← Health & healthcare access
Out-of-pocket share of health spending
% of current health expenditure
proxy measurestatistical agency datalower is better
What it measures
Financial access to care: how much of the health bill households pay themselves at the point of use.From published value to score
- Published value. Native scale: 0 to 100 percent.
- Transform: value (no transform).
- Goalposts (fixed for all years; 2.5th and 97.5th percentiles of all observed country-years): worst = 75.5 scores 0, best = 3.34 scores 100.
- Direction: lower is better, so the position is flipped (1 − position).
- Clip and scale: anything below the worst goalpost scores 0 and anything above the best scores 100; multiply by 100.
Goalposts come from 4,562 observed country-years since 2000. Coverage: 193 countries · 4,562 observed country-years · 173 carried forward (max 3 years) · last year with ≥100 countries observed: 2023. Open any country row below to see this calculation applied to its value.
Where the numbers come from
Downloaded from
World Bank API v2, series SH.XPD.OOPC.CH.ZS (World Development Indicators) · series page · metadata · source updated 2026-07-13 · fetched 2026-10-04Built from one source
- WHO Global Health Expenditure Database produces the series — National health accounts compiled by WHO; out-of-pocket spending divided by current health expenditure.
Source statement as published by the data provider (verbatim)
Global Health Expenditure Database, updated December 12th, 2025, World Health Organization (WHO), uri: http://apps.who.int/nha/database
Share of out-of-pocket payments of total current health expenditures. Out-of-pocket payments are spending on health directly out-of-pocket by households.
Every country row below has a “verify” link to this series filtered to that country, so each value can be checked against the source.
History
Dots mark years with a published observation; flat stretches are carried forward.
Countries ranked on this indicator
193 countries have a usable value for 2024 (171 carried forward from an earlier year); 24 have none within 3 years.
| # | Country | Value | Observed | Score | Verify |
|---|---|---|---|---|---|
| 1 | Tuvalu | 0.045 | carried from 2023 | 100 | source ↗ |
| 2 | Naoero | 0.732 | carried from 2023 | 100 | source ↗ |
| 3 | Marshall Islands | 1.05 | carried from 2023 | 100 | source ↗ |
| 4 | Micronesia, Fed. Sts. | 2.58 | carried from 2023 | 100 | source ↗ |
| 5 | Kiribati | 2.91 | carried from 2023 | 100 | source ↗ |
| 6 | Solomon Islands | 3.16 | carried from 2023 | 100 | source ↗ |
| 7 | Rwanda | 4.10 | carried from 2023 | 99 | source ↗ |
| 8 | Botswana | 4.26 | carried from 2023 | 99 | source ↗ |
| 9 | Tonga | 5.86 | carried from 2023 | 97 | source ↗ |
| 10 | Oman | 6.31 | carried from 2023 | 96 | source ↗ |
| 11 | South Africa | 6.69 | carried from 2023 | 95 | source ↗ |
