Proportion of population pushed below the $3.20 ($ 2011 PPP) poverty line by out-of-pocket health care expenditure (%) - Country Ranking
Definition: Proportion of population pushed below the $3.20 ($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 $3.20 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 | Egypt | 8.02 | 2017 |
| 2 | Bangladesh | 7.02 | 2016 |
| 3 | Nicaragua | 5.06 | 2014 |
| 4 | India | 4.98 | 2011 |
| 5 | Zimbabwe | 4.91 | 2017 |
| 6 | Georgia | 4.69 | 2017 |
| 7 | Afghanistan | 4.55 | 2016 |
| 8 | Yemen | 4.17 | 2014 |
| 9 | Haiti | 4.08 | 2013 |
| 10 | Sudan | 4.07 | 2009 |
| 11 | Morocco | 4.05 | 2013 |
| 12 | Nepal | 3.54 | 2016 |
| 13 | Angola | 3.44 | 2018 |
| 14 | China | 3.36 | 2016 |
| 15 | Myanmar | 3.30 | 2017 |
| 16 | Mauritania | 2.87 | 2014 |
| 17 | Pakistan | 2.79 | 2015 |
| 18 | Uganda | 2.69 | 2016 |
| 19 | Côte d'Ivoire | 2.58 | 2014 |
| 20 | Armenia | 2.43 | 2017 |
| 21 | Togo | 2.42 | 2015 |
| 22 | Sierra Leone | 2.40 | 2018 |
| 23 | Guatemala | 2.14 | 2014 |
| 24 | Comoros | 2.11 | 2014 |
| 25 | Cameroon | 2.05 | 2014 |
| 26 | Paraguay | 1.80 | 2014 |
| 27 | Congo | 1.79 | 2011 |
| 28 | Niger | 1.75 | 2018 |
| 29 | Guinea | 1.60 | 2012 |
| 30 | Ecuador | 1.56 | 2013 |
| 31 | Chad | 1.49 | 2011 |
| 32 | Jamaica | 1.41 | 2004 |
| 33 | Bhutan | 1.37 | 2017 |
| 34 | Senegal | 1.35 | 2011 |
| 35 | Liberia | 1.33 | 2016 |
| 36 | Philippines | 1.33 | 2015 |
| 37 | Cambodia | 1.30 | 2019 |
| 38 | Kenya | 1.29 | 2015 |
| 39 | Ethiopia | 1.25 | 2015 |
| 40 | Iraq | 1.23 | 2012 |
| 41 | Albania | 1.17 | 2012 |
| 42 | Indonesia | 1.10 | 2017 |
| 43 | Benin | 1.10 | 2015 |
| 44 | Lao PDR | 1.09 | 2007 |
| 45 | Nigeria | 1.08 | 2018 |
| 46 | Trinidad and Tobago | 0.98 | 2014 |
| 47 | Mali | 0.97 | 2018 |
| 48 | Gabon | 0.97 | 2017 |
| 49 | Kyrgyz Republic | 0.96 | 2016 |
| 50 | Tanzania | 0.96 | 2018 |
| 51 | Uzbekistan | 0.93 | 2003 |
| 52 | Eswatini | 0.91 | 2016 |
| 53 | Bulgaria | 0.89 | 2018 |
| 54 | São Tomé and Principe | 0.88 | 2017 |
| 55 | Burkina Faso | 0.88 | 2014 |
| 56 | Argentina | 0.87 | 2004 |
| 57 | Syrian Arab Republic | 0.83 | 2007 |
| 58 | Tajikistan | 0.78 | 2018 |
| 59 | Seychelles | 0.77 | 2013 |
| 60 | Mongolia | 0.73 | 2018 |
| 61 | Iran | 0.72 | 2019 |
| 62 | Colombia | 0.72 | 2016 |
| 63 | Sri Lanka | 0.70 | 2016 |
| 64 | Guinea-Bissau | 0.66 | 2010 |
| 65 | Vietnam | 0.62 | 2020 |
| 66 | Cabo Verde | 0.55 | 2007 |
| 67 | Brazil | 0.55 | 2017 |
| 68 | Tunisia | 0.55 | 2015 |
| 69 | Timor-Leste | 0.52 | 2014 |
| 70 | Central African Republic | 0.51 | 2008 |
| 71 | The Gambia | 0.49 | 2015 |
| 72 | Malawi | 0.47 | 2016 |
| 73 | Moldova | 0.47 | 2016 |
