Out-of-pocket health spending
Payments made directly by households at the point of care, such as fees and co-payments not reimbursed by insurance, as a share of all current health spending.
Highest in 2023
80.5%
Armenia
Lowest in 2023
0.0%
Tuvalu
Euro area, 2023
14.8%
Official aggregate published by the source
Countries ranked for 2023
192
Updated by the source on 8 October 2026
192 countries have a value for 2023, the latest period with data for most countries. Some countries have newer figures; see the ranking below for each country's latest year.
Trend over time
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The chart loads when you scroll to it. The table below shows the same data.
The chart shows a calculation from the published values. The table below keeps the published values.
% of current health expenditure. Source: World Bank, World Development Indicators. Gaps mean no published value; points are not joined across missing years.
| Period | World | United States | China | India |
|---|---|---|---|---|
| 2023 | 17.3% | 10.9% | 32.2% | 43.9% |
| 2022 | 17.2% | 11.0% | 31.6% | 44.5% |
| 2021 | 17.0% | 10.7% | 34.4% | 45.1% |
| 2020 | 16.4% | 10.1% | 34.8% | 49.5% |
| 2019 | 18.0% | 11.3% | 35.2% | 52.0% |
| 2018 | 18.1% | 11.3% | 35.8% | 53.2% |
| 2017 | 18.1% | 11.3% | 36.1% | 55.1% |
| 2016 | 18.2% | 11.6% | 35.9% | 63.2% |
| 2015 | 18.4% | 11.8% | 35.1% | 64.7% |
| 2014 | 18.7% | 12.0% | 36.6% | 67.0% |
| 2013 | 19.0% | 12.3% | 38.2% | 69.1% |
| 2012 | 18.8% | 12.3% | 39.2% | 63.0% |
| 2011 | 18.6% | 12.3% | 40.3% | 62.2% |
| 2010 | 18.5% | 12.4% | 40.8% | 65.2% |
| 2009 | 18.3% | 12.6% | 43.5% | 66.8% |
| 2008 | 18.9% | 13.4% | 47.4% | 69.1% |
| 2007 | 18.9% | 13.6% | 51.3% | 70.8% |
| 2006 | 18.8% | 13.7% | 56.0% | 72.3% |
| 2005 | 18.7% | 13.9% | 57.7% | 73.1% |
| 2004 | 18.5% | 14.0% | 58.8% | 72.5% |
| 2003 | 18.6% | 14.2% | 60.7% | 73.4% |
| 2002 | 18.6% | 14.3% | 62.9% | 73.4% |
| 2001 | 18.9% | 14.4% | 64.2% | 74.1% |
| 2000 | 19.2% | 15.1% | 60.1% | 71.7% |
A dash means no value was published for that period.
In short
- Among the 192 countries with a value for 2023, the highest is Armenia (80.5%) and the lowest Tuvalu (0.0%).
- Half of the countries are above 27.6% and half below.
- From 2022 to 2023 the value rose in 90 countries and fell in 80.
- The figure for the world was 17.3% in 2023, against 18.1% in 2018 (−0.8 percentage points).
About this measure
Source and dates
All countries in 2023 Every value is for 2023, so the countries are compared at the same point in time.
- 1 Armenia 80.5%
- 2 Bangladesh 79.3%
- 3 Turkmenistan 77.4%
- 4 Afghanistan 77.1%
- 5 Syria 72.4%
- 6 Nigeria 71.9%
- 7 Myanmar 71.1%
- 8 Yemen 69.1%
- 9 Cameroon 67.7%
- 10 Equatorial Guinea 66.0%
- 11 Azerbaijan 64.6%
- 12 Togo 64.3%
- 13 Uzbekistan 64.1%
- 14 Liberia 63.2%
- 15 Tajikistan 62.4%
- 16 Guinea-Bissau 61.6%
- 17 Cambodia 60.6%
- 18 Nepal 59.4%
- 19 Georgia 58.8%
- 20 Sudan 57.4%
- 21 Egypt 57.2%
- 22 Guatemala 57.2%
- 23 Comoros 56.6%
- 24 Sri Lanka 54.8%
- 25 Sierra Leone 54.5%
- 26 Guinea 54.4%
- 27 Iraq 54.0%
- 28 Honduras 53.1%
- 29 Pakistan 52.9%
- 30 Haiti 52.4%
- 31 Chad 51.7%
- 32 Niger 51.5%
- 33 Barbados 49.5%
- 34 Mongolia 48.8%
- 35 Grenada 48.5%
- 36 Eritrea 48.4%
- 37 Albania 48.3%
- 38 Mali 47.2%
- 39 Ethiopia 46.3%
- 40 Trinidad and Tobago 45.3%
- 41 Mauritius 45.2%
- 42 Central African Republic 45.0%
- 43 Algeria 45.0%
- 44 Laos 44.8%
- 45 Philippines 44.4%
- 46 Senegal 44.3%
- 47 India 43.9%
- 48 Burkina Faso 43.8%
- 49 Mauritania 43.8%
