Statizoid

Risk of impoverishing expenditure for surgical care (% of people at risk) by country

The proportion of population at risk of impoverishing expenditure when surgical care is required. Impoverishing expenditure is defined as direct out of pocket payments for surgical and anaesthesia care which drive people below a poverty threshold (using a threshold of $2.15 PPP/day).

Countries reporting
125
Highest
100.0%
Burundi
Lowest
0.0%
Slovakia
Median
23.2%
Years covered
20
2003–2022
Data points
3,065

What the numbers show

Risk of impoverishing expenditure for surgical care (% of people at risk) is currently reported for 125 countries. The highest value is 100.0% in Burundi; the lowest is 0.0% in Slovakia.

The median across all reporting countries is 23.2%, and the mean is 31.2%.

Over the past decade 25 countries rose and 90 fell. The largest increase was in Syrian Arab Republic (up 3,033.3%), and the largest decrease in Canada (down 100.0%).

Risk of impoverishing expenditure for surgical care: full country ranking

#Country LatestYear 10-year changeTrend
1 Burundi 100.0% 2022 unchanged flat
1 Côte d'Ivoire 100.0% 2022 unchanged flat
3 Congo, Democratic Republic of the 98.0% 2022 down 0.8% flat
4 Madagascar 96.1% 2016 up 0.8% flat
5 Niger 96.0% 2018 down 2.7% flat
6 Papua New Guinea 95.8% 2022 up 6.7% rising
7 Sierra Leone 93.4% 2019 down 3.4% falling
8 Tanzania, United Republic of 91.5% 2019 down 4.7% falling
9 Central African Republic 89.3% 2008 — flat
10 Uganda 88.5% 2022 down 3.2% falling
11 Timor-Leste 87.2% 2014 up 6.7% rising
12 Nepal 86.6% 2022 down 10.3% falling
13 Yemen 86.5% 2022 up 27.6% rising
14 Chad 83.7% 2022 up 9.7% rising
15 Mali 82.5% 2022 down 2.0% falling
16 Burkina Faso 82.2% 2022 down 1.9% falling
17 Tajikistan 81.5% 2022 up 8.8% falling
18 Guinea-Bissau 81.3% 2022 down 4.7% falling
19 Syrian Arab Republic 75.2% 2020 up 3,033.3% volatile
20 Rwanda 75.0% 2022 down 12.3% falling
21 Sudan 74.5% 2022 up 7.2% rising
22 Gambia 73.6% 2022 down 2.8% rising
23 Togo 73.0% 2022 down 7.5% falling
24 Guinea 72.6% 2019 down 7.9% falling
25 Congo 68.0% 2022 up 3.3% falling
26 Bangladesh 67.3% 2022 down 24.6% falling
27 Benin 63.9% 2019 down 3.6% flat
28 Kenya 63.2% 2020 down 14.9% falling
29 Solomon Islands 57.8% 2022 up 11.2% falling
30 Mauritania 56.8% 2022 down 0.2% falling
31 Lesotho 56.4% 2022 up 7.2% falling
32 Angola 54.2% 2022 up 5.2% falling
33 Cameroon 50.5% 2022 down 11.9% falling
34 Nicaragua 50.0% 2022 down 7.2% falling
35 Haiti 48.8% 2022 down 5.6% falling
36 Senegal 46.4% 2022 down 14.9% falling
37 Comoros 45.8% 2022 down 16.6% falling
38 Honduras 44.5% 2022 down 15.6% falling
39 Bolivia, Plurinational State of 43.5% 2022 down 21.8% falling
40 India 40.2% 2022 down 41.9% falling
41 Pakistan 39.9% 2022 down 35.5% falling
42 Guatemala 37.6% 2022 up 2.7% flat
43 Botswana 37.5% 2022 down 6.9% falling
44 Belize 34.5% 2022 down 6.0% rising
45 Kiribati 34.0% 2022 down 20.6% falling
46 South Africa 32.1% 2022 up 0.9% falling
47 Azerbaijan 30.5% 2011 down 58.7% falling
48 Sri Lanka 30.3% 2022 down 34.1% falling
49 Iran, Islamic Republic of 29.8% 2022 up 3.1% falling
50 Algeria 29.1% 2022 down 10.2% falling
51 Cape Verde 28.0% 2022 up 12.4% falling
52 Ethiopia 27.7% 2022 down 46.1% falling
53 Namibia 26.9% 2022 down 23.1% falling
54 Mongolia 26.6% 2022 down 42.0% falling
55 Vanuatu 26.1% 2022 down 16.3% falling
56 Lao People's Democratic Republic 26.0% 2022 down 59.6% falling
57 Philippines 25.9% 2022 down 39.5% falling
58 Ghana 25.6% 2022 down 36.3% falling
59 Colombia 25.1% 2022 up 11.6% falling
59 Morocco 25.1% 2022 down 15.5% falling
61 Brazil 24.1% 2022 up 32.4% falling
62 Egypt 23.2% 2022 down 15.0% falling
62 Indonesia 23.2% 2022 down 37.1% falling
