Proportion of population spending more than 10% of household consumption or income on out-of-pocket health care expenditure (%) - Country Ranking - Africa

Definition: Proportion of population spending more than 10% of household consumption or income on out-of-pocket health care expenditure.

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 Angola 35.53 2018
2 Egypt 31.14 2017
3 Morocco 20.54 2013
4 Sudan 18.36 2009
5 Tunisia 16.74 2015
6 Sierra Leone 16.40 2018
7 Nigeria 15.79 2018
8 Uganda 15.27 2016
9 Togo 13.38 2018
10 Côte d'Ivoire 12.43 2014
11 Zimbabwe 11.82 2017
12 Mauritania 11.66 2014
13 Cameroon 10.71 2014
14 Comoros 8.81 2014
15 Chad 8.69 2011
16 Mauritius 8.20 2017
17 Guinea 6.97 2012
18 Liberia 6.75 2016
19 Central African Republic 6.75 2008
20 Niger 6.52 2018
21 Guinea-Bissau 6.26 2010
22 Benin 5.54 2015
23 Kenya 5.05 2015
24 Eswatini 5.00 2016
25 São Tomé and Principe 4.83 2017
26 Dem. Rep. Congo 4.82 2012
27 Congo 4.58 2011
28 Lesotho 4.51 2010
29 Malawi 4.38 2016
30 Tanzania 4.30 2018
31 Gabon 3.83 2017
32 Senegal 3.33 2011
33 Burundi 3.29 2013
34 Burkina Faso 3.13 2014
35 Madagascar 2.87 2012
36 Seychelles 2.56 2013
37 Ethiopia 2.12 2015
38 Mali 2.06 2018
39 Cabo Verde 2.05 2007
40 Mozambique 1.61 2014
41 Namibia 1.52 2015
42 Djibouti 1.47 2017
43 Ghana 1.33 2016
44 Rwanda 1.15 2016
45 South Africa 1.03 2014
46 Botswana 1.00 2009
47 Zambia 0.29 2010
48 The Gambia 0.20 2015
49 Somalia 0.13 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 defined as catastrophic at the 10% threshold when they represent 10% or more of total consumption or income.

Aggregation method: Weighted average

Periodicity: Annual