Proportion of population spending more than 10% of household consumption or income on out-of-pocket health care expenditure (%) - Country Ranking
Definition: Proportion of population spending more than 10% of household consumption or income on out-of-pocket health care expenditure.
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 | 35.53 | 2018 |
| 2 | Georgia | 31.21 | 2017 |
| 3 | Egypt | 31.14 | 2017 |
| 4 | Lebanon | 26.60 | 2012 |
| 5 | Nicaragua | 24.73 | 2014 |
| 6 | Bangladesh | 24.42 | 2016 |
| 7 | China | 23.98 | 2016 |
| 8 | Afghanistan | 23.84 | 2016 |
| 9 | Latvia | 21.41 | 2016 |
| 10 | Bulgaria | 21.28 | 2018 |
| 11 | Armenia | 20.98 | 2017 |
| 12 | Morocco | 20.54 | 2013 |
| 13 | Moldova | 18.68 | 2016 |
| 14 | Portugal | 18.38 | 2011 |
| 15 | Sudan | 18.36 | 2009 |
| 16 | Cambodia | 17.86 | 2019 |
| 17 | India | 17.32 | 2017 |
| 18 | Greece | 16.89 | 2016 |
| 19 | Tunisia | 16.74 | 2015 |
| 20 | Albania | 16.72 | 2012 |
| 21 | Sierra Leone | 16.40 | 2018 |
| 22 | Barbados | 16.37 | 2016 |
| 23 | Malta | 15.94 | 2015 |
| 24 | Yemen | 15.83 | 2014 |
| 25 | Nigeria | 15.79 | 2018 |
| 26 | Iran | 15.35 | 2019 |
| 27 | Uganda | 15.27 | 2016 |
| 28 | Cyprus | 14.74 | 2015 |
| 29 | Chile | 14.61 | 2016 |
| 30 | Poland | 14.11 | 2016 |
| 31 | Belarus | 13.50 | 2020 |
| 32 | Romania | 13.42 | 2016 |
| 33 | Togo | 13.38 | 2018 |
| 34 | Lithuania | 12.85 | 2008 |
| 35 | Myanmar | 12.71 | 2017 |
| 36 | Côte d'Ivoire | 12.43 | 2014 |
| 37 | Korea | 11.96 | 2018 |
| 38 | Zimbabwe | 11.82 | 2017 |
| 39 | Brazil | 11.81 | 2017 |
| 40 | Mauritania | 11.66 | 2014 |
| 41 | Haiti | 11.54 | 2013 |
| 42 | Guatemala | 11.45 | 2014 |
| 43 | Belgium | 11.45 | 2009 |
| 44 | Cameroon | 10.71 | 2014 |
| 45 | Nepal | 10.66 | 2016 |
| 46 | Israel | 10.65 | 2012 |
| 47 | Japan | 10.50 | 2019 |
| 48 | Ecuador | 10.31 | 2013 |
| 49 | Montenegro | 10.27 | 2015 |
| 50 | Tajikistan | 10.25 | 2018 |
| 51 | Jamaica | 10.20 | 2004 |
| 52 | Argentina | 9.57 | 2017 |
| 53 | Italy | 9.29 | 2010 |
| 54 | Singapore | 9.01 | 2013 |
| 55 | Comoros | 8.81 | 2014 |
| 56 | Estonia | 8.79 | 2010 |
| 57 | Chad | 8.69 | 2011 |
| 58 | Vietnam | 8.46 | 2020 |
| 59 | Peru | 8.40 | 2019 |
| 60 | Ukraine | 8.32 | 2019 |
| 61 | Mauritius | 8.20 | 2017 |
| 62 | Colombia | 8.19 | 2016 |
| 63 | Bosnia and Herzegovina | 8.18 | 2015 |
| 64 | Dominican Republic | 8.17 | 2018 |
| 65 | Azerbaijan | 8.12 | 2005 |
| 66 | Serbia | 8.05 | 2015 |
| 67 | Spain | 7.87 | 2019 |
| 68 | North Macedonia | 7.84 | 2006 |
| 69 | Russia | 7.70 | 2020 |
| 70 | Costa Rica | 7.41 | 2018 |
| 71 | Hungary | 7.38 | 2010 |
| 72 | Mongolia | 7.19 | 2018 |
| 73 | Paraguay | 7.10 | 2014 |
| 74 | Iceland | 6.99 | 1995 |
| 75 | Guinea | 6.97 | 2012 |
| 76 | Syrian Arab Republic | 6.88 | 2007 |
| 77 | Liberia | 6.75 | 2016 |
| 78 | Central African Republic | 6.75 | 2008 |