64 Ecuador 22.7% 2022 down 5.0% falling
65 Gabon 21.1% 2022 up 10.5% falling
65 Paraguay 21.1% 2022 down 23.8% falling
67 Iraq 20.7% 2018 down 34.7% falling
68 Venezuela, Bolivarian Republic of 15.2% 2022 up 27.7% falling
69 Chile 14.3% 2021 up 66.3% falling
70 El Salvador 12.9% 2022 down 38.0% falling
71 Latvia 11.8% 2022 down 13.2% falling
72 Peru 10.7% 2022 down 44.3% falling
73 Bhutan 10.6% 2022 down 79.0% falling
74 Costa Rica 10.4% 2022 down 24.1% falling
75 Samoa 10.0% 2016 down 22.5% falling
76 Thailand 8.3% 2022 down 51.7% falling
76 Tunisia 8.3% 2022 up 2.5% volatile
78 Seychelles 8.2% 2022 down 23.4% volatile
79 Argentina 7.7% 2022 up 18.5% falling
80 Dominican Republic 7.5% 2022 down 51.3% falling
81 Mexico 7.2% 2022 down 34.5% falling
81 Malaysia 7.2% 2018 down 60.2% falling
83 Tonga 7.1% 2008 down 7.8% falling
84 Marshall Islands 6.6% 2022 — falling
85 China 6.3% 2022 down 81.2% volatile
86 Jamaica 6.1% 2022 down 12.9% falling
87 Bulgaria 4.6% 2022 down 13.2% falling
88 Ukraine 4.4% 2022 up 33.3% volatile
89 Mauritius 4.0% 2022 down 36.5% falling
90 Republic of Moldova 3.8% 2022 down 78.0% volatile
90 Russian Federation 3.8% 2020 down 51.9% falling
92 Armenia 3.3% 2022 down 54.8% volatile
93 Georgia 3.1% 2022 down 76.3% volatile
93 Serbia 3.1% 2022 down 60.8% falling
95 Bosnia and Herzegovina 2.9% 2022 down 35.6% falling
96 Lithuania 2.8% 2022 down 26.3% falling
97 Montenegro 2.7% 2022 down 66.7% falling
98 Estonia 2.5% 2020 down 65.3% falling
99 Albania 1.8% 2022 down 41.9% volatile
99 Lebanon 1.8% 2015 down 40.0% falling
101 Israel 1.2% 2022 down 33.3% falling
102 Belarus 0.9% 2022 down 50.0% volatile
103 Kazakhstan 0.7% 2022 down 46.2% volatile
103 Portugal 0.7% 2022 down 22.2% falling
103 Romania 0.7% 2022 down 73.1% volatile
106 Hungary 0.4% 2022 down 80.0% volatile
106 Poland 0.4% 2021 down 50.0% volatile
108 Cyprus 0.3% 2022 down 57.1% volatile
108 Greece 0.3% 2022 down 57.1% volatile
110 Spain 0.2% 2022 down 33.3% rising
110 France 0.2% 2022 up 100.0% volatile
110 Italy 0.2% 2022 unchanged rising
110 United States of America 0.2% 2022 down 50.0% falling
114 United Arab Emirates 0.1% 2022 down 75.0% volatile
114 Australia 0.1% 2021 unchanged falling
114 Croatia 0.1% 2022 down 88.9% falling
114 Japan 0.1% 2022 down 50.0% falling
114 Korea 0.1% 2022 unchanged falling
119 Canada 0.0% 2022 down 100.0% volatile
119 Switzerland 0.0% 2022 — volatile
119 United Kingdom of Great Britain and Northern Ireland 0.0% 2022 — volatile
119 Ireland 0.0% 2022 down 100.0% volatile
119 Iceland 0.0% 2022 down 100.0% volatile
119 Luxembourg 0.0% 2022 down 100.0% volatile
119 Slovakia 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.

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Risk of impoverishing expenditure for surgical care by country. Statizoid, drawing on Program in Global Surgery and Social Change (PGSSC), Harvard Medical School. Retrieved 15 September 2026, from https://health.statizoid.com/stat/risk-of-impoverishing-expenditure-for-surgical-care-percent-of-people-at-risk/

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About this data

Indicator
Risk of impoverishing expenditure for surgical care (% of people at risk)
Unit
% of people at risk
Source
Program in Global Surgery and Social Change (PGSSC), Harvard Medical School
Licence
CC BY 4.0 (World Bank Open Data)
Coverage
173 places, 3,065 data points, 2003–2022
Last refreshed

The proportion of population at risk of impoverishing expenditure when surgical care is required. Impoverishing expenditure is defined as direct out of pocket payments for surgical and anaesthesia care which drive people below a poverty threshold (using a threshold of $2.15 PPP/day).