BACKGROUND Women's health and wellbeing (WHW) forms a multidimensional continuum across the life course, with intersecting power dynamics including socioeconomic and ethnic positioning. The WHW Exemplars project uses robust quantitative approaches to identify best-performing low-income and middle-income countries (LMICs) in improving WHW across the entire life course. METHODS Using the life course approach, we created a list of 32 cross-sectional indicators belonging to nine dimensions based on a conceptual framework to assess progress in WHW. Small population countries (<5 million people), high-income countries, and those among the top ten in the fragility index were excluded. We calculated the average annual rates of change (AARC; 2000-19) for each indicator, which were then standardised around the regional mean for comparability. The standardised values were aggregated into a final score for each country (the lower the score, the worse the country's performance). We assessed the performance of countries from a regression of the aggregated scores and the AARC of gross domestic product. We evaluated the performance of each country relative to regional peers across life course stages and dimensions based on data availability and improved performance. FINDINGS The final standardised score ranged from -11·0 in Costa Rica to 14·8 in Cambodia (measure of dispersion of the standarised score: 1·0 [SD 5·9]). Cambodia, Ethiopia, Peru, and Türkiye ranked highest in the life course and dimension assessment in their regions. After triangulation of results, the best-performing countries in WHW were Bangladesh, Cambodia, and India in south Asia and east Asia and the Pacific; Congo (Brazzaville), Ethiopia, Rwanda, and Sierra Leone in sub-Saharan Africa; Peru, Bolivia, and Colombia in Latin America and the Caribbean; and Morocco, Türkiye, Kazakhstan, and Azerbaijan in Europe and central Asia and the Middle East and north Africa. INTERPRETATION This study quantified the performance of WHW across the life course among LMICs over the past two decades and identified good performers that might be selected as exemplars. The study also highlights low data availability and quality relating to this topic. FUNDING Children's Investment Fund Foundation and Gates Ventures. TRANSLATIONS For the French, Spanish, Portuguese, Chinese and Arabic translations of the abstract see Supplementary Materials section.

中文翻译：

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了解示范国家妇女健康和福祉的进展和挑战：一项确定积极异常值的时间序列研究。


背景 女性健康和福祉 （WHW） 在整个生命历程中形成了一个多维连续体，具有相互交织的权力动态，包括社会经济和种族定位。WHW Exemplars 项目使用稳健的定量方法来确定在改善整个生命历程的 WHW 方面表现最佳的低收入和中等收入国家 （LMIC）。方法 使用生命全程方法，我们根据概念框架创建了一份属于 9 个维度的 32 个横断面指标的列表，以评估 WHW 的进展。人口小国（x3C500 万人）、高收入国家和脆弱性指数前十名的国家被排除在外。我们计算了每个指标的平均年变化率 （AARC;2000-19），然后围绕区域可比性平均值进行标准化。标准化值被汇总为每个国家的最终分数（分数越低，该国的表现越差）。我们从总分和国内生产总值 （GDP） 的 AARC 回归中评估了各国的表现。我们根据数据可用性和改进的表现，评估了每个国家相对于区域同行在生命历程阶段和维度的表现。结果：最终标准化分数范围从哥斯达黎加的 -11·0 到柬埔寨的 14·8（标准分数的离散度测量：1·0 [SD 5·9]）。柬埔寨、埃塞俄比亚、秘鲁和土耳其在其地区的生命历程和维度评估中排名最高。 在对结果进行三角测量后，WHW 中表现最好的国家是南亚和东亚及太平洋地区的孟加拉国、柬埔寨和印度;撒哈拉以南非洲的刚果（布拉柴维尔）、埃塞俄比亚、卢旺达和塞拉利昂;拉丁美洲和加勒比地区的秘鲁、玻利维亚和哥伦比亚;以及欧洲和中亚以及中东和北非的摩洛哥、土耳其、哈萨克斯坦和阿塞拜疆。解释 本研究量化了过去二十年中低收入和中等收入国家在整个生命历程中 WHW 的表现，并确定了可能被选为典范的良好表现者。该研究还强调了与该主题相关的低数据可用性和质量。资助儿童投资基金基金会和 Gates Ventures。翻译 关于摘要的法文、西班牙文、葡萄牙文、中文和阿拉伯文的翻译，见补充材料部分。