Households with out-of-pocket payments greater than 40% of capacity to pay for health care (food, housing and utilities approach - developed by WHO/Europe) (%, national) by country

Countries reporting
26
Highest
19.2%
Bulgaria
Lowest
0.8%
Slovenia
Median
8.3%
Years covered
22
2000–2021
Data points
297

What the numbers show

Households with out-of-pocket payments greater than 40% of capacity to pay for health care (food, housing and utilities approach - developed by WHO/Europe) (%, national) is currently reported for 26 countries. The highest value is 19.2% in Bulgaria; the lowest is 0.8% in Slovenia.

The median across all reporting countries is 8.3%, and the mean is 8.6%.

The gap between the highest and lowest reporting country is a factor of about 23.

Over the past decade 16 countries rose and 10 fell. The largest increase was in Spain (up 95.6%), and the largest decrease in Croatia (down 38.1%).

Households with out-of-pocket payments greater than 40% of capacity: full country ranking

#Country LatestYear 10-year changeTrend
1 Bulgaria 19.2% 2018 up 7.7% rising
2 Georgia 17.4% 2018 up 31.2% rising
3 Ukraine 17.1% 2021 up 40.1% rising
4 Armenia 17.1% 2021 down 1.2% rising
5 Latvia 15.0% 2016 up 60.0% rising
6 Kyrgyzstan 12.8% 2014 up 27.2% falling
7 Serbia 12.2% 2019 down 11.1% falling
8 Hungary 11.6% 2015 up 72.9% rising
9 Moldova 11.2% 2021 down 25.2% falling
10 Greece 10.6% 2020 up 48.4% rising
11 Italy 9.9% 2020 up 66.7% rising
12 Montenegro 9.4% 2017 down 29.9% falling
13 Poland 9.4% 2021 down 1.2% falling
14 Estonia 7.2% 2020 up 2.7% falling
15 North Macedonia 6.5% 2018 down 25.0% falling
16 Israel 5.7% 2019 up 8.4% flat
17 Belgium 5.2% 2020 up 9.7% rising
18 Slovakia 5.1% 2015 up 4.8% falling
19 Turkey 4.3% 2018 down 22.2% falling
20 Luxembourg 3.9% 2020 up 19.4% flat
21 Croatia 3.6% 2019 down 38.1% falling
22 Spain 2.9% 2020 up 95.6% rising
23 Switzerland 2.7% 2017 down 16.2% falling
24 Sweden 1.6% 2015 up 1.1% falling
25 United Kingdom 1.5% 2019 up 12.0% rising
26 Slovenia 0.8% 2018 down 3.4% rising

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Households with out-of-pocket payments greater than 40% of capacity by country. Statizoid, drawing on World Health Organization, Global Health Observatory. Retrieved 18 September 2026, from https://health.statizoid.com/stat/households-with-out-of-pocket-payments-greater-than-40-percent-of-capacity-to-pay-for/

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About this data

Indicator
Households with out-of-pocket payments greater than 40% of capacity to pay for health care (food, housing and utilities approach - developed by WHO/Europe) (%, national)
Source
World Health Organization, Global Health Observatory
Licence
CC BY-NC-SA 3.0 IGO (WHO)
Coverage
26 places, 297 data points, 2000–2021
Last refreshed