| 79 | Finland | 6.72 | 2016 |
| 80 | Uzbekistan | 6.66 | 2003 |
| 81 | St. Lucia | 6.56 | 2016 |
| 82 | Niger | 6.52 | 2018 |
| 83 | Philippines | 6.31 | 2015 |
| 84 | Guinea-Bissau | 6.26 | 2010 |
| 85 | Panama | 6.20 | 2017 |
| 86 | Belize | 6.20 | 2018 |
| 87 | Ireland | 5.59 | 2009 |
| 88 | Benin | 5.54 | 2015 |
| 89 | Sweden | 5.53 | 1996 |
| 90 | Sri Lanka | 5.44 | 2016 |
| 91 | Norway | 5.09 | 1998 |
| 92 | Kenya | 5.05 | 2015 |
| 93 | Eswatini | 5.00 | 2016 |
| 94 | Bahrain | 4.88 | 2015 |
| 95 | Suriname | 4.87 | 2016 |
| 96 | São Tomé and Principe | 4.83 | 2017 |
| 97 | Dem. Rep. Congo | 4.82 | 2012 |
| 98 | Congo | 4.58 | 2011 |
| 99 | Bolivia | 4.56 | 2019 |
| 100 | Indonesia | 4.52 | 2017 |
| 101 | Lesotho | 4.51 | 2010 |
| 102 | Pakistan | 4.47 | 2015 |
| 103 | Malawi | 4.38 | 2016 |
| 104 | Austria | 4.31 | 1999 |
| 105 | United States | 4.31 | 2019 |
| 106 | Tanzania | 4.30 | 2018 |
| 107 | Bhutan | 3.98 | 2017 |
| 108 | Trinidad and Tobago | 3.88 | 2014 |
| 109 | Gabon | 3.83 | 2017 |
| 110 | Iraq | 3.70 | 2012 |
| 111 | Slovenia | 3.69 | 2018 |
| 112 | Luxembourg | 3.52 | 2016 |
| 113 | Canada | 3.50 | 2019 |
| 114 | Kyrgyz Republic | 3.47 | 2016 |
| 115 | Senegal | 3.33 | 2011 |
| 116 | Burundi | 3.29 | 2013 |
| 117 | Turkey | 3.19 | 2016 |
| 118 | Burkina Faso | 3.13 | 2014 |
| 119 | Lao PDR | 2.98 | 2007 |
| 120 | Denmark | 2.93 | 2010 |
| 121 | Madagascar | 2.87 | 2012 |
| 122 | Croatia | 2.80 | 2010 |
| 123 | Slovak Republic | 2.65 | 2015 |
| 124 | Timor-Leste | 2.61 | 2014 |
| 125 | Seychelles | 2.56 | 2013 |
| 126 | Kazakhstan | 2.54 | 2015 |
| 127 | Australia | 2.47 | 2015 |
| 128 | Uruguay | 2.34 | 2016 |
| 129 | United Kingdom | 2.27 | 2018 |
| 130 | Czech Republic | 2.22 | 2010 |
| 131 | Ethiopia | 2.12 | 2015 |
| 132 | Mali | 2.06 | 2018 |
| 133 | Cabo Verde | 2.05 | 2007 |
| 134 | Thailand | 1.87 | 2019 |
| 135 | Jordan | 1.72 | 2008 |
| 136 | El Salvador | 1.69 | 2014 |
| 137 | Mozambique | 1.61 | 2014 |
| 138 | Mexico | 1.55 | 2016 |
| 139 | Germany | 1.53 | 2010 |
| 140 | Malaysia | 1.52 | 2019 |
| 141 | Namibia | 1.52 | 2015 |
| 142 | Djibouti | 1.47 | 2017 |
| 143 | Ghana | 1.33 | 2016 |
| 144 | Saudi Arabia | 1.31 | 2018 |
| 145 | Rwanda | 1.15 | 2016 |
| 146 | Honduras | 1.14 | 2004 |
| 147 | South Africa | 1.03 | 2014 |
| 148 | Botswana | 1.00 | 2009 |
| 149 | Fiji | 0.78 | 2008 |
| 150 | Oman | 0.63 | 1999 |
| 151 | United Arab Emirates | 0.44 | 2019 |
| 152 | Zambia | 0.29 | 2010 |
| 153 | The Gambia | 0.20 | 2015 |
| 154 | Somalia | 0.13 | 2017 |
| 155 | Cayman Islands | 0.03 | 2015 |
| 156 | Kiribati | 0.00 | 2006 |
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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 defined as catastrophic at the 10% threshold when they represent 10% or more of total consumption or income.
Aggregation method: Weighted average
Periodicity: Annual