

This Index is provided for informational and educational purposes only. It is not a clinical recommendation and does not constitute medical advice. Scores are derived from publicly available data sources and are subject to the limitations inherent in those sources. Wortham Laboratories welcomes commentary, corrections, and dialogue from any nation, institution, or individual regarding the results presented here. Please contact us through our inquiry form.