Proportion of population spending more than 25% of household consumption or income on out-of-pocket health care expenditure (%) by country

Percentage of population with out-of-pocket health spending larger than 25% of total household expenditure

Countries reporting
46
Highest
9.1%
Nicaragua
Lowest
0.1%
Kazakhstan
Median
1.1%
Years covered
35
1984–2018
Data points
445

What the numbers show

Proportion of population spending more than 25% of household consumption or income on out-of-pocket health care expenditure (%) is currently reported for 46 countries. The highest value is 9.1% in Nicaragua; the lowest is 0.1% in Kazakhstan.

The median across all reporting countries is 1.1%, and the mean is 1.7%.

The gap between the highest and lowest reporting country is a factor of about 70.

Over the past decade 24 countries rose and 22 fell. The largest increase was in Belarus (up 1,578.2%), and the largest decrease in Serbia (down 75.3%).

Proportion of population spending more than 25% of household: full country ranking

#Country LatestYear 10-year changeTrend
1 Nicaragua 9.1% 2014 up 182.0% volatile
2 Georgia 9.0% 2013 up 75.4% rising
3 Latvia 5.0% 2010 up 119.3% rising
4 Albania 4.9% 2012 down 12.3% rising
5 Armenia 4.9% 2013 down 12.6% falling
6 India 3.9% 2011 up 27.5% rising
7 Republic of Moldova 3.6% 2016 down 0.1% rising
8 Jamaica 2.9% 2004 up 142.7% rising
9 Romania 2.2% 2016 down 10.3% rising
10 Israel 1.9% 2016 down 29.9% flat
11 Viet Nam 1.9% 2016 down 50.4% falling
12 United States of America 1.6% 2018 down 5.6% falling
13 Bangladesh 1.4% 2016 up 98.5% volatile
14 Philippines 1.4% 2015 up 45.0% rising
15 Bosnia and Herzegovina 1.4% 2015 up 246.6% volatile
16 Lithuania 1.4% 2010 down 43.7% flat
17 Côte d'Ivoire 1.4% 2015 down 71.1% flat
18 Taiwan, China 1.4% 2016 up 23.8% rising
19 Poland 1.3% 2016 down 26.4% rising
20 Estonia 1.2% 2010 down 16.6% rising
21 Peru 1.2% 2015 down 9.6% falling
22 Mali 1.1% 2016 up 61.0% volatile
23 Mexico 1.1% 2012 down 67.8% falling
24 Kosovo (UNSCR 1244) 1.0% 2016 up 57.8% rising
24 Kosovo 1.0% 2016 up 57.8% rising
26 Palestine, State of 1.0% 2016 up 40.1% flat
27 Ukraine 0.8% 2014 down 32.7% falling
28 Montenegro 0.8% 2015 down 48.6% falling
29 Bulgaria 0.8% 2010 down 35.6% volatile
30 Kyrgyzstan 0.7% 2016 down 9.4% rising
31 Belarus 0.7% 2016 up 1,578.2% volatile
32 Japan 0.6% 2015 down 35.9% falling
33 Russian Federation 0.6% 2014 up 235.0% rising
34 North Macedonia 0.6% 2008 up 169.8% volatile
35 Slovenia 0.5% 2012 up 336.1% volatile
36 Serbia 0.5% 2015 down 75.3% falling
37 Slovakia 0.5% 2010 up 21.8% rising
38 Canada 0.5% 2010 up 51.3% rising
39 Pakistan 0.5% 2015 up 653.4% volatile
40 United Kingdom of Great Britain and Northern Ireland 0.5% 2013 up 40.1% rising
41 Croatia 0.5% 2010 down 36.8% volatile
42 Mongolia 0.5% 2012 up 509.8% volatile
43 Indonesia 0.4% 2015 up 21.7% volatile
44 Türkiye 0.4% 2016 down 59.6% falling
45 Hungary 0.3% 2015 down 61.0% falling
46 Kazakhstan 0.1% 2015 up 76.9% volatile

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Proportion of population spending more than 25% of household by country. Statizoid, drawing on Health Equity and Financial Protection Indicators (HEFPI) database, World Bank. Retrieved 04 September 2026, from https://reference.statizoid.com/stat/proportion-of-population-spending-more-than-25-percent-of-household-consumption-or-income-2/

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About this data

Indicator
Proportion of population spending more than 25% of household consumption or income on out-of-pocket health care expenditure (%)
Unit
%
Source
Health Equity and Financial Protection Indicators (HEFPI) database, World Bank
Licence
CC BY 4.0 (World Bank Open Data)
Coverage
46 places, 445 data points, 1984–2018
Last refreshed

Percentage of population with out-of-pocket health spending larger than 25% of total household expenditure