Proportion of population pushed below the $3.20 ($ 2011 PPP) poverty line by out-of-pocket health care expenditure (%) - Country Ranking - Africa

Definition: Proportion of population pushed below the $3.20 ($2011 PPP) poverty line by out-of-pocket health care expenditure. This indicator shows the fraction of a country's households experiencing impoverishing expenditures, defined as expenditures without which the household would have been above the $3.20 poverty line, but because of the expenditures is below the poverty line.

Source: World Health Organization and World Bank. 2019. Global Monitoring Report on Financial Protection in Health 2019.

See also: Thematic map, Time series comparison

Find indicator:
Rank Country Value Year
1 Egypt 8.02 2017
2 Zimbabwe 4.91 2017
3 Sudan 4.07 2009
4 Morocco 4.05 2013
5 Angola 3.44 2018
6 Mauritania 2.87 2014
7 Uganda 2.69 2016
8 Côte d'Ivoire 2.58 2014
9 Togo 2.42 2015
10 Sierra Leone 2.40 2018
11 Comoros 2.11 2014
12 Cameroon 2.05 2014
13 Congo 1.79 2011
14 Niger 1.75 2018
15 Guinea 1.60 2012
16 Chad 1.49 2011
17 Senegal 1.35 2011
18 Liberia 1.33 2016
19 Kenya 1.29 2015
20 Ethiopia 1.25 2015
21 Benin 1.10 2015
22 Nigeria 1.08 2018
23 Mali 0.97 2018
24 Gabon 0.97 2017
25 Tanzania 0.96 2018
26 Eswatini 0.91 2016
27 São Tomé and Principe 0.88 2017
28 Burkina Faso 0.88 2014
29 Seychelles 0.77 2013
30 Guinea-Bissau 0.66 2010
31 Cabo Verde 0.55 2007
32 Tunisia 0.55 2015
33 Central African Republic 0.51 2008
34 The Gambia 0.49 2015
35 Malawi 0.47 2016
36 Dem. Rep. Congo 0.40 2012
37 Djibouti 0.35 2017
38 Burundi 0.35 2013
39 Mozambique 0.32 2014
40 Ghana 0.30 2016
41 Madagascar 0.28 2012
42 South Africa 0.28 2014
43 Botswana 0.27 2009
44 Namibia 0.26 2015
45 Rwanda 0.22 2016
46 Mauritius 0.12 2017
47 Somalia 0.05 2017

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Development Relevance: Universal Health Coverage (UHC) is about ensuring that all people can access the health services they need – without facing financial hardship – is key to improving the well-being of a country’s population. UHC is also an investment in human capital and a foundational driver of inclusive and sustainable economic growth and development. UHC is a target associated with the Sustainable Development Goals (target 3.8), and it relates directly to Goal 3 (Ensure healthy lives and promote well-being for all at all ages) and to Goal 1 (End poverty in all its forms everywhere).

Statistical Concept and Methodology: Out-of-pocket payments are those made by people at the time of getting any type of service (preventive, curative, rehabilitative, palliative or long-term care) provided by any type of provider. They include cost-sharing (the part not covered by a third party like an insurer) and informal payments, but they exclude insurance premiums. Out-of-pocket payments exclude any reimbursement by a third party, such as the government, a health insurance fund or a private insurance company. Out-of-pocket payments are impoverishing at the $3.10 PL (PPP) for a household when consumption gross of out-of-pocket payments is higher than the $3.10 PL, but consumption net of out-of-pocket payments is lower than the 3.10 PL.

Aggregation method: Weighted average

Periodicity: Annual