Health costs paid out of pocket

Share of health spending paid directly by households at the point of care.

measured by: World Bank
originally from: World Health Organization, Global Health Expenditure Database
years covered: 2000–2024
subject: Society

Higher is generally taken as worse.

How this is measured

What households pay directly when they receive care, as a share of all health spending — excluding anything reimbursed by insurance or the state. A high share is how medical costs turn into poverty, which is why this is often more informative than total health spending.

Ranked for 2023

164 countries and territories have a figure for 2023. This is the most recent year the series covers well; the viewer holds every year from 2000.

#	Country	Region	Out of pocket
1	Solomon Islands	Asia-Pacific	3.2%
2	Rwanda	Sub-Saharan Africa	4.1%
3	Botswana	Sub-Saharan Africa	4.3%
4	Oman	Middle East & North Africa	6.3%
5	South Africa	Sub-Saharan Africa	6.7%
6	Timor-Leste	Asia-Pacific	7.0%
7	Brunei	Asia-Pacific	7.4%
8	Qatar	Middle East & North Africa	7.4%
9	Namibia	Sub-Saharan Africa	7.5%
10	Fiji	Asia-Pacific	8.3%
11	Vanuatu	Asia-Pacific	8.4%
12	Papua New Guinea	Asia-Pacific	8.6%
13	Luxembourg	Europe	8.8%
14	France	Europe	9.3%
15	Croatia	Europe	9.4%
16	United Arab Emirates	Middle East & North Africa	9.7%
17	Thailand	Asia-Pacific	9.9%
18	Kuwait	Middle East & North Africa	10.0%
19	Zambia	Sub-Saharan Africa	10.3%
20	Mozambique	Sub-Saharan Africa	10.4%
21	Zimbabwe	Sub-Saharan Africa	10.6%
22	United States	Americas	10.9%
23	Eswatini	Sub-Saharan Africa	11.0%
24	Germany	Europe	11.1%
25	Ireland	Europe	11.3%
26	Malawi	Sub-Saharan Africa	12.0%
27	Netherlands	Europe	12.0%
28	Japan	Asia-Pacific	12.2%
29	Slovenia	Europe	12.4%
30	New Zealand	Asia-Pacific	12.6%
31	Sweden	Europe	13.0%
32	Lesotho	Sub-Saharan Africa	13.2%
33	Norway	Europe	13.7%
34	Denmark	Europe	14.0%
35	Finland	Europe	14.1%
36	Saudi Arabia	Middle East & North Africa	14.1%
37	Czechia	Europe	14.6%
38	United Kingdom	Europe	14.6%
39	Colombia	Americas	14.6%
40	Iceland	Europe	14.7%
41	Canada	Americas	15.2%
42	Poland	Europe	15.8%
43	Australia	Asia-Pacific	15.8%
44	Austria	Europe	16.5%
45	Cuba	Americas	16.6%
46	Uruguay	Americas	17.1%
47	Gabon	Sub-Saharan Africa	17.3%
48	Cyprus	Europe	17.9%
49	Turkey	Eurasia	19.0%
50	Libya	Middle East & North Africa	19.2%
51	Suriname	Americas	19.7%
52	Slovakia	Europe	20.2%
53	Jamaica	Americas	20.2%
54	Israel	Middle East & North Africa	20.5%
55	Spain	Europe	20.9%
56	Belgium	Europe	21.5%
57	Switzerland	Europe	22.0%
58	Estonia	Europe	22.1%
59	Romania	Europe	23.0%
60	Hungary	Europe	23.1%
61	Italy	Europe	23.6%
62	Costa Rica	Americas	24.1%
63	Kenya	Sub-Saharan Africa	24.2%
64	Argentina	Americas	24.5%
65	Burundi	Sub-Saharan Africa	24.5%
66	Dominican Republic	Americas	25.1%
67	Bhutan	Asia-Pacific	25.5%
68	Brazil	Americas	26.2%
69	Guyana	Americas	26.3%
70	Montenegro	Europe	26.3%
71	Ghana	Sub-Saharan Africa	26.7%
72	Belize	Americas	26.8%
73	Peru	Americas	27.0%
74	South Sudan	Sub-Saharan Africa	27.1%
75	Bolivia	Americas	27.3%
76	Madagascar	Sub-Saharan Africa	27.4%
77	Moldova	Eurasia	27.5%
78	Bahamas	Americas	27.5%
79	Kazakhstan	Eurasia	27.6%
80	Tanzania	Sub-Saharan Africa	27.9%
81	Congo	Sub-Saharan Africa	28.0%
