Definition: Proportion of population spending more than 25% of household consumption or income on out-of-pocket health care expenditure, expressed as a percentage of a total population of a country
Description: The map below shows how Proportion of population spending more than 25% of household consumption or income on out-of-pocket health care expenditure (%) varies by country. The shade of the country corresponds to the magnitude of the indicator. The darker the shade, the higher the value. The country with the highest value in the world is Chile, with a value of 11.52. The country with the lowest value in the world is Timor-Leste, with a value of 0.00.
Source: Wagstaff et al. Progress on catastrophic health spending: results for 133 countries. A retrospective observational study, Lancet Global Health 2017
Development Relevance: Universal Health Coverage is a Sustainable Development Goal, and the prevalence of catastrophic out-of-pocket health expenditure is an indicator (3.8.2)
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 25% threshold when they represent 25% or more of total consumption or income
Aggregation method: Weighted Average