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Health · SH.XPD.OOPC.CH.ZS
Out-of-pocket health spending, % of health expenditure: ranking of countries
193 countries ranked by their latest value (2021–2024). Armenia is highest at 80.5%; Tuvalu is lowest at 0.0%.
World 17.3% (2023)Median country 27.6%193 countries
Out-of-pocket spending: world and regions, 1994–2024
WorldEast Asia & PacificEurope & Central AsiaLatin America & CaribbeanMiddle East, North Africa, Afghanistan & PakistanNorth AmericaSouth AsiaSub-Saharan Africa
Source: World Bank, World Development Indicators (CC BY 4.0)Regional lines are World Bank aggregates.
full ranking
All 193 countries
Latest value for each country; the year column shows when it was reported.
193 shown
| # | Country | Region | Out-of-pocket spending | Year | Relative |
|---|---|---|---|---|---|
| 1 | Armenia | Europe & Central Asia | 80.5% | 2023 | |
| 2 | Bangladesh | South Asia | 79.3% | 2023 | |
| 3 | Turkmenistan | Europe & Central Asia | 77.4% | 2023 | |
| 4 | Afghanistan | Middle East, North Africa, Afghanistan & Pakistan | 77.1% | 2023 | |
| 5 | Syria | Middle East, North Africa, Afghanistan & Pakistan | 72.4% | 2023 | |
| 6 | Nigeria | Sub-Saharan Africa | 71.9% | 2023 | |
| 7 | Myanmar | East Asia & Pacific | 71.1% | 2023 | |
| 8 | Yemen | Middle East, North Africa, Afghanistan & Pakistan | 69.1% | 2023 | |
| 9 | Cameroon | Sub-Saharan Africa | 67.7% | 2023 | |
| 10 | Equatorial Guinea | Sub-Saharan Africa | 66.0% | 2023 | |
| 11 | Azerbaijan | Europe & Central Asia | 64.6% | 2023 | |
| 12 | Togo | Sub-Saharan Africa | 64.3% | 2023 | |
| 13 | Uzbekistan | Europe & Central Asia | 64.1% | 2023 | |
| 14 | Liberia | Sub-Saharan Africa | 63.2% | 2023 | |
| 15 | Tajikistan | Europe & Central Asia | 62.4% | 2023 | |
| 16 | Guinea-Bissau | Sub-Saharan Africa | 61.6% | 2023 | |
| 17 | Cambodia | East Asia & Pacific | 60.6% | 2023 | |
| 18 | Nepal | South Asia | 59.4% | 2023 | |
| 19 | Georgia | Europe & Central Asia | 58.8% | 2023 | |
| 20 | Sudan | Sub-Saharan Africa | 57.4% | 2023 | |
| 21 | Egypt | Middle East, North Africa, Afghanistan & Pakistan | 57.2% | 2023 | |
| 22 | Guatemala | Latin America & Caribbean | 57.2% | 2023 | |
| 23 | Comoros | Sub-Saharan Africa | 56.6% | 2023 | |
| 24 | Sri Lanka | South Asia | 54.8% | 2023 | |
| 25 | Sierra Leone | Sub-Saharan Africa | 54.5% | 2023 | |
| 26 | Guinea | Sub-Saharan Africa | 54.4% | 2023 | |
| 27 | Iraq | Middle East, North Africa, Afghanistan & Pakistan | 54.0% | 2023 | |
| 28 | Honduras | Latin America & Caribbean | 53.1% | 2023 | |
| 29 | Pakistan | Middle East, North Africa, Afghanistan & Pakistan | 52.9% | 2023 | |
| 30 | Haiti | Latin America & Caribbean | 52.4% | 2023 | |
| 31 | Chad | Sub-Saharan Africa | 51.7% | 2023 | |
| 32 | Niger | Sub-Saharan Africa | 51.5% | 2023 | |
| 33 | Barbados | Latin America & Caribbean | 49.5% | 2023 | |
| 34 | Mongolia | East Asia & Pacific | 48.8% | 2023 | |
| 35 | Grenada | Latin America & Caribbean | 48.5% | 2023 | |
| 36 | Eritrea | Sub-Saharan Africa | 48.4% | 2023 | |
| 37 | Albania | Europe & Central Asia | 48.3% | 2023 | |
| 38 | Mali | Sub-Saharan Africa | 47.2% | 2023 | |
| 39 | Ethiopia | Sub-Saharan Africa | 46.3% | 2023 | |
