Increase in poverty gap at $3.20 ($ 2011 PPP) poverty line due to out-of-pocket health care expenditure (% of poverty line) - Country Ranking - Africa

Definition: Increase in poverty gap at $3.20 ($ 2011 PPP) poverty line due to out-of-pocket health care expenditure, as a percentage of the $3.20 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 8.67 2011
2 Nigeria 2.35 2012
3 Benin 2.24 2011
4 Uganda 2.19 2016
5 Togo 1.63 2006
6 Côte d'Ivoire 1.50 2015
7 Niger 1.49 2011
8 Mali 1.45 2016
9 Angola 1.44 2008
10 Guinea 1.36 2012
11 Guinea-Bissau 1.24 2002
12 Eswatini 1.22 2009
13 Burkina Faso 1.22 2014
14 Kenya 1.14 2015
15 Cameroon 1.14 2014
16 Chad 1.11 2003
17 Senegal 0.99 2011
18 Malawi 0.92 2016
19 Congo 0.91 2011
20 Dem. Rep. Congo 0.86 2012
21 São Tomé and Principe 0.85 2000
22 Ethiopia 0.79 2015
23 Morocco 0.78 2006
24 Burundi 0.78 2013
25 Mauritania 0.75 2008
26 Tanzania 0.69 2011
27 Lesotho 0.53 2010
28 The Gambia 0.49 2003
29 Djibouti 0.48 2002
30 Rwanda 0.41 2016
31 Gabon 0.37 2005
32 Madagascar 0.35 2010
33 South Africa 0.32 2010
34 Botswana 0.27 2009
35 Mozambique 0.23 2008
36 Ghana 0.20 2012
37 Egypt 0.20 2012
38 Cabo Verde 0.16 2007
39 Tunisia 0.15 2015
40 Zimbabwe 0.09 2007
41 Zambia 0.09 2010
42 Mauritius 0.06 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