Proportion of population spending more than 25% of household consumption or income on out-of-pocket health care expenditure (%) - Country Ranking
Definition: Proportion of population spending more than 25% 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 | 12.48 | 2018 |
| 2 | Georgia | 9.74 | 2017 |
| 3 | China | 9.18 | 2016 |
| 4 | Nicaragua | 9.10 | 2014 |
| 5 | Bangladesh | 8.45 | 2016 |
| 6 | Armenia | 7.09 | 2017 |
| 7 | Zimbabwe | 7.03 | 2017 |
| 8 | India | 6.53 | 2017 |
| 9 | Morocco | 6.44 | 2013 |
| 10 | Lebanon | 6.30 | 2012 |
| 11 | Egypt | 6.10 | 2017 |
| 12 | Latvia | 5.70 | 2016 |
| 13 | Afghanistan | 5.61 | 2016 |
| 14 | Albania | 4.95 | 2012 |
| 15 | Cambodia | 4.92 | 2019 |
| 16 | Yemen | 4.16 | 2014 |
| 17 | Nigeria | 4.09 | 2018 |
| 18 | Haiti | 3.98 | 2013 |
| 19 | Barbados | 3.82 | 2016 |
| 20 | Guatemala | 3.78 | 2014 |
| 21 | Uganda | 3.77 | 2016 |
| 22 | Moldova | 3.56 | 2016 |
| 23 | Myanmar | 3.47 | 2017 |
| 24 | Iran | 3.46 | 2019 |
| 25 | Côte d'Ivoire | 3.37 | 2014 |
| 26 | Sudan | 3.34 | 2009 |
| 27 | Portugal | 3.31 | 2011 |
| 28 | Belize | 3.10 | 2018 |
| 29 | Bulgaria | 3.07 | 2018 |
| 30 | Sierra Leone | 3.04 | 2018 |
| 31 | Mauritania | 2.95 | 2014 |
| 32 | Jamaica | 2.88 | 2004 |
| 33 | Korea | 2.87 | 2018 |
| 34 | Malta | 2.75 | 2015 |
| 35 | Lithuania | 2.67 | 2008 |
| 36 | Argentina | 2.54 | 2017 |
| 37 | Ecuador | 2.44 | 2013 |
| 38 | Togo | 2.43 | 2018 |
| 39 | Tunisia | 2.36 | 2015 |
| 40 | Colombia | 2.23 | 2016 |
| 41 | Tajikistan | 2.19 | 2018 |
| 42 | Romania | 2.19 | 2016 |
| 43 | Nepal | 2.10 | 2016 |
| 44 | Chile | 2.09 | 2016 |
| 45 | Paraguay | 1.93 | 2014 |
| 46 | St. Lucia | 1.93 | 2016 |
| 47 | Trinidad and Tobago | 1.93 | 2014 |
| 48 | Mauritius | 1.90 | 2017 |
| 49 | Japan | 1.90 | 2019 |
| 50 | Brazil | 1.88 | 2017 |
| 51 | Uzbekistan | 1.85 | 2003 |
| 52 | Israel | 1.84 | 2012 |
| 53 | Cameroon | 1.78 | 2014 |
| 54 | Bhutan | 1.77 | 2017 |
| 55 | Vietnam | 1.73 | 2020 |
| 56 | Comoros | 1.64 | 2014 |
| 57 | Greece | 1.62 | 2016 |
| 58 | Cyprus | 1.59 | 2015 |
| 59 | Chad | 1.58 | 2011 |
| 60 | Singapore | 1.47 | 2013 |
| 61 | Philippines | 1.41 | 2015 |
| 62 | Syrian Arab Republic | 1.41 | 2007 |
| 63 | Bahrain | 1.40 | 2015 |
| 64 | Belgium | 1.39 | 2009 |
| 65 | Bosnia and Herzegovina | 1.39 | 2015 |
| 66 | Suriname | 1.35 | 2016 |
| 67 | Lesotho | 1.35 | 2010 |
| 68 | Mongolia | 1.33 | 2018 |
| 69 | Poland | 1.32 | 2016 |
| 70 | Seychelles | 1.30 | 2013 |
| 71 | Eswatini | 1.29 | 2016 |
| 72 | Kenya | 1.27 | 2015 |
| 73 | Guinea | 1.25 | 2012 |
| 74 | Central African Republic | 1.22 | 2008 |
| 75 | Estonia | 1.19 | 2010 |
| 76 | Ukraine | 1.15 | 2019 |
| 77 | São Tomé and Principe | 1.15 | 2017 |
