Out-of-pocket health expenditure — all countries

Out-of-pocket health expenditure — World

Out-of-pocket health expenditure in the world in 2023 — 17.33%. Since 2000, the indicator has fallen by 1.87 pp.

2023 17.33% +0.09 pp vs 2022
World rank
Period maximum 19.2%2000
Period minimum 16.43%2020

Trend over time

2000–2023 · % of health expenditure

Out-of-pocket health expenditure — World, 2000–202316171819202000200320062009201220152018202120232000: 19.2%2001: 18.86%2002: 18.6%2003: 18.55%2004: 18.54%2005: 18.68%2006: 18.81%2007: 18.89%2008: 18.89%2009: 18.25%2010: 18.5%2011: 18.59%2012: 18.82%2013: 19.01%2014: 18.74%2015: 18.44%2016: 18.16%2017: 18.06%2018: 18.13%2019: 17.97%2020: 16.43%2021: 16.97%2022: 17.24%2023: 17.33%
Change over the period: −1.87 pp Annual average: -0.08 pp

Comparison, 2023

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

World 17.33%
World 17.33%
Out-of-pocket health expenditure — World, by year World All countries CSV XLSX
Year % Change, pp
2023 17.33 +0.09 pp
2022 17.24 +0.27 pp
2021 16.97 +0.54 pp
2020 16.43 −1.54 pp
2019 17.97 −0.16 pp
2018 18.13 +0.07 pp
2017 18.06 −0.11 pp
2016 18.16 −0.28 pp
2015 18.44 −0.3 pp
2014 18.74 −0.27 pp
2013 19.01 +0.19 pp
2012 18.82 +0.23 pp
2011 18.59 +0.09 pp
2010 18.5 +0.25 pp
2009 18.25 −0.63 pp
2008 18.89 −0.01 pp
2007 18.89 +0.09 pp
2006 18.81 +0.13 pp
2005 18.68 +0.14 pp
2004 18.54 −0.01 pp
2003 18.55 −0.05 pp
2002 18.6 −0.26 pp
2001 18.86 −0.34 pp
2000 19.2

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.