| 12 | Timor-Leste | 6.99 | carried from 2023 | 95 | source ↗ |
| 13 | Brunei Darussalam | 7.41 | carried from 2023 | 94 | source ↗ |
| 14 | Qatar | 7.43 | carried from 2023 | 94 | source ↗ |
| 15 | Namibia | 7.49 | carried from 2023 | 94 | source ↗ |
| 16 | Fiji | 8.31 | carried from 2023 | 93 | source ↗ |
| 17 | Vanuatu | 8.38 | carried from 2023 | 93 | source ↗ |
| 18 | Monaco | 8.45 | carried from 2023 | 93 | source ↗ |
| 19 | Luxembourg | 8.50 | 2024 | 93 | source ↗ |
| 20 | Papua New Guinea | 8.55 | carried from 2023 | 93 | source ↗ |
| 21 | France | 9.23 | 2024 | 92 | source ↗ |
| 22 | Croatia | 9.38 | carried from 2023 | 92 | source ↗ |
| 23 | United Arab Emirates | 9.67 | carried from 2023 | 91 | source ↗ |
| 24 | Thailand | 9.93 | carried from 2023 | 91 | source ↗ |
| 25 | Kuwait | 10.0 | carried from 2023 | 91 | source ↗ |
| 26 | Zambia | 10.3 | carried from 2023 | 90 | source ↗ |
| 27 | Mozambique | 10.4 | carried from 2023 | 90 | source ↗ |
| 28 | Ireland | 10.6 | 2024 | 90 | source ↗ |
| 29 | Zimbabwe | 10.6 | carried from 2023 | 90 | source ↗ |
| 30 | Germany | 10.7 | 2024 | 90 | source ↗ |
| 31 | United States | 10.9 | carried from 2023 | 90 | source ↗ |
| 32 | Eswatini | 11.0 | carried from 2023 | 89 | source ↗ |
| 33 | Andorra | 11.1 | carried from 2023 | 89 | source ↗ |
| 34 | Slovenia | 11.7 | 2024 | 88 | source ↗ |
| 35 | Netherlands | 11.8 | 2024 | 88 | source ↗ |
| 36 | Malawi | 12.0 | carried from 2023 | 88 | source ↗ |
| 37 | Palau | 12.1 | carried from 2023 | 88 | source ↗ |
| 38 | Japan | 12.2 | carried from 2023 | 88 | source ↗ |
| 39 | New Zealand | 12.7 | 2024 | 87 | source ↗ |
| 40 | San Marino | 13.1 | carried from 2023 | 87 | source ↗ |
| 41 | Lesotho | 13.2 | carried from 2023 | 86 | source ↗ |
| 42 | Sweden | 13.4 | 2024 | 86 | source ↗ |
| 43 | Samoa | 13.4 | carried from 2023 | 86 | source ↗ |
| 44 | Norway | 13.7 | carried from 2023 | 86 | source ↗ |
| 45 | Denmark | 13.9 | 2024 | 85 | source ↗ |
| 46 | Czechia | 14.1 | 2024 | 85 | source ↗ |
| 47 | Finland | 14.1 | carried from 2023 | 85 | source ↗ |
| 48 | Saudi Arabia | 14.1 | carried from 2023 | 85 | source ↗ |
| 49 | United Kingdom | 14.6 | 2024 | 85 | source ↗ |
| 50 | Colombia | 14.7 | 2024 | 84 | source ↗ |
| 51 | Iceland | 14.9 | 2024 | 84 | source ↗ |
| 52 | Canada | 15.3 | 2024 | 84 | source ↗ |
| 53 | Australia | 15.8 | carried from 2023 | 83 | source ↗ |
| 54 | Poland | 16.2 | 2024 | 82 | source ↗ |
| 55 | Austria | 16.5 | 2024 | 82 | source ↗ |
| 56 | Cuba | 16.6 | carried from 2023 | 82 | source ↗ |
| 57 | Sao Tome and Principe | 16.7 | carried from 2023 | 82 | source ↗ |
| 58 | Uruguay | 17.1 | carried from 2023 | 81 | source ↗ |
| 59 | Gabon | 17.3 | carried from 2023 | 81 | source ↗ |
| 60 | Cyprus | 17.9 | carried from 2023 | 80 | source ↗ |
| 61 | Maldives | 18.0 | carried from 2023 | 80 | source ↗ |
