Proportion of population facing large (but non-impoverishing) out-of-pocket health expenditure (%) by country
Proportion of population spending more than 40% but less than 100% of household discretionary budget on out-of-pocket health expenditure (%) The discretionary budget is defined as the total household budget, measured by consumption expenditure or income, minus the societal poverty line (SPL). Using 2017...
What the numbers show
Proportion of population facing large (but non-impoverishing) out-of-pocket health expenditure (%) is currently reported for 78 countries. The highest value is 15.8% in Egypt; the lowest is 0.1% in Zambia.
The median across all reporting countries is 4.0%, and the mean is 4.4%.
The gap between the highest and lowest reporting country is a factor of about 176.
Over the past decade 48 countries rose and 29 fell. The largest increase was in Mongolia (up 483.6%), and the largest decrease in Zambia (down 86.4%).
Proportion of population facing large (but non-impoverishing): full country ranking
| # | Country | Latest | Year | 10-year change | Trend |
|---|---|---|---|---|---|
| 1 | Egypt | 15.8% | 2019 | up 138.7% | rising |
| 2 | Bangladesh | 14.1% | 2022 | up 103.3% | rising |
| 3 | Tunisia | 12.8% | 2021 | up 99.7% | rising |
| 4 | Armenia | 12.5% | 2020 | up 43.8% | rising |
| 5 | Nicaragua | 10.5% | 2014 | up 83.6% | rising |
| 6 | Bulgaria | 10.0% | 2023 | up 68.2% | rising |
| 7 | Georgia | 9.9% | 2024 | up 9.6% | rising |
| 8 | India | 8.7% | 2022 | up 8.6% | rising |
| 9 | Latvia | 8.4% | 2019 | up 40.3% | rising |
| 10 | Cambodia | 8.0% | 2023 | up 14.6% | falling |
| 11 | Mongolia | 7.1% | 2023 | up 483.6% | volatile |
| 12 | Benin | 6.7% | 2021 | up 110.0% | rising |
| 13 | Lithuania | 6.5% | 2021 | up 41.9% | rising |
| 14 | Nepal | 6.4% | 2022 | up 23.7% | rising |
| 15 | Cameroon | 6.3% | 2022 | up 65.5% | falling |
| 16 | Colombia | 6.3% | 2021 | up 38.6% | falling |
| 17 | Chile | 6.0% | 2021 | up 72.0% | rising |
| 18 | Romania | 5.9% | 2016 | up 20.3% | rising |
| 19 | Greece | 5.5% | 2023 | down 4.2% | falling |
| 20 | Poland | 5.5% | 2019 | down 0.4% | flat |
| 21 | Pakistan | 5.4% | 2018 | up 14.4% | falling |
| 22 | Tajikistan | 5.2% | 2019 | down 14.9% | rising |
| 23 | Nigeria | 5.2% | 2022 | down 10.7% | falling |
| 24 | Togo | 5.1% | 2021 | up 189.8% | rising |
| 25 | Peru | 5.1% | 2022 | up 35.3% | flat |
| 26 | Burkina Faso | 5.0% | 2021 | up 184.7% | rising |
| 27 | Hungary | 4.8% | 2007 | up 71.3% | rising |
| 27 | Israel | 4.8% | 2021 | up 38.8% | rising |
| 29 | Uganda | 4.8% | 2019 | down 20.9% | rising |
| 30 | Mauritius | 4.8% | 2023 | up 34.2% | rising |
| 31 | Côte d'Ivoire | 4.7% | 2021 | down 5.8% | falling |
| 32 | Republic of Moldova | 4.5% | 2023 | down 42.1% | rising |
| 33 | Ukraine | 4.5% | 2019 | up 7.2% | falling |
| 34 | Iran, Islamic Republic of | 4.4% | 2022 | down 8.0% | flat |
| 34 | Belarus | 4.4% | 2020 | up 73.4% | rising |
| 36 | Senegal | 4.2% | 2021 | up 59.8% | rising |
| 37 | Viet Nam | 4.2% | 2020 | down 34.2% | falling |
| 38 | Montenegro | 4.1% | 2015 | up 6.5% | rising |
| 39 | Kosovo (UNSCR 1244) | 4.0% | 2016 | up 25.9% | rising |
| 39 | Kosovo | 4.0% | 2016 | up 25.9% | rising |
| 41 | Albania | 3.9% | 2017 | down 42.0% | falling |
| 42 | Spain | 3.5% | 2023 | up 37.5% | rising |
| 42 | Palestine, State of | 3.5% | 2023 | down 0.8% | flat |
