Risk of catastrophic expenditure for surgical care (% of people at risk) by country
The proportion of population at risk of catastrophic expenditure when surgical care is required. Catastrophic expenditure is defined as direct out of pocket payments for surgical and anaesthesia care exceeding 10% of total income.
Countries reporting
132
Highest
100.0%
Côte d'Ivoire
Lowest
0.0%
Sweden
Median
12.4%
Years covered
20
2003–2022
Data points
3,065
What the numbers show
Risk of catastrophic expenditure for surgical care (% of people at risk) is currently reported for 132 countries. The highest value is 100.0% in Côte d'Ivoire; the lowest is 0.0% in Sweden.
The median across all reporting countries is 12.4%, and the mean is 24.1%.
Over the past decade 24 countries rose and 95 fell. The largest increase was in Syrian Arab Republic (up 1,983.3%), and the largest decrease in United Kingdom of Great Britain and Northern Ireland (down 100.0%).
Risk of catastrophic expenditure for surgical care: full country ranking
| # | Country | Latest | Year | 10-year change | Trend |
|---|---|---|---|---|---|
| 1 | Côte d'Ivoire | 100.0% | 2022 | unchanged | flat |
| 2 | Burundi | 97.8% | 2022 | up 3.9% | flat |
| 3 | Yemen | 93.4% | 2022 | up 25.5% | rising |
| 4 | Latvia | 89.9% | 2022 | down 7.3% | falling |
| 5 | Central African Republic | 89.7% | 2008 | — | flat |
| 6 | Syrian Arab Republic | 87.5% | 2020 | up 1,983.3% | volatile |
| 7 | Guinea-Bissau | 86.5% | 2022 | down 0.7% | rising |
| 8 | Niger | 86.3% | 2018 | down 9.0% | flat |
| 9 | Congo, Democratic Republic of the | 85.0% | 2022 | down 3.8% | falling |
| 10 | Sierra Leone | 84.3% | 2019 | down 11.9% | falling |
| 11 | Chad | 82.4% | 2022 | up 13.2% | rising |
| 12 | Estonia | 78.3% | 2020 | down 15.9% | falling |
| 13 | Togo | 72.4% | 2022 | up 1.8% | falling |
| 14 | Mauritania | 69.1% | 2022 | up 17.7% | falling |
| 15 | Uganda | 68.4% | 2022 | down 6.2% | falling |
| 16 | Tajikistan | 68.2% | 2022 | up 14.6% | falling |
| 17 | Congo | 63.7% | 2022 | up 30.3% | falling |
| 18 | Sudan | 63.3% | 2022 | down 8.9% | rising |
| 19 | Madagascar | 59.0% | 2016 | down 20.1% | falling |
| 20 | Nepal | 58.2% | 2022 | down 27.6% | falling |
| 21 | Guinea | 57.5% | 2019 | down 25.9% | falling |
| 22 | Burkina Faso | 56.2% | 2022 | down 5.4% | falling |
| 23 | Cameroon | 54.3% | 2022 | down 12.4% | falling |
| 24 | Angola | 51.7% | 2022 | up 73.5% | falling |
| 25 | Gambia | 51.6% | 2022 | up 34.7% | rising |
| 26 | Bangladesh | 51.0% | 2022 | down 31.9% | falling |
| 27 | Comoros | 47.8% | 2022 | down 15.4% | falling |
| 28 | Benin | 47.4% | 2019 | down 9.4% | falling |
| 29 | Mali | 46.6% | 2022 | down 34.5% | falling |
| 30 | Tanzania, United Republic of | 45.9% | 2019 | down 40.5% | falling |
| 31 | Honduras | 45.8% | 2022 | down 18.7% | falling |
| 32 | Guatemala | 44.1% | 2022 | up 0.5% | falling |
| 33 | Iran, Islamic Republic of | 43.7% | 2022 | up 4.3% | falling |
| 34 | Papua New Guinea | 39.5% | 2022 | up 26.6% | rising |
| 35 | Nicaragua | 38.3% | 2022 | down 14.1% | falling |
| 36 | Pakistan | 33.7% | 2022 | down 44.3% | falling |
| 37 | Lithuania | 32.6% | 2022 | down 33.7% | falling |
| 38 | Lesotho | 30.0% | 2022 | up 11.9% | falling |
| 39 | Belize | 29.5% | 2022 | down 13.0% | rising |
| 40 | Sri Lanka | 29.2% | 2022 | down 40.9% | falling |
| 41 | Senegal | 28.4% | 2022 | down 37.7% | falling |
