Out-of-pocket expenditure in Middle East, North Africa, Afghanistan & Pakistan (excluding high income)

Middle East, North Africa, Afghanistan & Pakistan (excluding high income): Out-of-pocket expenditure was 47.3% in 2023. ▼ Falling

Latest (2023)
47.3%
Change on year
down 1.0%
Rank
8th
of 47 groups
All-time high
54.0%
in 2000
All-time low
43.3%
in 2017
Years of data
24
2000–2023

Out-of-pocket expenditure in Middle East, North Africa, Afghanistan & Pakistan (excluding high income), 2000–2023

02040602000201120232000: 54 % of current health expenditure2001: 52.8 % of current health expenditure2002: 51.2 % of current health expenditure2003: 51.7 % of current health expenditure2004: 51.4 % of current health expenditure2005: 52.6 % of current health expenditure2006: 51.7 % of current health expenditure2007: 51 % of current health expenditure2008: 50 % of current health expenditure2009: 50 % of current health expenditure2010: 52.2 % of current health expenditure2011: 50.6 % of current health expenditure2012: 50.4 % of current health expenditure2013: 47.4 % of current health expenditure2014: 45.3 % of current health expenditure2015: 47.2 % of current health expenditure2016: 44.3 % of current health expenditure2017: 43.3 % of current health expenditure2018: 47.8 % of current health expenditure2019: 47.3 % of current health expenditure2020: 47.6 % of current health expenditure2021: 47.2 % of current health expenditure2022: 47.8 % of current health expenditure2023: 47.3 % of current health expenditure

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

Analysis

Middle East, North Africa, Afghanistan & Pakistan (excluding high income) recorded 47.3% for out-of-pocket expenditure in 2023.

The figure is down 1.0% on the previous year and down 0.1% over ten years.

Over the whole period, out-of-pocket expenditure in Middle East, North Africa, Afghanistan & Pakistan (excluding high income) peaked at 54.0% in 2000 and was at its lowest, 43.3%, in 2017.

Middle East, North Africa, Afghanistan & Pakistan (excluding high income) ranks 8th of 47 groups 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 Middle East, North Africa, Afghanistan & Pakistan (excluding high income), year by year

Annual values for Out-of-pocket expenditure (% of current health expenditure) in Middle East, North Africa, Afghanistan & Pakistan (excluding high income), 2000 to 2023.
Year % of current health expenditure Change
2000 54.0%
2001 52.8% -2.1%
2002 51.2% -3.1%
2003 51.7% +0.9%
2004 51.4% -0.5%
2005 52.6% +2.4%
2006 51.7% -1.7%
2007 51.0% -1.5%
2008 50.0% -2.0%
2009 50.0% +0.1%
2010 52.2% +4.3%
2011 50.6% -2.9%
2012 50.4% -0.5%
2013 47.4% -6.0%
2014 45.3% -4.4%
2015 47.2% +4.2%
2016 44.3% -6.0%
2017 43.3% -2.3%
2018 47.8% +10.2%
2019 47.3% -1.0%
2020 47.6% +0.8%
2021 47.2% -0.9%
2022 47.8% +1.3%
2023 47.3% -1.0%

Averages by decade

DecadeAverage LowestHighest Years
2000s 51.6% 50.0% 54.0% 10
2010s 47.6% 43.3% 52.2% 10
2020s 47.5% 47.2% 47.8% 4

Countries ranked near Middle East, North Africa, Afghanistan & Pakistan (excluding high income)

  1. 5 Syria 72.4% compare
  2. 6 Nigeria 71.9% compare
  3. 7 Myanmar 71.1% compare
  4. 8 Yemen 69.1% compare
  5. 9 Cameroon 67.7% compare
  6. 10 Equatorial Guinea 66.0% compare
  7. 11 Azerbaijan 64.6% compare

See the full ranking of 240 places →

More health data for Middle East, North Africa, Afghanistan & Pakistan (excluding high income)

All data for Middle East, North Africa, Afghanistan & Pakistan (excluding high income) →

Frequently asked questions

What is out-of-pocket expenditure in Middle East, North Africa, Afghanistan & Pakistan (excluding high income)?
Out-of-pocket expenditure in Middle East, North Africa, Afghanistan & Pakistan (excluding high income) was 47.3% 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 Middle East, North Africa, Afghanistan & Pakistan (excluding high income)?
The highest recorded value was 54.0% in 2000.
What is the lowest out-of-pocket expenditure recorded in Middle East, North Africa, Afghanistan & Pakistan (excluding high income)?
The lowest recorded value was 43.3% in 2017.
How does Middle East, North Africa, Afghanistan & Pakistan (excluding high income) rank for out-of-pocket expenditure?
Middle East, North Africa, Afghanistan & Pakistan (excluding high income) ranks 8th out of 47 groups with data for 2023.
Is out-of-pocket expenditure rising or falling in Middle East, North Africa, Afghanistan & Pakistan (excluding high income)?
Over the last ten years it is down 0.1%. The long-run trend across the full record is falling.
Where does this Middle East, North Africa, Afghanistan & Pakistan (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 Middle East, North Africa, Afghanistan & Pakistan (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/middle-east-north-africa-afghanistan-and-pakistan-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.