Out-of-pocket expenditure in Botswana
Botswana: Out-of-pocket expenditure was 4.3% in 2023. ▼ Falling
Out-of-pocket expenditure in Botswana, 2000–2023
Source: Global Health Expenditure Database, updated December 12th, 2025, World Health Organization (WHO). Measured in % of current health expenditure.
Analysis
In 2023, out-of-pocket expenditure in Botswana stood at 4.3%.
The figure is down 3.0% on the previous year and up 12.5% over ten years.
Over the whole period, out-of-pocket expenditure in Botswana peaked at 10.7% in 2000 and was at its lowest, 3.0%, in 2017.
That places Botswana 186th out of 193 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 in Botswana, year by year
| Year | % of current health expenditure | Change |
|---|---|---|
| 2000 | 10.7% | — |
| 2001 | 9.5% | -11.4% |
| 2002 | 8.7% | -7.5% |
| 2003 | 8.8% | +0.2% |
| 2004 | 8.6% | -2.1% |
| 2005 | 8.5% | -1.0% |
| 2006 | 8.3% | -2.4% |
| 2007 | 6.8% | -18.3% |
| 2008 | 5.8% | -14.1% |
| 2009 | 5.4% | -6.7% |
| 2010 | 5.0% | -7.9% |
| 2011 | 4.6% | -8.4% |
| 2012 | 4.2% | -7.3% |
| 2013 | 3.8% | -10.7% |
| 2014 | 3.7% | -1.8% |
| 2015 | 3.6% | -3.7% |
| 2016 | 3.3% | -7.6% |
| 2017 | 3.0% | -9.5% |
| 2018 | 5.1% | +70.6% |
| 2019 | 4.5% | -11.9% |
| 2020 | 5.0% | +10.1% |
| 2021 | 4.3% | -13.9% |
| 2022 | 4.4% | +3.0% |
| 2023 | 4.3% | -3.0% |
Botswana compared with similar countries
- Botswana's 4.3% is below the median for upper middle income countries, which is 30.1%, 14% of the median. (58 countries reporting)
- Botswana's 4.3% is below the median for Sub-Saharan Africa, which is 32.4%, 13% of the median. (48 countries reporting)
Biggest year-on-year movements
Years where Out-of-pocket expenditure in Botswana 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.
| Year | Change | From | To |
|---|---|---|---|
| 2018 | +70.6% | 3.0% | 5.1% |
Averages by decade
| Decade | Average | Lowest | Highest | Years |
|---|---|---|---|---|
| 2000s | 8.1% | 5.4% | 10.7% | 10 |
| 2010s | 4.1% | 3.0% | 5.1% | 10 |
| 2020s | 4.5% | 4.3% | 5.0% | 4 |
Countries ranked near Botswana
More health data for Botswana
- Un projection of annual infant deaths, annual growth rate -1.75 % change on previous year (2100)
- Heat deaths vs projected death rates, annual growth rate 0.2265 % change on previous year (2090)
- Estimated changes in temperature-related death rates compared to projected death rates 1,150 deaths per 1,000 people (2090)
- Number of infants who die before age 1 281 deaths (2100)
- Neonatal tetanus - number of reported cases, gaps filled 0 (2025)
- Population ages 00-04, female, annual growth rate 0.6484 % change on previous year (2025)
- Population ages 00-04, female, per unit of GDP 0 units per US$ of GDP (2025)
- Population ages 00-04, female, per capita 0.0579 units per person (2025)
- Population ages 00-04, male, annual growth rate 0.9109 % change on previous year (2025)
- Population ages 00-04, male, per unit of GDP 0 units per US$ of GDP (2025)
Frequently asked questions
- What is out-of-pocket expenditure in Botswana?
- Out-of-pocket expenditure in Botswana was 4.3% 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 Botswana?
- The highest recorded value was 10.7% in 2000.
- What is the lowest out-of-pocket expenditure recorded in Botswana?
- The lowest recorded value was 3.0% in 2017.
- How does Botswana rank for out-of-pocket expenditure?
- Botswana ranks 186th out of 193 countries with data for 2023.
- Is out-of-pocket expenditure rising or falling in Botswana?
- Over the last ten years it is up 12.5%. The long-run trend across the full record is falling.
- Where does this Botswana 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.
Download this data
CSV · JSON — 24 observations, free to reuse under CC BY 4.0 (World Bank Open Data).
About this data
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.