Out-of-pocket expenditure as percentage of current health expenditure in South Africa

South Africa: Out-of-pocket expenditure as percentage of current health expenditure was 6.7% in 2023. ▼ Falling

Latest (2023)
6.7%
Change on year
down 0.4%
World rank
182nd
of 194 countries
All-time high
14.5%
in 2000
All-time low
5.7%
in 2014
Years of data
24
2000–2023

Out-of-pocket expenditure as percentage of current health expenditure in South Africa, 2000–2023

0510152000201120232000: 14.52001: 14.12002: 13.62003: 12.32004: 11.82005: 11.32006: 10.62007: 9.72008: 8.82009: 8.12010: 82011: 7.82012: 7.72013: 7.62014: 5.72015: 5.72016: 5.82017: 5.82018: 5.82019: 5.72020: 6.42021: 6.62022: 6.72023: 6.7

Source: World Health Organization, Global Health Observatory.

Analysis

The most recent figure for out-of-pocket expenditure as percentage of current health expenditure in South Africa is 6.7%, measured in 2023.

That represents a change of down 0.4% on the previous year and down 12.1% over ten years.

Over the whole period, out-of-pocket expenditure as percentage of current health expenditure in South Africa peaked at 14.5% in 2000 and was at its lowest, 5.7%, in 2014.

That places South Africa 182nd out of 194 countries with data for 2023, putting it in the bottom 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 South Africa, year by year

Annual values for Out-of-pocket expenditure as percentage of current health expenditure (CHE) (%) in South Africa, 2000 to 2023.
Year Value Change
2000 14.5%
2001 14.1% -2.3%
2002 13.6% -4.0%
2003 12.3% -9.1%
2004 11.8% -3.9%
2005 11.3% -4.5%
2006 10.6% -6.5%
2007 9.7% -8.3%
2008 8.8% -8.9%
2009 8.1% -8.3%
2010 8.0% -1.4%
2011 7.8% -3.1%
2012 7.7% -0.4%
2013 7.6% -1.5%
2014 5.7% -25.6%
2015 5.7% +1.3%
2016 5.8% +0.9%
2017 5.8% +0.8%
2018 5.8% +0.2%
2019 5.7% -1.8%
2020 6.4% +12.0%
2021 6.6% +2.8%
2022 6.7% +1.6%
2023 6.7% -0.4%

South Africa compared with similar countries

  • South Africa's 6.7% is below the median for upper middle income countries, which is 30.9%, 22% of the median. (57 countries reporting)
  • South Africa's 6.7% is below the median for Sub-Saharan Africa, which is 32.4%, 21% of the median. (48 countries reporting)

Biggest year-on-year movements

Years where Out-of-pocket expenditure as percentage of current health expenditure in South Africa changed far more than this series normally does. A large move can be a real event or a change in how the figure was measured — the source note below says who published it.

YearChange FromTo
2014 -25.6% 7.6% 5.7%

Averages by decade

DecadeAverage LowestHighest Years
2000s 11.5% 8.1% 14.5% 10
2010s 6.6% 5.7% 8.0% 10
2020s 6.6% 6.4% 6.7% 4

Countries ranked near South Africa

  1. 179 Qatar 7.4% compare
  2. 180 Brunei 7.4% compare
  3. 181 East Timor 7.0% compare
  4. 183 Oman 6.3% compare
  5. 184 Tonga 5.9% compare
  6. 185 Botswana 4.3% compare

See the full ranking of 207 places →

More health data for South Africa

All data for South Africa →

Frequently asked questions

What is out-of-pocket expenditure as percentage of current health expenditure in South Africa?
Out-of-pocket expenditure as percentage of current health expenditure in South Africa was 6.7% 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 South Africa?
The highest recorded value was 14.5% in 2000.
What is the lowest out-of-pocket expenditure as percentage of current health expenditure recorded in South Africa?
The lowest recorded value was 5.7% in 2014.
How does South Africa rank for out-of-pocket expenditure as percentage of current health expenditure?
South Africa ranks 182nd out of 194 countries with data for 2023.
Is out-of-pocket expenditure as percentage of current health expenditure rising or falling in South Africa?
Over the last ten years it is down 12.1%. The long-run trend across the full record is falling.
Where does this South Africa 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.

Download this data

CSV · JSON — 24 observations, free to reuse under CC BY-NC-SA 3.0 IGO (WHO).

Share, cite or embed this page

Cite this page

Out-of-pocket expenditure as percentage of current health expenditure in South Africa. 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/south-africa/

Embed or link this data

Paste this into a page to link back to these figures. The data itself is free to reuse under CC BY-NC-SA 3.0 IGO (WHO); please keep the attribution.

<a href="https://health.statizoid.com/stat/out-of-pocket-expenditure-as-percentage-of-current-health-expenditure-che-percent/south-africa/">Out-of-pocket expenditure as percentage of current health expenditure in South Africa</a> — Statizoid

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