Proportion of population spending more than 25% of household consumption or income on out-of-pocket health care expenditure (%) - Country Ranking

Definition: Proportion of population spending more than 25% 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 12.48 2018
2 Georgia 9.74 2017
3 China 9.18 2016
4 Nicaragua 9.10 2014
5 Bangladesh 8.45 2016
6 Armenia 7.09 2017
7 Zimbabwe 7.03 2017
8 India 6.53 2017
9 Morocco 6.44 2013
10 Lebanon 6.30 2012
11 Egypt 6.10 2017
12 Latvia 5.70 2016
13 Afghanistan 5.61 2016
14 Albania 4.95 2012
15 Cambodia 4.92 2019
16 Yemen 4.16 2014
17 Nigeria 4.09 2018
18 Haiti 3.98 2013
19 Barbados 3.82 2016
20 Guatemala 3.78 2014
21 Uganda 3.77 2016
22 Moldova 3.56 2016
23 Myanmar 3.47 2017
24 Iran 3.46 2019
25 Côte d'Ivoire 3.37 2014
26 Sudan 3.34 2009
27 Portugal 3.31 2011
28 Belize 3.10 2018
29 Bulgaria 3.07 2018
30 Sierra Leone 3.04 2018
31 Mauritania 2.95 2014
32 Jamaica 2.88 2004
33 Korea 2.87 2018
34 Malta 2.75 2015
35 Lithuania 2.67 2008
36 Argentina 2.54 2017
37 Ecuador 2.44 2013
38 Togo 2.43 2018
39 Tunisia 2.36 2015
40 Colombia 2.23 2016
41 Tajikistan 2.19 2018
42 Romania 2.19 2016
43 Nepal 2.10 2016
44 Chile 2.09 2016
45 Paraguay 1.93 2014
46 St. Lucia 1.93 2016
47 Trinidad and Tobago 1.93 2014
48 Mauritius 1.90 2017
49 Japan 1.90 2019
50 Brazil 1.88 2017
51 Uzbekistan 1.85 2003
52 Israel 1.84 2012
53 Cameroon 1.78 2014
54 Bhutan 1.77 2017
55 Vietnam 1.73 2020
56 Comoros 1.64 2014
57 Greece 1.62 2016
58 Cyprus 1.59 2015
59 Chad 1.58 2011
60 Singapore 1.47 2013
61 Philippines 1.41 2015
62 Syrian Arab Republic 1.41 2007
63 Bahrain 1.40 2015
64 Belgium 1.39 2009
65 Bosnia and Herzegovina 1.39 2015
66 Suriname 1.35 2016
67 Lesotho 1.35 2010
68 Mongolia 1.33 2018
69 Poland 1.32 2016
70 Seychelles 1.30 2013
71 Eswatini 1.29 2016
72 Kenya 1.27 2015
73 Guinea 1.25 2012
74 Central African Republic 1.22 2008
75 Estonia 1.19 2010
76 Ukraine 1.15 2019
77 São Tomé and Principe 1.15 2017
78 Peru 1.14 2019
79 Liberia 1.13 2016
80 Costa Rica 1.13 2018
81 Spain 1.12 2019
82 Azerbaijan 1.10 2005
83 Italy 1.08 2010
84 Malawi 1.02 2016
85 Benin 0.98 2015
86 Guinea-Bissau 0.95 2010
87 Dominican Republic 0.94 2018
88 Iceland 0.94 1995
89 Niger 0.91 2018
90 Russia 0.90 2020
91 Sri Lanka 0.90 2016
92 Indonesia 0.87 2017
93 Iraq 0.87 2012
94 Tanzania 0.82 2018
95 Bolivia 0.81 2019
96 Canada 0.80 2019
97 Montenegro 0.78 2015
98 North Macedonia 0.78 2006
99 United States 0.76 2019
100 Kyrgyz Republic 0.72 2016
101 Gabon 0.72 2017
102 Sweden 0.69 1996
103 Congo 0.66 2011
104 Finland 0.66 2016
105 Austria 0.66 1999
106 Panama 0.65 2017
107 Madagascar 0.63 2012
108 Dem. Rep. Congo 0.61 2012
109 Belarus 0.60 2020
110 Saudi Arabia 0.58 2018
111 Timor-Leste 0.55 2014
112 Serbia 0.53 2015
113 Norway 0.50 1998
114 Pakistan 0.50 2015
115 Denmark 0.49 2010
116 Ireland 0.48 2009
117 Burundi 0.43 2013
118 Burkina Faso 0.42 2014
119 Mozambique 0.40 2014
120 Australia 0.40 2015
121 United Kingdom 0.37 2018
122 Turkey 0.36 2016
123 Namibia 0.32 2015
124 Slovenia 0.31 2018
125 Hungary 0.31 2010
126 El Salvador 0.30 2014
127 Luxembourg 0.28 2016
128 Thailand 0.27 2019
129 Ethiopia 0.27 2015
130 Lao PDR 0.26 2007
131 Djibouti 0.26 2017
132 Croatia 0.26 2010
133 Jordan 0.25 2008
134 Mexico 0.23 2016
135 Botswana 0.21 2009
136 Senegal 0.19 2011
137 Uruguay 0.17 2016
138 Rwanda 0.13 2016
139 Malaysia 0.13 2019
140 South Africa 0.12 2014
141 Kazakhstan 0.12 2015
142 Ghana 0.11 2016
143 Fiji 0.11 2008
144 Honduras 0.10 2004
145 Oman 0.10 1999
146 Germany 0.10 2010
147 Mali 0.09 2018
148 Czech Republic 0.05 2010
149 Slovak Republic 0.04 2015
150 The Gambia 0.03 2015
151 Cabo Verde 0.02 2007
152 Zambia 0.01 2010
153 Cayman Islands 0.01 2015
154 Somalia 0.00 2017
154 Kiribati 0.00 2006

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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 25% threshold when they represent 25% or more of total consumption or income.

Aggregation method: Weighted average

Periodicity: Annual