Out-of-pocket expenditure in Tunisia

Tunisia: Out-of-pocket expenditure was 37.9% in 2023. ▼ Falling

Latest (2023)
37.9%
Change on year
up 4.5%
World rank
62nd
of 193 countries
All-time high
42.9%
in 2007
All-time low
33.4%
in 2020
Years of data
24
2000–2023

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

0102030402000201120232000: 38.6 % of current health expenditure2001: 39.4 % of current health expenditure2002: 40.2 % of current health expenditure2003: 40.9 % of current health expenditure2004: 41.5 % of current health expenditure2005: 42.1 % of current health expenditure2006: 42.7 % of current health expenditure2007: 42.9 % of current health expenditure2008: 42.8 % of current health expenditure2009: 42.5 % of current health expenditure2010: 42.1 % of current health expenditure2011: 41.6 % of current health expenditure2012: 41 % of current health expenditure2013: 39.1 % of current health expenditure2014: 38 % of current health expenditure2015: 39.7 % of current health expenditure2016: 39.8 % of current health expenditure2017: 40.5 % of current health expenditure2018: 41.9 % of current health expenditure2019: 35.6 % of current health expenditure2020: 33.4 % of current health expenditure2021: 37.2 % of current health expenditure2022: 36.3 % of current health expenditure2023: 37.9 % of current health expenditure

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

Analysis

In 2023, out-of-pocket expenditure in Tunisia stood at 37.9%.

The figure is up 4.5% on the previous year and down 2.9% over ten years.

Over the whole period, out-of-pocket expenditure in Tunisia peaked at 42.9% in 2007 and was at its lowest, 33.4%, in 2020.

Tunisia ranks 62nd 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 Tunisia, year by year

Annual values for Out-of-pocket expenditure (% of current health expenditure) in Tunisia, 2000 to 2023.
Year % of current health expenditure Change
2000 38.6%
2001 39.4% +2.1%
2002 40.2% +1.9%
2003 40.9% +1.7%
2004 41.5% +1.5%
2005 42.1% +1.4%
2006 42.7% +1.3%
2007 42.9% +0.5%
2008 42.8% -0.2%
2009 42.5% -0.6%
2010 42.1% -1.0%
2011 41.6% -1.2%
2012 41.0% -1.5%
2013 39.1% -4.7%
2014 38.0% -2.7%
2015 39.7% +4.4%
2016 39.8% +0.2%
2017 40.5% +1.9%
2018 41.9% +3.4%
2019 35.6% -15.1%
2020 33.4% -6.0%
2021 37.2% +11.3%
2022 36.3% -2.5%
2023 37.9% +4.5%

Tunisia compared with similar countries

  • Tunisia's 37.9% is above the median for lower middle income countries, which is 37.6%, 1.0× the median. (47 countries reporting)
  • Tunisia's 37.9% is above the median for Middle East, North Africa, Afghanistan & Pakistan, which is 34.5%, 1.1× the median. (23 countries reporting)

Averages by decade

DecadeAverage LowestHighest Years
2000s 41.4% 38.6% 42.9% 10
2010s 39.9% 35.6% 42.1% 10
2020s 36.2% 33.4% 37.9% 4

Countries ranked near Tunisia

  1. 59 Viet Nam 39.2% compare
  2. 60 Chile 39.1% compare
  3. 61 Congo, Democratic Republic of the 38.0% compare
  4. 63 Nicaragua 37.6% compare
  5. 64 Morocco 37.3% compare
  6. 65 Saint Lucia 37.1% compare

See the full ranking of 240 places →

More health data for Tunisia

All data for Tunisia →

Frequently asked questions

What is out-of-pocket expenditure in Tunisia?
Out-of-pocket expenditure in Tunisia was 37.9% 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 Tunisia?
The highest recorded value was 42.9% in 2007.
What is the lowest out-of-pocket expenditure recorded in Tunisia?
The lowest recorded value was 33.4% in 2020.
How does Tunisia rank for out-of-pocket expenditure?
Tunisia ranks 62nd out of 193 countries with data for 2023.
Is out-of-pocket expenditure rising or falling in Tunisia?
Over the last ten years it is down 2.9%. The long-run trend across the full record is falling.
Where does this Tunisia 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 Tunisia. 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/tunisia/

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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.