Out-of-pocket health expenditure — all countries

Out-of-pocket health expenditure — North Macedonia

Out-of-pocket health expenditure in North Macedonia in 2023 — 39.57%. Ranked 136 in the world out of 192. Since 2000, the indicator has fallen by 2.51 pp.

2023 39.57% −0.64 pp vs 2022
World rank 136of 192
Period maximum 43.79%2003
Period minimum 32.03%2008

Trend over time

2000–2023 · % of health expenditure

Out-of-pocket health expenditure — North Macedonia, 2000–2023303540452000200320062009201220152018202120232000: 42.09%2001: 42.38%2002: 42.57%2003: 43.79%2004: 42.53%2005: 41.24%2006: 37%2007: 37.29%2008: 32.03%2009: 34.79%2010: 37.79%2011: 35.8%2012: 35.24%2013: 33.71%2014: 34.98%2015: 34.26%2016: 35.32%2017: 41.04%2018: 41.23%2019: 39.09%2020: 38.87%2021: 41.74%2022: 40.22%2023: 39.57%
Change over the period: −2.51 pp Annual average: -0.11 pp

Comparison, 2023

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

North Macedonia 39.57%
World 17.33%
Southern Europe computed 24.72%
Out-of-pocket health expenditure — North Macedonia, by year North Macedonia All countries CSV XLSX
Year % Change, pp
2023 39.57 −0.64 pp
2022 40.22 −1.52 pp
2021 41.74 +2.87 pp
2020 38.87 −0.22 pp
2019 39.09 −2.15 pp
2018 41.23 +0.19 pp
2017 41.04 +5.72 pp
2016 35.32 +1.06 pp
2015 34.26 −0.71 pp
2014 34.98 +1.27 pp
2013 33.71 −1.54 pp
2012 35.24 −0.55 pp
2011 35.8 −1.99 pp
2010 37.79 +3 pp
2009 34.79 +2.76 pp
2008 32.03 −5.26 pp
2007 37.29 +0.29 pp
2006 37 −4.24 pp
2005 41.24 −1.29 pp
2004 42.53 −1.26 pp
2003 43.79 +1.22 pp
2002 42.57 +0.19 pp
2001 42.38 +0.3 pp
2000 42.09

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.