Out-of-pocket health expenditure — all countries

Out-of-pocket health expenditure — Madagascar

Out-of-pocket health expenditure in Madagascar in 2023 — 27.42%. Ranked 94 in the world out of 192. Since 2000, the indicator has fallen by 15.89 pp.

2023 27.42% −3 pp vs 2022
World rank 94of 192
Period maximum 43.32%2000
Period minimum 23.06%2016

Trend over time

2000–2023 · % of health expenditure

Out-of-pocket health expenditure — Madagascar, 2000–2023203040502000200320062009201220152018202120232000: 43.32%2001: 38.77%2002: 37.58%2003: 34.53%2004: 30.58%2005: 33.03%2006: 31.65%2007: 32.65%2008: 37.19%2009: 37.66%2010: 36.15%2011: 27.97%2012: 32.49%2013: 35.59%2014: 28.17%2015: 25.17%2016: 23.06%2017: 25.63%2018: 29.33%2019: 34.22%2020: 30.94%2021: 32.71%2022: 30.42%2023: 27.42%
Change over the period: −15.89 pp Annual average: -0.69 pp

Comparison, 2023

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

Madagascar 27.42%
World 17.33%
Eastern Africa computed 27.49%
Low-income countries computed 44.09%
Out-of-pocket health expenditure — Madagascar, by year Madagascar All countries CSV XLSX
Year % Change, pp
2023 27.42 −3 pp
2022 30.42 −2.29 pp
2021 32.71 +1.77 pp
2020 30.94 −3.29 pp
2019 34.22 +4.9 pp
2018 29.33 +3.69 pp
2017 25.63 +2.58 pp
2016 23.06 −2.12 pp
2015 25.17 −2.99 pp
2014 28.17 −7.42 pp
2013 35.59 +3.1 pp
2012 32.49 +4.52 pp
2011 27.97 −8.18 pp
2010 36.15 −1.51 pp
2009 37.66 +0.47 pp
2008 37.19 +4.53 pp
2007 32.65 +1 pp
2006 31.65 −1.37 pp
2005 33.03 +2.45 pp
2004 30.58 −3.95 pp
2003 34.53 −3.05 pp
2002 37.58 −1.2 pp
2001 38.77 −4.54 pp
2000 43.32

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.