| 78 | Peru | 1.14 | 2019 |
| 79 | Liberia | 1.13 | 2016 |
| 80 | Costa Rica | 1.13 | 2018 |
| 81 | Spain | 1.12 | 2019 |
| 82 | Azerbaijan | 1.10 | 2005 |
| 83 | Italy | 1.08 | 2010 |
| 84 | Malawi | 1.02 | 2016 |
| 85 | Benin | 0.98 | 2015 |
| 86 | Guinea-Bissau | 0.95 | 2010 |
| 87 | Dominican Republic | 0.94 | 2018 |
| 88 | Iceland | 0.94 | 1995 |
| 89 | Niger | 0.91 | 2018 |
| 90 | Russia | 0.90 | 2020 |
| 91 | Sri Lanka | 0.90 | 2016 |
| 92 | Indonesia | 0.87 | 2017 |
| 93 | Iraq | 0.87 | 2012 |
| 94 | Tanzania | 0.82 | 2018 |
| 95 | Bolivia | 0.81 | 2019 |
| 96 | Canada | 0.80 | 2019 |
| 97 | Montenegro | 0.78 | 2015 |
| 98 | North Macedonia | 0.78 | 2006 |
| 99 | United States | 0.76 | 2019 |
| 100 | Kyrgyz Republic | 0.72 | 2016 |
| 101 | Gabon | 0.72 | 2017 |
| 102 | Sweden | 0.69 | 1996 |
| 103 | Congo | 0.66 | 2011 |
| 104 | Finland | 0.66 | 2016 |
| 105 | Austria | 0.66 | 1999 |
| 106 | Panama | 0.65 | 2017 |
| 107 | Madagascar | 0.63 | 2012 |
| 108 | Dem. Rep. Congo | 0.61 | 2012 |
| 109 | Belarus | 0.60 | 2020 |
| 110 | Saudi Arabia | 0.58 | 2018 |
| 111 | Timor-Leste | 0.55 | 2014 |
| 112 | Serbia | 0.53 | 2015 |
| 113 | Norway | 0.50 | 1998 |
| 114 | Pakistan | 0.50 | 2015 |
| 115 | Denmark | 0.49 | 2010 |
| 116 | Ireland | 0.48 | 2009 |
| 117 | Burundi | 0.43 | 2013 |
| 118 | Burkina Faso | 0.42 | 2014 |
| 119 | Mozambique | 0.40 | 2014 |
| 120 | Australia | 0.40 | 2015 |
| 121 | United Kingdom | 0.37 | 2018 |
| 122 | Turkey | 0.36 | 2016 |
| 123 | Namibia | 0.32 | 2015 |
| 124 | Slovenia | 0.31 | 2018 |
| 125 | Hungary | 0.31 | 2010 |
| 126 | El Salvador | 0.30 | 2014 |
| 127 | Luxembourg | 0.28 | 2016 |
| 128 | Thailand | 0.27 | 2019 |
| 129 | Ethiopia | 0.27 | 2015 |
| 130 | Lao PDR | 0.26 | 2007 |
| 131 | Djibouti | 0.26 | 2017 |
| 132 | Croatia | 0.26 | 2010 |
| 133 | Jordan | 0.25 | 2008 |
| 134 | Mexico | 0.23 | 2016 |
| 135 | Botswana | 0.21 | 2009 |
| 136 | Senegal | 0.19 | 2011 |
| 137 | Uruguay | 0.17 | 2016 |
| 138 | Rwanda | 0.13 | 2016 |
| 139 | Malaysia | 0.13 | 2019 |
| 140 | South Africa | 0.12 | 2014 |
| 141 | Kazakhstan | 0.12 | 2015 |
| 142 | Ghana | 0.11 | 2016 |
| 143 | Fiji | 0.11 | 2008 |
| 144 | Honduras | 0.10 | 2004 |
| 145 | Oman | 0.10 | 1999 |
| 146 | Germany | 0.10 | 2010 |
| 147 | Mali | 0.09 | 2018 |
| 148 | Czech Republic | 0.05 | 2010 |
| 149 | Slovak Republic | 0.04 | 2015 |
| 150 | The Gambia | 0.03 | 2015 |
| 151 | Cabo Verde | 0.02 | 2007 |
| 152 | Zambia | 0.01 | 2010 |
| 153 | Cayman Islands | 0.01 | 2015 |
| 154 | Somalia | 0.00 | 2017 |
| 154 | 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 25% threshold when they represent 25% or more of total consumption or income.
Aggregation method: Weighted average
Periodicity: Annual