Proportion of population spending more than 25% of household consumption or income on out-of-pocket health care expenditure (%) - Country Ranking - Africa
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 | Zimbabwe | 7.03 | 2017 |
| 3 | Morocco | 6.44 | 2013 |
| 4 | Egypt | 6.10 | 2017 |
| 5 | Nigeria | 4.09 | 2018 |
| 6 | Uganda | 3.77 | 2016 |
| 7 | Côte d'Ivoire | 3.37 | 2014 |
| 8 | Sudan | 3.34 | 2009 |
| 9 | Sierra Leone | 3.04 | 2018 |
| 10 | Mauritania | 2.95 | 2014 |
| 11 | Togo | 2.43 | 2018 |
| 12 | Tunisia | 2.36 | 2015 |
| 13 | Mauritius | 1.90 | 2017 |
| 14 | Cameroon | 1.78 | 2014 |
| 15 | Comoros | 1.64 | 2014 |
| 16 | Chad | 1.58 | 2011 |
| 17 | Lesotho | 1.35 | 2010 |
| 18 | Seychelles | 1.30 | 2013 |
| 19 | Eswatini | 1.29 | 2016 |
| 20 | Kenya | 1.27 | 2015 |
| 21 | Guinea | 1.25 | 2012 |
| 22 | Central African Republic | 1.22 | 2008 |
| 23 | São Tomé and Principe | 1.15 | 2017 |
| 24 | Liberia | 1.13 | 2016 |
| 25 | Malawi | 1.02 | 2016 |
| 26 | Benin | 0.98 | 2015 |
| 27 | Guinea-Bissau | 0.95 | 2010 |
| 28 | Niger | 0.91 | 2018 |
| 29 | Tanzania | 0.82 | 2018 |
| 30 | Gabon | 0.72 | 2017 |
| 31 | Congo | 0.66 | 2011 |
| 32 | Madagascar | 0.63 | 2012 |
| 33 | Dem. Rep. Congo | 0.61 | 2012 |
| 34 | Burundi | 0.43 | 2013 |
| 35 | Burkina Faso | 0.42 | 2014 |
| 36 | Mozambique | 0.40 | 2014 |
| 37 | Namibia | 0.32 | 2015 |
| 38 | Ethiopia | 0.27 | 2015 |
| 39 | Djibouti | 0.26 | 2017 |
| 40 | Botswana | 0.21 | 2009 |
| 41 | Senegal | 0.19 | 2011 |
| 42 | Rwanda | 0.13 | 2016 |
| 43 | South Africa | 0.12 | 2014 |
| 44 | Ghana | 0.11 | 2016 |
| 45 | Mali | 0.09 | 2018 |
| 46 | The Gambia | 0.03 | 2015 |
| 47 | Cabo Verde | 0.02 | 2007 |
| 48 | Zambia | 0.01 | 2010 |
| 49 | Somalia | 0.00 | 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 25% threshold when they represent 25% or more of total consumption or income.
Aggregation method: Weighted average
Periodicity: Annual