Statizoid

Out-of-pocket expenditure as percentage of current health expenditure (CHE) (%) by country

Countries reporting
194
Highest
80.5%
Armenia
Lowest
0.0%
Tuvalu
Median
27.6%
Years covered
24
2000–2023
Data points
4,876

What the numbers show

Out-of-pocket expenditure as percentage of current health expenditure (CHE) (%) is currently reported for 194 countries. The highest value is 80.5% in Armenia; the lowest is 0.0% in Tuvalu.

The median across all reporting countries is 27.6%, and the mean is 30.4%.

The gap between the highest and lowest reporting country is a factor of about 1,805.

Over the past decade 71 countries rose and 123 fell. The largest increase was in Kiribati (up 429.4%), and the largest decrease in Tuvalu (down 99.1%).

Out-of-pocket expenditure as percentage of current health expenditure: full country ranking

#Country LatestYear 10-year changeTrend
1 Armenia 80.5% 2023 down 2.9% rising
2 Bangladesh 79.3% 2023 up 13.9% rising
3 Turkmenistan 77.4% 2023 up 15.8% rising
4 Afghanistan 77.1% 2023 up 7.1% falling
5 Syrian Arab Republic 72.4% 2023 up 61.8% flat
6 Myanmar 71.1% 2023 down 1.5% falling
7 Nigeria 70.9% 2023 up 0.0% rising
8 Yemen 69.1% 2023 down 7.3% rising
9 Cameroon 67.7% 2023 down 3.0% falling
10 Equatorial Guinea 66.0% 2023 up 4.4% rising
11 Azerbaijan 64.6% 2023 down 2.4% flat
12 Togo 64.3% 2023 up 11.2% falling
13 Uzbekistan 64.1% 2023 up 14.3% flat
14 Liberia 63.2% 2023 up 57.8% falling
15 Tajikistan 62.4% 2023 up 0.7% falling
16 Guinea-Bissau 61.6% 2023 down 4.3% rising
17 Cambodia 60.6% 2023 up 1.0% flat
18 Nepal 59.4% 2023 down 6.5% rising
19 Georgia 58.8% 2023 down 15.2% falling
20 Sudan 57.4% 2023 down 23.3% flat
21 Egypt 57.2% 2023 down 1.3% falling
22 Guatemala 57.2% 2023 up 4.7% falling
23 Comoros 56.6% 2023 down 16.8% falling
24 Sri Lanka 54.8% 2023 up 12.0% rising
25 Sierra Leone 54.5% 2023 down 13.2% falling
26 Guinea 54.4% 2023 down 12.1% falling
27 Iraq 54.0% 2023 down 7.8% rising
28 Honduras 53.1% 2023 up 7.7% rising
29 Pakistan 52.9% 2023 down 15.6% falling
30 Haiti 52.4% 2023 up 44.6% flat
31 Chad 51.7% 2023 down 11.9% rising
32 Niger 51.5% 2023 down 9.0% falling
33 Barbados 49.5% 2023 up 22.4% rising
34 Mongolia 48.8% 2023 up 31.5% rising
35 Grenada 48.5% 2023 down 12.1% flat
36 Eritrea 48.4% 2023 down 0.7% rising
37 Albania 48.3% 2023 down 16.4% rising
38 Mali 47.2% 2023 up 35.5% falling
39 Ethiopia 46.3% 2023 up 9.1% rising
40 Ukraine 45.3% 2021 down 2.2% rising
41 Trinidad and Tobago 45.3% 2023 up 4.9% falling
42 Mauritius 45.2% 2023 down 14.9% falling
43 Central African Republic 45.0% 2023 down 0.5% flat
44 Algeria 45.0% 2023 up 53.7% rising
45 Lao People's Democratic Republic 44.8% 2023 down 7.9% falling
46 Philippines 44.4% 2023 down 23.0% falling
47 Senegal 44.3% 2023 down 19.8% falling
48 India 43.9% 2023 down 36.5% falling
49 Burkina Faso 43.8% 2023 up 30.7% falling
50 Mauritania 43.8% 2023 down 12.8% falling
51 Iran, Islamic Republic of 43.1% 2023 down 9.9% falling
52 Benin 42.4% 2023 down 0.4% flat
53 Kyrgyzstan 42.3% 2023 down 8.9% falling
54 Palestine, State of 42.1% 2023 down 1.5% flat
55 Saint Kitts and Nevis 41.8% 2023 down 25.9% falling
56 Mexico 41.2% 2023 up 3.4% falling
57 Panama 40.5% 2023 up 25.3% rising
58 North Macedonia 39.6% 2023 up 17.4% falling
59 Viet Nam 39.2% 2023 down 5.7% rising
