Increase in poverty gap at $1.90 ($ 2011 PPP) poverty line due to out-of-pocket health care expenditure (% of poverty line) - Country Ranking

Definition: Increase in poverty gap at $1.90 ($ 2011 PPP) poverty line due to out-of-pocket health care expenditure, as a percentage of the $1.90 poverty line. The poverty gap increase due to out-of-pocket health spending is one way to measure how much out-of-pocket health spending pushes people below or further below the poverty line (the difference in the poverty gap due to out-of-pocket health spending being included or excluded from the measure of household welfare). This difference corresponds to the total out-of-pocket health spending for households that are already below the poverty line, to the amount that exceeds the shortfall between the poverty line and total consumption for households that are impoverished by out-of-pocket health spending and to zero for households whose consumption is above the poverty line after accounting for out-of-pocket health spending.

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 Sierra Leone 8.19 2011
2 Benin 3.06 2011
3 Bangladesh 2.69 2016
4 Afghanistan 1.94 2013
5 Uganda 1.51 2016
6 Yemen 1.50 2014
7 Cambodia 1.48 2009
8 Togo 1.43 2006
9 Nigeria 1.43 2012
10 Mali 1.22 2016
11 Eswatini 1.18 2009
12 Georgia 1.15 2013
13 India 1.12 2011
14 Burkina Faso 1.12 2014
15 Chad 1.07 2003
16 Guinea-Bissau 1.06 2002
17 Dem. Rep. Congo 1.04 2012
18 Kenya 0.97 2015
19 Niger 0.96 2011
20 Ethiopia 0.95 2015
21 Uzbekistan 0.94 2003
22 Burundi 0.90 2013
23 Guinea 0.87 2012
24 Côte d'Ivoire 0.81 2015
25 Angola 0.77 2008
26 Malawi 0.73 2016
27 Tajikistan 0.73 2009
28 Paraguay 0.69 2014
29 Lesotho 0.66 2010
30 Senegal 0.65 2011
31 Congo 0.62 2011
32 Cameroon 0.61 2014
33 Nepal 0.54 2014
34 Trinidad and Tobago 0.52 2005
35 Tanzania 0.50 2011
36 The Gambia 0.47 2003
37 Rwanda 0.41 2016
38 Madagascar 0.40 2010
39 Brazil 0.39 2008
40 China 0.38 2013
41 Mauritania 0.36 2008
42 São Tomé and Principe 0.34 2000
43 Ecuador 0.34 2013
44 Botswana 0.28 2009
45 Mozambique 0.25 2008
46 Djibouti 0.22 2002
47 Nicaragua 0.20 2014
48 Fiji 0.19 2002
49 South Africa 0.17 2010
50 Guyana 0.15 1993
51 Myanmar 0.14 2015
52 Morocco 0.14 2006
53 Dominican Republic 0.14 2007
54 Jamaica 0.13 2004
55 Zimbabwe 0.12 2007
56 Philippines 0.12 2015
57 Pakistan 0.12 2015
58 Gabon 0.11 2005
59 Iraq 0.11 2012
60 Barbados 0.10 2016
61 Japan 0.10 2015
62 Armenia 0.10 2013
63 Colombia 0.09 2016
64 Lao PDR 0.09 2007
65 Zambia 0.08 2010
66 Ghana 0.07 2012
67 Albania 0.06 2012
68 Canada 0.06 2010
69 Argentina 0.06 2004
70 Vietnam 0.05 2016
71 Indonesia 0.05 2015
72 Bolivia 0.05 2015
73 Cabo Verde 0.05 2007
74 North Macedonia 0.05 2008
75 Mongolia 0.05 2014
76 France 0.03 2010
77 Egypt 0.02 2012
78 Jordan 0.02 2002
79 Latvia 0.02 2009
80 Guatemala 0.02 2014
81 Costa Rica 0.02 2012
82 Syrian Arab Republic 0.01 2007
83 Germany 0.01 2010
84 Tunisia 0.01 2015
85 Kyrgyz Republic 0.01 2016
86 Malaysia 0.01 2004
87 Mexico 0.01 2016
88 Sri Lanka 0.01 2016
89 El Salvador 0.01 2014
90 Peru 0.01 2018
91 Uruguay 0.01 2005
92 Iran 0.00 2013
93 Bhutan 0.00 2017
94 Lebanon 0.00 1999
95 Mauritius 0.00 2012
96 Serbia 0.00 2015
97 Turkey 0.00 2016
98 Estonia 0.00 2007
99 Montenegro 0.00 2015
100 Suriname 0.00 2016
101 Bulgaria 0.00 2010
102 Russia 0.00 2014
103 Bosnia and Herzegovina 0.00 2015
104 Korea 0.00 2015
105 Timor-Leste 0.00 2011
106 Panama 0.00 2007
107 Kazakhstan 0.00 2015
108 Thailand 0.00 2017
109 Moldova 0.00 2016
110 Czech Republic 0.00 2010
110 Chile 0.00 2016
110 Hungary 0.00 2010
110 Cyprus 0.00 2010
110 Finland 0.00 2010
110 United Kingdom 0.00 2013
110 Poland 0.00 2016
110 Denmark 0.00 2010
110 Slovak Republic 0.00 2010
110 Ukraine 0.00 2014
110 Azerbaijan 0.00 2005
110 Belgium 0.00 2010
110 Norway 0.00 1998
110 Portugal 0.00 2010
110 Australia 0.00 2010
110 The Bahamas 0.00 2013
110 Spain 0.00 2010
110 Romania 0.00 2016
110 Luxembourg 0.00 2010
110 Austria 0.00 1999
110 Israel 0.00 2012
110 Italy 0.00 2010
110 Belarus 0.00 2016
110 Croatia 0.00 2010
110 Malta 0.00 2010
110 Sweden 0.00 1996
110 Ireland 0.00 2010
110 Iceland 0.00 1995
110 United States 0.00 2013
110 Switzerland 0.00 2004
110 Slovenia 0.00 2012
110 Greece 0.00 2016
110 Lithuania 0.00 2010

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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. This series measures the poverty gap increase attributable to OOP health expenditures. This amount can be interpreted as the per capita amount by which on average OOP spending pushes or further pushes the household below the PL. It is defined as the difference between the poverty gap based on a measure of consumption net of OOP health expenditures and a measure of consumption gross of OOP health expenditures. The difference is expressed as a percentage of the PL.

Aggregation method: Weighted average

Periodicity: Annual