Out-of-Pocket Health Spending (% of total) by Country
As of 2023, Armenia leads globally in out-of-pocket health spending (% of total) at 80.5%, followed by Bangladesh, Turkmenistan, Afghanistan. At the lower end, Tuvalu, Nauru, Marshall Islands rank among the lowest. The global median is 27.6% (Kazakhstan). This indicator falls under the "Health" category and is sourced from the World Bank World Development Indicators. Data is available for 193 countries.
All Countries Ranked
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| # | 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 |  Syria | 72.4% | 2023 |
| 6 |  Nigeria | 71.9% | 2023 |
| 7 |  Myanmar | 71.1% | 2023 |
| 8 |  Yemen | 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 | 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 |
| 26 |  Guinea | 54.4% | 2023 |
| 27 |  Iraq | 54.0% | 2023 |
| 28 |  Honduras | 53.1% | 2023 |
| 29 |  Pakistan | 52.9% | 2023 |
| 30 |  Haiti | 52.4% | 2023 |
| 31 |  Chad | 51.7% | 2023 |
| 32 |  Niger | 51.5% | 2023 |
| 33 |  Barbados | 49.5% | 2023 |
| 34 |  Mongolia | 48.8% | 2023 |
| 35 |  Grenada | 48.5% | 2023 |
| 36 |  Eritrea | 48.4% | 2023 |
| 37 |  Albania | 48.3% | 2023 |
| 38 |  Mali | 47.2% | 2023 |
| 39 |  Ethiopia | 46.3% | 2023 |
| 40 |  Ukraine | 45.3% | 2021 |
| 41 |  Trinidad and Tobago | 45.3% | 2023 |
| 42 |  Mauritius | 45.2% | 2023 |
| 43 |  Central African Republic | 45.0% | 2023 |
| 44 |  Algeria | 45.0% | 2023 |
| 45 |  Laos | 44.8% | 2023 |
| 46 |  Philippines | 44.4% | 2023 |
| 47 |  Senegal | 44.3% | 2023 |
| 48 |  India | 43.9% | 2023 |
| 49 |  Burkina Faso | 43.8% | 2023 |
| 50 |  Mauritania | 43.8% | 2023 |
| 51 |  Iran | 43.1% | 2023 |
| 52 |  Benin | 42.4% | 2023 |
| 53 |  Kyrgyzstan | 42.3% | 2023 |
| 54 |  West Bank and Gaza | 42.1% | 2023 |
| 55 |  St. Kitts and Nevis | 41.8% | 2023 |
| 56 |  Mexico | 41.2% | 2023 |
| 57 |  Panama | 40.5% | 2023 |
| 58 |  North Macedonia | 39.6% | 2023 |
| 59 |  Vietnam | 39.2% | 2023 |
| 60 |  Chile | 39.1% | 2024 |
| 61 |  DR Congo | 38.0% | 2023 |
| 62 |  Tunisia | 37.9% | 2023 |
| 63 |  Nicaragua | 37.6% | 2023 |
| 64 |  Morocco | 37.3% | 2023 |
| 65 |  St. Lucia | 37.1% | 2023 |
| 66 |  Malaysia | 37.1% | 2023 |
| 67 |  Paraguay | 36.3% | 2023 |
| 68 |  Bulgaria | 35.5% | 2023 |
| 69 |  Latvia | 35.1% | 2023 |
| 70 |  Jordan | 34.5% | 2023 |
| 71 |  Greece | 34.3% | 2023 |
| 72 |  The Gambia | 33.8% | 2023 |
| 73 |  South Korea | 33.7% | 2024 |
| 74 |  Angola | 32.5% | 2023 |
| 75 |  El Salvador | 32.5% | 2023 |
| 76 |  China | 32.2% | 2023 |
| 77 |  Uganda | 32.2% | 2023 |
| 78 |  Serbia | 32.1% | 2023 |
| 79 |  Côte d'Ivoire | 32.0% | 2023 |