| 40 | Ukraine | Europe & Central Asia | 45.3% | 2021 | |
| 41 | Trinidad and Tobago | Latin America & Caribbean | 45.3% | 2023 | |
| 42 | Mauritius | Sub-Saharan Africa | 45.2% | 2023 | |
| 43 | Central African Republic | Sub-Saharan Africa | 45.0% | 2023 | |
| 44 | Algeria | Middle East, North Africa, Afghanistan & Pakistan | 45.0% | 2023 | |
| 45 | Laos | East Asia & Pacific | 44.8% | 2023 | |
| 46 | Philippines | East Asia & Pacific | 44.4% | 2023 | |
| 47 | Senegal | Sub-Saharan Africa | 44.3% | 2023 | |
| 48 | India | South Asia | 43.9% | 2023 | |
| 49 | Burkina Faso | Sub-Saharan Africa | 43.8% | 2023 | |
| 50 | Mauritania | Sub-Saharan Africa | 43.8% | 2023 | |
| 51 | Iran | Middle East, North Africa, Afghanistan & Pakistan | 43.1% | 2023 | |
| 52 | Benin | Sub-Saharan Africa | 42.4% | 2023 | |
| 53 | Kyrgyzstan | Europe & Central Asia | 42.3% | 2023 | |
| 54 | West Bank and Gaza | Middle East, North Africa, Afghanistan & Pakistan | 42.1% | 2023 | |
| 55 | Saint Kitts and Nevis | Latin America & Caribbean | 41.8% | 2023 | |
| 56 | Mexico | Latin America & Caribbean | 41.2% | 2023 | |
| 57 | Panama | Latin America & Caribbean | 40.5% | 2023 | |
| 58 | North Macedonia | Europe & Central Asia | 39.6% | 2023 | |
| 59 | Vietnam | East Asia & Pacific | 39.2% | 2023 | |
| 60 | Chile | Latin America & Caribbean | 39.1% | 2024 | |
| 61 | Democratic Republic of the Congo | Sub-Saharan Africa | 38.0% | 2023 | |
| 62 | Tunisia | Middle East, North Africa, Afghanistan & Pakistan | 37.9% | 2023 | |
| 63 | Nicaragua | Latin America & Caribbean | 37.6% | 2023 | |
| 64 | Morocco | Middle East, North Africa, Afghanistan & Pakistan | 37.3% | 2023 | |
| 65 | Saint Lucia | Latin America & Caribbean | 37.1% | 2023 | |
| 66 | Malaysia | East Asia & Pacific | 37.1% | 2023 | |
| 67 | Paraguay | Latin America & Caribbean | 36.3% | 2023 | |
| 68 | Bulgaria | Europe & Central Asia | 35.5% | 2023 | |
| 69 | Latvia | Europe & Central Asia | 35.1% | 2023 | |
| 70 | Jordan | Middle East, North Africa, Afghanistan & Pakistan | 34.5% | 2023 | |
| 71 | Greece | Europe & Central Asia | 34.3% | 2023 | |
| 72 | The Gambia | Sub-Saharan Africa | 33.8% | 2023 | |
| 73 | South Korea | East Asia & Pacific | 33.7% | 2024 | |
| 74 | Angola | Sub-Saharan Africa | 32.5% | 2023 | |
| 75 | El Salvador | Latin America & Caribbean | 32.5% | 2023 | |
| 76 | China | East Asia & Pacific | 32.2% | 2023 | |
| 77 | Uganda | Sub-Saharan Africa | 32.2% | 2023 | |
| 78 | Serbia | Europe & Central Asia | 32.1% | 2023 | |
| 79 | Côte d'Ivoire | Sub-Saharan Africa | 32.0% | 2023 | |
| 80 | Lithuania | Europe & Central Asia | 31.4% | 2024 | |
| 81 | Indonesia | East Asia & Pacific | 31.1% | 2023 | |
| 82 | Bosnia and Herzegovina | Europe & Central Asia | 31.0% | 2023 | |
| 83 | Malta | Middle East, North Africa, Afghanistan & Pakistan | 30.9% | 2023 | |
| 84 | Ecuador | Latin America & Caribbean | 30.9% | 2023 | |
| 85 | Somalia | Sub-Saharan Africa | 30.8% | 2023 | |
| 86 | Lebanon | Middle East, North Africa, Afghanistan & Pakistan | 29.7% | 2023 | |
| 87 | Venezuela | Latin America & Caribbean | 29.7% | 2023 | |
| 88 | Dominica | Latin America & Caribbean | 29.3% | 2023 | |
| 89 | Djibouti | Middle East, North Africa, Afghanistan & Pakistan | 28.8% | 2023 | |
