Proportion of population spending more than 10% of household consumption or income on out-of-pocket health care expenditure (%) - Country Ranking - Africa
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 | Egypt | 31.14 | 2017 |
| 3 | Morocco | 20.54 | 2013 |
| 4 | Sudan | 18.36 | 2009 |
| 5 | Tunisia | 16.74 | 2015 |
| 6 | Sierra Leone | 16.40 | 2018 |
| 7 | Nigeria | 15.79 | 2018 |
| 8 | Uganda | 15.27 | 2016 |
| 9 | Togo | 13.38 | 2018 |
| 10 | Côte d'Ivoire | 12.43 | 2014 |
| 11 | Zimbabwe | 11.82 | 2017 |
| 12 | Mauritania | 11.66 | 2014 |
| 13 | Cameroon | 10.71 | 2014 |
| 14 | Comoros | 8.81 | 2014 |
| 15 | Chad | 8.69 | 2011 |
| 16 | Mauritius | 8.20 | 2017 |
| 17 | Guinea | 6.97 | 2012 |
| 18 | Liberia | 6.75 | 2016 |
| 19 | Central African Republic | 6.75 | 2008 |
| 20 | Niger | 6.52 | 2018 |
| 21 | Guinea-Bissau | 6.26 | 2010 |
| 22 | Benin | 5.54 | 2015 |
| 23 | Kenya | 5.05 | 2015 |
| 24 | Eswatini | 5.00 | 2016 |
| 25 | São Tomé and Principe | 4.83 | 2017 |
| 26 | Dem. Rep. Congo | 4.82 | 2012 |
| 27 | Congo | 4.58 | 2011 |
| 28 | Lesotho | 4.51 | 2010 |
| 29 | Malawi | 4.38 | 2016 |
| 30 | Tanzania | 4.30 | 2018 |
| 31 | Gabon | 3.83 | 2017 |
| 32 | Senegal | 3.33 | 2011 |
| 33 | Burundi | 3.29 | 2013 |
| 34 | Burkina Faso | 3.13 | 2014 |
| 35 | Madagascar | 2.87 | 2012 |
| 36 | Seychelles | 2.56 | 2013 |
| 37 | Ethiopia | 2.12 | 2015 |
| 38 | Mali | 2.06 | 2018 |
| 39 | Cabo Verde | 2.05 | 2007 |
| 40 | Mozambique | 1.61 | 2014 |
| 41 | Namibia | 1.52 | 2015 |
| 42 | Djibouti | 1.47 | 2017 |
| 43 | Ghana | 1.33 | 2016 |
| 44 | Rwanda | 1.15 | 2016 |
| 45 | South Africa | 1.03 | 2014 |
| 46 | Botswana | 1.00 | 2009 |
| 47 | Zambia | 0.29 | 2010 |
| 48 | The Gambia | 0.20 | 2015 |
| 49 | Somalia | 0.13 | 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 defined as catastrophic at the 10% threshold when they represent 10% or more of total consumption or income.
Aggregation method: Weighted average
Periodicity: Annual