| 80 |  Lithuania | 31.4% | 2024 |
| 81 |  Indonesia | 31.1% | 2023 |
| 82 |  Bosnia and Herzegovina | 31.0% | 2023 |
| 83 |  Malta | 30.9% | 2023 |
| 84 |  Ecuador | 30.9% | 2023 |
| 85 |  Somalia | 30.8% | 2023 |
| 86 |  Lebanon | 29.7% | 2023 |
| 87 |  Venezuela | 29.7% | 2023 |
| 88 |  Dominica | 29.3% | 2023 |
| 89 |  Djibouti | 28.8% | 2023 |
| 90 |  Bahrain | 28.7% | 2023 |
| 91 |  Belarus | 28.5% | 2023 |
| 92 |  Russia | 28.4% | 2023 |
| 93 |  Portugal | 28.2% | 2024 |
| 94 |  Republic of the Congo | 28.0% | 2023 |
| 95 |  Seychelles | 28.0% | 2023 |
| 96 |  Tanzania | 27.9% | 2023 |
| 97 |  Kazakhstan | 27.6% | 2023 |
| 98 |  Bahamas | 27.5% | 2023 |
| 99 |  Moldova | 27.5% | 2023 |
| 100 |  Madagascar | 27.4% | 2023 |
| 101 |  Bolivia | 27.3% | 2023 |
| 102 |  South Sudan | 27.1% | 2023 |
| 103 |  Peru | 27.0% | 2023 |
| 104 |  Belize | 26.8% | 2023 |
| 105 |  Ghana | 26.7% | 2023 |
| 106 |  St. Vincent and the Grenadines | 26.6% | 2023 |
| 107 |  Montenegro | 26.3% | 2023 |
| 108 |  Guyana | 26.3% | 2023 |
| 109 |  Brazil | 26.2% | 2023 |
| 110 |  Cabo Verde | 25.7% | 2023 |
| 111 |  Bhutan | 25.5% | 2023 |
| 112 |  Singapore | 25.4% | 2023 |
| 113 |  Dominican Republic | 25.1% | 2023 |
| 114 |  Burundi | 24.5% | 2023 |
| 115 |  Argentina | 24.5% | 2023 |
| 116 |  Kenya | 24.2% | 2023 |
| 117 |  Costa Rica | 24.1% | 2023 |
| 118 |  Hungary | 23.1% | 2023 |
| 119 |  Romania | 23.0% | 2023 |
| 120 |  Italy | 22.3% | 2024 |
| 121 |  Switzerland | 22.0% | 2023 |
| 122 |  Belgium | 21.5% | 2023 |
| 123 |  Estonia | 21.4% | 2024 |
| 124 |  Spain | 20.9% | 2023 |
| 125 |  Antigua and Barbuda | 20.8% | 2023 |
| 126 |  Israel | 20.5% | 2023 |
| 127 |  Jamaica | 20.2% | 2023 |
| 128 |  Slovakia | 20.2% | 2023 |
| 129 |  Liechtenstein | 19.7% | 2023 |
| 130 |  Suriname | 19.7% | 2023 |
| 131 |  Libya | 19.2% | 2023 |
| 132 |  Türkiye | 19.0% | 2023 |
| 133 |  Maldives | 18.0% | 2023 |
| 134 |  Cyprus | 17.9% | 2023 |
| 135 |  Gabon | 17.3% | 2023 |
| 136 |  Uruguay | 17.1% | 2023 |
| 137 |  Sao Tome and Principe | 16.7% | 2023 |
| 138 |  Cuba | 16.6% | 2023 |
| 139 |  Austria | 16.5% | 2024 |
| 140 |  Poland | 16.2% | 2024 |
| 141 |  Australia | 15.8% | 2023 |
| 142 |  Canada | 15.3% | 2024 |
| 143 |  Iceland | 14.9% | 2024 |
| 144 |  Colombia | 14.7% | 2024 |
| 145 |  United Kingdom | 14.6% | 2024 |
| 146 |  Saudi Arabia | 14.1% | 2023 |
| 147 |  Finland | 14.1% | 2023 |
| 148 |  Czechia | 14.1% | 2024 |
| 149 |  Denmark | 13.9% | 2024 |
| 150 |  Norway | 13.7% | 2023 |
| 151 |  Samoa | 13.4% | 2023 |
| 152 |  Sweden | 13.4% | 2024 |
| 153 |  Lesotho | 13.2% | 2023 |
| 154 |  San Marino | 13.1% | 2023 |
| 155 |  New Zealand | 12.7% | 2024 |