| 90 | Bahrain | Middle East, North Africa, Afghanistan & Pakistan | 28.7% | 2023 | |
| 91 | Belarus | Europe & Central Asia | 28.5% | 2023 | |
| 92 | Russia | Europe & Central Asia | 28.4% | 2023 | |
| 93 | Portugal | Europe & Central Asia | 28.2% | 2024 | |
| 94 | Republic of the Congo | Sub-Saharan Africa | 28.0% | 2023 | |
| 95 | Seychelles | Sub-Saharan Africa | 28.0% | 2023 | |
| 96 | Tanzania | Sub-Saharan Africa | 27.9% | 2023 | |
| 97 | Kazakhstan | Europe & Central Asia | 27.6% | 2023 | |
| 98 | Bahamas | Latin America & Caribbean | 27.5% | 2023 | |
| 99 | Moldova | Europe & Central Asia | 27.5% | 2023 | |
| 100 | Madagascar | Sub-Saharan Africa | 27.4% | 2023 | |
| 101 | Bolivia | Latin America & Caribbean | 27.3% | 2023 | |
| 102 | South Sudan | Sub-Saharan Africa | 27.1% | 2023 | |
| 103 | Peru | Latin America & Caribbean | 27.0% | 2023 | |
| 104 | Belize | Latin America & Caribbean | 26.8% | 2023 | |
| 105 | Ghana | Sub-Saharan Africa | 26.7% | 2023 | |
| 106 | Saint Vincent and the Grenadines | Latin America & Caribbean | 26.6% | 2023 | |
| 107 | Montenegro | Europe & Central Asia | 26.3% | 2023 | |
| 108 | Guyana | Latin America & Caribbean | 26.3% | 2023 | |
| 109 | Brazil | Latin America & Caribbean | 26.2% | 2023 | |
| 110 | Cabo Verde | Sub-Saharan Africa | 25.7% | 2023 | |
| 111 | Bhutan | South Asia | 25.5% | 2023 | |
| 112 | Singapore | East Asia & Pacific | 25.4% | 2023 | |
| 113 | Dominican Republic | Latin America & Caribbean | 25.1% | 2023 | |
| 114 | Burundi | Sub-Saharan Africa | 24.5% | 2023 | |
| 115 | Argentina | Latin America & Caribbean | 24.5% | 2023 | |
| 116 | Kenya | Sub-Saharan Africa | 24.2% | 2023 | |
| 117 | Costa Rica | Latin America & Caribbean | 24.1% | 2023 | |
| 118 | Hungary | Europe & Central Asia | 23.1% | 2023 | |
| 119 | Romania | Europe & Central Asia | 23.0% | 2023 | |
| 120 | Italy | Europe & Central Asia | 22.3% | 2024 | |
| 121 | Switzerland | Europe & Central Asia | 22.0% | 2023 | |
| 122 | Belgium | Europe & Central Asia | 21.5% | 2023 | |
| 123 | Estonia | Europe & Central Asia | 21.4% | 2024 | |
| 124 | Spain | Europe & Central Asia | 20.9% | 2023 | |
| 125 | Antigua and Barbuda | Latin America & Caribbean | 20.8% | 2023 | |
| 126 | Israel | Middle East, North Africa, Afghanistan & Pakistan | 20.5% | 2023 | |
| 127 | Jamaica | Latin America & Caribbean | 20.2% | 2023 | |
| 128 | Slovakia | Europe & Central Asia | 20.2% | 2023 | |
| 129 | Liechtenstein | Europe & Central Asia | 19.7% | 2023 | |
| 130 | Suriname | Latin America & Caribbean | 19.7% | 2023 | |
| 131 | Libya | Middle East, North Africa, Afghanistan & Pakistan | 19.2% | 2023 | |
| 132 | Türkiye | Europe & Central Asia | 19.0% | 2023 | |
| 133 | Maldives | South Asia | 18.0% | 2023 | |
| 134 | Cyprus | Europe & Central Asia | 17.9% | 2023 | |
| 135 | Gabon | Sub-Saharan Africa | 17.3% | 2023 | |
| 136 | Uruguay | Latin America & Caribbean | 17.1% | 2023 | |
| 137 | São Tomé and Príncipe | Sub-Saharan Africa | 16.7% | 2023 | |
| 138 | Cuba | Latin America & Caribbean | 16.6% | 2023 | |
| 139 | Austria | Europe & Central Asia | 16.5% | 2024 | |
| 140 | Poland | Europe & Central Asia | 16.2% | 2024 | |
| 141 | Australia | East Asia & Pacific | 15.8% | 2023 | |
| 142 | Canada | North America | 15.3% | 2024 | |
