Out-of-pocket expenditure in Europe & Central Asia (IDA & IBRD countries)

Europe & Central Asia (IDA & IBRD countries): Out-of-pocket expenditure was 26.9% in 2023. ▬ Flat

Latest (2023)
26.9%
Change on year
down 2.5%
Rank
32nd
of 47 groups
All-time high
33.4%
in 2017
All-time low
26.2%
in 2020
Years of data
24
2000–2023

Out-of-pocket expenditure in Europe & Central Asia (IDA & IBRD countries), 2000–2023

01020302000201120232000: 31.5 % of current health expenditure2001: 30.5 % of current health expenditure2002: 29.3 % of current health expenditure2003: 29.3 % of current health expenditure2004: 30.8 % of current health expenditure2005: 30.1 % of current health expenditure2006: 29.8 % of current health expenditure2007: 29.5 % of current health expenditure2008: 28.6 % of current health expenditure2009: 28.9 % of current health expenditure2010: 30.1 % of current health expenditure2011: 30.6 % of current health expenditure2012: 30.7 % of current health expenditure2013: 31.5 % of current health expenditure2014: 31.6 % of current health expenditure2015: 32.5 % of current health expenditure2016: 32.7 % of current health expenditure2017: 33.4 % of current health expenditure2018: 32.4 % of current health expenditure2019: 31.7 % of current health expenditure2020: 26.2 % of current health expenditure2021: 28.2 % of current health expenditure2022: 27.6 % of current health expenditure2023: 26.9 % of current health expenditure

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

Analysis

In 2023, out-of-pocket expenditure in Europe & Central Asia (IDA & IBRD countries) stood at 26.9%.

That represents a change of down 2.5% on the previous year and down 14.5% over ten years.

Over the whole period, out-of-pocket expenditure in Europe & Central Asia (IDA & IBRD countries) peaked at 33.4% in 2017 and was at its lowest, 26.2%, in 2020.

Europe & Central Asia (IDA & IBRD countries) ranks 32nd of 47 groups on this measure, in the middle of the range.

Out-of-pocket expenditure in Europe & Central Asia (IDA & IBRD countries), year by year

Annual values for Out-of-pocket expenditure (% of current health expenditure) in Europe & Central Asia (IDA & IBRD countries), 2000 to 2023.
Year % of current health expenditure Change
2000 31.5%
2001 30.5% -3.3%
2002 29.3% -4.0%
2003 29.3% +0.1%
2004 30.8% +5.1%
2005 30.1% -2.3%
2006 29.8% -1.0%
2007 29.5% -1.0%
2008 28.6% -3.0%
2009 28.9% +1.2%
2010 30.1% +4.0%
2011 30.6% +1.7%
2012 30.7% +0.1%
2013 31.5% +2.8%
2014 31.6% +0.2%
2015 32.5% +2.9%
2016 32.7% +0.6%
2017 33.4% +2.2%
2018 32.4% -3.2%
2019 31.7% -2.2%
2020 26.2% -17.3%
2021 28.2% +7.5%
2022 27.6% -1.9%
2023 26.9% -2.5%

Averages by decade

DecadeAverage LowestHighest Years
2000s 29.8% 28.6% 31.5% 10
2010s 31.7% 30.1% 33.4% 10
2020s 27.2% 26.2% 28.2% 4

Countries ranked near Europe & Central Asia (IDA & IBRD countries)

  1. 29 Pakistan 52.9% compare
  2. 30 Haiti 52.4% compare
  3. 31 Chad 51.7% compare
  4. 32 Niger 51.5% compare
  5. 33 Barbados 49.5% compare
  6. 34 Mongolia 48.8% compare
  7. 35 Grenada 48.5% compare

See the full ranking of 240 places →

More health data for Europe & Central Asia (IDA & IBRD countries)

All data for Europe & Central Asia (IDA & IBRD countries) →

Frequently asked questions

What is out-of-pocket expenditure in Europe & Central Asia (IDA & IBRD countries)?
Out-of-pocket expenditure in Europe & Central Asia (IDA & IBRD countries) was 26.9% 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 Europe & Central Asia (IDA & IBRD countries)?
The highest recorded value was 33.4% in 2017.
What is the lowest out-of-pocket expenditure recorded in Europe & Central Asia (IDA & IBRD countries)?
The lowest recorded value was 26.2% in 2020.
How does Europe & Central Asia (IDA & IBRD countries) rank for out-of-pocket expenditure?
Europe & Central Asia (IDA & IBRD countries) ranks 32nd out of 47 groups with data for 2023.
Is out-of-pocket expenditure rising or falling in Europe & Central Asia (IDA & IBRD countries)?
Over the last ten years it is down 14.5%. The long-run trend across the full record is flat.
Where does this Europe & Central Asia (IDA & IBRD countries) 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 (IDA & IBRD countries). 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/europe-and-central-asia-ida-and-ibrd-countries/

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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.