Statizoid

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

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.

Countries reporting
193
Highest
80.5%
Armenia
Lowest
0.0%
Tuvalu
Median
27.6%
Years covered
25
2000–2024
Data points
5,692

What the numbers show

Out-of-pocket expenditure (% of current health expenditure) is currently reported for 193 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 30.6%.

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

Over the past decade 67 countries rose and 126 fell. The largest increase was in Kiribati (up 429.4%), and the largest decrease in Tuvalu (down 99.1%).

Out-of-pocket 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 Nigeria 71.9% 2023 up 1.4% rising
7 Myanmar 71.1% 2023 down 1.5% falling
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 Chile 39.1% 2024 up 14.2% falling
61 Congo, Democratic Republic of the 38.0% 2023 down 3.6% falling
62 Tunisia 37.9% 2023 down 2.9% falling
63 Nicaragua 37.6% 2023 up 2.0% falling
64 Morocco 37.3% 2023 down 27.9% falling
65 Saint Lucia 37.1% 2023 down 27.6% falling
66 Malaysia 37.1% 2023 up 10.2% flat
67 Paraguay 36.3% 2023 down 23.5% falling
68 Bulgaria 35.5% 2023 down 15.2% falling
69 Latvia 35.1% 2023 down 8.9% 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 Korea 33.7% 2024 down 10.2% falling
74 Angola 32.5% 2023 up 52.4% falling
75 El Salvador 32.5% 2023 down 13.1% falling
76 China 32.2% 2023 down 15.7% falling
77 Uganda 32.2% 2023 down 24.3% falling
78 Serbia 32.1% 2023 down 15.1% rising
79 Côte d'Ivoire 32.0% 2023 down 43.0% falling
80 Lithuania 31.4% 2024 down 0.2% rising
81 Indonesia 31.1% 2023 down 38.9% falling
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 Djibouti 28.8% 2023 up 19.9% falling
90 Bahrain 28.7% 2023 up 6.5% flat
91 Belarus 28.5% 2023 down 15.7% rising
92 Russian Federation 28.4% 2023 down 18.5% flat
93 Portugal 28.2% 2024 down 3.9% rising
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 Hungary 23.1% 2023 down 18.7% falling
119 Romania 23.0% 2023 up 13.8% rising
120 Italy 22.3% 2024 down 2.8% flat
121 Switzerland 22.0% 2023 down 3.3% falling
122 Belgium 21.5% 2023 up 4.7% flat
123 Estonia 21.4% 2024 down 9.1% rising
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 Suriname 19.7% 2023 down 29.3% falling
131 Libya 19.2% 2023 down 27.8% falling
132 Türkiye 19.0% 2023 up 12.5% falling
133 Maldives 18.0% 2023 down 44.1% falling
134 Cyprus 17.9% 2023 down 57.9% falling
135 Gabon 17.3% 2023 down 39.6% falling
136 Uruguay 17.1% 2023 down 3.4% falling
137 Sao Tome and Principe 16.7% 2023 up 17.0% falling
138 Cuba 16.6% 2023 up 35.1% falling
139 Austria 16.5% 2024 down 16.1% falling
140 Poland 16.2% 2024 down 28.7% falling
141 Australia 15.8% 2023 down 18.8% falling
142 Canada 15.3% 2024 up 3.8% falling
143 Iceland 14.9% 2024 down 16.6% falling
144 Colombia 14.7% 2024 down 9.5% flat
145 United Kingdom of Great Britain and Northern Ireland 14.6% 2024 down 7.5% falling
146 Saudi Arabia 14.1% 2023 down 1.7% falling
147 Finland 14.1% 2023 down 20.8% falling
148 Czechia 14.1% 2024 down 2.7% rising
149 Denmark 13.9% 2024 up 4.0% falling
150 Norway 13.7% 2023 down 6.2% falling
151 Samoa 13.4% 2023 up 21.2% falling
152 Sweden 13.4% 2024 down 10.4% falling
153 Lesotho 13.2% 2023 down 5.3% falling
154 San Marino 13.1% 2023 up 19.7% falling
155 New Zealand 12.7% 2024 down 1.2% falling
156 Japan 12.2% 2023 down 3.7% falling
157 Palau 12.1% 2023 down 24.4% falling
158 Malawi 12.0% 2023 up 79.0% falling
159 Netherlands 11.8% 2024 up 1.7% rising
160 Slovenia 11.7% 2024 down 9.5% falling
161 Andorra 11.1% 2023 down 16.5% falling
162 Eswatini 11.0% 2023 up 4.6% falling
163 United States of America 10.9% 2023 down 11.0% falling
164 Germany 10.7% 2024 down 13.3% falling
165 Zimbabwe 10.6% 2023 down 64.3% volatile
166 Ireland 10.6% 2024 down 24.2% flat
167 Mozambique 10.4% 2023 up 29.4% volatile
168 Zambia 10.3% 2023 down 12.1% volatile
169 Kuwait 10.0% 2023 down 30.9% falling
170 Thailand 9.9% 2023 down 20.8% falling
171 United Arab Emirates 9.7% 2023 down 43.7% falling
172 Croatia 9.4% 2023 up 6.2% falling
173 France 9.2% 2024 down 16.9% rising
174 Papua New Guinea 8.6% 2023 up 30.2% rising
175 Luxembourg 8.5% 2024 down 23.2% falling
176 Monaco 8.5% 2023 up 46.8% rising
177 Vanuatu 8.4% 2023 up 15.8% falling
178 Fiji 8.3% 2023 down 63.1% rising
179 Namibia 7.5% 2023 down 15.7% rising
180 Qatar 7.4% 2023 up 7.5% volatile
181 Brunei Darussalam 7.4% 2023 down 21.2% falling
182 Timor-Leste 7.0% 2023 up 0.4% volatile
183 South Africa 6.7% 2023 down 12.1% falling
184 Oman 6.3% 2023 down 9.5% falling
185 Tonga 5.9% 2023 down 33.8% falling
186 Botswana 4.3% 2023 up 12.5% falling
187 Rwanda 4.1% 2023 down 66.7% 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 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 by country. Statizoid, drawing on Global Health Expenditure Database, updated December 12th, 2025, World Health Organization (WHO). Retrieved 13 September 2026, from https://health.statizoid.com/stat/out-of-pocket-expenditure-percent-of-current-health-expenditure/

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About this data

Indicator
Out-of-pocket expenditure (% of current health expenditure)
Unit
% of current health expenditure
Source
Global Health Expenditure Database, updated December 12th, 2025, World Health Organization (WHO)
Licence
CC BY 4.0 (World Bank Open Data)
Coverage
240 places, 5,692 data points, 2000–2024
Last refreshed

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.