What share of medical spending people pay out of their own pocket at the point of care.
The ranking uses the latest available value for each country — the year is shown in the row. The table spans 2021 to 2024.
Top-20 · % of health expenditure
The scale does not start at zero — the values lie in a narrow range, and starting from zero the bars would be indistinguishable. The axis ticks are labeled.
| # | Year | Subregion | World rank | ||
|---|---|---|---|---|---|
| 1 |
Armenia
|
80.47 | 2023 | 193 | |
| 2 |
Bangladesh
|
79.31 | 2023 | 192 | |
| 3 |
Turkmenistan
|
77.39 | 2023 | 191 | |
| 4 |
Afghanistan
|
77.14 | 2023 | 190 | |
| 5 |
Syria
|
72.4 | 2023 | 189 | |
| 6 |
Nigeria
|
71.9 | 2023 | 188 | |
| 7 |
Myanmar
|
71.13 | 2023 | 187 | |
| 8 |
Yemen
|
69.13 | 2023 | 186 | |
| 9 |
Cameroon
|
67.65 | 2023 | 185 | |
| 10 |
Equatorial Guinea
|
65.98 | 2023 | 184 | |
| 11 |
Azerbaijan
|
64.63 | 2023 | 183 | |
| 12 |
Togo
|
64.34 | 2023 | 182 | |
| 13 |
Uzbekistan
|
64.06 | 2023 | 181 | |
| 14 |
Liberia
|
63.24 | 2023 | 180 | |
| 15 |
Tajikistan
|
62.36 | 2023 | 179 | |
| 16 |
Guinea-Bissau
|
61.56 | 2023 | 178 | |
| 17 |
Cambodia
|
60.6 | 2023 | 177 | |
| 18 |
Nepal
|
59.39 | 2023 | 176 | |
| 19 |
Georgia
|
58.76 | 2023 | 175 | |
| 20 |
Sudan
|
57.37 | 2023 | 174 | |
| 21 |
Egypt
|
57.2 | 2023 | 173 | |
| 22 |
Guatemala
|
57.18 | 2023 | 172 | |
| 23 |
Comoros
|
56.57 | 2023 | 171 | |
| 24 |
Sri Lanka
|
54.81 | 2023 | 170 | |
| 25 |
Sierra Leone
|
54.47 | 2023 | 169 | |
| 26 |
Guinea
|
54.42 | 2023 | 168 | |
| 27 |
Iraq
|
53.98 | 2023 | 167 | |
| 28 |
Honduras
|
53.06 | 2023 | 166 | |
| 29 |
Pakistan
|
52.93 | 2023 | 165 | |
| 30 |
Haiti
|
52.4 | 2023 | 164 | |
| 31 |
Chad
|
51.68 | 2023 | 163 | |
| 32 |
Niger
|
51.48 | 2023 | 162 | |
| 33 |
Barbados
|
49.49 | 2023 | 161 | |
| 34 |
Mongolia
|
48.8 | 2023 | 160 | |
| 35 |
Grenada
|
48.48 | 2023 | 159 | |
| 36 |
Eritrea
|
48.45 | 2023 | 158 | |
| 37 |
Albania
|
48.27 | 2023 | 157 | |
| 38 |
Mali
|
47.23 | 2023 | 156 | |
| 39 |
Ethiopia
|
46.27 | 2023 | 155 | |
| 40 |
Ukraine
|
45.29 | 2021 | 154 | |
| 41 |
Trinidad and Tobago
|
45.27 | 2023 | 153 | |
| 42 |
Mauritius
|
45.24 | 2023 | 152 | |
| 43 |
Central African Republic
|
45.02 | 2023 | 151 | |
| 44 |
Algeria
|
45 | 2023 | 150 | |
| 45 |
Laos
|
44.84 | 2023 | 149 | |
| 46 |
Philippines
|
44.36 | 2023 | 148 | |
| 47 |
Senegal
|
44.33 | 2023 | 147 | |
| 48 |
India
|
43.89 | 2023 | 146 | |
| 49 |
Burkina Faso