| 156 |  Japan | 12.2% | 2023 |
| 157 |  Palau | 12.1% | 2023 |
| 158 |  Malawi | 12.0% | 2023 |
| 159 |  Netherlands | 11.8% | 2024 |
| 160 |  Slovenia | 11.7% | 2024 |
| 161 |  Andorra | 11.1% | 2023 |
| 162 |  Eswatini | 11.0% | 2023 |
| 163 |  United States | 10.9% | 2023 |
| 164 |  Germany | 10.7% | 2024 |
| 165 |  Zimbabwe | 10.6% | 2023 |
| 166 |  Ireland | 10.6% | 2024 |
| 167 |  Mozambique | 10.4% | 2023 |
| 168 |  Zambia | 10.3% | 2023 |
| 169 |  Kuwait | 10.0% | 2023 |
| 170 |  Thailand | 9.9% | 2023 |
| 171 |  United Arab Emirates | 9.7% | 2023 |
| 172 |  Croatia | 9.4% | 2023 |
| 173 |  France | 9.2% | 2024 |
| 174 |  Papua New Guinea | 8.6% | 2023 |
| 175 |  Luxembourg | 8.5% | 2024 |
| 176 |  Monaco | 8.5% | 2023 |
| 177 |  Vanuatu | 8.4% | 2023 |
| 178 |  Fiji | 8.3% | 2023 |
| 179 |  Namibia | 7.5% | 2023 |
| 180 |  Qatar | 7.4% | 2023 |
| 181 |  Brunei | 7.4% | 2023 |
| 182 |  Timor-Leste | 7.0% | 2023 |
| 183 |  South Africa | 6.7% | 2023 |
| 184 |  Oman | 6.3% | 2023 |
| 185 |  Tonga | 5.9% | 2023 |
| 186 |  Botswana | 4.3% | 2023 |
| 187 |  Rwanda | 4.1% | 2023 |
| 188 |  Solomon Islands | 3.2% | 2023 |
| 189 |  Kiribati | 2.9% | 2023 |
| 190 |  Micronesia | 2.6% | 2023 |
| 191 |  Marshall Islands | 1.1% | 2023 |
| 192 |  Nauru | 0.7% | 2023 |
| 193 |  Tuvalu | 0.0% | 2023 |
Frequently Asked Questions
Which country has the highest out-of-pocket health spending (% of total) in 2023?
Armenia ranks #1 with out-of-pocket health spending (% of total) of 80.5% as of 2023, based on data from the World Bank World Development Indicators.
Which country has the lowest out-of-pocket health spending (% of total)?
Tuvalu ranks last (#193) with 0.0% as of 2023.
What is the global median for out-of-pocket health spending (% of total)?
The median value is 27.6% (Kazakhstan, ranked #97 out of 193 countries).
How many countries report data for out-of-pocket health spending (% of total)?
193 countries have available data for out-of-pocket health spending (% of total). Data is sourced from the World Bank World Development Indicators and updated regularly.
What category does out-of-pocket health spending (% of total) belong to?
Out-of-Pocket Health Spending (% of total) is classified under the "Health" category. Statistics of the World tracks 337 indicators across 27 categories.
Related Indicators in Health
Health Spending (% of GDP)Health Spending per Capita (USD)Government Health Spending (% of GDP)Physicians (per 1,000 people)Nurses & Midwives (per 1,000)Hospital Beds (per 1,000)Under-5 Mortality (per 1,000 live births)Neonatal Mortality (per 1,000)Maternal Mortality (per 100,000)Under-5 Mortality, Female (per 1,000)