Methodology · Research Coverage Index

Measuring what the record leaves out.

The Research Coverage Index is a 0–25 framework for scoring how well a country's published evidence base represents midlife women's health. It measures the evidence, not the women.

01 · Definition

What RCI measures.

RCI measures the coverage and usefulness of the existing evidence base. It does not measure the health of women in the country directly.

The score asks a single question: if a clinician, policymaker, funder, or researcher wanted to understand midlife women's health in this country, how complete, representative, and actionable is the available evidence?

That distinction matters. A low score is a statement about the published record — not about the women it fails to describe, and not about the clinicians working without it.

02 · Structure

Five dimensions, each scored 0–5.

DimensionQuestionEvidence examples
Epidemiological coverage
Are there reliable prevalence and symptom data for midlife women?
Population studies, age-stratified datasets, symptom prevalence
Methodological rigour
Are studies designed in a replicable and clinically useful way?
Sampling frame, validated instruments, longitudinal follow-up
Diversity and equity coverage
Are underrepresented groups visible in the evidence?
Ethnicity, language, geography, rurality, class, Indigenous and minority groups
Clinical translation
Does evidence connect to care pathways?
Guidelines, MHT access, clinician training, referral pathways
Public and policy visibility
Does the issue appear in public health, workplace, or policy discourse?
Public education, government guidance, employer programmes, media literacy

Each dimension is scored 0–5. Total possible score: 25.

03 · Interpretation

Reading a score.

Higher scores reflect evidence that is population-representative, methodologically rigorous, inclusive of relevant subgroups, clinically translated, and visible in policy. Lower scores reflect evidence that is sparse, narrowly sampled, dated, or not yet locally adapted — for example, cohorts representing only a small share of the midlife female population, symptom instruments not yet validated in the national language, or guidelines overdue for revision.

Because the index scores evidence coverage rather than outcomes, it is independent of health status and clinical capability. It identifies where additional data, validation, and translation would add the most value. Every score is reported with the underlying coverage facts that produce it, so it is transparent and replicable.

Severe evidence absence — barely mapped0–5
Critically under-researched6–10
Under-researched or unevenly researched11–15
Moderate to strong coverage with important gaps16–20
High-evidence comparator country21–25
04 · Process

How a country brief is built.

01Desk review of published literature and public sources.
02Preliminary RCI score.
03Country clinician review.
04Revision of score rationale.
05Country brief publication or internal feasibility memo.
06Decision on whether fieldwork is justified, ethical, and operationally plausible.

A score is never final on desk research alone. Local-language sources and country clinician review routinely change both the number and its rationale.

05 · Limits

What RCI does not claim.

Diagnose patients.
Rank countries by women's health outcomes.
Replace local clinical judgement.
Prove fieldwork is feasible.
Confirm partner readiness.

RCI gives DFV a disciplined basis to choose countries, explain evidence gaps, and compare published research coverage across Asia Pacific without defaulting to anecdote or opportunistic travel. It also serves as a translation tool: funders and clinicians can understand where the evidence gap is most severe before a full field study exists.

06 · Independence

Research independence.

Standing policy

Data.Faces.Voices. accepts support for public translation, education, and storytelling. Research independence is non-negotiable. Sponsors do not influence protocol, participant access, data, analysis, findings, or publication decisions.

Research protocol, participant recruitment, consent, data, analysis, publication conclusions, and country selection remain independent of any funding relationship.

Next

Where the index has been applied.