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

Find indicator:
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