| 42 | Egypt | 26.6% | 2022 | down 7.0% | falling |
| 43 | Iraq | 26.4% | 2018 | up 312.5% | rising |
| 44 | Paraguay | 25.2% | 2022 | down 13.7% | falling |
| 45 | Azerbaijan | 23.1% | 2011 | down 67.0% | volatile |
| 45 | Brazil | 23.1% | 2022 | up 55.0% | falling |
| 47 | Iceland | 22.6% | 2022 | down 57.6% | falling |
| 48 | Cape Verde | 21.6% | 2022 | up 28.6% | falling |
| 49 | Botswana | 20.9% | 2022 | up 39.3% | falling |
| 49 | Morocco | 20.9% | 2022 | down 28.2% | falling |
| 51 | Lao People's Democratic Republic | 20.5% | 2022 | down 66.5% | falling |
| 52 | India | 20.4% | 2022 | down 60.2% | falling |
| 53 | Hungary | 20.2% | 2022 | down 55.3% | falling |
| 54 | Haiti | 19.1% | 2022 | down 17.0% | falling |
| 55 | Armenia | 19.0% | 2022 | down 39.7% | falling |
| 56 | Ecuador | 18.2% | 2022 | down 25.4% | falling |
| 57 | Indonesia | 17.3% | 2022 | down 37.8% | falling |
| 57 | Kenya | 17.3% | 2020 | down 47.1% | falling |
| 57 | Rwanda | 17.3% | 2022 | down 23.1% | falling |
| 60 | Philippines | 16.6% | 2022 | down 60.1% | falling |
| 61 | Gabon | 15.8% | 2022 | down 11.7% | volatile |
| 62 | Colombia | 15.1% | 2022 | up 31.3% | falling |
| 63 | Bolivia, Plurinational State of | 14.3% | 2022 | down 62.6% | falling |
| 64 | Chile | 13.8% | 2021 | up 42.3% | falling |
| 65 | Tunisia | 13.6% | 2022 | down 18.1% | volatile |
| 66 | El Salvador | 13.3% | 2022 | down 39.8% | falling |
| 67 | Namibia | 11.5% | 2022 | down 43.1% | falling |
| 67 | South Africa | 11.5% | 2022 | down 14.8% | falling |
| 69 | Malaysia | 11.3% | 2018 | down 54.4% | falling |
| 70 | Algeria | 10.8% | 2022 | down 27.0% | rising |
| 70 | Russian Federation | 10.8% | 2020 | down 54.4% | falling |
| 70 | Seychelles | 10.8% | 2022 | down 8.5% | volatile |
| 73 | Mongolia | 10.4% | 2022 | down 49.8% | falling |
| 74 | Ghana | 9.1% | 2022 | down 54.3% | volatile |
| 75 | Costa Rica | 8.9% | 2022 | down 6.3% | falling |
| 76 | Mauritius | 8.8% | 2022 | down 43.2% | falling |
| 77 | Venezuela, Bolivarian Republic of | 8.6% | 2022 | up 13.2% | falling |
| 78 | Mexico | 8.2% | 2022 | down 34.9% | falling |
| 79 | Cyprus | 6.1% | 2022 | down 31.5% | falling |
| 80 | Dominican Republic | 5.7% | 2022 | down 61.0% | volatile |
| 81 | Ethiopia | 5.6% | 2022 | down 73.6% | falling |
| 81 | Ukraine | 5.6% | 2022 | up 69.7% | volatile |
| 83 | Portugal | 5.2% | 2022 | down 37.3% | falling |
| 84 | Bulgaria | 5.0% | 2022 | down 43.2% | falling |
| 84 | Serbia | 5.0% | 2022 | down 47.9% | falling |
| 86 | Montenegro | 4.7% | 2022 | down 58.4% | falling |
| 87 | Argentina | 4.5% | 2022 | up 40.6% | volatile |
| 88 | Peru | 4.4% | 2022 | down 74.7% | volatile |
| 89 | Lebanon | 4.1% | 2015 | down 68.0% | falling |
| 90 | China | 3.7% | 2022 | down 84.1% | volatile |
| 91 | Solomon Islands | 3.3% | 2022 | up 450.0% | rising |
| 92 | Albania | 3.1% | 2022 | down 58.7% | falling |
| 92 | Jamaica | 3.1% | 2022 | down 11.4% | volatile |
| 94 | Timor-Leste | 2.9% | 2014 | down 95.3% | volatile |
| 95 | Georgia | 2.6% | 2022 | down 87.6% | volatile |
| 96 | Greece | 2.3% | 2022 | down 52.1% | rising |
| 97 | Bosnia and Herzegovina | 2.2% | 2022 | down 35.3% | volatile |
| 98 | Samoa | 1.8% | 2016 | down 37.9% | falling |
| 99 | Israel | 1.7% | 2022 | down 51.4% | falling |
| 100 | Bhutan | 1.6% | 2022 | down 92.8% | volatile |
| 101 | Belarus | 1.5% | 2022 | down 80.3% | volatile |