| 62 | Turkiye | 19.0 | carried from 2023 | 78 | source ↗ |
| 63 | Libya | 19.2 | carried from 2023 | 78 | source ↗ |
| 64 | Liechtenstein | 19.7 | carried from 2023 | 77 | source ↗ |
| 65 | Suriname | 19.7 | carried from 2023 | 77 | source ↗ |
| 66 | Slovak Republic | 20.2 | carried from 2023 | 77 | source ↗ |
| 67 | Jamaica | 20.2 | carried from 2023 | 77 | source ↗ |
| 68 | Israel | 20.5 | carried from 2023 | 76 | source ↗ |
| 69 | Antigua and Barbuda | 20.8 | carried from 2023 | 76 | source ↗ |
| 70 | Spain | 20.9 | carried from 2023 | 76 | source ↗ |
| 71 | Estonia | 21.4 | 2024 | 75 | source ↗ |
| 72 | Belgium | 21.5 | carried from 2023 | 75 | source ↗ |
| 73 | Switzerland | 22.0 | carried from 2023 | 74 | source ↗ |
| 74 | Italy | 22.3 | 2024 | 74 | source ↗ |
| 75 | Romania | 23.0 | carried from 2023 | 73 | source ↗ |
| 76 | Hungary | 23.1 | carried from 2023 | 73 | source ↗ |
| 77 | Costa Rica | 24.1 | carried from 2023 | 71 | source ↗ |
| 78 | Kenya | 24.2 | carried from 2023 | 71 | source ↗ |
| 79 | Argentina | 24.5 | carried from 2023 | 71 | source ↗ |
| 80 | Burundi | 24.5 | carried from 2023 | 71 | source ↗ |
| 81 | Dominican Republic | 25.1 | carried from 2023 | 70 | source ↗ |
| 82 | Singapore | 25.4 | carried from 2023 | 69 | source ↗ |
| 83 | Bhutan | 25.5 | carried from 2023 | 69 | source ↗ |
| 84 | Cabo Verde | 25.7 | carried from 2023 | 69 | source ↗ |
| 85 | Brazil | 26.2 | carried from 2023 | 68 | source ↗ |
| 86 | Guyana | 26.3 | carried from 2023 | 68 | source ↗ |
| 87 | Montenegro | 26.3 | carried from 2023 | 68 | source ↗ |
| 88 | St. Vincent and the Grenadines | 26.6 | carried from 2023 | 68 | source ↗ |
| 89 | Ghana | 26.7 | carried from 2023 | 68 | source ↗ |
| 90 | Belize | 26.8 | carried from 2023 | 68 | source ↗ |
| 91 | Peru | 27.0 | carried from 2023 | 67 | source ↗ |
| 92 | South Sudan | 27.1 | carried from 2023 | 67 | source ↗ |
| 93 | Bolivia | 27.3 | carried from 2023 | 67 | source ↗ |
| 94 | Madagascar | 27.4 | carried from 2023 | 67 | source ↗ |
| 95 | Moldova | 27.5 | carried from 2023 | 67 | source ↗ |
| 96 | Bahamas, The | 27.5 | carried from 2023 | 67 | source ↗ |
| 97 | Kazakhstan | 27.6 | carried from 2023 | 66 | source ↗ |
| 98 | Tanzania | 27.9 | carried from 2023 | 66 | source ↗ |
| 99 | Seychelles | 28.0 | carried from 2023 | 66 | source ↗ |
| 100 | Congo, Rep. | 28.0 | carried from 2023 | 66 | source ↗ |
| 101 | Portugal | 28.2 | 2024 | 66 | source ↗ |
| 102 | Russian Federation | 28.4 | carried from 2023 | 65 | source ↗ |
| 103 | Belarus | 28.5 | carried from 2023 | 65 | source ↗ |
| 104 | Bahrain | 28.7 | carried from 2023 | 65 | source ↗ |
| 105 | Djibouti | 28.8 | carried from 2023 | 65 | source ↗ |
| 106 | Dominica | 29.3 | carried from 2023 | 64 | source ↗ |
| 107 | Venezuela, RB | 29.7 | carried from 2023 | 64 | source ↗ |
| 108 | Lebanon | 29.7 | carried from 2023 | 64 | source ↗ |
