North Macedonia's out-of-pocket expenditure (% of current health expenditure) was 39.57% in 2023, the latest year in the World Bank's World Development Indicators. That is up 5.86 percentage points from 33.71% in 2013.
Key figures
| Value | Year | |
|---|---|---|
| Latest | 39.57% | 2023 |
| Five years earlier | 41.23% | 2018 |
| Ten years earlier | 33.71% | 2013 |
| Highest | 43.79% | 2003 |
| Lowest | 32.03% | 2008 |
| Average since 2014 | 38.63% | 2014–2023 |
| First recorded | 42.09% | 2000 |
What the numbers say
In 2023, North Macedonia's out-of-pocket expenditure (% of current health expenditure) fell 0.64 percentage points on 2022 (from 40.22% to 39.57%).
Across the 22 yearly changes before that (2001 to 2022), the average change was −0.09 percentage points and a typical year strayed about 2.44 percentage points from that (the standard deviation). This year's change was 0.2 standard deviations below that average, so it was an ordinary year: it sits within the range of normal year-to-year movement.
On record, the biggest yearly rise was 5.72 percentage points in 2017 and the biggest yearly fall was 5.26 percentage points in 2008. The numbers show how large and when, not why; for the cause, look at what happened in that country in those years.
From 2014 to 2023 the straight-line trend is upward, about 0.65 percentage points a year. A straight line explains 50% of the movement over 10 observed years.
Worked out from the yearly values above. How the checks work: standard deviation, z-scores and straight-line trends.
How it compares
In 2023, North Macedonia had the 58th highest value of the 168 economies reporting that year. Higher is not always better: for some indicators the lowest value is the one to aim for. See the full ranking.
| Value | Year | |
|---|---|---|
| North Macedonia | 39.57% | 2023 |
| World | 17.33% | 2023 |
| Europe & Central Asia | 16.5% | 2023 |
| Upper middle income | 31.22% | 2023 |
Closest to North Macedonia in the 2023 ranking
- St. Kitts and Nevis — 54th of 168: 41.8%
- Mexico — 55th of 168: 41.24%
- Panama — 56th of 168: 40.46%
- Viet Nam — 58th of 168: 39.2%
- Congo, Dem. Rep. — 59th of 168: 38%
- Tunisia — 60th of 168: 37.94%
What this measures
Share of out-of-pocket payments of total current health expenditures. Out-of-pocket payments are spending on health directly out-of-pocket by households.
Regional and income-group figures are computed by the World Bank as a weighted average.
All 24 values
| Year | Out-of-pocket expenditure (% of current health expenditure) |
|---|---|
| 2023 | 39.57 |
| 2022 | 40.22 |
| 2021 | 41.74 |
| 2020 | 38.87 |
| 2019 | 39.09 |
| 2018 | 41.23 |
| 2017 | 41.04 |
| 2016 | 35.32 |
| 2015 | 34.26 |
| 2014 | 34.98 |
| 2013 |
Out-of-pocket expenditure (% of current health expenditure) in nearby economies
- Albania — 48.27% (2023)
- Andorra — 11.15% (2023)
- Armenia — 80.47% (2023)
- Austria — 16.46% (2024)
- Azerbaijan — 64.63% (2023)
- Belarus — 28.48% (2023)
- Belgium — 21.51% (2023)
- Bosnia and Herzegovina — 30.96% (2023)
- Bulgaria — 35.5% (2023)
More health data for North Macedonia
- Population ages 00-04, female (% of female population) — 4.53% (2025)
- Population ages 00-04, male (% of male population) — 5.15% (2025)
- Population ages 0-14, female — 146,598 (2025)
- Population ages 0-14, female (% of female population) — 15.68% (2025)
- Population ages 0-14, male — 154,394 (2025)
- Population ages 0-14, male (% of male population) — 17.42% (2025)
- Population ages 0-14, total — 300,992 (2025)
- Population ages 0-14 (% of total population) — 16.53% (2025)
- Population ages 05-09, female (% of female population)
Reading data like this
Questions people ask
- What is North Macedonia's out-of-pocket expenditure (% of current health expenditure)?
- 39.57% in 2023, according to the World Bank (World Development Indicators).
- How has it changed since 2000?
- It is down 2.51 percentage points from 42.09% in 2000. The highest value was 43.79% in 2003 and the lowest 32.03% in 2008.
- How does North Macedonia rank?
- 58th highest of 168 economies with data for 2023.
- Is the latest change in out-of-pocket expenditure (% of current health expenditure) unusual for North Macedonia?
- In 2023, North Macedonia's out-of-pocket expenditure (% of current health expenditure) fell 0.64 percentage points on 2022 (from 40.22% to 39.57%). Across the 22 yearly changes before that (2001 to 2022), the average change was −0.09 percentage points and a typical year strayed about 2.44 percentage points from that (the standard deviation). This year's change was 0.2 standard deviations below that average, so it was an ordinary year: it sits within the range of normal year-to-year movement.
Source
World Bank, World Development Indicators, indicator SH.XPD.OOPC.CH.ZS, licensed CC BY 4.0. Original source: Global Health Expenditure Database, updated December 12th, 2025, World Health Organization (WHO), uri: http://apps.who.int/nha/database Figures are fetched from the World Bank API and refreshed monthly; see the series on data.worldbank.org. The full definition and method are in the World Bank's metadata glossary. Comparisons use the same World Bank release.
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