Out-of-pocket expenditure in Madagascar
Madagascar: Out-of-pocket expenditure was 27.4% in 2023. ▼ Falling
Out-of-pocket expenditure in Madagascar, 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 Madagascar stood at 27.4%.
Compared with earlier readings it is down 9.9% on the previous year and down 22.9% over ten years.
Over the whole period, out-of-pocket expenditure in Madagascar peaked at 43.3% in 2000 and was at its lowest, 23.1%, in 2016.
Madagascar ranks 100th of 193 countries on this measure, 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 Madagascar, year by year
| Year | % of current health expenditure | Change |
|---|---|---|
| 2000 | 43.3% | — |
| 2001 | 38.8% | -10.5% |
| 2002 | 37.6% | -3.1% |
| 2003 | 34.5% | -8.1% |
| 2004 | 30.6% | -11.4% |
| 2005 | 33.0% | +8.0% |
| 2006 | 31.7% | -4.2% |
| 2007 | 32.7% | +3.2% |
| 2008 | 37.2% | +13.9% |
| 2009 | 37.7% | +1.3% |
| 2010 | 36.2% | -4.0% |
| 2011 | 28.0% | -22.6% |
| 2012 | 32.5% | +16.1% |
| 2013 | 35.6% | +9.5% |
| 2014 | 28.2% | -20.9% |
| 2015 | 25.2% | -10.6% |
| 2016 | 23.1% | -8.4% |
| 2017 | 25.6% | +11.2% |
| 2018 | 29.3% | +14.4% |
| 2019 | 34.2% | +16.7% |
| 2020 | 30.9% | -9.6% |
| 2021 | 32.7% | +5.7% |
| 2022 | 30.4% | -7.0% |
| 2023 | 27.4% | -9.9% |
Madagascar compared with similar countries
- Madagascar's 27.4% is below the median for low income countries, which is 45.6%, 60% of the median. (24 countries reporting)
- Madagascar's 27.4% is below the median for Sub-Saharan Africa, which is 32.4%, 85% of the median. (48 countries reporting)
Averages by decade
| Decade | Average | Lowest | Highest | Years |
|---|---|---|---|---|
| 2000s | 35.7% | 30.6% | 43.3% | 10 |
| 2010s | 29.8% | 23.1% | 36.2% | 10 |
| 2020s | 30.4% | 27.4% | 32.7% | 4 |
Countries ranked near Madagascar
- 97 Kazakhstan 27.6% compare
- 98 Bahamas 27.5% compare
- 99 Republic of Moldova 27.5% compare
- 101 Bolivia, Plurinational State of 27.3% compare
- 102 South Sudan 27.1% compare
- 103 Peru 27.0% compare
More health data for Madagascar
- Un projection of annual infant deaths, annual growth rate -1.87 % change on previous year (2100)
- Heat deaths vs projected death rates, annual growth rate 0.4912 % change on previous year (2090)
- Estimated changes in temperature-related death rates compared to projected death rates 920.6 deaths per 1,000 people (2090)
- Number of infants who die before age 1 14,569 deaths (2100)
- Neonatal tetanus - number of reported cases, gaps filled 63 (2025)
- Population ages 00-04, female, annual growth rate 1.32 % change on previous year (2025)
- Population ages 00-04, female, per unit of GDP 0.0001 units per US$ of GDP (2025)
- Population ages 00-04, female, per capita 0.071 units per person (2025)
- Population ages 00-04, male, annual growth rate 1.3 % change on previous year (2025)
- Population ages 00-04, male, per unit of GDP 0.0001 units per US$ of GDP (2025)
Frequently asked questions
- What is out-of-pocket expenditure in Madagascar?
- Out-of-pocket expenditure in Madagascar was 27.4% 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 Madagascar?
- The highest recorded value was 43.3% in 2000.
- What is the lowest out-of-pocket expenditure recorded in Madagascar?
- The lowest recorded value was 23.1% in 2016.
- How does Madagascar rank for out-of-pocket expenditure?
- Madagascar ranks 100th out of 193 countries with data for 2023.
- Is out-of-pocket expenditure rising or falling in Madagascar?
- Over the last ten years it is down 22.9%. The long-run trend across the full record is falling.
- Where does this Madagascar 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.