Sierra Leone vs Upper middle income: Out-of-pocket expenditure
Sierra Leone
54.5%
in 2023
Upper middle income
31.2%
in 2023
Sierra Leone rank
25th
Upper middle income rank
23rd
Out-of-pocket expenditure over time
- Sierra Leone
- Upper middle income
How they compare
Sierra Leone currently reports 54.5% against 31.2% in Upper middle income, a difference of 23.3%.
That makes Sierra Leone's figure about 1.7 times Upper middle income's.
Across all 24 years both countries report, Sierra Leone has been ahead every year.
Sierra Leone ranks 25th and Upper middle income ranks 23rd of 193 countries.
Sierra Leone has averaged higher in every one of the 3 decades both report.
Head to head by decade
| Decade | Sierra Leone | Upper middle income | Difference | Ahead |
|---|---|---|---|---|
| 2000s | 73.5% | 41.6% | 31.8% | Sierra Leone |
| 2010s | 53.0% | 33.4% | 19.6% | Sierra Leone |
| 2020s | 53.3% | 31.6% | 21.7% | Sierra Leone |
Averages of every year both report within each decade.
Frequently asked questions
- Which has higher out-of-pocket expenditure, Sierra Leone or Upper middle income?
- Sierra Leone, at 54.5% against 31.2% in Upper middle income as of 2023.
- What is the difference in out-of-pocket expenditure between Sierra Leone and Upper middle income?
- 23.3%, with Sierra Leone ahead.
- How many years of comparable data are there for Sierra Leone and Upper middle income?
- 24 years are reported by both, from 2000 to 2023.
- How do Sierra Leone and Upper middle income rank globally for out-of-pocket expenditure?
- Sierra Leone ranks 25th and Upper middle income ranks 23rd of 193 countries.
- Where does this data come from?
- Global Health Expenditure Database, updated December 12th, 2025, World Health Organization (WHO), published as Out-of-pocket expenditure (% of current health expenditure). Statizoid refreshes it automatically from the source and publishes the full history for both places.
Individual pages
About this data
Share of out-of-pocket payments of total current health expenditures. Out-of-pocket payments are spending on health directly out-of-pocket by households.