60 Congo, Democratic Republic of the 38.0% 2023 down 3.6% falling
61 Tunisia 37.9% 2023 down 2.9% falling
62 Nicaragua 37.6% 2023 up 2.0% falling
63 Morocco 37.3% 2023 down 27.9% falling
64 Saint Lucia 37.1% 2023 down 27.6% falling
65 Malaysia 37.1% 2023 up 10.2% flat
66 Paraguay 36.3% 2023 down 23.5% falling
67 Bulgaria 35.5% 2023 down 15.2% falling
68 Latvia 35.1% 2023 down 8.9% falling
69 Chile 34.6% 2023 up 2.8% falling
70 Jordan 34.5% 2023 up 55.7% falling
71 Greece 34.3% 2023 up 1.7% falling
72 Gambia 33.8% 2023 up 61.6% rising
73 Angola 32.5% 2023 up 52.4% falling
74 El Salvador 32.5% 2023 down 13.1% falling
75 China 32.2% 2023 down 15.7% falling
76 Uganda 32.2% 2023 down 24.3% falling
77 Serbia 32.1% 2023 down 15.1% rising
78 Côte d'Ivoire 32.0% 2023 down 43.0% falling
79 Korea 31.8% 2023 down 17.0% falling
80 Indonesia 31.1% 2023 down 38.9% falling
81 Lithuania 31.0% 2023 down 5.5% rising
82 Bosnia and Herzegovina 31.0% 2023 up 6.5% falling
83 Malta 30.9% 2023 up 2.3% rising
84 Ecuador 30.9% 2023 down 14.1% falling
85 Somalia 30.8% 2023 down 19.5% flat
86 Lebanon 29.7% 2023 down 19.6% falling
87 Venezuela, Bolivarian Republic of 29.7% 2023 down 19.6% falling
88 Dominica 29.3% 2023 down 17.1% falling
89 Portugal 29.3% 2023 up 1.8% rising
90 Djibouti 28.8% 2023 up 19.9% falling
91 Bahrain 28.7% 2023 up 6.5% flat
92 Belarus 28.5% 2023 down 15.7% rising
93 Russian Federation 28.4% 2023 down 18.5% flat
94 Congo 28.0% 2023 down 8.7% falling
95 Seychelles 28.0% 2023 up 46.6% rising
96 Tanzania, United Republic of 27.9% 2023 up 15.9% falling
97 Kazakhstan 27.6% 2023 up 6.5% falling
98 Bahamas 27.5% 2023 down 1.6% falling
99 Republic of Moldova 27.5% 2023 down 35.5% falling
100 Madagascar 27.4% 2023 down 22.9% falling
101 Bolivia, Plurinational State of 27.3% 2023 down 19.7% falling
102 South Sudan 27.1% 2023 up 41.4% rising
103 Peru 27.0% 2023 down 23.5% falling
104 Belize 26.8% 2023 up 5.6% falling
105 Ghana 26.7% 2023 down 31.4% falling
106 Saint Vincent and the Grenadines 26.6% 2023 down 17.3% falling
107 Montenegro 26.3% 2023 down 37.4% falling
108 Guyana 26.3% 2023 down 30.6% falling
109 Brazil 26.2% 2023 down 6.9% falling
110 Cape Verde 25.7% 2023 up 6.1% rising
111 Bhutan 25.5% 2023 up 25.3% rising
112 Singapore 25.4% 2023 down 29.8% falling
113 Dominican Republic 25.1% 2023 down 22.2% falling
114 Burundi 24.5% 2023 up 17.4% falling
115 Argentina 24.5% 2023 down 7.4% falling
116 Kenya 24.2% 2023 down 24.5% falling
117 Costa Rica 24.1% 2023 up 3.9% falling
118 Italy 23.6% 2023 up 4.0% flat
119 Hungary 23.1% 2023 down 18.7% falling
120 Romania 23.0% 2023 up 13.8% rising
121 Estonia 22.1% 2023 down 6.4% rising
122 Switzerland 22.0% 2023 down 3.3% falling
123 Belgium 21.5% 2023 up 4.7% flat
124 Spain 20.9% 2023 down 14.0% falling
125 Antigua and Barbuda 20.8% 2023 down 22.3% falling
126 Israel 20.5% 2023 down 9.6% falling
127 Jamaica 20.2% 2023 down 44.6% falling
128 Slovakia 20.2% 2023 down 13.6% rising
129 Liechtenstein 19.7% 2023 up 2.4% falling
130 Libya 19.2% 2023 down 27.8% falling
131 Türkiye 19.0% 2023 up 12.5% falling
132 Maldives 18.0% 2023 down 44.1% falling
133 Cyprus 17.9% 2023 down 57.9% falling
134 Gabon 17.3% 2023 down 39.6% falling
135 Uruguay 17.1% 2023 down 3.4% falling
136 Sao Tome and Principe 16.7% 2023 up 17.0% falling
