Out-of-pocket health expenditure — all countries

Out-of-pocket health expenditure — Middle Africa

Out-of-pocket health expenditure in Middle Africa in 2023 — 40.31%. Since 2000, the indicator has fallen by 11.49 pp.

2023 40.31% −0.52 pp vs 2022
World rank
Period maximum 60.59%2002
Period minimum 40.31%2023

Trend over time

2000–2023 · % of health expenditure

Out-of-pocket health expenditure — Middle Africa, 2000–2023405060702000200320062009201220152018202120232000: 51.8%2001: 55.5%2002: 60.59%2003: 55.99%2004: 56.83%2005: 55.44%2006: 54.41%2007: 52.86%2008: 49.9%2009: 47.91%2010: 45.66%2011: 43.91%2012: 41.24%2013: 41.23%2014: 41.67%2015: 43.65%2016: 45.12%2017: 47.23%2018: 46.16%2019: 47.12%2020: 43.07%2021: 41.85%2022: 40.83%2023: 40.31%
Change over the period: −11.49 pp Annual average: -0.5 pp

Comparison, 2023

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

Middle Africa 40.31%
World 17.33%
Out-of-pocket health expenditure — Middle Africa, by year Middle Africa All countries CSV XLSX
Year % Change, pp
2023 40.31 −0.52 pp
2022 40.83 −1.02 pp
2021 41.85 −1.22 pp
2020 43.07 −4.05 pp
2019 47.12 +0.96 pp
2018 46.16 −1.07 pp
2017 47.23 +2.12 pp
2016 45.12 +1.47 pp
2015 43.65 +1.97 pp
2014 41.67 +0.44 pp
2013 41.23 −0.01 pp
2012 41.24 −2.67 pp
2011 43.91 −1.75 pp
2010 45.66 −2.25 pp
2009 47.91 −1.99 pp
2008 49.9 −2.96 pp
2007 52.86 −1.55 pp
2006 54.41 −1.03 pp
2005 55.44 −1.39 pp
2004 56.83 +0.85 pp
2003 55.99 −4.6 pp
2002 60.59 +5.09 pp
2001 55.5 +3.7 pp
2000 51.8

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.