Share of out of pocket expenditure on healthcare by country
Countries reporting
193
Highest
80.47
Armenia
Lowest
0.0446
Tuvalu
Median
27.64
Years covered
25
2000–2024
Data points
4,562
What the numbers show
Share of out of pocket expenditure on healthcare is currently reported for 193 countries. The highest value is 80.47 in Armenia; the lowest is 0.0446 in Tuvalu.
The median across all reporting countries is 27.64, and the mean is 30.64.
The gap between the highest and lowest reporting country is a factor of about 1,805.
Over the past decade 67 countries rose and 126 fell. The largest increase was in Kiribati (up 429.4%), and the largest decrease in Tuvalu (down 99.1%).
Share of out of pocket expenditure on healthcare: full country ranking
| # | Country | Latest | Year | 10-year change | Trend |
|---|---|---|---|---|---|
| 1 | Armenia | 80.47 | 2023 | down 2.9% | rising |
| 2 | Bangladesh | 79.31 | 2023 | up 13.9% | rising |
| 3 | Turkmenistan | 77.39 | 2023 | up 15.8% | rising |
| 4 | Afghanistan | 77.14 | 2023 | up 7.1% | falling |
| 5 | Syria | 72.4 | 2023 | up 61.8% | flat |
| 6 | Nigeria | 71.9 | 2023 | up 1.4% | rising |
| 7 | Myanmar | 71.13 | 2023 | down 1.5% | falling |
| 8 | Yemen | 69.13 | 2023 | down 7.3% | rising |
| 9 | Cameroon | 67.65 | 2023 | down 3.0% | falling |
| 10 | Equatorial Guinea | 65.98 | 2023 | up 4.4% | rising |
| 11 | Azerbaijan | 64.63 | 2023 | down 2.4% | flat |
| 12 | Togo | 64.34 | 2023 | up 11.2% | falling |
| 13 | Uzbekistan | 64.06 | 2023 | up 14.3% | flat |
| 14 | Liberia | 63.24 | 2023 | up 57.8% | falling |
| 15 | Tajikistan | 62.36 | 2023 | up 0.7% | falling |
| 16 | Guinea-Bissau | 61.56 | 2023 | down 4.3% | rising |
| 17 | Cambodia | 60.6 | 2023 | up 1.0% | flat |
| 18 | Nepal | 59.39 | 2023 | down 6.5% | rising |
| 19 | Georgia | 58.76 | 2023 | down 15.2% | falling |
| 20 | Sudan | 57.37 | 2023 | down 23.3% | flat |
| 21 | Egypt | 57.2 | 2023 | down 1.3% | falling |
| 22 | Guatemala | 57.18 | 2023 | up 4.7% | falling |
| 23 | Comoros | 56.57 | 2023 | down 16.8% | falling |
| 24 | Sri Lanka | 54.81 | 2023 | up 12.0% | rising |
| 25 | Sierra Leone | 54.47 | 2023 | down 13.2% | falling |
| 26 | Guinea | 54.42 | 2023 | down 12.1% | falling |
| 27 | Iraq | 53.98 | 2023 | down 7.8% | rising |
| 28 | Honduras | 53.06 | 2023 | up 7.7% | rising |
| 29 | Pakistan | 52.93 | 2023 | down 15.6% | falling |
| 30 | Haiti | 52.4 | 2023 | up 44.6% | flat |
| 31 | Chad | 51.68 | 2023 | down 11.9% | rising |
| 32 | Niger | 51.48 | 2023 | down 9.0% | falling |
| 33 | Barbados | 49.49 | 2023 | up 22.4% | rising |
| 34 | Mongolia | 48.8 | 2023 | up 31.5% | rising |
| 35 | Grenada | 48.48 | 2023 | down 12.1% | flat |
| 36 | Eritrea | 48.45 | 2023 | down 0.7% | rising |
| 37 | Albania | 48.27 | 2023 | down 16.4% | rising |
| 38 | Mali | 47.23 | 2023 | up 35.5% | falling |
