Proportion of population pushed below the 50% median consumption poverty line by out-of-pocket health care expenditure (%)
Definition: Proportion of population pushed below the 50% median consumption poverty line by out-of-pocket health care expenditure, expressed as a percentage of a total population of a country
Description: The map below shows how Proportion of population pushed below the 50% median consumption poverty line by out-of-pocket health care expenditure (%) varies by country. The shade of the country corresponds to the magnitude of the indicator. The darker the shade, the higher the value. The country with the highest value in the world is Lebanon, with a value of 5.27. The country with the lowest value in the world is Zambia, with a value of 0.00.
Source: Wagstaff et al. Progress on Impoverishing Health Spending: Results for 122 Countries. A Retrospective Observational Study, Lancet Global Health 2017
Development Relevance: Universal Health Coverage is a Sustainable Development Goal. Impoverishment falls directly under the financial protection aspect of the SDGs, but also concerns the first goal which is to end poverty
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 relative PL for a household when consumption gross of out-of-pocket payments is higher than the relative PL, but consumption net of out-of-pocket payments is lower than the relative PL. The relative poverty line used is define as 50% of the median consumption/income
Aggregation method: Weighted Average