137 Cuba 16.6% 2023 up 35.1% falling
138 Austria 16.5% 2023 down 15.9% falling
139 Australia 15.8% 2023 down 18.8% falling
140 Poland 15.8% 2023 down 33.0% falling
141 Canada 15.2% 2023 up 4.4% falling
142 Iceland 14.7% 2023 down 19.1% falling
143 Colombia 14.6% 2023 down 14.7% flat
144 United Kingdom of Great Britain and Northern Ireland 14.6% 2023 down 7.2% falling
145 Czechia 14.6% 2023 up 1.8% rising
146 Saudi Arabia 14.1% 2023 down 1.7% falling
147 Finland 14.1% 2023 down 20.8% falling
148 Denmark 14.0% 2023 up 4.7% falling
149 Norway 13.7% 2023 down 6.2% falling
150 Samoa 13.4% 2023 up 21.2% falling
151 Lesotho 13.2% 2023 down 5.3% falling
152 San Marino 13.1% 2023 up 19.7% falling
153 Sweden 13.0% 2023 down 13.2% falling
154 New Zealand 12.6% 2023 up 6.2% falling
155 Slovenia 12.4% 2023 down 0.5% flat
156 Japan 12.2% 2023 down 3.7% falling
157 Palau 12.1% 2023 down 24.4% falling
158 Netherlands 12.0% 2023 up 4.3% rising
159 Malawi 12.0% 2023 up 79.0% falling
160 Ireland 11.3% 2023 down 17.9% flat
161 Andorra 11.1% 2023 down 16.5% falling
162 Germany 11.1% 2023 down 12.9% falling
163 Eswatini 11.0% 2023 up 4.6% falling
164 United States of America 10.9% 2023 down 11.0% falling
165 Zimbabwe 10.6% 2023 down 64.3% volatile
166 Mozambique 10.4% 2023 up 29.4% volatile
167 Zambia 10.3% 2023 down 12.1% volatile
168 Kuwait 10.0% 2023 down 30.9% falling
169 Thailand 9.9% 2023 down 20.8% falling
170 United Arab Emirates 9.7% 2023 down 43.7% falling
171 Croatia 9.4% 2023 up 6.2% falling
172 France 9.3% 2023 down 9.0% rising
173 Luxembourg 8.8% 2023 down 21.7% falling
174 Papua New Guinea 8.6% 2023 up 30.2% rising
175 Monaco 8.5% 2023 up 46.8% rising
176 Vanuatu 8.4% 2023 up 15.8% falling
177 Fiji 8.3% 2023 down 63.1% rising
178 Namibia 7.5% 2023 down 15.7% rising
179 Qatar 7.4% 2023 up 7.5% volatile
180 Brunei Darussalam 7.4% 2023 down 21.2% falling
181 Timor-Leste 7.0% 2023 up 0.4% volatile
182 South Africa 6.7% 2023 down 12.1% falling
183 Oman 6.3% 2023 down 9.5% falling
184 Tonga 5.9% 2023 down 33.8% falling
185 Botswana 4.3% 2023 up 12.5% falling
186 Rwanda 4.1% 2023 down 66.7% falling
187 Cook Islands 3.7% 2023 down 8.1% falling
188 Solomon Islands 3.2% 2023 down 0.6% flat
189 Kiribati 2.9% 2023 up 429.4% volatile
190 Micronesia, Federated States of 2.6% 2023 down 5.3% falling
191 Marshall Islands 1.1% 2023 down 31.9% falling
192 Naoero 0.7% 2023 down 32.1% volatile
193 Niue 0.4% 2023 down 67.6% falling
194 Tuvalu 0.0% 2023 down 99.1% volatile

Regions and income groups

Aggregates are excluded from the country ranking above so that a region can never outrank a country.

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Out-of-pocket expenditure as percentage of current health expenditure by country. Statizoid, drawing on World Health Organization, Global Health Observatory. Retrieved 17 September 2026, from https://health.statizoid.com/stat/out-of-pocket-expenditure-as-percentage-of-current-health-expenditure-che-percent/

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About this data

Indicator
Out-of-pocket expenditure as percentage of current health expenditure (CHE) (%)
Source
World Health Organization, Global Health Observatory
Licence
CC BY-NC-SA 3.0 IGO (WHO)
Coverage
207 places, 4,876 data points, 2000–2023
Last refreshed