|
43.82 | 2023 | 145 | |
| 50 |
Mauritania
|
43.77 | 2023 | 144 | |
| 51 |
Iran
|
43.15 | 2023 | 143 | |
| 52 |
Benin
|
42.41 | 2023 | 142 | |
| 53 |
Kyrgyzstan
|
42.26 | 2023 | 141 | |
| 54 |
Palestine
|
42.07 | 2023 | 140 | |
| 55 |
Saint Kitts and Nevis
|
41.8 | 2023 | 139 | |
| 56 |
Mexico
|
41.24 | 2023 | 138 | |
| 57 |
Panama
|
40.46 | 2023 | 137 | |
| 58 |
North Macedonia
|
39.57 | 2023 | 136 | |
| 59 |
Vietnam
|
39.2 | 2023 | 135 | |
| 60 |
Chile
|
39.15 | 2024 | 134 | |
| 61 |
Democratic Republic of the Congo
|
38 | 2023 | 133 | |
| 62 |
Tunisia
|
37.94 | 2023 | 132 | |
| 63 |
Nicaragua
|
37.63 | 2023 | 131 | |
| 64 |
Morocco
|
37.25 | 2023 | 130 | |
| 65 |
Saint Lucia
|
37.14 | 2023 | 129 | |
| 66 |
Malaysia
|
37.09 | 2023 | 128 | |
| 67 |
Paraguay
|
36.32 | 2023 | 127 | |
| 68 |
Bulgaria
|
35.5 | 2023 | 126 | |
| 69 |
Latvia
|
35.06 | 2023 | 125 | |
| 70 |
Jordan
|
34.47 | 2023 | 124 | |
| 71 |
Greece
|
34.3 | 2023 | 123 | |
| 72 |
Gambia
|
33.78 | 2023 | 122 | |
| 73 |
South Korea
|
33.74 | 2024 | 121 | |
| 74 |
Angola
|
32.55 | 2023 | 120 | |
| 75 |
El Salvador
|
32.49 | 2023 | 119 | |
| 76 |
China
|
32.17 | 2023 | 118 | |
| 77 |
Uganda
|
32.17 | 2023 | 117 | |
| 78 |
Serbia
|
32.14 | 2023 | 116 | |
| 79 |
Côte d'Ivoire
|
31.99 | 2023 | 115 | |
| 80 |
Lithuania
|
31.43 | 2024 | 114 | |
| 81 |
Indonesia
|
31.08 | 2023 | 113 | |
| 82 |
Bosnia and Herzegovina
|
30.96 | 2023 | 112 | |
| 83 |
Malta
|
30.93 | 2023 | 111 | |
| 84 |
Ecuador
|
30.89 | 2023 | 110 | |
| 85 |
Somalia
|
30.78 | 2023 | 109 | |
| 86 |
Lebanon
|
29.7 | 2023 | 108 | |
| 87 |
Venezuela
|
29.69 | 2023 | 107 | |
| 88 |
Dominica
|
29.33 | 2023 | 106 | |
| 89 |
Djibouti
|
28.84 | 2023 | 105 | |
| 90 |
Bahrain
|
28.66 | 2023 | 104 | |
| 91 |
Belarus
|
28.48 | 2023 | 103 | |
| 92 |
Russia
|
28.39 | 2023 | 102 | |
| 93 |
Portugal
|
28.19 | 2024 | 101 | |
| 94 |
Republic of the Congo
|
27.97 | 2023 | 100 | |
| 95 |
Seychelles
|
27.96 | 2023 | 99 | |
| 96 |
Tanzania
|
27.93 | 2023 | 98 | |
| 97 |
Kazakhstan
|
27.64 | 2023 | 97 | |
| 98 |
Bahamas
|
27.48 | 2023 | 96 | |
| 99 |
Moldova
|
27.47 | 2023 | 95 | |
| 100 |
Madagascar
|
27.42 | 2023 | 94 | |
| 101 |
Bolivia
|
27.32 | 2023 | 93 | |
| 102 |
South Sudan
|
27.14 | 2023 | 92 | |
| 103 |
Peru
|
26.98 | 2023 | 91 | |
| 104 |
Belize
|
26.78 | 2023 | 90 | |
| 105 |
Ghana
|
26.68 | 2023 | 89 | |
| 106 |
Saint Vincent and the Grenadines
|
26.57 | 2023 | 88 | |
| 107 |
Montenegro
|
