Out-of-pocket expenditure in North Macedonia
North Macedonia: Out-of-pocket expenditure was 39.6% in 2023. ▼ Falling
Out-of-pocket expenditure in North Macedonia, 2000–2023
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 North Macedonia is 39.6%, measured in 2023.
The figure is down 1.6% on the previous year and up 17.4% over ten years.
Over the whole period, out-of-pocket expenditure in North Macedonia peaked at 43.8% in 2003 and was at its lowest, 32.0%, in 2008.
That places North Macedonia 58th out of 193 countries 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 North Macedonia, year by year
| Year | % of current health expenditure | Change |
|---|---|---|
| 2000 | 42.1% | — |
| 2001 | 42.4% | +0.7% |
| 2002 | 42.6% | +0.4% |
| 2003 | 43.8% | +2.9% |
| 2004 | 42.5% | -2.9% |
| 2005 | 41.2% | -3.0% |
| 2006 | 37.0% | -10.3% |
| 2007 | 37.3% | +0.8% |
| 2008 | 32.0% | -14.1% |
| 2009 | 34.8% | +8.6% |
| 2010 | 37.8% | +8.6% |
| 2011 | 35.8% | -5.3% |
| 2012 | 35.2% | -1.5% |
| 2013 | 33.7% | -4.4% |
| 2014 | 35.0% | +3.8% |
| 2015 | 34.3% | -2.0% |
| 2016 | 35.3% | +3.1% |
| 2017 | 41.0% | +16.2% |
| 2018 | 41.2% | +0.5% |
| 2019 | 39.1% | -5.2% |
| 2020 | 38.9% | -0.6% |
| 2021 | 41.7% | +7.4% |
| 2022 | 40.2% | -3.7% |
| 2023 | 39.6% | -1.6% |
North Macedonia compared with similar countries
- North Macedonia's 39.6% is above the median for upper middle income countries, which is 30.1%, 1.3× the median. (58 countries reporting)
- North Macedonia's 39.6% is above the median for Europe & Central Asia, which is 21.8%, 1.8× the median. (52 countries reporting)
Averages by decade
| Decade | Average | Lowest | Highest | Years |
|---|---|---|---|---|
| 2000s | 39.6% | 32.0% | 43.8% | 10 |
| 2010s | 36.8% | 33.7% | 41.2% | 10 |
| 2020s | 40.1% | 38.9% | 41.7% | 4 |
Countries ranked near North Macedonia
More health data for North Macedonia
- Un projection of annual infant deaths, annual growth rate 0 % change on previous year (2100)
- Heat deaths vs projected death rates, annual growth rate 0 % change on previous year (2090)
- Estimated changes in temperature-related death rates compared to projected death rates 1,700 deaths per 1,000 people (2090)
- Number of infants who die before age 1 8 deaths (2100)
- Neonatal tetanus - number of reported cases, gaps filled 0 (2025)
- Population ages 00-04, female, annual growth rate -3.76 % change on previous year (2025)
- Population ages 00-04, female, per unit of GDP 0 units per US$ of GDP (2025)
- Population ages 00-04, female, per capita 0.0232 units per person (2025)
- Population ages 00-04, male, annual growth rate -3.76 % change on previous year (2025)
- Population ages 00-04, male, per unit of GDP 0 units per US$ of GDP (2025)
Frequently asked questions
- What is out-of-pocket expenditure in North Macedonia?
- Out-of-pocket expenditure in North Macedonia was 39.6% 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 North Macedonia?
- The highest recorded value was 43.8% in 2003.
- What is the lowest out-of-pocket expenditure recorded in North Macedonia?
- The lowest recorded value was 32.0% in 2008.
- How does North Macedonia rank for out-of-pocket expenditure?
- North Macedonia ranks 58th out of 193 countries with data for 2023.
- Is out-of-pocket expenditure rising or falling in North Macedonia?
- Over the last ten years it is up 17.4%. The long-run trend across the full record is falling.
- Where does this North Macedonia 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.