Of the economies in the World Bank's latest release, Armenia has the highest out-of-pocket expenditure (% of current health expenditure) (80.47% in 2023) and Tuvalu the lowest (0.04% in 2023). The world figure is 17.33% (2023).
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.
Each country's latest available year is shown; countries report on different schedules, so compare years before comparing values.
Ranking
| # | Economy | Latest value | Year |
|---|---|---|---|
| 1 | Armenia | 80.47% | 2023 |
| 2 | Bangladesh | 79.31% | 2023 |
| 3 | Turkmenistan | 77.39% | 2023 |
| 4 | Afghanistan | 77.14% | 2023 |
| 5 | Syrian Arab Republic | 72.4% | 2023 |
| 6 | Nigeria | 71.9% | 2023 |
| 7 | Myanmar | 71.13% | 2023 |
| 8 | Yemen, Rep. | 69.13% | 2023 |
| 9 | Cameroon | 67.65% | 2023 |
| 10 | Equatorial Guinea | 65.98% | 2023 |
| 11 | Azerbaijan | 64.63% | 2023 |
| 12 | Togo | 64.34% | 2023 |
| 13 | Uzbekistan | 64.06% | 2023 |
| 14 | Liberia | 63.24% | 2023 |
| 15 | Tajikistan | 62.36% | 2023 |
| 16 | Guinea-Bissau | 61.56% | 2023 |
| 17 | Cambodia | 60.6% | 2023 |
| 18 | Nepal | 59.39% | 2023 |
| 19 | Georgia | 58.76% | 2023 |
| 20 | Sudan | 57.37% | 2023 |
| 21 | Egypt, Arab Rep. | 57.2% | 2023 |
| 22 | Guatemala | 57.18% | 2023 |
| 23 | Comoros | 56.57% | 2023 |
| 24 | Sri Lanka | 54.81% | 2023 |
| 25 | Sierra Leone | 54.47% | 2023 |
| 26 | Guinea | 54.42% | 2023 |
| 27 | Iraq | 53.98% | 2023 |
| 28 | Honduras | 53.06% | 2023 |
| 29 | Pakistan | 52.93% | 2023 |
| 30 | Haiti | 52.4% | 2023 |
| 31 | Chad | 51.68% | 2023 |
| 32 | Niger | 51.48% | 2023 |
| 33 | Barbados | 49.49% | 2023 |
| 34 | Mongolia | 48.8% | 2023 |
| 35 | Grenada | 48.48% | 2023 |
| 36 | Eritrea | 48.45% | 2023 |
| 37 | Albania | 48.27% | 2023 |
| 38 | Mali | 47.23% | 2023 |
| 39 | Ethiopia | 46.27% | 2023 |
| 40 | Ukraine | 45.29% | 2021 |
| 41 | Trinidad and Tobago | 45.27% | 2023 |
| 42 | Mauritius | 45.24% | 2023 |
| 43 | Central African Republic | 45.02% | 2023 |
| 44 | Algeria | 45% | 2023 |
| 45 | Lao PDR | 44.84% | 2023 |
| 46 | Philippines | 44.36% | 2023 |
| 47 | Senegal | 44.33% | 2023 |
| 48 | India | 43.89% | 2023 |
| 49 | Burkina Faso | 43.82% | 2023 |
| 50 | Mauritania | 43.77% | 2023 |
| 51 | Iran, Islamic Rep. | 43.15% | 2023 |
| 52 | Benin | 42.41% | 2023 |
| 53 | Kyrgyz Republic | 42.26% | 2023 |
| 54 | West Bank and Gaza | 42.07% | 2023 |
| 55 | St. Kitts and Nevis | 41.8% | 2023 |
| 56 | Mexico | 41.24% | 2023 |
| 57 | Panama | 40.46% | 2023 |
| 58 | North Macedonia | 39.57% | 2023 |
| 59 | Viet Nam | 39.2% | 2023 |
| 60 | Chile | 39.15% | 2024 |
| 61 | Congo, Dem. Rep. | 38% | 2023 |
| 62 | Tunisia | 37.94% | 2023 |
| 63 | Nicaragua | 37.63% | 2023 |
| 64 | Morocco | 37.25% | 2023 |
| 65 | St. Lucia | 37.14% | 2023 |
