Statizoid

Share of out-of-pocket spending on healthcare by country

Out-of-pocket spending on healthcare as percent of total current healthcare expenditure.

Countries reporting
193
Highest
80.5%
Armenia
Lowest
0.0%
Tuvalu
Median
27.6%
Years covered
25
2000–2024
Data points
4,562

What the numbers show

Share of out-of-pocket spending on healthcare is currently reported for 193 countries. The highest value is 80.5% in Armenia; the lowest is 0.0% in Tuvalu.

The median across all reporting countries is 27.6%, and the mean is 30.6%.

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 spending on healthcare: full country ranking

#Country LatestYear 10-year changeTrend
1 Armenia 80.5% 2023 down 2.9% rising
2 Bangladesh 79.3% 2023 up 13.9% rising
3 Turkmenistan 77.4% 2023 up 15.8% rising
4 Afghanistan 77.1% 2023 up 7.1% falling
5 Syrian Arab Republic 72.4% 2023 up 61.8% flat
6 Nigeria 71.9% 2023 up 1.4% rising
7 Myanmar 71.1% 2023 down 1.5% falling
8 Yemen 69.1% 2023 down 7.3% rising
9 Cameroon 67.7% 2023 down 3.0% falling
10 Equatorial Guinea 66.0% 2023 up 4.4% rising
11 Azerbaijan 64.6% 2023 down 2.4% flat
12 Togo 64.3% 2023 up 11.2% falling
13 Uzbekistan 64.1% 2023 up 14.3% flat
14 Liberia 63.2% 2023 up 57.8% falling
15 Tajikistan 62.4% 2023 up 0.7% falling
16 Guinea-Bissau 61.6% 2023 down 4.3% rising
17 Cambodia 60.6% 2023 up 1.0% flat
18 Nepal 59.4% 2023 down 6.5% rising
19 Georgia 58.8% 2023 down 15.2% falling
20 Sudan 57.4% 2023 down 23.3% flat
21 Egypt 57.2% 2023 down 1.3% falling
22 Guatemala 57.2% 2023 up 4.7% falling
23 Comoros 56.6% 2023 down 16.8% falling
24 Sri Lanka 54.8% 2023 up 12.0% rising
25 Sierra Leone 54.5% 2023 down 13.2% falling
26 Guinea 54.4% 2023 down 12.1% falling
27 Iraq 54.0% 2023 down 7.8% rising
28 Honduras 53.1% 2023 up 7.7% rising
29 Pakistan 52.9% 2023 down 15.6% falling
30 Haiti 52.4% 2023 up 44.6% flat
31 Chad 51.7% 2023 down 11.9% rising
32 Niger 51.5% 2023 down 9.0% falling
33 Barbados 49.5% 2023 up 22.4% rising
34 Mongolia 48.8% 2023 up 31.5% rising
35 Grenada 48.5% 2023 down 12.1% flat
36 Eritrea 48.4% 2023 down 0.7% rising
37 Albania 48.3% 2023 down 16.4% rising
38 Mali 47.2% 2023 up 35.5% falling
39 Ethiopia 46.3% 2023 up 9.1% rising
40 Ukraine 45.3% 2021 down 2.2% rising
41 Trinidad and Tobago 45.3% 2023 up 4.9% falling
42 Mauritius 45.2% 2023 down 14.9% falling
43 Central African Republic 45.0% 2023 down 0.5% flat
44 Algeria 45.0% 2023 up 53.7% rising
45 Lao People's Democratic Republic 44.8% 2023 down 7.9% falling
46 Philippines 44.4% 2023 down 23.0% falling
47 Senegal 44.3% 2023 down 19.8% falling
48 India 43.9% 2023 down 36.5% falling
49 Burkina Faso 43.8% 2023 up 30.7% falling
50 Mauritania 43.8% 2023 down 12.8% falling
51 Iran, Islamic Republic of 43.1% 2023 down 9.9% falling
52 Benin 42.4% 2023 down 0.4% flat
53 Kyrgyzstan 42.3% 2023 down 8.9% falling
54 Palestine, State of 42.1% 2023 down 1.5% flat
55 Saint Kitts and Nevis 41.8% 2023 down 25.9% falling
56 Mexico 41.2% 2023 up 3.4% falling
57 Panama 40.5% 2023 up 25.3% rising
58 North Macedonia 39.6% 2023 up 17.4% falling
59 Viet Nam 39.2% 2023 down 5.7% rising
60 Chile 39.1% 2024 up 14.2% falling
61 Congo, Democratic Republic of the 38.0% 2023 down 3.6% falling
