Out-of-pocket health expenditure — all countries

Out-of-pocket health expenditure — Gambia

Out-of-pocket health expenditure in the Gambia in 2023 — 33.78%. Ranked 122 in the world out of 192. Since 2000, the indicator has risen by 20.1 pp.

2023 33.78% +4.34 pp vs 2022
World rank 122of 192
Period maximum 33.78%2023
Period minimum 9.85%2004

Trend over time

2000–2023 · % of health expenditure

Out-of-pocket health expenditure — Gambia, 2000–20230102030402000200320062009201220152018202120232000: 13.68%2001: 13.39%2002: 13.15%2003: 11.73%2004: 9.85%2005: 11.51%2006: 13.04%2007: 15.07%2008: 16.44%2009: 17%2010: 18.03%2011: 19.23%2012: 19.45%2013: 20.9%2014: 26.83%2015: 23.42%2016: 30.5%2017: 26.67%2018: 20.19%2019: 20.3%2020: 24.86%2021: 27.61%2022: 29.44%2023: 33.78%
Change over the period: +20.1 pp Annual average: 0.87 pp

Comparison, 2023

How the value compares with the world and the groups this territory belongs to: Gambia

Gambia 33.78%
World 17.33%
Western Africa computed 47.57%
Low-income countries computed 44.09%
Out-of-pocket health expenditure — Gambia, by year Gambia All countries CSV XLSX
Year % Change, pp
2023 33.78 +4.34 pp
2022 29.44 +1.82 pp
2021 27.61 +2.76 pp
2020 24.86 +4.56 pp
2019 20.3 +0.11 pp
2018 20.19 −6.48 pp
2017 26.67 −3.83 pp
2016 30.5 +7.08 pp
2015 23.42 −3.41 pp
2014 26.83 +5.93 pp
2013 20.9 +1.45 pp
2012 19.45 +0.22 pp
2011 19.23 +1.2 pp
2010 18.03 +1.03 pp
2009 17 +0.56 pp
2008 16.44 +1.37 pp
2007 15.07 +2.02 pp
2006 13.04 +1.54 pp
2005 11.51 +1.66 pp
2004 9.85 −1.88 pp
2003 11.73 −1.42 pp
2002 13.15 −0.24 pp
2001 13.39 −0.29 pp
2000 13.68

About the indicator

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.

Source: Global Health Observatory (WHO), license CC BY-NC-SA 3.0 IGO.