| 66 | Malaysia | 37.09% | 2023 |
| 67 | Paraguay | 36.32% | 2023 |
| 68 | Bulgaria | 35.5% | 2023 |
| 69 | Latvia | 35.06% | 2023 |
| 70 | Jordan | 34.47% | 2023 |
| 71 | Greece | 34.3% | 2023 |
| 72 | Gambia, The | 33.78% | 2023 |
| 73 | Korea, Rep. | 33.74% | 2024 |
| 74 | Angola | 32.55% | 2023 |
| 75 | El Salvador | 32.49% | 2023 |
| 76 | China | 32.17% | 2023 |
| 77 | Uganda | 32.17% | 2023 |
| 78 | Serbia | 32.14% | 2023 |
| 79 | Côte d'Ivoire | 31.99% | 2023 |
| 80 | Lithuania | 31.43% | 2024 |
| 81 | Indonesia | 31.08% | 2023 |
| 82 | Bosnia and Herzegovina | 30.96% | 2023 |
| 83 | Malta | 30.93% | 2023 |
| 84 | Ecuador | 30.89% | 2023 |
| 85 | Somalia, Fed. Rep. | 30.78% | 2023 |
| 86 | Lebanon | 29.7% | 2023 |
| 87 | Dominica | 29.33% | 2023 |
| 88 | Djibouti | 28.84% | 2023 |
| 89 | Bahrain | 28.66% | 2023 |
| 90 | Belarus | 28.48% | 2023 |
| 91 | Russian Federation | 28.39% | 2023 |
| 92 | Portugal | 28.19% | 2024 |
| 93 | Congo, Rep. | 27.97% | 2023 |
| 94 | Seychelles | 27.96% | 2023 |
| 95 | Tanzania | 27.93% | 2023 |
| 96 | Kazakhstan | 27.64% | 2023 |
| 97 | Bahamas, The | 27.48% | 2023 |
| 98 | Moldova | 27.47% | 2023 |
| 99 | Madagascar | 27.42% | 2023 |
| 100 | Bolivia | 27.32% | 2023 |
| 101 | Peru | 26.98% | 2023 |
| 102 | Belize | 26.78% | 2023 |
| 103 | Ghana | 26.68% | 2023 |
| 104 | St. Vincent and the Grenadines | 26.57% | 2023 |
| 105 | Montenegro | 26.33% | 2023 |
| 106 | Guyana | 26.33% | 2023 |
| 107 | Brazil | 26.23% | 2023 |
| 108 | Cabo Verde | 25.74% | 2023 |
| 109 | Bhutan | 25.46% | 2023 |
| 110 | Singapore | 25.42% | 2023 |
| 111 | Dominican Republic | 25.06% | 2023 |
| 112 | Burundi | 24.49% | 2023 |
| 113 | Argentina | 24.47% | 2023 |
| 114 | Kenya | 24.25% | 2023 |
| 115 | Costa Rica | 24.13% | 2023 |
| 116 | Hungary | 23.06% | 2023 |
| 117 | Romania | 22.96% | 2023 |
| 118 | Italy | 22.31% | 2024 |
| 119 | Switzerland | 22.03% | 2023 |
| 120 | Belgium | 21.51% | 2023 |
| 121 | Estonia | 21.38% | 2024 |
| 122 | Spain | 20.86% | 2023 |
| 123 | Antigua and Barbuda | 20.81% | 2023 |
| 124 | Israel | 20.49% | 2023 |
| 125 | Jamaica | 20.25% | 2023 |
| 126 | Slovak Republic | 20.15% | 2023 |
| 127 | Liechtenstein | 19.72% | 2023 |
| 128 | Suriname | 19.72% | 2023 |
| 129 | Libya | 19.18% | 2023 |
| 130 | Türkiye | 19.05% | 2023 |
| 131 | Maldives | 18.05% | 2023 |
| 132 | Cyprus | 17.94% | 2023 |
| 133 | Gabon | 17.27% | 2023 |
| 134 | Uruguay | 17.1% | 2023 |
| 135 | São Tomé and Principe | 16.66% | 2023 |
| 136 | Cuba | 16.58% | 2023 |
| 137 | Austria | 16.46% | 2024 |
| 138 | Poland | 16.21% | 2024 |
| 139 | Australia | 15.85% | 2023 |
| 140 | Canada | 15.28% | 2024 |
| 141 | Iceland | 14.88% | 2024 |
| 142 | Colombia | 14.74% | 2024 |
| 143 | United Kingdom | 14.56% | 2024 |
