Out-of-pocket expenditure in India

India: Out-of-pocket expenditure was 43.9% in 2023. ▼ Falling

Latest (2023)
43.9%
Change on year
down 1.5%
World rank
48th
of 193 countries
All-time high
74.1%
in 2001
All-time low
43.9%
in 2023
Years of data
24
2000–2023

Out-of-pocket expenditure in India, 2000–2023

0204060802000201120232000: 71.7 % of current health expenditure2001: 74.1 % of current health expenditure2002: 73.4 % of current health expenditure2003: 73.4 % of current health expenditure2004: 72.5 % of current health expenditure2005: 73.1 % of current health expenditure2006: 72.3 % of current health expenditure2007: 70.8 % of current health expenditure2008: 69.1 % of current health expenditure2009: 66.8 % of current health expenditure2010: 65.2 % of current health expenditure2011: 62.2 % of current health expenditure2012: 63 % of current health expenditure2013: 69.1 % of current health expenditure2014: 67 % of current health expenditure2015: 64.7 % of current health expenditure2016: 63.2 % of current health expenditure2017: 55.1 % of current health expenditure2018: 53.2 % of current health expenditure2019: 52 % of current health expenditure2020: 49.5 % of current health expenditure2021: 45.1 % of current health expenditure2022: 44.5 % of current health expenditure2023: 43.9 % 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 India is 43.9%, measured in 2023. That is the lowest value across all 24 years on record.

Compared with earlier readings it is down 1.5% on the previous year and down 36.5% over ten years.

Over the whole period, out-of-pocket expenditure in India peaked at 74.1% in 2001 and was at its lowest, 43.9%, in 2023.

India ranks 48th of 193 countries on this measure, in the top quarter.

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

Out-of-pocket expenditure in India, year by year

Annual values for Out-of-pocket expenditure (% of current health expenditure) in India, 2000 to 2023.
Year % of current health expenditure Change
2000 71.7%
2001 74.1% +3.4%
2002 73.4% -1.0%
2003 73.4% +0.1%
2004 72.5% -1.3%
2005 73.1% +0.9%
2006 72.3% -1.2%
2007 70.8% -2.0%
2008 69.1% -2.4%
2009 66.8% -3.5%
2010 65.2% -2.4%
2011 62.2% -4.5%
2012 63.0% +1.2%
2013 69.1% +9.6%
2014 67.0% -3.0%
2015 64.7% -3.5%
2016 63.2% -2.3%
2017 55.1% -12.8%
2018 53.2% -3.4%
2019 52.0% -2.3%
2020 49.5% -4.8%
2021 45.1% -8.9%
2022 44.5% -1.3%
2023 43.9% -1.5%

India compared with similar countries

  • India's 43.9% is above the median for lower middle income countries, which is 37.6%, 1.2× the median. (47 countries reporting)
  • India's 43.9% is below the median for South Asia, which is 49.3%, 89% of the median. (6 countries reporting)

Averages by decade

DecadeAverage LowestHighest Years
2000s 71.7% 66.8% 74.1% 10
2010s 61.5% 52.0% 69.1% 10
2020s 45.8% 43.9% 49.5% 4

Countries ranked near India

  1. 45 Lao People's Democratic Republic 44.8% compare
  2. 46 Philippines 44.4% compare
  3. 47 Senegal 44.3% compare
  4. 49 Burkina Faso 43.8% compare
  5. 50 Mauritania 43.8% compare
  6. 51 Iran, Islamic Republic of 43.1% compare

See the full ranking of 240 places →

More health data for India

All data for India →

Frequently asked questions

What is out-of-pocket expenditure in India?
Out-of-pocket expenditure in India was 43.9% 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 India?
The highest recorded value was 74.1% in 2001.
What is the lowest out-of-pocket expenditure recorded in India?
The lowest recorded value was 43.9% in 2023.
How does India rank for out-of-pocket expenditure?
India ranks 48th out of 193 countries with data for 2023.
Is out-of-pocket expenditure rising or falling in India?
Over the last ten years it is down 36.5%. The long-run trend across the full record is falling.
Where does this India 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 India. Statizoid, drawing on Global Health Expenditure Database, updated December 12th, 2025, World Health Organization (WHO). Retrieved 16 September 2026, from https://health.statizoid.com/stat/out-of-pocket-expenditure-percent-of-current-health-expenditure/india/

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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.