| 109 | Somalia, Fed. Rep. | 30.8 | carried from 2023 | 62 | source ↗ |
| 110 | Ecuador | 30.9 | carried from 2023 | 62 | source ↗ |
| 111 | Malta | 30.9 | carried from 2023 | 62 | source ↗ |
| 112 | Bosnia and Herzegovina | 31.0 | carried from 2023 | 62 | source ↗ |
| 113 | Indonesia | 31.1 | carried from 2023 | 62 | source ↗ |
| 114 | Lithuania | 31.4 | 2024 | 61 | source ↗ |
| 115 | Cote d'Ivoire | 32.0 | carried from 2023 | 60 | source ↗ |
| 116 | Serbia | 32.1 | carried from 2023 | 60 | source ↗ |
| 117 | Uganda | 32.2 | carried from 2023 | 60 | source ↗ |
| 118 | China | 32.2 | carried from 2023 | 60 | source ↗ |
| 119 | El Salvador | 32.5 | carried from 2023 | 60 | source ↗ |
| 120 | Angola | 32.5 | carried from 2023 | 60 | source ↗ |
| 121 | Korea, Rep. | 33.7 | 2024 | 58 | source ↗ |
| 122 | Gambia, The | 33.8 | carried from 2023 | 58 | source ↗ |
| 123 | Greece | 34.3 | carried from 2023 | 57 | source ↗ |
| 124 | Jordan | 34.5 | carried from 2023 | 57 | source ↗ |
| 125 | Latvia | 35.1 | carried from 2023 | 56 | source ↗ |
| 126 | Bulgaria | 35.5 | carried from 2023 | 55 | source ↗ |
| 127 | Paraguay | 36.3 | carried from 2023 | 54 | source ↗ |
| 128 | Malaysia | 37.1 | carried from 2023 | 53 | source ↗ |
| 129 | St. Lucia | 37.1 | carried from 2023 | 53 | source ↗ |
| 130 | Morocco | 37.3 | carried from 2023 | 53 | source ↗ |
| 131 | Nicaragua | 37.6 | carried from 2023 | 53 | source ↗ |
| 132 | Tunisia | 37.9 | carried from 2023 | 52 | source ↗ |
| 133 | Congo, Dem. Rep. | 38.0 | carried from 2023 | 52 | source ↗ |
| 134 | Chile | 39.1 | 2024 | 50 | source ↗ |
| 135 | Viet Nam | 39.2 | carried from 2023 | 50 | source ↗ |
| 136 | North Macedonia | 39.6 | carried from 2023 | 50 | source ↗ |
| 137 | Panama | 40.5 | carried from 2023 | 49 | source ↗ |
| 138 | Mexico | 41.2 | carried from 2023 | 48 | source ↗ |
| 139 | St. Kitts and Nevis | 41.8 | carried from 2023 | 47 | source ↗ |
| 140 | West Bank and Gaza | 42.1 | carried from 2023 | 46 | source ↗ |
| 141 | Kyrgyz Republic | 42.3 | carried from 2023 | 46 | source ↗ |
| 142 | Benin | 42.4 | carried from 2023 | 46 | source ↗ |
| 143 | Iran, Islamic Rep. | 43.1 | carried from 2023 | 45 | source ↗ |
| 144 | Mauritania | 43.8 | carried from 2023 | 44 | source ↗ |
| 145 | Burkina Faso | 43.8 | carried from 2023 | 44 | source ↗ |
| 146 | India | 43.9 | carried from 2023 | 44 | source ↗ |
| 147 | Senegal | 44.3 | carried from 2023 | 43 | source ↗ |
| 148 | Philippines | 44.4 | carried from 2023 | 43 | source ↗ |
| 149 | Lao PDR | 44.8 | carried from 2023 | 43 | source ↗ |
| 150 | Algeria | 45.0 | carried from 2023 | 42 | source ↗ |
| 151 | Central African Republic | 45.0 | carried from 2023 | 42 | source ↗ |
| 152 | Mauritius | 45.2 | carried from 2023 | 42 | source ↗ |
| 153 | Trinidad and Tobago | 45.3 | carried from 2023 | 42 | source ↗ |