| 102 | Switzerland | 1.0% | 2022 | down 9.1% | falling |
| 103 | Republic of Moldova | 0.9% | 2022 | down 93.3% | volatile |
| 104 | Spain | 0.7% | 2022 | down 36.4% | rising |
| 104 | Italy | 0.7% | 2022 | down 12.5% | rising |
| 104 | Vanuatu | 0.7% | 2022 | down 72.0% | falling |
| 107 | Japan | 0.5% | 2022 | unchanged | falling |
| 108 | United Arab Emirates | 0.4% | 2022 | down 86.2% | volatile |
| 108 | Croatia | 0.4% | 2022 | down 83.3% | volatile |
| 108 | Kazakhstan | 0.4% | 2022 | down 66.7% | volatile |
| 108 | Luxembourg | 0.4% | 2022 | down 63.6% | rising |
| 112 | Thailand | 0.3% | 2022 | down 86.4% | volatile |
| 112 | United States of America | 0.3% | 2022 | down 57.1% | falling |
| 114 | Austria | 0.2% | 2022 | unchanged | flat |
| 114 | Tonga | 0.2% | 2008 | down 75.0% | falling |
| 116 | Australia | 0.1% | 2021 | down 66.7% | falling |
| 116 | Canada | 0.1% | 2022 | down 66.7% | falling |
| 116 | France | 0.1% | 2022 | — | volatile |
| 116 | Ireland | 0.1% | 2022 | down 88.9% | volatile |
| 116 | Korea | 0.1% | 2022 | down 50.0% | falling |
| 116 | Poland | 0.1% | 2021 | down 66.7% | volatile |
| 116 | Romania | 0.1% | 2022 | down 88.9% | volatile |
| 116 | Slovenia | 0.1% | 2022 | down 75.0% | falling |
| 124 | Belgium | 0.0% | 2022 | — | volatile |
| 124 | Germany | 0.0% | 2022 | — | volatile |
| 124 | Denmark | 0.0% | 2022 | — | volatile |
| 124 | Finland | 0.0% | 2022 | — | volatile |
| 124 | United Kingdom of Great Britain and Northern Ireland | 0.0% | 2022 | down 100.0% | volatile |
| 124 | Netherlands | 0.0% | 2022 | — | volatile |
| 124 | Norway | 0.0% | 2022 | — | volatile |
| 124 | Slovakia | 0.0% | 2022 | — | volatile |
| 124 | Sweden | 0.0% | 2022 | — | volatile |
Regions and income groups
Aggregates are excluded from the country ranking above so that a region can never outrank a country.
- Low income 59.3%
- Least developed countries 57.2%
- IDA only 56.4%
- Heavily indebted poor countries (HIPC) 53.3%
- IDA total 52.4%
- Sub-Saharan Africa (excluding high income) 48.2%
- Sub-Saharan Africa 48.1%
- Sub-Saharan Africa (IDA & IBRD countries) 48.1%
- Africa Eastern and Southern 42.6%
- Arab World 40.2%
- Middle East, North Africa, Afghanistan & Pakistan (excluding high income) 34.8%
- Middle East, North Africa, Afghanistan & Pakistan (IDA & IBRD) 34.8%
- Middle East, North Africa, Afghanistan & Pakistan 33.7%
- Lower middle income 27.3%
- South Asia 24.3%
- South Asia (IDA & IBRD) 24.3%
- Early-demographic dividend 23.0%
- Low & middle income 20.9%
- IDA & IBRD total 20.8%
- Middle income 17.8%
- World 17.7%
- Latin America & Caribbean (excluding high income) 16.4%
- Latin America & Caribbean 16.3%
- Latin America & the Caribbean (IDA & IBRD countries) 16.3%
- IBRD only 13.9%
- Upper middle income 9.8%
- Europe & Central Asia (IDA & IBRD countries) 8.0%
- Late-demographic dividend 6.7%
- East Asia & Pacific (excluding high income) 6.6%
- East Asia & Pacific (IDA & IBRD countries) 6.6%
- East Asia & Pacific 6.1%
- Central Europe and the Baltics 5.7%
- Europe & Central Asia 4.3%
- OECD members 2.3%
- European Union 1.7%
- Euro area 1.3%
- High income 0.9%
- Post-demographic dividend 0.9%
- North America 0.3%
About this data
The proportion of population at risk of catastrophic expenditure when surgical care is required. Catastrophic expenditure is defined as direct out of pocket payments for surgical and anaesthesia care exceeding 10% of total income.