Out-of-pocket expenditure as percentage of current health expenditure in Sierra Leone

Sierra Leone: Out-of-pocket expenditure as percentage of current health expenditure was 54.5% in 2023. ▼ Falling

Latest (2023)
54.5%
Change on year
down 0.8%
World rank
25th
of 194 countries
All-time high
85.7%
in 2000
All-time low
35.0%
in 2014
Years of data
24
2000–2023

Out-of-pocket expenditure as percentage of current health expenditure in Sierra Leone, 2000–2023

0204060802000201120232000: 85.72001: 77.82002: 732003: 78.82004: 72.82005: 70.32006: 67.12007: 72.22008: 71.62009: 65.32010: 56.22011: 60.22012: 67.72013: 62.82014: 352015: 35.62016: 43.72017: 54.52018: 612019: 52.92020: 52.32021: 51.42022: 54.92023: 54.5

Source: World Health Organization, Global Health Observatory.

Analysis

In 2023, out-of-pocket expenditure as percentage of current health expenditure in Sierra Leone stood at 54.5%.

That represents a change of down 0.8% on the previous year and down 13.2% over ten years.

Over the whole period, out-of-pocket expenditure as percentage of current health expenditure in Sierra Leone peaked at 85.7% in 2000 and was at its lowest, 35.0%, in 2014.

Sierra Leone ranks 25th of 194 countries on this measure, in the top quarter.

The long-run direction has been consistently falling across the 24 years of available data.

Out-of-pocket expenditure as percentage of current health expenditure in Sierra Leone, year by year

Annual values for Out-of-pocket expenditure as percentage of current health expenditure (CHE) (%) in Sierra Leone, 2000 to 2023.
Year Value Change
2000 85.7%
2001 77.8% -9.3%
2002 73.0% -6.1%
2003 78.8% +7.9%
2004 72.8% -7.5%
2005 70.3% -3.4%
2006 67.1% -4.6%
2007 72.2% +7.6%
2008 71.6% -0.8%
2009 65.3% -8.7%
2010 56.2% -14.0%
2011 60.2% +7.1%
2012 67.7% +12.4%
2013 62.8% -7.3%
2014 35.0% -44.2%
2015 35.6% +1.6%
2016 43.7% +22.8%
2017 54.5% +24.7%
2018 61.0% +11.9%
2019 52.9% -13.3%
2020 52.3% -1.0%
2021 51.4% -1.8%
2022 54.9% +6.8%
2023 54.5% -0.8%

Sierra Leone compared with similar countries

  • Sierra Leone's 54.5% is above the median for low income countries, which is 45.6%, 1.2× the median. (24 countries reporting)
  • Sierra Leone's 54.5% is above the median for Sub-Saharan Africa, which is 32.4%, 1.7× the median. (48 countries reporting)

Averages by decade

DecadeAverage LowestHighest Years
2000s 73.5% 65.3% 85.7% 10
2010s 53.0% 35.0% 67.7% 10
2020s 53.3% 51.4% 54.9% 4

Countries ranked near Sierra Leone

  1. 22 Guatemala 57.2% compare
  2. 23 Comoros 56.6% compare
  3. 24 Sri Lanka 54.8% compare
  4. 26 Guinea 54.4% compare
  5. 27 Iraq 54.0% compare
  6. 28 Honduras 53.1% compare

See the full ranking of 207 places →

More health data for Sierra Leone

All data for Sierra Leone →

Frequently asked questions

What is out-of-pocket expenditure as percentage of current health expenditure in Sierra Leone?
Out-of-pocket expenditure as percentage of current health expenditure in Sierra Leone was 54.5% in 2023, according to World Health Organization, Global Health Observatory.
What is the highest out-of-pocket expenditure as percentage of current health expenditure recorded in Sierra Leone?
The highest recorded value was 85.7% in 2000.
What is the lowest out-of-pocket expenditure as percentage of current health expenditure recorded in Sierra Leone?
The lowest recorded value was 35.0% in 2014.
How does Sierra Leone rank for out-of-pocket expenditure as percentage of current health expenditure?
Sierra Leone ranks 25th out of 194 countries with data for 2023.
Is out-of-pocket expenditure as percentage of current health expenditure rising or falling in Sierra Leone?
Over the last ten years it is down 13.2%. The long-run trend across the full record is falling.
Where does this Sierra Leone data come from?
The figures come from World Health Organization, Global Health Observatory, published as part of Out-of-pocket expenditure as percentage of current health expenditure (CHE) (%). Statizoid updates them automatically from the source API.

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Out-of-pocket expenditure as percentage of current health expenditure in Sierra Leone. Statizoid, drawing on World Health Organization, Global Health Observatory. Retrieved 18 September 2026, from https://health.statizoid.com/stat/out-of-pocket-expenditure-as-percentage-of-current-health-expenditure-che-percent/sierra-leone/

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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