Proportion of population pushed below the $1.90 ($ 2011 PPP) poverty line by out-of-pocket health care expenditure (%) - Country Ranking - Africa

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

Find indicator:
Rank Country Value Year
1 Angola 5.44 2018
2 Zimbabwe 5.40 2017
3 Togo 4.92 2015
4 Sierra Leone 4.00 2018
5 Uganda 3.13 2016
6 Sudan 2.95 2009
7 Guinea 2.62 2012
8 Niger 2.48 2018
9 Egypt 2.36 2017
10 Côte d'Ivoire 2.25 2014
11 Morocco 2.12 2013
12 Chad 2.11 2011
13 Liberia 1.97 2016
14 Nigeria 1.95 2018
15 Burkina Faso 1.95 2014
16 Cameroon 1.94 2014
17 Mali 1.80 2018
18 Benin 1.62 2015
19 Kenya 1.52 2015
20 Congo 1.38 2011
21 Central African Republic 1.31 2008
22 Mauritania 1.26 2014
23 Senegal 1.21 2011
24 Malawi 1.14 2016
25 Comoros 1.12 2014
26 São Tomé and Principe 1.09 2017
27 Eswatini 1.07 2016
28 Tanzania 1.04 2018
29 Guinea-Bissau 0.90 2010
30 Burundi 0.84 2013
31 Ethiopia 0.83 2015
32 Dem. Rep. Congo 0.83 2012
33 Somalia 0.56 2017
34 Mozambique 0.51 2014
35 Seychelles 0.50 2013
36 Madagascar 0.47 2012
37 Rwanda 0.43 2016
38 Ghana 0.43 2016
39 Gabon 0.31 2017
40 Botswana 0.26 2009
41 South Africa 0.24 2014
42 Cabo Verde 0.14 2007
43 The Gambia 0.12 2015
44 Namibia 0.10 2015
45 Tunisia 0.06 2015
46 Djibouti 0.05 2017
47 Mauritius 0.02 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 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