| 144 | Saudi Arabia | 14.12% | 2023 |
| 145 | Finland | 14.09% | 2023 |
| 146 | Czechia | 14.06% | 2024 |
| 147 | Denmark | 13.87% | 2024 |
| 148 | Norway | 13.69% | 2023 |
| 149 | Samoa | 13.42% | 2023 |
| 150 | Sweden | 13.38% | 2024 |
| 151 | Lesotho | 13.2% | 2023 |
| 152 | San Marino | 13.09% | 2023 |
| 153 | New Zealand | 12.69% | 2024 |
| 154 | Japan | 12.24% | 2023 |
| 155 | Palau | 12.1% | 2023 |
| 156 | Malawi | 12% | 2023 |
| 157 | Netherlands | 11.79% | 2024 |
| 158 | Slovenia | 11.75% | 2024 |
| 159 | Andorra | 11.15% | 2023 |
| 160 | Eswatini | 11.02% | 2023 |
| 161 | United States | 10.93% | 2023 |
| 162 | Germany | 10.71% | 2024 |
| 163 | Zimbabwe | 10.63% | 2023 |
| 164 | Ireland | 10.61% | 2024 |
| 165 | Mozambique | 10.37% | 2023 |
| 166 | Zambia | 10.29% | 2023 |
| 167 | Kuwait | 10% | 2023 |
| 168 | Thailand | 9.93% | 2023 |
| 169 | United Arab Emirates | 9.67% | 2023 |
| 170 | Croatia | 9.38% | 2023 |
| 171 | France | 9.23% | 2024 |
| 172 | Papua New Guinea | 8.55% | 2023 |
| 173 | Luxembourg | 8.5% | 2024 |
| 174 | Monaco | 8.45% | 2023 |
| 175 | Vanuatu | 8.38% | 2023 |
| 176 | Fiji | 8.31% | 2023 |
| 177 | Namibia | 7.49% | 2023 |
| 178 | Qatar | 7.43% | 2023 |
| 179 | Brunei Darussalam | 7.41% | 2023 |
| 180 | Timor-Leste | 6.99% | 2023 |
| 181 | South Africa | 6.69% | 2023 |
| 182 | Oman | 6.31% | 2023 |
| 183 | Tonga | 5.86% | 2023 |
| 184 | Botswana | 4.26% | 2023 |
| 185 | Rwanda | 4.1% | 2023 |
| 186 | Solomon Islands | 3.16% | 2023 |
| 187 | Kiribati | 2.91% | 2023 |
| 188 | Micronesia, Fed. Sts. | 2.58% | 2023 |
| 189 | Marshall Islands | 1.05% | 2023 |
| 190 | Naoero | 0.73% | 2023 |
| 191 | Tuvalu | 0.04% | 2023 |
Regions and income groups
More health indicators
- Total alcohol consumption per capita, female (liters of pure alcohol, projected estimates, female 15+ years of age)
- Total alcohol consumption per capita (liters of pure alcohol, projected estimates, 15+ years of age)
- Total alcohol consumption per capita, male (liters of pure alcohol, projected estimates, male 15+ years of age)
- Prevalence of anemia among women of reproductive age (% of women ages 15-49)
- Prevalence of anemia among children (% of children ages 6-59 months)
- Prevalence of anemia among non-pregnant women (% of women ages 15-49)
- Number of deaths ages 5-9 years
- Number of deaths ages 10-14 years
- Number of deaths ages 15-19 years
- Number of deaths ages 20-24 years
- Number of infant deaths
- Number of under-five deaths
Reading data like this
Source
World Bank, World Development Indicators, SH.XPD.OOPC.CH.ZS, 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 View on data.worldbank.org; the full definition is in the World Bank's metadata glossary.
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