Countries Where Patients Pay Most Out of Pocket (2023)
Source: World Bank·25 countries·Updated 2023
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Armenia leads with out-of-pocket health spending (% of total) of 80.5%.
Bangladesh ranks #2 at 79.3%.
Turkmenistan ranks #3 at 77.4%.
Afghanistan ranks #4 at 77.1%.
Syrian Arab Republic ranks #5 at 72.4%.
Top 25 Countries by Out-of-Pocket Health Spending (% of total)
| # | Country | Out-of-Pocket Health Spending (% of total) | Year |
|---|---|---|---|
| 1 |  Armenia | 80.5% | 2023 |
| 2 |  Bangladesh | 79.3% | 2023 |
| 3 |  Turkmenistan | 77.4% | 2023 |
| 4 |  Afghanistan | 77.1% | 2023 |
| 5 |  Syrian Arab Republic | 72.4% | 2023 |
| 6 |  Nigeria | 71.9% | 2023 |
| 7 |  Myanmar | 71.1% | 2023 |
| 8 |  Yemen, Rep. | 69.1% | 2023 |
| 9 |  Cameroon | 67.7% | 2023 |
| 10 |  Equatorial Guinea | 66.0% | 2023 |
| 11 |  Azerbaijan | 64.6% | 2023 |
| 12 |  Togo | 64.3% | 2023 |
| 13 |  Uzbekistan | 64.1% | 2023 |
| 14 |  Liberia | 63.2% | 2023 |
| 15 |  Tajikistan | 62.4% | 2023 |
| 16 |  Guinea-Bissau | 61.6% | 2023 |
| 17 |  Cambodia | 60.6% | 2023 |
| 18 |  Nepal | 59.4% | 2023 |
| 19 |  Georgia | 58.8% | 2023 |
| 20 |  Sudan | 57.4% | 2023 |
| 21 |  Egypt, Arab Rep. | 57.2% | 2023 |
| 22 |  Guatemala | 57.2% | 2023 |
| 23 |  Comoros | 56.6% | 2023 |
| 24 |  Sri Lanka | 54.8% | 2023 |
| 25 |  Sierra Leone | 54.5% | 2023 |
Data from 193 countries is available. View full rankings →
FAQ
What is the highest out-of-pocket health spending (% of total) in 2023?
Armenia has the highest out-of-pocket health spending (% of total) at 80.5% in 2023.
How many countries are included in this ranking?
This article features the top 25 countries out of 193 with available data. Full rankings available on the indicator page.
Where does this data come from?
Data is sourced from the World Bank. It is updated regularly as new releases become available.