- 50 Iran 43.1%
- 51 Benin 42.4%
- 52 Kyrgyzstan 42.3%
- 53 West Bank and Gaza 42.1%
- 54 Saint Kitts and Nevis 41.8%
- 55 Mexico 41.2%
- 56 Panama 40.5%
- 57 North Macedonia 39.6%
- 58 Viet Nam 39.2%
- 59 Democratic Republic of the Congo 38.0%
- 60 Tunisia 37.9%
- 61 Nicaragua 37.6%
- 62 Morocco 37.3%
- 63 Saint Lucia 37.1%
- 64 Malaysia 37.1%
- 65 Paraguay 36.3%
- 66 Bulgaria 35.5%
- 67 Latvia 35.1%
- 68 Chile 34.6%
- 69 Jordan 34.5%
- 70 Greece 34.3%
- 71 Gambia 33.8%
- 72 Angola 32.5%
- 73 El Salvador 32.5%
- 74 China 32.2%
- 75 Uganda 32.2%
- 76 Serbia 32.1%
- 77 Côte d'Ivoire 32.0%
- 78 South Korea 31.8%
- 79 Indonesia 31.1%
- 80 Lithuania 31.0%
- 81 Bosnia and Herzegovina 31.0%
- 82 Malta 30.9%
- 83 Ecuador 30.9%
- 84 Somalia, Fed. Rep. 30.8%
- 85 Lebanon 29.7%
- 86 Venezuela 29.7%
- 87 Dominica 29.3%
- 88 Portugal 29.3%
- 89 Djibouti 28.8%
- 90 Bahrain 28.7%
- 91 Belarus 28.5%
- 92 Russia 28.4%
- 93 Republic of the Congo 28.0%
- 94 Seychelles 28.0%
- 95 Tanzania 27.9%
- 96 Kazakhstan 27.6%
- 97 Bahamas 27.5%
- 98 Moldova 27.5%
- 99 Madagascar 27.4%
- 100 Bolivia 27.3%
- 101 South Sudan 27.1%
- 102 Peru 27.0%
- 103 Belize 26.8%
- 104 Ghana 26.7%
- 105 Saint Vincent and the Grenadines 26.6%
- 106 Montenegro 26.3%
- 107 Guyana 26.3%
- 108 Brazil 26.2%
- 109 Cabo Verde 25.7%
- 110 Bhutan 25.5%
- 111 Singapore 25.4%
- 112 Dominican Republic 25.1%
- 113 Burundi 24.5%
- 114 Argentina 24.5%
- 115 Kenya 24.2%
- 116 Costa Rica 24.1%
- 117 Italy 23.6%
- 118 Hungary 23.1%
- 119 Romania 23.0%
- 120 Estonia 22.1%
- 121 Switzerland 22.0%
- 122 Belgium 21.5%
- 123 Spain 20.9%
- 124 Antigua and Barbuda 20.8%
- 125 Israel 20.5%
- 126 Jamaica 20.2%
- 127 Slovakia 20.2%
- 128 Liechtenstein 19.7%
- 129 Suriname 19.7%
- 130 Libya 19.2%
- 131 Türkiye 19.0%
- 132 Maldives 18.0%
- 133 Cyprus 17.9%
- 134 Gabon 17.3%
- 135 Uruguay 17.1%
- 136 São Tomé and Príncipe 16.7%
- 137 Cuba 16.6%
- 138 Austria 16.5%
- 139 Australia 15.8%
- 140 Poland 15.8%
- 141 Canada 15.2%
- 142 Iceland 14.7%
- 143 Colombia 14.6%
- 144 United Kingdom 14.6%
- 145 Czechia 14.6%
- 146 Saudi Arabia 14.1%
- 147 Finland 14.1%
- 148 Denmark 14.0%
- 149 Norway 13.7%
- 150 Samoa 13.4%
- 151 Lesotho 13.2%
- 152 San Marino 13.1%
- 153 Sweden 13.0%
- 154 New Zealand 12.6%
- 155 Slovenia 12.4%
- 156 Japan 12.2%
- 157 Palau 12.1%
- 158 Netherlands 12.0%
- 159 Malawi 12.0%
- 160 Ireland 11.3%
- 161 Andorra 11.1%
- 162 Germany 11.1%
- 163 Eswatini 11.0%
- 164 United States 10.9%
- 165 Zimbabwe 10.6%
- 166 Mozambique 10.4%
- 167 Zambia 10.3%
- 168 Kuwait 10.0%
- 169 Thailand 9.9%
- 170 United Arab Emirates 9.7%
- 171 Croatia 9.4%
- 172 France 9.3%
- 173 Luxembourg 8.8%
- 174 Papua New Guinea 8.6%
- 175 Monaco 8.5%
- 176 Vanuatu 8.4%
- 177 Fiji 8.3%
- 178 Namibia 7.5%
- 179 Qatar 7.4%
- 180 Brunei 7.4%
- 181 Timor-Leste 7.0%
- 182 South Africa 6.7%
- 183 Oman 6.3%
- 184 Tonga 5.9%
- 185 Botswana 4.3%
- 186 Rwanda 4.1%
- 187 Solomon Islands 3.2%
- 188 Kiribati 2.9%
- 189 Micronesia 2.6%
- 190 Marshall Islands 1.1%
- 191 Naoero 0.7%
- 192 Tuvalu 0.0%
- East Asia and Pacific 26.0%
- Euro area 14.8%
- Europe and Central Asia 16.5%
- European Union 14.9%
- Latin America and Caribbean 29.7%
- Middle East and North Africa 28.3%
- North America 11.1%
- OECD members 13.4%
- South Asia 46.6%
- Sub-Saharan Africa 30.4%
- World 17.3%
Below the line: groups and aggregates, not ranked.
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Grey: no value for 2023. Colour groups split countries into roughly equal numbers. Boundaries: Natural Earth.