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

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 Zimbabwe 7.03 2017
3 Morocco 6.44 2013
4 Egypt 6.10 2017
5 Nigeria 4.09 2018
6 Uganda 3.77 2016
7 Côte d'Ivoire 3.37 2014
8 Sudan 3.34 2009
9 Sierra Leone 3.04 2018
10 Mauritania 2.95 2014
11 Togo 2.43 2018
12 Tunisia 2.36 2015
13 Mauritius 1.90 2017
14 Cameroon 1.78 2014
15 Comoros 1.64 2014
16 Chad 1.58 2011
17 Lesotho 1.35 2010
18 Seychelles 1.30 2013
19 Eswatini 1.29 2016
20 Kenya 1.27 2015
21 Guinea 1.25 2012
22 Central African Republic 1.22 2008
23 São Tomé and Principe 1.15 2017
24 Liberia 1.13 2016
25 Malawi 1.02 2016
26 Benin 0.98 2015
27 Guinea-Bissau 0.95 2010
28 Niger 0.91 2018
29 Tanzania 0.82 2018
30 Gabon 0.72 2017
31 Congo 0.66 2011
32 Madagascar 0.63 2012
33 Dem. Rep. Congo 0.61 2012
34 Burundi 0.43 2013
35 Burkina Faso 0.42 2014
36 Mozambique 0.40 2014
37 Namibia 0.32 2015
38 Ethiopia 0.27 2015
39 Djibouti 0.26 2017
40 Botswana 0.21 2009
41 Senegal 0.19 2011
42 Rwanda 0.13 2016
43 South Africa 0.12 2014
44 Ghana 0.11 2016
45 Mali 0.09 2018
46 The Gambia 0.03 2015
47 Cabo Verde 0.02 2007
48 Zambia 0.01 2010
49 Somalia 0.00 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 25% threshold when they represent 25% or more of total consumption or income.

Aggregation method: Weighted average

Periodicity: Annual