62 Tunisia 37.9% 2023 down 2.9% falling
63 Nicaragua 37.6% 2023 up 2.0% falling
64 Morocco 37.3% 2023 down 27.9% falling
65 Saint Lucia 37.1% 2023 down 27.6% falling
66 Malaysia 37.1% 2023 up 10.2% flat
67 Paraguay 36.3% 2023 down 23.5% falling
68 Bulgaria 35.5% 2023 down 15.2% falling
69 Latvia 35.1% 2023 down 8.9% falling
70 Jordan 34.5% 2023 up 55.7% falling
71 Greece 34.3% 2023 up 1.7% falling
72 Gambia 33.8% 2023 up 61.6% rising
73 Korea 33.7% 2024 down 10.2% falling
74 Angola 32.5% 2023 up 52.4% falling
75 El Salvador 32.5% 2023 down 13.1% falling
76 China 32.2% 2023 down 15.7% falling
77 Uganda 32.2% 2023 down 24.3% falling
78 Serbia 32.1% 2023 down 15.1% rising
79 Côte d'Ivoire 32.0% 2023 down 43.0% falling
80 Lithuania 31.4% 2024 down 0.2% rising
81 Indonesia 31.1% 2023 down 38.9% falling
82 Bosnia and Herzegovina 31.0% 2023 up 6.5% falling
83 Malta 30.9% 2023 up 2.3% rising
84 Ecuador 30.9% 2023 down 14.1% falling
85 Somalia 30.8% 2023 down 19.5% flat
86 Lebanon 29.7% 2023 down 19.6% falling
87 Venezuela, Bolivarian Republic of 29.7% 2023 down 19.6% falling
88 Dominica 29.3% 2023 down 17.1% falling
89 Djibouti 28.8% 2023 up 19.9% falling
90 Bahrain 28.7% 2023 up 6.5% flat
91 Belarus 28.5% 2023 down 15.7% rising
92 Russian Federation 28.4% 2023 down 18.5% flat
93 Portugal 28.2% 2024 down 3.9% rising
94 Congo 28.0% 2023 down 8.7% falling
95 Seychelles 28.0% 2023 up 46.6% rising
96 Tanzania, United Republic of 27.9% 2023 up 15.9% falling
97 Kazakhstan 27.6% 2023 up 6.5% falling
98 Bahamas 27.5% 2023 down 1.6% falling
99 Republic of Moldova 27.5% 2023 down 35.5% falling
100 Madagascar 27.4% 2023 down 22.9% falling
101 Bolivia, Plurinational State of 27.3% 2023 down 19.7% falling
102 South Sudan 27.1% 2023 up 41.4% rising
103 Peru 27.0% 2023 down 23.5% falling
104 Belize 26.8% 2023 up 5.6% falling
105 Ghana 26.7% 2023 down 31.4% falling
106 Saint Vincent and the Grenadines 26.6% 2023 down 17.3% falling
107 Montenegro 26.3% 2023 down 37.4% falling
108 Guyana 26.3% 2023 down 30.6% falling
109 Brazil 26.2% 2023 down 6.9% falling
110 Cape Verde 25.7% 2023 up 6.1% rising
111 Bhutan 25.5% 2023 up 25.3% rising
112 Singapore 25.4% 2023 down 29.8% falling
113 Dominican Republic 25.1% 2023 down 22.2% falling
114 Burundi 24.5% 2023 up 17.4% falling
115 Argentina 24.5% 2023 down 7.4% falling
116 Kenya 24.2% 2023 down 24.5% falling
117 Costa Rica 24.1% 2023 up 3.9% falling
118 Hungary 23.1% 2023 down 18.7% falling
119 Romania 23.0% 2023 up 13.8% rising
120 Italy 22.3% 2024 down 2.8% flat
121 Switzerland 22.0% 2023 down 3.3% falling
122 Belgium 21.5% 2023 up 4.7% flat
123 Estonia 21.4% 2024 down 9.1% rising
124 Spain 20.9% 2023 down 14.0% falling
125 Antigua and Barbuda 20.8% 2023 down 22.3% falling
126 Israel 20.5% 2023 down 9.6% falling
127 Jamaica 20.2% 2023 down 44.6% falling
128 Slovakia 20.2% 2023 down 13.6% rising
129 Liechtenstein 19.7% 2023 up 2.4% falling
130 Suriname 19.7% 2023 down 29.3% falling
131 Libya 19.2% 2023 down 27.8% falling
132 Türkiye 19.0% 2023 up 12.5% falling
133 Maldives 18.0% 2023 down 44.1% falling
134 Cyprus 17.9% 2023 down 57.9% falling
135 Gabon 17.3% 2023 down 39.6% falling
136 Uruguay 17.1% 2023 down 3.4% falling
137 Sao Tome and Principe 16.7% 2023 up 17.0% falling