| 143 | Iceland | Europe & Central Asia | 14.9% | 2024 | |
| 144 | Colombia | Latin America & Caribbean | 14.7% | 2024 | |
| 145 | United Kingdom | Europe & Central Asia | 14.6% | 2024 | |
| 146 | Saudi Arabia | Middle East, North Africa, Afghanistan & Pakistan | 14.1% | 2023 | |
| 147 | Finland | Europe & Central Asia | 14.1% | 2023 | |
| 148 | Czechia | Europe & Central Asia | 14.1% | 2024 | |
| 149 | Denmark | Europe & Central Asia | 13.9% | 2024 | |
| 150 | Norway | Europe & Central Asia | 13.7% | 2023 | |
| 151 | Samoa | East Asia & Pacific | 13.4% | 2023 | |
| 152 | Sweden | Europe & Central Asia | 13.4% | 2024 | |
| 153 | Lesotho | Sub-Saharan Africa | 13.2% | 2023 | |
| 154 | San Marino | Europe & Central Asia | 13.1% | 2023 | |
| 155 | New Zealand | East Asia & Pacific | 12.7% | 2024 | |
| 156 | Japan | East Asia & Pacific | 12.2% | 2023 | |
| 157 | Palau | East Asia & Pacific | 12.1% | 2023 | |
| 158 | Malawi | Sub-Saharan Africa | 12.0% | 2023 | |
| 159 | Netherlands | Europe & Central Asia | 11.8% | 2024 | |
| 160 | Slovenia | Europe & Central Asia | 11.7% | 2024 | |
| 161 | Andorra | Europe & Central Asia | 11.1% | 2023 | |
| 162 | Eswatini | Sub-Saharan Africa | 11.0% | 2023 | |
| 163 | United States | North America | 10.9% | 2023 | |
| 164 | Germany | Europe & Central Asia | 10.7% | 2024 | |
| 165 | Zimbabwe | Sub-Saharan Africa | 10.6% | 2023 | |
| 166 | Ireland | Europe & Central Asia | 10.6% | 2024 | |
| 167 | Mozambique | Sub-Saharan Africa | 10.4% | 2023 | |
| 168 | Zambia | Sub-Saharan Africa | 10.3% | 2023 | |
| 169 | Kuwait | Middle East, North Africa, Afghanistan & Pakistan | 10.0% | 2023 | |
| 170 | Thailand | East Asia & Pacific | 9.9% | 2023 | |
| 171 | United Arab Emirates | Middle East, North Africa, Afghanistan & Pakistan | 9.7% | 2023 | |
| 172 | Croatia | Europe & Central Asia | 9.4% | 2023 | |
| 173 | France | Europe & Central Asia | 9.2% | 2024 | |
| 174 | Papua New Guinea | East Asia & Pacific | 8.6% | 2023 | |
| 175 | Luxembourg | Europe & Central Asia | 8.5% | 2024 | |
| 176 | Monaco | Europe & Central Asia | 8.5% | 2023 | |
| 177 | Vanuatu | East Asia & Pacific | 8.4% | 2023 | |
| 178 | Fiji | East Asia & Pacific | 8.3% | 2023 | |
| 179 | Namibia | Sub-Saharan Africa | 7.5% | 2023 | |
| 180 | Qatar | Middle East, North Africa, Afghanistan & Pakistan | 7.4% | 2023 | |
| 181 | Brunei | East Asia & Pacific | 7.4% | 2023 | |
| 182 | Timor-Leste | East Asia & Pacific | 7.0% | 2023 | |
| 183 | South Africa | Sub-Saharan Africa | 6.7% | 2023 | |
| 184 | Oman | Middle East, North Africa, Afghanistan & Pakistan | 6.3% | 2023 | |
| 185 | Tonga | East Asia & Pacific | 5.9% | 2023 | |
| 186 | Botswana | Sub-Saharan Africa | 4.3% | 2023 | |
| 187 | Rwanda | Sub-Saharan Africa | 4.1% | 2023 | |
| 188 | Solomon Islands | East Asia & Pacific | 3.2% | 2023 | |
| 189 | Kiribati | East Asia & Pacific | 2.9% | 2023 | |
| 190 | Micronesia | East Asia & Pacific | 2.6% | 2023 | |
| 191 | Marshall Islands | East Asia & Pacific | 1.1% | 2023 | |
| 192 | Nauru | East Asia & Pacific | 0.7% | 2023 | |
| 193 | Tuvalu | East Asia & Pacific | 0.0% | 2023 |
Source: World Bank, World Development Indicators (CC BY 4.0)Out-of-pocket expenditure (% of current health expenditure)