| 39 | Ethiopia | 46.27 | 2023 | up 9.1% | rising |
| 40 | Ukraine | 45.29 | 2021 | down 2.2% | rising |
| 41 | Trinidad and Tobago | 45.27 | 2023 | up 4.9% | falling |
| 42 | Mauritius | 45.24 | 2023 | down 14.9% | falling |
| 43 | Central African Republic | 45.02 | 2023 | down 0.5% | flat |
| 44 | Algeria | 45 | 2023 | up 53.7% | rising |
| 45 | Laos | 44.84 | 2023 | down 7.9% | falling |
| 46 | Philippines | 44.36 | 2023 | down 23.0% | falling |
| 47 | Senegal | 44.33 | 2023 | down 19.8% | falling |
| 48 | India | 43.89 | 2023 | down 36.5% | falling |
| 49 | Burkina Faso | 43.82 | 2023 | up 30.7% | falling |
| 50 | Mauritania | 43.77 | 2023 | down 12.8% | falling |
| 51 | Iran | 43.15 | 2023 | down 9.9% | falling |
| 52 | Benin | 42.41 | 2023 | down 0.4% | flat |
| 53 | Kyrgyzstan | 42.26 | 2023 | down 8.9% | falling |
| 54 | Palestine | 42.07 | 2023 | down 1.5% | flat |
| 55 | Saint Kitts and Nevis | 41.8 | 2023 | down 25.9% | falling |
| 56 | Mexico | 41.24 | 2023 | up 3.4% | falling |
| 57 | Panama | 40.45 | 2023 | up 25.3% | rising |
| 58 | North Macedonia | 39.57 | 2023 | up 17.4% | falling |
| 59 | Vietnam | 39.2 | 2023 | down 5.7% | rising |
| 60 | Chile | 39.15 | 2024 | up 14.2% | falling |
| 61 | Democratic Republic of Congo | 38 | 2023 | down 3.6% | falling |
| 62 | Tunisia | 37.94 | 2023 | down 2.9% | falling |
| 63 | Nicaragua | 37.63 | 2023 | up 2.0% | falling |
| 64 | Morocco | 37.25 | 2023 | down 27.9% | falling |
| 65 | Saint Lucia | 37.14 | 2023 | down 27.6% | falling |
| 66 | Malaysia | 37.09 | 2023 | up 10.2% | flat |
| 67 | Paraguay | 36.32 | 2023 | down 23.5% | falling |
| 68 | Bulgaria | 35.5 | 2023 | down 15.2% | falling |
| 69 | Latvia | 35.06 | 2023 | down 8.9% | falling |
| 70 | Jordan | 34.47 | 2023 | up 55.7% | falling |
| 71 | Greece | 34.3 | 2023 | up 1.7% | falling |
| 72 | Gambia | 33.78 | 2023 | up 61.6% | rising |
| 73 | South Korea | 33.74 | 2024 | down 10.2% | falling |
| 74 | Angola | 32.55 | 2023 | up 52.4% | falling |
| 75 | El Salvador | 32.49 | 2023 | down 13.1% | falling |
| 76 | China | 32.17 | 2023 | down 15.7% | falling |
| 77 | Uganda | 32.17 | 2023 | down 24.3% | falling |
| 78 | Serbia | 32.14 | 2023 | down 15.1% | rising |
| 79 | Cote d'Ivoire | 31.99 | 2023 | down 43.0% | falling |
| 80 | Lithuania | 31.43 | 2024 | down 0.2% | rising |
| 81 | Indonesia | 31.08 | 2023 | down 38.9% | falling |
| 82 | Bosnia and Herzegovina | 30.96 | 2023 | up 6.5% | falling |
| 83 | Malta | 30.93 | 2023 | up 2.3% | rising |
| 84 | Ecuador | 30.89 | 2023 | down 14.1% | falling |
| 85 | Somalia | 30.78 | 2023 | down 19.5% | flat |
| 86 | Lebanon | 29.7 | 2023 | down 19.6% | falling |
| 87 | Venezuela | 29.69 | 2023 | down 19.6% | falling |
| 88 | Dominica | 29.33 | 2023 | down 17.1% | falling |
| 89 | Djibouti | 28.84 | 2023 | up 19.9% | falling |
| 90 | Bahrain | 28.66 | 2023 | up 6.5% | flat |
