Out-of-pocket expenditure in Middle East, North Africa, Afghanistan & Pakistan

Middle East, North Africa, Afghanistan & Pakistan: Out-of-pocket expenditure was 28.3% in 2023. ▼ Falling

Latest (2023)
28.3%
Change on year
down 2.1%
Rank
31st
of 47 groups
All-time high
39.6%
in 2005
All-time low
26.9%
in 2021
Years of data
24
2000–2023

Out-of-pocket expenditure in Middle East, North Africa, Afghanistan & Pakistan, 2000–2023

0102030402000201120232000: 39.4 % of current health expenditure2001: 38.4 % of current health expenditure2002: 38.3 % of current health expenditure2003: 38.4 % of current health expenditure2004: 39 % of current health expenditure2005: 39.6 % of current health expenditure2006: 38.2 % of current health expenditure2007: 38.7 % of current health expenditure2008: 38.3 % of current health expenditure2009: 37.5 % of current health expenditure2010: 39.1 % of current health expenditure2011: 37.3 % of current health expenditure2012: 36.7 % of current health expenditure2013: 33.4 % of current health expenditure2014: 31.4 % of current health expenditure2015: 32.7 % of current health expenditure2016: 30.8 % of current health expenditure2017: 29.8 % of current health expenditure2018: 30.8 % of current health expenditure2019: 29.1 % of current health expenditure2020: 27.6 % of current health expenditure2021: 26.9 % of current health expenditure2022: 28.9 % of current health expenditure2023: 28.3 % of current health expenditure

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

Analysis

The most recent figure for out-of-pocket expenditure in Middle East, North Africa, Afghanistan & Pakistan is 28.3%, measured in 2023.

That represents a change of down 2.1% on the previous year and down 15.5% over ten years.

Over the whole period, out-of-pocket expenditure in Middle East, North Africa, Afghanistan & Pakistan peaked at 39.6% in 2005 and was at its lowest, 26.9%, in 2021.

That places Middle East, North Africa, Afghanistan & Pakistan 31st out of 47 groups with data for 2023, putting it 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 Middle East, North Africa, Afghanistan & Pakistan, year by year

Annual values for Out-of-pocket expenditure (% of current health expenditure) in Middle East, North Africa, Afghanistan & Pakistan, 2000 to 2023.
Year % of current health expenditure Change
2000 39.4%
2001 38.4% -2.4%
2002 38.3% -0.3%
2003 38.4% +0.2%
2004 39.0% +1.7%
2005 39.6% +1.5%
2006 38.2% -3.5%
2007 38.7% +1.1%
2008 38.3% -0.8%
2009 37.5% -2.1%
2010 39.1% +4.1%
2011 37.3% -4.6%
2012 36.7% -1.6%
2013 33.4% -8.9%
2014 31.4% -6.0%
2015 32.7% +4.0%
2016 30.8% -5.6%
2017 29.8% -3.5%
2018 30.8% +3.7%
2019 29.1% -5.6%
2020 27.6% -5.1%
2021 26.9% -2.8%
2022 28.9% +7.4%
2023 28.3% -2.1%

Averages by decade

DecadeAverage LowestHighest Years
2000s 38.6% 37.5% 39.6% 10
2010s 33.1% 29.1% 39.1% 10
2020s 27.9% 26.9% 28.9% 4

Countries ranked near Middle East, North Africa, Afghanistan & Pakistan

  1. 28 Honduras 53.1% compare
  2. 29 Pakistan 52.9% compare
  3. 30 Haiti 52.4% compare
  4. 31 Chad 51.7% compare
  5. 32 Niger 51.5% compare
  6. 33 Barbados 49.5% compare
  7. 34 Mongolia 48.8% compare

See the full ranking of 240 places →

More health data for Middle East, North Africa, Afghanistan & Pakistan

All data for Middle East, North Africa, Afghanistan & Pakistan →

Frequently asked questions

What is out-of-pocket expenditure in Middle East, North Africa, Afghanistan & Pakistan?
Out-of-pocket expenditure in Middle East, North Africa, Afghanistan & Pakistan was 28.3% 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?
The highest recorded value was 39.6% in 2005.
What is the lowest out-of-pocket expenditure recorded in Middle East, North Africa, Afghanistan & Pakistan?
The lowest recorded value was 26.9% in 2021.
How does Middle East, North Africa, Afghanistan & Pakistan rank for out-of-pocket expenditure?
Middle East, North Africa, Afghanistan & Pakistan ranks 31st out of 47 groups with data for 2023.
Is out-of-pocket expenditure rising or falling in Middle East, North Africa, Afghanistan & Pakistan?
Over the last ten years it is down 15.5%. The long-run trend across the full record is falling.
Where does this Middle East, North Africa, Afghanistan & Pakistan 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. 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/

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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.