Out-of-pocket expenditure in Africa Eastern and Southern

Africa Eastern and Southern: Out-of-pocket expenditure was 16.9% in 2023. ▼ Falling

Latest (2023)
16.9%
Change on year
up 5.8%
Rank
39th
of 47 groups
All-time high
23.6%
in 2002
All-time low
14.6%
in 2021
Years of data
24
2000–2023

Out-of-pocket expenditure in Africa Eastern and Southern, 2000–2023

05101520252000201120232000: 22.5 % of current health expenditure2001: 23.1 % of current health expenditure2002: 23.6 % of current health expenditure2003: 20.9 % of current health expenditure2004: 19.9 % of current health expenditure2005: 19.8 % of current health expenditure2006: 20.1 % of current health expenditure2007: 20.7 % of current health expenditure2008: 20.9 % of current health expenditure2009: 18.1 % of current health expenditure2010: 17.5 % of current health expenditure2011: 17 % of current health expenditure2012: 16.8 % of current health expenditure2013: 18.9 % of current health expenditure2014: 18.1 % of current health expenditure2015: 19.6 % of current health expenditure2016: 19.4 % of current health expenditure2017: 17.1 % of current health expenditure2018: 15.2 % of current health expenditure2019: 15.4 % of current health expenditure2020: 15.4 % of current health expenditure2021: 14.6 % of current health expenditure2022: 16 % of current health expenditure2023: 16.9 % of current health expenditure

Source: Global Health Expenditure Database, updated December 12th, 2025, World Health Organization (WHO). Measured in % of current health expenditure.

Analysis

The most recent figure for out-of-pocket expenditure in Africa Eastern and Southern is 16.9%, measured in 2023.

Compared with earlier readings it is up 5.8% on the previous year and down 10.8% over ten years.

Over the whole period, out-of-pocket expenditure in Africa Eastern and Southern peaked at 23.6% in 2002 and was at its lowest, 14.6%, in 2021.

That places Africa Eastern and Southern 39th out of 47 groups 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 in Africa Eastern and Southern, year by year

Annual values for Out-of-pocket expenditure (% of current health expenditure) in Africa Eastern and Southern, 2000 to 2023.
Year % of current health expenditure Change
2000 22.5%
2001 23.1% +2.5%
2002 23.6% +2.3%
2003 20.9% -11.7%
2004 19.9% -4.8%
2005 19.8% -0.6%
2006 20.1% +1.9%
2007 20.7% +3.1%
2008 20.9% +0.7%
2009 18.1% -13.2%
2010 17.5% -3.7%
2011 17.0% -2.6%
2012 16.8% -1.2%
2013 18.9% +12.7%
2014 18.1% -4.5%
2015 19.6% +8.5%
2016 19.4% -1.2%
2017 17.1% -11.8%
2018 15.2% -11.3%
2019 15.4% +1.6%
2020 15.4% +0.1%
2021 14.6% -5.6%
2022 16.0% +9.8%
2023 16.9% +5.8%

Averages by decade

DecadeAverage LowestHighest Years
2000s 21.0% 18.1% 23.6% 10
2010s 17.5% 15.2% 19.6% 10
2020s 15.7% 14.6% 16.9% 4

Countries ranked near Africa Eastern and Southern

  1. 36 Eritrea 48.4% compare
  2. 37 Albania 48.3% compare
  3. 38 Mali 47.2% compare
  4. 39 Ethiopia 46.3% compare
  5. 40 Ukraine 45.3% compare
  6. 41 Trinidad and Tobago 45.3% compare
  7. 42 Mauritius 45.2% compare

See the full ranking of 240 places →

More health data for Africa Eastern and Southern

All data for Africa Eastern and Southern →

Frequently asked questions

What is out-of-pocket expenditure in Africa Eastern and Southern?
Out-of-pocket expenditure in Africa Eastern and Southern was 16.9% in 2023, according to Global Health Expenditure Database, updated December 12th, 2025, World Health Organization (WHO).
What is the highest out-of-pocket expenditure recorded in Africa Eastern and Southern?
The highest recorded value was 23.6% in 2002.
What is the lowest out-of-pocket expenditure recorded in Africa Eastern and Southern?
The lowest recorded value was 14.6% in 2021.
How does Africa Eastern and Southern rank for out-of-pocket expenditure?
Africa Eastern and Southern ranks 39th out of 47 groups with data for 2023.
Is out-of-pocket expenditure rising or falling in Africa Eastern and Southern?
Over the last ten years it is down 10.8%. The long-run trend across the full record is falling.
Where does this Africa Eastern and Southern data come from?
The figures come from Global Health Expenditure Database, updated December 12th, 2025, World Health Organization (WHO), published as part of Out-of-pocket expenditure (% of current health expenditure). Statizoid updates them automatically from the source API.

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Out-of-pocket expenditure in Africa Eastern and Southern. Statizoid, drawing on Global Health Expenditure Database, updated December 12th, 2025, World Health Organization (WHO). Retrieved 18 September 2026, from https://health.statizoid.com/stat/out-of-pocket-expenditure-percent-of-current-health-expenditure/africa-eastern-and-southern/

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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.