| 44 | Russian Federation | 3.2% | 2014 | up 115.5% | rising |
| 45 | Mali | 3.1% | 2022 | up 40.8% | rising |
| 46 | Estonia | 3.1% | 2011 | up 16.9% | rising |
| 47 | Portugal | 3.1% | 2022 | down 47.6% | flat |
| 48 | Switzerland | 3.0% | 2017 | down 19.4% | falling |
| 49 | North Macedonia | 2.9% | 2024 | up 8.3% | rising |
| 49 | Niger | 2.9% | 2021 | down 8.9% | rising |
| 51 | Czechia | 2.8% | 2023 | up 273.0% | volatile |
| 52 | Kazakhstan | 2.7% | 2018 | up 25.9% | rising |
| 53 | Serbia | 2.5% | 2022 | up 0.8% | flat |
| 54 | Philippines | 2.4% | 2023 | down 9.0% | rising |
| 55 | Bosnia and Herzegovina | 2.4% | 2022 | down 34.8% | falling |
| 56 | Bolivia, Plurinational State of | 2.4% | 2021 | down 45.9% | falling |
| 57 | Kyrgyzstan | 2.3% | 2022 | up 91.7% | rising |
| 58 | Mexico | 2.3% | 2022 | up 127.0% | falling |
| 59 | Jamaica | 2.1% | 2021 | up 35.4% | volatile |
| 60 | Andorra | 2.0% | 2023 | — | falling |
| 61 | Slovakia | 1.9% | 2022 | down 28.8% | falling |
| 62 | Sri Lanka | 1.9% | 2019 | down 41.5% | falling |
| 63 | Slovenia | 1.7% | 2022 | up 19.6% | rising |
| 64 | El Salvador | 1.6% | 2019 | up 78.3% | rising |
| 65 | Croatia | 1.6% | 2010 | up 84.7% | falling |
| 66 | Luxembourg | 1.6% | 2023 | down 17.1% | rising |
| 67 | United States of America | 1.5% | 2023 | down 10.8% | falling |
| 68 | Türkiye | 1.4% | 2016 | down 25.5% | falling |
| 69 | Indonesia | 1.3% | 2023 | down 47.2% | falling |
| 70 | Thailand | 1.2% | 2017 | down 26.0% | falling |
| 71 | United Kingdom of Great Britain and Northern Ireland | 1.2% | 2021 | up 47.6% | rising |
| 72 | Malawi | 1.1% | 2019 | up 56.7% | rising |
| 73 | Ethiopia | 1.0% | 2021 | up 14.8% | rising |
| 74 | Paraguay | 0.9% | 2023 | down 51.5% | falling |
| 75 | Ghana | 0.7% | 2016 | down 59.3% | falling |
| 76 | South Africa | 0.6% | 2014 | down 46.7% | falling |
| 77 | Bhutan | 0.4% | 2022 | down 78.1% | volatile |
| 78 | Zambia | 0.1% | 2015 | down 86.4% | volatile |
Regions and income groups
Aggregates are excluded from the country ranking above so that a region can never outrank a country.
- South Asia 9.1%
- Lower middle income 7.3%
- East Asia & Pacific 6.3%
- Upper middle income 5.8%
- World 5.6%
- Middle East, North Africa, Afghanistan & Pakistan 5.5%
- Latin America & Caribbean 4.1%
- Europe & Central Asia 3.3%
- Sub-Saharan Africa 3.1%
- High income 2.9%
- North America 1.8%
- Low income 1.8%
About this data
Proportion of population spending more than 40% but less than 100% of household discretionary budget on out-of-pocket health expenditure (%) The discretionary budget is defined as the total household budget, measured by consumption expenditure or income, minus the societal poverty line (SPL). Using 2017 purchasing power parities (PPPs), the SPL corresponds to whichever is greater: $2.15 (the international poverty line) or $1.15 + 50% of median household consumption expenditure or income, excluding out-of-pocket household expenditure on health. Out-of-pocket health expenditure is defined as any spending incurred by a household when any member uses a health good or service to receive any type of care (preventive, curative, rehabilitative, long-term or palliative care); provided by any type of provider; for any type of disease, illness or health condition; in any type of setting (outpatient, inpatient, at home).