| 74 | North Macedonia | 0.43 | 2006 |
| 75 | Romania | 0.43 | 2016 |
| 76 | St. Lucia | 0.42 | 2016 |
| 77 | Montenegro | 0.41 | 2015 |
| 78 | Dem. Rep. Congo | 0.40 | 2012 |
| 79 | Djibouti | 0.35 | 2017 |
| 80 | Suriname | 0.35 | 2016 |
| 81 | Burundi | 0.35 | 2013 |
| 82 | Bolivia | 0.33 | 2019 |
| 83 | Peru | 0.32 | 2019 |
| 84 | Mozambique | 0.32 | 2014 |
| 85 | Ghana | 0.30 | 2016 |
| 86 | Costa Rica | 0.29 | 2018 |
| 87 | Barbados | 0.29 | 2016 |
| 88 | Lebanon | 0.29 | 1999 |
| 89 | Madagascar | 0.28 | 2012 |
| 90 | South Africa | 0.28 | 2014 |
| 91 | Botswana | 0.27 | 2009 |
| 92 | Namibia | 0.26 | 2015 |
| 93 | Latvia | 0.26 | 2016 |
| 94 | Panama | 0.23 | 2017 |
| 95 | Rwanda | 0.22 | 2016 |
| 96 | Canada | 0.20 | 2019 |
| 97 | Malaysia | 0.19 | 2019 |
| 98 | Dominican Republic | 0.16 | 2018 |
| 99 | Turkey | 0.15 | 2016 |
| 100 | Mexico | 0.13 | 2016 |
| 101 | El Salvador | 0.13 | 2014 |
| 102 | Mauritius | 0.12 | 2017 |
| 103 | Jordan | 0.10 | 2008 |
| 104 | Serbia | 0.10 | 2015 |
| 105 | Estonia | 0.08 | 2010 |
| 106 | Lithuania | 0.08 | 2008 |
| 107 | Malta | 0.06 | 2015 |
| 108 | Israel | 0.06 | 2012 |
| 109 | Somalia | 0.05 | 2017 |
| 110 | Kiribati | 0.05 | 2006 |
| 111 | Bosnia and Herzegovina | 0.05 | 2015 |
| 112 | Poland | 0.04 | 2016 |
| 113 | Hungary | 0.03 | 2010 |
| 114 | Slovak Republic | 0.02 | 2015 |
| 115 | Portugal | 0.01 | 2011 |
| 116 | Belarus | 0.01 | 2016 |
| 117 | Germany | 0.01 | 2010 |
| 118 | Kazakhstan | 0.01 | 2015 |
| 119 | Spain | 0.01 | 2019 |
| 120 | Russia | 0.00 | 2014 |
| 121 | United States | 0.00 | 2016 |
| 122 | Ukraine | 0.00 | 2019 |
| 122 | Uruguay | 0.00 | 2016 |
| 122 | Australia | 0.00 | 2015 |
| 122 | Austria | 0.00 | 1999 |
| 122 | Chile | 0.00 | 2016 |
| 122 | Czech Republic | 0.00 | 2010 |
| 122 | Ireland | 0.00 | 2009 |
| 122 | Italy | 0.00 | 2010 |
| 122 | Iceland | 0.00 | 1995 |
| 122 | Luxembourg | 0.00 | 2016 |
| 122 | Sweden | 0.00 | 1996 |
| 122 | Thailand | 0.00 | 2019 |
| 122 | Oman | 0.00 | 1999 |
| 122 | Slovenia | 0.00 | 2018 |
| 122 | Norway | 0.00 | 1998 |
| 122 | Denmark | 0.00 | 2010 |
| 122 | United Kingdom | 0.00 | 2018 |
| 122 | Finland | 0.00 | 2016 |
| 122 | Greece | 0.00 | 2016 |
| 122 | Croatia | 0.00 | 2010 |
| 122 | Azerbaijan | 0.00 | 2005 |
| 122 | Belgium | 0.00 | 2009 |
| 122 | Cyprus | 0.00 | 2015 |
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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 $3.10 PL (PPP) for a household when consumption gross of out-of-pocket payments is higher than the $3.10 PL, but consumption net of out-of-pocket payments is lower than the 3.10 PL.
Aggregation method: Weighted average
Periodicity: Annual