Out-of-pocket expenditure in Ecuador
Ecuador: Out-of-pocket expenditure was 30.9% in 2023. ▼ Falling
Out-of-pocket expenditure in Ecuador, 2000–2023
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 Ecuador is 30.9%, measured in 2023.
That represents a change of up 0.7% on the previous year and down 14.1% over ten years.
Over the whole period, out-of-pocket expenditure in Ecuador peaked at 61.9% in 2000 and was at its lowest, 28.8%, in 2018.
That places Ecuador 84th out of 193 countries with data for 2023, putting it in the middle of the range.
The long-run direction has been consistently falling across the 24 years of available data.
Out-of-pocket expenditure in Ecuador, year by year
| Year | % of current health expenditure | Change |
|---|---|---|
| 2000 | 61.9% | — |
| 2001 | 59.6% | -3.8% |
| 2002 | 61.4% | +3.1% |
| 2003 | 61.1% | -0.6% |
| 2004 | 59.9% | -1.9% |
| 2005 | 61.8% | +3.2% |
| 2006 | 60.0% | -3.0% |
| 2007 | 53.1% | -11.5% |
| 2008 | 52.5% | -1.2% |
| 2009 | 49.7% | -5.2% |
| 2010 | 45.3% | -8.9% |
| 2011 | 44.4% | -1.8% |
| 2012 | 41.0% | -7.8% |
| 2013 | 36.0% | -12.2% |
| 2014 | 31.0% | -13.9% |
| 2015 | 33.8% | +9.1% |
| 2016 | 30.0% | -11.2% |
| 2017 | 30.0% | -0.2% |
| 2018 | 28.8% | -3.9% |
| 2019 | 29.1% | +1.0% |
| 2020 | 30.2% | +3.7% |
| 2021 | 29.4% | -2.4% |
| 2022 | 30.7% | +4.2% |
| 2023 | 30.9% | +0.7% |
Ecuador compared with similar countries
- Ecuador's 30.9% is above the median for upper middle income countries, which is 30.1%, 1.0× the median. (58 countries reporting)
- Ecuador's 30.9% is above the median for Latin America & Caribbean, which is 29.3%, 1.1× the median. (33 countries reporting)
Averages by decade
| Decade | Average | Lowest | Highest | Years |
|---|---|---|---|---|
| 2000s | 58.1% | 49.7% | 61.9% | 10 |
| 2010s | 34.9% | 28.8% | 45.3% | 10 |
| 2020s | 30.3% | 29.4% | 30.9% | 4 |
Countries ranked near Ecuador
More health data for Ecuador
- Un projection of annual infant deaths, annual growth rate -1.67 % change on previous year (2100)
- Heat deaths vs projected death rates, annual growth rate 0.6766 % change on previous year (2090)
- Estimated changes in temperature-related death rates compared to projected death rates 1,324 deaths per 1,000 people (2090)
- Number of infants who die before age 1 354 deaths (2100)
- Neonatal tetanus - number of reported cases, gaps filled 0 (2025)
- Population ages 00-04, female, annual growth rate -1.67 % 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 0.0362 units per person (2025)
- Population ages 00-04, male, annual growth rate -1.67 % 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 Ecuador?
- Out-of-pocket expenditure in Ecuador was 30.9% 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 Ecuador?
- The highest recorded value was 61.9% in 2000.
- What is the lowest out-of-pocket expenditure recorded in Ecuador?
- The lowest recorded value was 28.8% in 2018.
- How does Ecuador rank for out-of-pocket expenditure?
- Ecuador ranks 84th out of 193 countries with data for 2023.
- Is out-of-pocket expenditure rising or falling in Ecuador?
- Over the last ten years it is down 14.1%. The long-run trend across the full record is falling.
- Where does this Ecuador 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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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.