Health · Small states
Yearly data from 2000 to 2023, from the World Bank.
Small states's out-of-pocket expenditure (% of current health expenditure) was 24.82% in 2023, the latest year in the World Bank's World Development Indicators. That is down 6.17 percentage points from 30.99% in 2013.
| Value | Year | |
|---|---|---|
| Latest | 24.82% | 2023 |
| Five years earlier | 30.01% | 2018 |
| Ten years earlier | 30.99% | 2013 |
| Highest | 32.88% | 2001 |
| Lowest | 24.64% | 2021 |
| Average since 2014 | 28.05% | 2014–2023 |
| First recorded | 32.6% | 2000 |
Over five years it is down 5.19 percentage points from 30.01% in 2018. Since 2000 it is down 7.78 percentage points from 32.6% in 2000.
In 2023, Small states' out-of-pocket expenditure (% of current health expenditure) rose 0.01 percentage points on 2022 (from 24.81% to 24.82%).
Across the 22 yearly changes before that (2001 to 2022), the average change was −0.35 percentage points and a typical year strayed about 0.93 percentage points from that (the standard deviation). This year's change was 0.4 standard deviations above 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 1.28 percentage points in 2008 and the biggest yearly fall was 3.34 percentage points in 2020. 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 downward, about 0.87 percentage points a year. A straight line explains 88% 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.
See how every economy compares in the full ranking.
| Value | Year | |
|---|---|---|
| Small states | 24.82% | 2023 |
| World | 17.33% | 2023 |
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.
| Year | Out-of-pocket expenditure (% of current health expenditure) |
|---|---|
| 2023 | 24.82 |
| 2022 | 24.81 |
| 2021 | 24.64 |
| 2020 | 25.33 |
| 2019 | 28.67 |
| 2018 | 30.01 |
| 2017 | 29.86 |
| 2016 | 30.3 |
| 2015 | 30.62 |
| 2014 | 31.47 |
| 2013 | 30.99 |
| 2012 | 30.85 |
| 2011 | 31.21 |
| 2010 | 31.51 |
| 2009 | 32.43 |
| 2008 | 32.15 |
| 2007 | 30.87 |
| 2006 | 30.88 |
| 2005 | 30.61 |
| 2004 | 31.31 |
| 2003 | 30.77 |
| 2002 | 32.16 |
| 2001 | 32.88 |
| 2000 | 32.6 |
Every indicator for Small states is on the Small states data page.
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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