| 91 | Belarus | 28.48 | 2023 | down 15.7% | rising |
| 92 | Russia | 28.39 | 2023 | down 18.5% | flat |
| 93 | Portugal | 28.19 | 2024 | down 3.9% | rising |
| 94 | Congo | 27.97 | 2023 | down 8.7% | falling |
| 95 | Seychelles | 27.96 | 2023 | up 46.6% | rising |
| 96 | Tanzania | 27.93 | 2023 | up 15.9% | falling |
| 97 | Kazakhstan | 27.64 | 2023 | up 6.5% | falling |
| 98 | Bahamas | 27.48 | 2023 | down 1.6% | falling |
| 99 | Moldova | 27.47 | 2023 | down 35.5% | falling |
| 100 | Madagascar | 27.42 | 2023 | down 22.9% | falling |
| 101 | Bolivia | 27.32 | 2023 | down 19.7% | falling |
| 102 | South Sudan | 27.14 | 2023 | up 41.4% | rising |
| 103 | Peru | 26.98 | 2023 | down 23.5% | falling |
| 104 | Belize | 26.78 | 2023 | up 5.6% | falling |
| 105 | Ghana | 26.68 | 2023 | down 31.4% | falling |
| 106 | Saint Vincent and the Grenadines | 26.57 | 2023 | down 17.3% | falling |
| 107 | Montenegro | 26.33 | 2023 | down 37.4% | falling |
| 108 | Guyana | 26.33 | 2023 | down 30.6% | falling |
| 109 | Brazil | 26.23 | 2023 | down 6.9% | falling |
| 110 | Cape Verde | 25.74 | 2023 | up 6.1% | rising |
| 111 | Bhutan | 25.46 | 2023 | up 25.3% | rising |
| 112 | Singapore | 25.42 | 2023 | down 29.8% | falling |
| 113 | Dominican Republic | 25.06 | 2023 | down 22.2% | falling |
| 114 | Burundi | 24.49 | 2023 | up 17.4% | falling |
| 115 | Argentina | 24.47 | 2023 | down 7.4% | falling |
| 116 | Kenya | 24.25 | 2023 | down 24.5% | falling |
| 117 | Costa Rica | 24.13 | 2023 | up 3.9% | falling |
| 118 | Hungary | 23.06 | 2023 | down 18.7% | falling |
| 119 | Romania | 22.96 | 2023 | up 13.8% | rising |
| 120 | Italy | 22.31 | 2024 | down 2.8% | flat |
| 121 | Switzerland | 22.03 | 2023 | down 3.3% | falling |
| 122 | Belgium | 21.51 | 2023 | up 4.7% | flat |
| 123 | Estonia | 21.38 | 2024 | down 9.1% | rising |
| 124 | Spain | 20.86 | 2023 | down 14.0% | falling |
| 125 | Antigua and Barbuda | 20.81 | 2023 | down 22.3% | falling |
| 126 | Israel | 20.49 | 2023 | down 9.6% | falling |
| 127 | Jamaica | 20.25 | 2023 | down 44.6% | falling |
| 128 | Slovakia | 20.15 | 2023 | down 13.6% | rising |
| 129 | Liechtenstein | 19.72 | 2023 | up 2.4% | falling |
| 130 | Suriname | 19.72 | 2023 | down 29.3% | falling |
| 131 | Libya | 19.18 | 2023 | down 27.8% | falling |
| 132 | Turkey | 19.05 | 2023 | up 12.5% | falling |
| 133 | Maldives | 18.05 | 2023 | down 44.1% | falling |
| 134 | Cyprus | 17.94 | 2023 | down 57.9% | falling |
| 135 | Gabon | 17.27 | 2023 | down 39.6% | falling |
| 136 | Uruguay | 17.1 | 2023 | down 3.4% | falling |
| 137 | Sao Tome and Principe | 16.66 | 2023 | up 17.0% | falling |
| 138 | Cuba | 16.58 | 2023 | up 35.1% | falling |
| 139 | Austria | 16.46 | 2024 | down 16.1% | falling |
| 140 | Poland | 16.21 | 2024 | down 28.7% | falling |
| 141 | Australia | 15.85 | 2023 | down 18.8% | falling |
| 142 | Canada | 15.28 | 2024 | up 3.8% | falling |
