Proportion of population pushed below the $1.90 ($ 2011 PPP) poverty line by out-of-pocket health care expenditure (%) - Country Ranking
Definition: Proportion of population pushed below the $1.90 ($ 2011 PPP) poverty line by out-of-pocket health care expenditure. This indicator shows the fraction of a country's households experiencing impoverishing expenditures, defined as expenditures without which the household would have been above the $ 1.90 poverty line, but because of the expenditures is below the poverty line.
Source: World Health Organization and World Bank. 2019. Global Monitoring Report on Financial Protection in Health 2019.
See also: Thematic map, Time series comparison
| Rank | Country | Value | Year |
|---|---|---|---|
| 1 | Angola | 5.44 | 2018 |
| 2 | Zimbabwe | 5.40 | 2017 |
| 3 | Togo | 4.92 | 2015 |
| 4 | India | 4.71 | 2011 |
| 5 | Afghanistan | 4.44 | 2016 |
| 6 | Yemen | 4.04 | 2014 |
| 7 | Sierra Leone | 4.00 | 2018 |
| 8 | Bangladesh | 3.72 | 2016 |
| 9 | Uganda | 3.13 | 2016 |
| 10 | Sudan | 2.95 | 2009 |
| 11 | Haiti | 2.82 | 2013 |
| 12 | Nicaragua | 2.76 | 2014 |
| 13 | Guinea | 2.62 | 2012 |
| 14 | Niger | 2.48 | 2018 |
| 15 | Egypt | 2.36 | 2017 |
| 16 | Côte d'Ivoire | 2.25 | 2014 |
| 17 | Georgia | 2.16 | 2017 |
| 18 | Morocco | 2.12 | 2013 |
| 19 | Chad | 2.11 | 2011 |
| 20 | Liberia | 1.97 | 2016 |
| 21 | Nigeria | 1.95 | 2018 |
| 22 | Burkina Faso | 1.95 | 2014 |
| 23 | Cameroon | 1.94 | 2014 |
| 24 | Nepal | 1.87 | 2016 |
| 25 | Mali | 1.80 | 2018 |
| 26 | China | 1.69 | 2016 |
| 27 | Benin | 1.62 | 2015 |
| 28 | Kenya | 1.52 | 2015 |
| 29 | Uzbekistan | 1.43 | 2003 |
| 30 | Congo | 1.38 | 2011 |
| 31 | Central African Republic | 1.31 | 2008 |
| 32 | Mauritania | 1.26 | 2014 |
| 33 | Myanmar | 1.22 | 2017 |
| 34 | Senegal | 1.21 | 2011 |
| 35 | Paraguay | 1.18 | 2014 |
| 36 | Bhutan | 1.17 | 2017 |
| 37 | Malawi | 1.14 | 2016 |
| 38 | Comoros | 1.12 | 2014 |
| 39 | São Tomé and Principe | 1.09 | 2017 |
| 40 | Eswatini | 1.07 | 2016 |
| 41 | Tanzania | 1.04 | 2018 |
| 42 | Guinea-Bissau | 0.90 | 2010 |
| 43 | Guatemala | 0.85 | 2014 |
| 44 | Burundi | 0.84 | 2013 |
| 45 | Ethiopia | 0.83 | 2015 |
| 46 | Dem. Rep. Congo | 0.83 | 2012 |
| 47 | Timor-Leste | 0.80 | 2014 |
| 48 | Pakistan | 0.68 | 2015 |
| 49 | Ecuador | 0.65 | 2013 |
| 50 | Jamaica | 0.61 | 2004 |
| 51 | Trinidad and Tobago | 0.60 | 2014 |
| 52 | Lao PDR | 0.58 | 2007 |
| 53 | Somalia | 0.56 | 2017 |
| 54 | Philippines | 0.53 | 2015 |
| 55 | Mozambique | 0.51 | 2014 |
| 56 | Seychelles | 0.50 | 2013 |
| 57 | Madagascar | 0.47 | 2012 |
| 58 | Indonesia | 0.44 | 2017 |
| 59 | Rwanda | 0.43 | 2016 |
| 60 | Ghana | 0.43 | 2016 |
| 61 | Iraq | 0.42 | 2012 |
| 62 | Albania | 0.35 | 2012 |
| 63 | Barbados | 0.34 | 2016 |
| 64 | Argentina | 0.33 | 2004 |
| 65 | Gabon | 0.31 | 2017 |
| 66 | Colombia | 0.27 | 2016 |
| 67 | Botswana | 0.26 | 2009 |
| 68 | South Africa | 0.24 | 2014 |
