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

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 Uganda 1.51 2016
4 Togo 1.43 2006
5 Nigeria 1.43 2012
6 Mali 1.22 2016
7 Eswatini 1.18 2009
8 Burkina Faso 1.12 2014
9 Chad 1.07 2003
10 Guinea-Bissau 1.06 2002
11 Dem. Rep. Congo 1.04 2012
12 Kenya 0.97 2015
13 Niger 0.96 2011
14 Ethiopia 0.95 2015
15 Burundi 0.90 2013
16 Guinea 0.87 2012
17 Côte d'Ivoire 0.81 2015
18 Angola 0.77 2008
19 Malawi 0.73 2016
20 Lesotho 0.66 2010
21 Senegal 0.65 2011
22 Congo 0.62 2011
23 Cameroon 0.61 2014
24 Tanzania 0.50 2011
25 The Gambia 0.47 2003
26 Rwanda 0.41 2016
27 Madagascar 0.40 2010
28 Mauritania 0.36 2008
29 São Tomé and Principe 0.34 2000
30 Botswana 0.28 2009
31 Mozambique 0.25 2008
32 Djibouti 0.22 2002
33 South Africa 0.17 2010
34 Morocco 0.14 2006
35 Zimbabwe 0.12 2007
36 Gabon 0.11 2005
37 Zambia 0.08 2010
38 Ghana 0.07 2012
39 Cabo Verde 0.05 2007
40 Egypt 0.02 2012
41 Tunisia 0.01 2015
42 Mauritius 0.00 2012

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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