138 Cuba 16.6% 2023 up 35.1% falling
139 Austria 16.5% 2024 down 16.1% falling
140 Poland 16.2% 2024 down 28.7% falling
141 Australia 15.8% 2023 down 18.8% falling
142 Canada 15.3% 2024 up 3.8% falling
143 Iceland 14.9% 2024 down 16.6% falling
144 Colombia 14.7% 2024 down 9.5% flat
145 United Kingdom of Great Britain and Northern Ireland 14.6% 2024 down 7.5% falling
146 Saudi Arabia 14.1% 2023 down 1.7% falling
147 Finland 14.1% 2023 down 20.8% falling
148 Czechia 14.1% 2024 down 2.7% rising
149 Denmark 13.9% 2024 up 4.0% falling
150 Norway 13.7% 2023 down 6.2% falling
151 Samoa 13.4% 2023 up 21.2% falling
152 Sweden 13.4% 2024 down 10.4% falling
153 Lesotho 13.2% 2023 down 5.3% falling
154 San Marino 13.1% 2023 up 19.7% falling
155 New Zealand 12.7% 2024 down 1.2% falling
156 Japan 12.2% 2023 down 3.7% falling
157 Palau 12.1% 2023 down 24.4% falling
158 Malawi 12.0% 2023 up 79.0% falling
159 Netherlands 11.8% 2024 up 1.7% rising
160 Slovenia 11.7% 2024 down 9.5% falling
161 Andorra 11.1% 2023 down 16.5% falling
162 Eswatini 11.0% 2023 up 4.6% falling
163 United States of America 10.9% 2023 down 11.0% falling
164 Germany 10.7% 2024 down 13.3% falling
165 Zimbabwe 10.6% 2023 down 64.3% volatile
166 Ireland 10.6% 2024 down 24.2% flat
167 Mozambique 10.4% 2023 up 29.4% volatile
168 Zambia 10.3% 2023 down 12.1% volatile
169 Kuwait 10.0% 2023 down 30.9% falling
170 Thailand 9.9% 2023 down 20.8% falling
171 United Arab Emirates 9.7% 2023 down 43.7% falling
172 Croatia 9.4% 2023 up 6.2% falling
173 France 9.2% 2024 down 16.9% rising
174 Papua New Guinea 8.6% 2023 up 30.2% rising
175 Luxembourg 8.5% 2024 down 23.2% falling
176 Monaco 8.5% 2023 up 46.8% rising
177 Vanuatu 8.4% 2023 up 15.8% falling
178 Fiji 8.3% 2023 down 63.1% rising
179 Namibia 7.5% 2023 down 15.7% rising
180 Qatar 7.4% 2023 up 7.5% volatile
181 Brunei Darussalam 7.4% 2023 down 21.2% falling
182 Timor-Leste 7.0% 2023 up 0.4% volatile
183 South Africa 6.7% 2023 down 12.1% falling
184 Oman 6.3% 2023 down 9.5% falling
185 Tonga 5.9% 2023 down 33.8% falling
186 Botswana 4.3% 2023 up 12.5% falling
187 Rwanda 4.1% 2023 down 66.7% falling
188 Solomon Islands 3.2% 2023 down 0.6% flat
189 Kiribati 2.9% 2023 up 429.4% volatile
190 Micronesia, Federated States of 2.6% 2023 down 5.3% falling
191 Marshall Islands 1.1% 2023 down 31.9% falling
192 Naoero 0.7% 2023 down 32.1% volatile
193 Tuvalu 0.0% 2023 down 99.1% volatile

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Share of out-of-pocket spending on healthcare by country. Statizoid, drawing on Global Health Expenditure Database, WHO, via World Bank (2026) – processed by Our World in Data. Retrieved 10 September 2026, from https://health.statizoid.com/stat/share-of-out-of-pocket-expenditure-on-healthcare/

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About this data

Indicator
Share of out-of-pocket spending on healthcare
Unit
% of current health expenditure
Source
Global Health Expenditure Database, WHO, via World Bank (2026) – processed by Our World in Data
Licence
CC BY 4.0 (Our World in Data)
Coverage
193 places, 4,562 data points, 2000–2024
Last refreshed

Out-of-pocket spending on healthcare as percent of total current healthcare expenditure.