26.33 | 2023 | 87 | |
| 108 |
Guyana
|
26.33 | 2023 | 86 | |
| 109 |
Brazil
|
26.23 | 2023 | 85 | |
| 110 |
Cabo Verde
|
25.74 | 2023 | 84 | |
| 111 |
Bhutan
|
25.46 | 2023 | 83 | |
| 112 |
Singapore
|
25.42 | 2023 | 82 | |
| 113 |
Dominican Republic
|
25.06 | 2023 | 81 | |
| 114 |
Burundi
|
24.49 | 2023 | 80 | |
| 115 |
Argentina
|
24.47 | 2023 | 79 | |
| 116 |
Kenya
|
24.25 | 2023 | 78 | |
| 117 |
Costa Rica
|
24.13 | 2023 | 77 | |
| 118 |
Hungary
|
23.06 | 2023 | 76 | |
| 119 |
Romania
|
22.96 | 2023 | 75 | |
| 120 |
Italy
|
22.31 | 2024 | 74 | |
| 121 |
Switzerland
|
22.03 | 2023 | 73 | |
| 122 |
Belgium
|
21.51 | 2023 | 72 | |
| 123 |
Estonia
|
21.38 | 2024 | 71 | |
| 124 |
Spain
|
20.86 | 2023 | 70 | |
| 125 |
Antigua and Barbuda
|
20.81 | 2023 | 69 | |
| 126 |
Israel
|
20.49 | 2023 | 68 | |
| 127 |
Jamaica
|
20.25 | 2023 | 67 | |
| 128 |
Slovakia
|
20.15 | 2023 | 66 | |
| 129 |
Liechtenstein
|
19.72 | 2023 | 65 | |
| 130 |
Suriname
|
19.72 | 2023 | 64 | |
| 131 |
Libya
|
19.18 | 2023 | 63 | |
| 132 |
Türkiye
|
19.05 | 2023 | 62 | |
| 133 |
Maldives
|
18.05 | 2023 | 61 | |
| 134 |
Cyprus
|
17.94 | 2023 | 60 | |
| 135 |
Gabon
|
17.27 | 2023 | 59 | |
| 136 |
Uruguay
|
17.1 | 2023 | 58 | |
| 137 |
Sao Tome and Principe
|
16.66 | 2023 | 57 | |
| 138 |
Cuba
|
16.58 | 2023 | 56 | |
| 139 |
Austria
|
16.46 | 2024 | 55 | |
| 140 |
Poland
|
16.21 | 2024 | 54 | |
| 141 |
Australia
|
15.85 | 2023 | 53 | |
| 142 |
Canada
|
15.28 | 2024 | 52 | |
| 143 |
Iceland
|
14.88 | 2024 | 51 | |
| 144 |
Colombia
|
14.74 | 2024 | 50 | |
| 145 |
United Kingdom
|
14.56 | 2024 | 49 | |
| 146 |
Saudi Arabia
|
14.12 | 2023 | 48 | |
| 147 |
Finland
|
14.09 | 2023 | 47 | |
| 148 |
Czechia
|
14.06 | 2024 | 46 | |
| 149 |
Denmark
|
13.87 | 2024 | 45 | |
| 150 |
Norway
|
13.69 | 2023 | 44 | |
| 151 |
Samoa
|
13.42 | 2023 | 43 | |
| 152 |
Sweden
|
13.38 | 2024 | 42 | |
| 153 |
Lesotho
|
13.2 | 2023 | 41 | |
| 154 |
San Marino
|
13.09 | 2023 | 40 | |
| 155 |
New Zealand
|
12.69 | 2024 | 39 | |
| 156 |
Japan
|
12.24 | 2023 | 38 | |
| 157 |
Palau
|
12.1 | 2023 | 37 | |
| 158 |
Malawi
|
12 | 2023 | 36 | |
| 159 |
Netherlands
|
11.79 | 2024 | 35 | |
| 160 |
Slovenia
|
11.74 | 2024 | 34 | |
| 161 |
Andorra
|
11.15 | 2023 | 33 | |
| 162 |
Eswatini
|
11.02 | 2023 | 32 | |
| 163 |
United States
|
10.93 | 2023 | 31 | |
| 164 |
Germany
|
10.71 | 2024 | 30 | |
| 165 |
Zimbabwe
|
10.63 | 2023 | 29 | |
| 166 |
Ireland
|
10.61 | 2024 | 28 | |
| 167 |