| 69 | Armenia | 0.22 | 2017 |
| 70 | Canada | 0.20 | 2019 |
| 71 | Brazil | 0.18 | 2017 |
| 72 | North Macedonia | 0.16 | 2006 |
| 73 | Bolivia | 0.14 | 2019 |
| 74 | Cabo Verde | 0.14 | 2007 |
| 75 | Vietnam | 0.14 | 2020 |
| 76 | St. Lucia | 0.13 | 2016 |
| 77 | Iran | 0.13 | 2019 |
| 78 | The Gambia | 0.12 | 2015 |
| 79 | Namibia | 0.10 | 2015 |
| 80 | Sri Lanka | 0.08 | 2016 |
| 81 | Mongolia | 0.08 | 2018 |
| 82 | Cambodia | 0.06 | 2019 |
| 83 | Tunisia | 0.06 | 2015 |
| 84 | Peru | 0.06 | 2019 |
| 85 | Tajikistan | 0.05 | 2018 |
| 86 | Syrian Arab Republic | 0.05 | 2007 |
| 87 | Djibouti | 0.05 | 2017 |
| 88 | El Salvador | 0.03 | 2014 |
| 89 | Serbia | 0.03 | 2015 |
| 90 | Jordan | 0.02 | 2008 |
| 91 | Mexico | 0.02 | 2016 |
| 92 | Turkey | 0.02 | 2016 |
| 93 | Kyrgyz Republic | 0.02 | 2016 |
| 94 | Suriname | 0.02 | 2016 |
| 95 | Lebanon | 0.02 | 1999 |
| 96 | Mauritius | 0.02 | 2017 |
| 97 | Germany | 0.02 | 2010 |
| 98 | Panama | 0.01 | 2017 |
| 99 | Fiji | 0.01 | 2008 |
| 100 | Uruguay | 0.01 | 2016 |
| 101 | Bosnia and Herzegovina | 0.01 | 2015 |
| 102 | Kazakhstan | 0.00 | 2015 |
| 103 | Slovak Republic | 0.00 | 2015 |
| 104 | Lithuania | 0.00 | 2008 |
| 105 | Costa Rica | 0.00 | 2018 |
| 106 | Russia | 0.00 | 2014 |
| 107 | Portugal | 0.00 | 2011 |
| 107 | Slovenia | 0.00 | 2018 |
| 107 | Ukraine | 0.00 | 2019 |
| 107 | Oman | 0.00 | 1999 |
| 107 | Norway | 0.00 | 1998 |
| 107 | Kiribati | 0.00 | 2006 |
| 107 | Malta | 0.00 | 2015 |
| 107 | Cyprus | 0.00 | 2015 |
| 107 | Denmark | 0.00 | 2010 |
| 107 | Belarus | 0.00 | 2016 |
| 107 | Bulgaria | 0.00 | 2018 |
| 107 | Azerbaijan | 0.00 | 2005 |
| 107 | Belgium | 0.00 | 2009 |
| 107 | Greece | 0.00 | 2016 |
| 107 | Croatia | 0.00 | 2010 |
| 107 | Estonia | 0.00 | 2010 |
| 107 | United Kingdom | 0.00 | 2018 |
| 107 | Finland | 0.00 | 2016 |
| 107 | Luxembourg | 0.00 | 2016 |
| 107 | Latvia | 0.00 | 2016 |
| 107 | Montenegro | 0.00 | 2015 |
| 107 | Moldova | 0.00 | 2016 |
| 107 | Malaysia | 0.00 | 2019 |
| 107 | Poland | 0.00 | 2016 |
| 107 | Romania | 0.00 | 2016 |
| 107 | Sweden | 0.00 | 1996 |
| 107 | Thailand | 0.00 | 2019 |
| 107 | United States | 0.00 | 2016 |
| 107 | Australia | 0.00 | 2015 |
| 107 | Austria | 0.00 | 1999 |
| 107 | Chile | 0.00 | 2016 |
| 107 | Dominican Republic | 0.00 | 2018 |
| 107 | Spain | 0.00 | 2019 |
| 107 | Czech Republic | 0.00 | 2010 |
| 107 | Iceland | 0.00 | 1995 |
| 107 | Israel | 0.00 | 2012 |
| 107 | Italy | 0.00 | 2010 |
| 107 | Hungary | 0.00 | 2010 |
| 107 | Ireland | 0.00 | 2009 |
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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 impoverishing at the $1.90 PL (PPP) for a household when consumption gross of out-of-pocket payments is higher than the $1.90 PL, but consumption net of out-of-pocket payments is lower than the 1.90 PL.
Aggregation method: Weighted average
Periodicity: Annual