82	Russia	Eurasia	28.4%
83	Belarus	Eurasia	28.5%
84	Djibouti	Sub-Saharan Africa	28.8%
85	Portugal	Europe	29.3%
86	Venezuela	Americas	29.7%
87	Lebanon	Middle East & North Africa	29.7%
88	Somalia	Sub-Saharan Africa	30.8%
89	Ecuador	Americas	30.9%
90	Bosnia and Herzegovina	Europe	31.0%
91	Lithuania	Europe	31.0%
92	Indonesia	Asia-Pacific	31.1%
93	South Korea	Asia-Pacific	31.8%
94	Côte d'Ivoire	Sub-Saharan Africa	32.0%
95	Serbia	Europe	32.1%
96	Uganda	Sub-Saharan Africa	32.2%
97	China	Asia-Pacific	32.2%
98	El Salvador	Americas	32.5%
99	Angola	Sub-Saharan Africa	32.5%
100	Gambia	Sub-Saharan Africa	33.8%
101	Greece	Europe	34.3%
102	Jordan	Middle East & North Africa	34.5%
103	Chile	Americas	34.6%
104	Latvia	Europe	35.1%
105	Bulgaria	Europe	35.5%
106	Paraguay	Americas	36.3%
107	Malaysia	Asia-Pacific	37.1%
108	Morocco	Middle East & North Africa	37.3%
109	Nicaragua	Americas	37.6%
110	Tunisia	Middle East & North Africa	37.9%
111	Democratic Republic of the Congo	Sub-Saharan Africa	38.0%
112	Vietnam	Asia-Pacific	39.2%
113	North Macedonia	Europe	39.6%
114	Panama	Americas	40.5%
115	Mexico	Americas	41.2%
116	Palestine	Middle East & North Africa	42.1%
117	Kyrgyzstan	Eurasia	42.3%
118	Benin	Sub-Saharan Africa	42.4%
119	Iran	Middle East & North Africa	43.1%
120	Mauritania	Sub-Saharan Africa	43.8%
121	Burkina Faso	Sub-Saharan Africa	43.8%
122	India	Asia-Pacific	43.9%
123	Senegal	Sub-Saharan Africa	44.3%
124	Philippines	Asia-Pacific	44.4%
125	Laos	Asia-Pacific	44.8%
126	Algeria	Middle East & North Africa	45.0%
127	Central African Republic	Sub-Saharan Africa	45.0%
128	Trinidad and Tobago	Americas	45.3%
129	Ethiopia	Sub-Saharan Africa	46.3%
130	Mali	Sub-Saharan Africa	47.2%
131	Albania	Europe	48.3%
132	Eritrea	Sub-Saharan Africa	48.4%
133	Mongolia	Asia-Pacific	48.8%
134	Niger	Sub-Saharan Africa	51.5%
135	Chad	Sub-Saharan Africa	51.7%
136	Haiti	Americas	52.4%
137	Pakistan	Asia-Pacific	52.9%
138	Honduras	Americas	53.1%
139	Iraq	Middle East & North Africa	54.0%
140	Guinea	Sub-Saharan Africa	54.4%
141	Sierra Leone	Sub-Saharan Africa	54.5%
142	Sri Lanka	Asia-Pacific	54.8%
143	Guatemala	Americas	57.2%
144	Egypt	Middle East & North Africa	57.2%
145	Sudan	Sub-Saharan Africa	57.4%
146	Georgia	Eurasia	58.8%
147	Nepal	Asia-Pacific	59.4%
148	Cambodia	Asia-Pacific	60.6%
149	Guinea-Bissau	Sub-Saharan Africa	61.6%
150	Tajikistan	Eurasia	62.4%
151	Liberia	Sub-Saharan Africa	63.2%
152	Uzbekistan	Eurasia	64.1%
153	Togo	Sub-Saharan Africa	64.3%
154	Azerbaijan	Eurasia	64.6%
155	Equatorial Guinea	Sub-Saharan Africa	66.0%
156	Cameroon	Sub-Saharan Africa	67.7%
157	Yemen	Middle East & North Africa	69.1%
158	Myanmar	Asia-Pacific	71.1%
159	Nigeria	Sub-Saharan Africa	71.9%
160	Syria	Middle East & North Africa	72.4%
161	Afghanistan	Asia-Pacific	77.1%
162	Turkmenistan	Eurasia	77.4%
163	Bangladesh	Asia-Pacific	79.3%
164	Armenia	Eurasia	80.5%

Data by year

Show 25 yearly JSON rankings

Follow a year link to open the complete world ranking, including country names, values, positions, source and licence.

Source and licence

World Bank — World Development Indicators

CC BY 4.0. World Bank, World Development Indicators How every source was checked

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