Out-of-pocket health expenditure — all countries

Out-of-pocket health expenditure — Sierra Leone

Out-of-pocket health expenditure in Sierra Leone in 2023 — 54.47%. Ranked 168 in the world out of 192. Since 2000, the indicator has fallen by 31.26 pp.

2023 54.47% −0.46 pp vs 2022
World rank 168of 192
Period maximum 85.73%2000
Period minimum 35.03%2014

Trend over time

2000–2023 · % of health expenditure

Out-of-pocket health expenditure — Sierra Leone, 2000–2023204060801002000200320062009201220152018202120232000: 85.73%2001: 77.77%2002: 73%2003: 78.76%2004: 72.85%2005: 70.35%2006: 67.11%2007: 72.2%2008: 71.6%2009: 65.35%2010: 56.21%2011: 60.23%2012: 67.69%2013: 62.78%2014: 35.03%2015: 35.6%2016: 43.71%2017: 54.5%2018: 60.99%2019: 52.89%2020: 52.34%2021: 51.41%2022: 54.93%2023: 54.47%
Change over the period: −31.26 pp Annual average: -1.36 pp

Comparison, 2023

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

Sierra Leone 54.47%
World 17.33%
Western Africa computed 47.57%
Low-income countries computed 44.09%
Out-of-pocket health expenditure — Sierra Leone, by year Sierra Leone All countries CSV XLSX
Year % Change, pp
2023 54.47 −0.46 pp
2022 54.93 +3.52 pp
2021 51.41 −0.93 pp
2020 52.34 −0.55 pp
2019 52.89 −8.1 pp
2018 60.99 +6.49 pp
2017 54.5 +10.79 pp
2016 43.71 +8.11 pp
2015 35.6 +0.56 pp
2014 35.03 −27.74 pp
2013 62.78 −4.91 pp
2012 67.69 +7.46 pp
2011 60.23 +4.02 pp
2010 56.21 −9.14 pp
2009 65.35 −6.25 pp
2008 71.6 −0.6 pp
2007 72.2 +5.09 pp
2006 67.11 −3.24 pp
2005 70.35 −2.5 pp
2004 72.85 −5.91 pp
2003 78.76 +5.76 pp
2002 73 −4.78 pp
2001 77.77 −7.95 pp
2000 85.73

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.