| 143 | Iceland | 14.88 | 2024 | down 16.6% | falling |
| 144 | Colombia | 14.74 | 2024 | down 9.5% | flat |
| 145 | United Kingdom | 14.56 | 2024 | down 7.5% | falling |
| 146 | Saudi Arabia | 14.12 | 2023 | down 1.7% | falling |
| 147 | Finland | 14.09 | 2023 | down 20.8% | falling |
| 148 | Czechia | 14.06 | 2024 | down 2.7% | rising |
| 149 | Denmark | 13.87 | 2024 | up 4.0% | falling |
| 150 | Norway | 13.69 | 2023 | down 6.2% | falling |
| 151 | Samoa | 13.42 | 2023 | up 21.2% | falling |
| 152 | Sweden | 13.38 | 2024 | down 10.4% | falling |
| 153 | Lesotho | 13.2 | 2023 | down 5.3% | falling |
| 154 | San Marino | 13.09 | 2023 | up 19.7% | falling |
| 155 | New Zealand | 12.69 | 2024 | down 1.2% | falling |
| 156 | Japan | 12.24 | 2023 | down 3.7% | falling |
| 157 | Palau | 12.1 | 2023 | down 24.4% | falling |
| 158 | Malawi | 12 | 2023 | up 79.0% | falling |
| 159 | Netherlands | 11.79 | 2024 | up 1.7% | rising |
| 160 | Slovenia | 11.74 | 2024 | down 9.5% | falling |
| 161 | Andorra | 11.15 | 2023 | down 16.5% | falling |
| 162 | Eswatini | 11.02 | 2023 | up 4.6% | falling |
| 163 | United States | 10.93 | 2023 | down 11.0% | falling |
| 164 | Germany | 10.71 | 2024 | down 13.3% | falling |
| 165 | Zimbabwe | 10.63 | 2023 | down 64.3% | volatile |
| 166 | Ireland | 10.61 | 2024 | down 24.2% | flat |
| 167 | Mozambique | 10.37 | 2023 | up 29.4% | volatile |
| 168 | Zambia | 10.29 | 2023 | down 12.1% | volatile |
| 169 | Kuwait | 10 | 2023 | down 30.9% | falling |
| 170 | Thailand | 9.93 | 2023 | down 20.8% | falling |
| 171 | United Arab Emirates | 9.67 | 2023 | down 43.7% | falling |
| 172 | Croatia | 9.38 | 2023 | up 6.2% | falling |
| 173 | France | 9.23 | 2024 | down 16.9% | rising |
| 174 | Papua New Guinea | 8.55 | 2023 | up 30.2% | rising |
| 175 | Luxembourg | 8.5 | 2024 | down 23.2% | falling |
| 176 | Monaco | 8.45 | 2023 | up 46.8% | rising |
| 177 | Vanuatu | 8.38 | 2023 | up 15.8% | falling |
| 178 | Fiji | 8.31 | 2023 | down 63.1% | rising |
| 179 | Namibia | 7.49 | 2023 | down 15.7% | rising |
| 180 | Qatar | 7.43 | 2023 | up 7.5% | volatile |
| 181 | Brunei | 7.41 | 2023 | down 21.2% | falling |
| 182 | East Timor | 6.99 | 2023 | up 0.4% | volatile |
| 183 | South Africa | 6.69 | 2023 | down 12.1% | falling |
| 184 | Oman | 6.31 | 2023 | down 9.5% | falling |
| 185 | Tonga | 5.86 | 2023 | down 33.8% | falling |
| 186 | Botswana | 4.26 | 2023 | up 12.5% | falling |
| 187 | Rwanda | 4.1 | 2023 | down 66.7% | falling |
| 188 | Solomon Islands | 3.16 | 2023 | down 0.6% | flat |
| 189 | Kiribati | 2.91 | 2023 | up 429.4% | volatile |
| 190 | Micronesia (country) | 2.58 | 2023 | down 5.3% | falling |
| 191 | Marshall Islands | 1.05 | 2023 | down 31.9% | falling |
| 192 | Nauru | 0.7317 | 2023 | down 32.1% | volatile |
| 193 | Tuvalu | 0.0446 | 2023 | down 99.1% | volatile |