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
| 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