Mozambique
|
10.37 | 2023 | 27 | |
| 168 |
Zambia
|
10.29 | 2023 | 26 | |
| 169 |
Kuwait
|
10 | 2023 | 25 | |
| 170 |
Thailand
|
9.93 | 2023 | 24 | |
| 171 |
United Arab Emirates
|
9.67 | 2023 | 23 | |
| 172 |
Croatia
|
9.38 | 2023 | 22 | |
| 173 |
France
|
9.23 | 2024 | 21 | |
| 174 |
Papua New Guinea
|
8.55 | 2023 | 20 | |
| 175 |
Luxembourg
|
8.5 | 2024 | 19 | |
| 176 |
Monaco
|
8.45 | 2023 | 18 | |
| 177 |
Vanuatu
|
8.38 | 2023 | 17 | |
| 178 |
Fiji
|
8.31 | 2023 | 16 | |
| 179 |
Namibia
|
7.49 | 2023 | 15 | |
| 180 |
Qatar
|
7.43 | 2023 | 14 | |
| 181 |
Brunei Darussalam
|
7.41 | 2023 | 13 | |
| 182 |
Timor-Leste
|
6.99 | 2023 | 12 | |
| 183 |
South Africa
|
6.69 | 2023 | 11 | |
| 184 |
Oman
|
6.31 | 2023 | 10 | |
| 185 |
Tonga
|
5.86 | 2023 | 9 | |
| 186 |
Botswana
|
4.26 | 2023 | 8 | |
| 187 |
Rwanda
|
4.1 | 2023 | 7 | |
| 188 |
Solomon Islands
|
3.16 | 2023 | 6 | |
| 189 |
Kiribati
|
2.91 | 2023 | 5 | |
| 190 |
Micronesia
|
2.58 | 2023 | 4 | |
| 191 |
Marshall Islands
|
1.05 | 2023 | 3 | |
| 192 |
Nauru
|
0.73 | 2023 | 2 | |
| 193 |
Tuvalu
|
0.04 | 2023 | 1 |
Payments people make for medical care directly at the point of use — as a percent of all current health expenditure in the country. Insurance contributions and taxes are excluded: only what a person takes out of their pocket at the counter. The indicator is considered a key measure of financial protection: the higher it is, the more often illness means ruin, and WHO tracks it as an indicator of the risk of catastrophic household spending.
Important: A high value means weak protection, not an active private sector: voluntary insurance is not part of this indicator, so a country with developed private insurance can have a low share of out-of-pocket payments.
How much the state spends on health relative to the size of the economy.
Healthcare 2000–2024 Health expenditure (% of GDP)All current health spending — government and private — as a percent of GDP.
Healthcare 2000–2023 Universal health coverage indexA composite estimate of how far the population is supplied with the medical care it needs. A scale from 0 to 100.
Healthcare 2000–2024 Health expenditure per capitaHow much is spent on health per person a year, in US dollars.
Healthcare 1960–2023 Physicians per 1,000 peopleThe number of physicians per 1,000 people.
Healthcare 1960–2023 Hospital beds per 1,000 peopleThe number of hospital beds per 1,000 people — the capacity of inpatient care.