Out-of-pocket expenditure in Europe & Central Asia (excluding high income)

Europe & Central Asia (excluding high income): Out-of-pocket expenditure was 32.6% in 2023. ▲ Rising

Latest (2023)
32.6%
Change on year
down 6.8%
Rank
18th
of 47 groups
All-time high
35.0%
in 2022
All-time low
26.1%
in 2009
Years of data
24
2000–2023

Out-of-pocket expenditure in Europe & Central Asia (excluding high income), 2000–2023

01020302000201120232000: 34.9 % of current health expenditure2001: 33.1 % of current health expenditure2002: 30.4 % of current health expenditure2003: 28.8 % of current health expenditure2004: 30.1 % of current health expenditure2005: 31.7 % of current health expenditure2006: 31.3 % of current health expenditure2007: 31 % of current health expenditure2008: 29 % of current health expenditure2009: 26.1 % of current health expenditure2010: 28.8 % of current health expenditure2011: 30.1 % of current health expenditure2012: 30.4 % of current health expenditure2013: 31.9 % of current health expenditure2014: 31.6 % of current health expenditure2015: 32.2 % of current health expenditure2016: 31.7 % of current health expenditure2017: 32.8 % of current health expenditure2018: 34.4 % of current health expenditure2019: 34.6 % of current health expenditure2020: 33 % of current health expenditure2021: 33.3 % of current health expenditure2022: 35 % of current health expenditure2023: 32.6 % 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 Europe & Central Asia (excluding high income) is 32.6%, measured in 2023.

The figure is down 6.8% on the previous year and up 2.3% over ten years.

Over the whole period, out-of-pocket expenditure in Europe & Central Asia (excluding high income) peaked at 35.0% in 2022 and was at its lowest, 26.1%, in 2009.

That places Europe & Central Asia (excluding high income) 18th out of 47 groups with data for 2023, putting it in the middle of the range.

The long-run direction has been consistently rising across the 24 years of available data.

Out-of-pocket expenditure in Europe & Central Asia (excluding high income), year by year

Annual values for Out-of-pocket expenditure (% of current health expenditure) in Europe & Central Asia (excluding high income), 2000 to 2023.
Year % of current health expenditure Change
2000 34.9%
2001 33.1% -5.1%
2002 30.4% -8.2%
2003 28.8% -5.3%
2004 30.1% +4.6%
2005 31.7% +5.2%
2006 31.3% -1.3%
2007 31.0% -0.9%
2008 29.0% -6.6%
2009 26.1% -10.0%
2010 28.8% +10.3%
2011 30.1% +4.5%
2012 30.4% +1.1%
2013 31.9% +4.8%
2014 31.6% -0.7%
2015 32.2% +1.7%
2016 31.7% -1.6%
2017 32.8% +3.7%
2018 34.4% +4.8%
2019 34.6% +0.5%
2020 33.0% -4.4%
2021 33.3% +0.8%
2022 35.0% +5.2%
2023 32.6% -6.8%

Averages by decade

DecadeAverage LowestHighest Years
2000s 30.6% 26.1% 34.9% 10
2010s 31.8% 28.8% 34.6% 10
2020s 33.5% 32.6% 35.0% 4

Countries ranked near Europe & Central Asia (excluding high income)

  1. 15 Tajikistan 62.4% compare
  2. 16 Guinea-Bissau 61.6% compare
  3. 17 Cambodia 60.6% compare
  4. 18 Nepal 59.4% compare
  5. 19 Georgia 58.8% compare
  6. 20 Sudan 57.4% compare
  7. 21 Egypt 57.2% compare

See the full ranking of 240 places →

More health data for Europe & Central Asia (excluding high income)

All data for Europe & Central Asia (excluding high income) →

Frequently asked questions

What is out-of-pocket expenditure in Europe & Central Asia (excluding high income)?
Out-of-pocket expenditure in Europe & Central Asia (excluding high income) was 32.6% 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 Europe & Central Asia (excluding high income)?
The highest recorded value was 35.0% in 2022.
What is the lowest out-of-pocket expenditure recorded in Europe & Central Asia (excluding high income)?
The lowest recorded value was 26.1% in 2009.
How does Europe & Central Asia (excluding high income) rank for out-of-pocket expenditure?
Europe & Central Asia (excluding high income) ranks 18th out of 47 groups with data for 2023.
Is out-of-pocket expenditure rising or falling in Europe & Central Asia (excluding high income)?
Over the last ten years it is up 2.3%. The long-run trend across the full record is rising.
Where does this Europe & Central Asia (excluding high income) 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 Europe & Central Asia (excluding high income). Statizoid, drawing on Global Health Expenditure Database, updated December 12th, 2025, World Health Organization (WHO). Retrieved 19 September 2026, from https://health.statizoid.com/stat/out-of-pocket-expenditure-percent-of-current-health-expenditure/europe-and-central-asia-excluding-high-income/

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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.