| 154 | Ukraine | 45.3 | carried from 2021 | 42 | source ↗ |
| 155 | Ethiopia | 46.3 | carried from 2023 | 41 | source ↗ |
| 156 | Mali | 47.2 | carried from 2023 | 39 | source ↗ |
| 157 | Albania | 48.3 | carried from 2023 | 38 | source ↗ |
| 158 | Eritrea | 48.4 | carried from 2023 | 38 | source ↗ |
| 159 | Grenada | 48.5 | carried from 2023 | 37 | source ↗ |
| 160 | Mongolia | 48.8 | carried from 2023 | 37 | source ↗ |
| 161 | Barbados | 49.5 | carried from 2023 | 36 | source ↗ |
| 162 | Niger | 51.5 | carried from 2023 | 33 | source ↗ |
| 163 | Chad | 51.7 | carried from 2023 | 33 | source ↗ |
| 164 | Haiti | 52.4 | carried from 2023 | 32 | source ↗ |
| 165 | Pakistan | 52.9 | carried from 2023 | 31 | source ↗ |
| 166 | Honduras | 53.1 | carried from 2023 | 31 | source ↗ |
| 167 | Iraq | 54.0 | carried from 2023 | 30 | source ↗ |
| 168 | Guinea | 54.4 | carried from 2023 | 29 | source ↗ |
| 169 | Sierra Leone | 54.5 | carried from 2023 | 29 | source ↗ |
| 170 | Sri Lanka | 54.8 | carried from 2023 | 29 | source ↗ |
| 171 | Comoros | 56.6 | carried from 2023 | 26 | source ↗ |
| 172 | Guatemala | 57.2 | carried from 2023 | 25 | source ↗ |
| 173 | Egypt, Arab Rep. | 57.2 | carried from 2023 | 25 | source ↗ |
| 174 | Sudan | 57.4 | carried from 2023 | 25 | source ↗ |
| 175 | Georgia | 58.8 | carried from 2023 | 23 | source ↗ |
| 176 | Nepal | 59.4 | carried from 2023 | 22 | source ↗ |
| 177 | Cambodia | 60.6 | carried from 2023 | 21 | source ↗ |
| 178 | Guinea-Bissau | 61.6 | carried from 2023 | 19 | source ↗ |
| 179 | Tajikistan | 62.4 | carried from 2023 | 18 | source ↗ |
| 180 | Liberia | 63.2 | carried from 2023 | 17 | source ↗ |
| 181 | Uzbekistan | 64.1 | carried from 2023 | 16 | source ↗ |
| 182 | Togo | 64.3 | carried from 2023 | 15 | source ↗ |
| 183 | Azerbaijan | 64.6 | carried from 2023 | 15 | source ↗ |
| 184 | Equatorial Guinea | 66.0 | carried from 2023 | 13 | source ↗ |
| 185 | Cameroon | 67.7 | carried from 2023 | 11 | source ↗ |
| 186 | Yemen, Rep. | 69.1 | carried from 2023 | 9 | source ↗ |
| 187 | Myanmar | 71.1 | carried from 2023 | 6 | source ↗ |
| 188 | Nigeria | 71.9 | carried from 2023 | 5 | source ↗ |
| 189 | Syrian Arab Republic | 72.4 | carried from 2023 | 4 | source ↗ |
| 190 | Afghanistan | 77.1 | carried from 2023 | 0 | source ↗ |
| 191 | Turkmenistan | 77.4 | carried from 2023 | 0 | source ↗ |
| 192 | Bangladesh | 79.3 | carried from 2023 | 0 | source ↗ |
| 193 | Armenia | 80.5 | carried from 2023 | 0 | source ↗ |
No official value for 2024: 24 countries
Aruba, American Samoa, Bermuda, Channel Islands, Curacao, Cayman Islands, Faroe Islands, Gibraltar, Greenland, Guam, Hong Kong SAR, China, Isle of Man, Macao SAR, China, St. Martin (French part), Northern Mariana Islands, New Caledonia, Puerto Rico (US), Korea, Dem. People's Rep., French Polynesia, Sint Maarten (Dutch part), Turks and Caicos Islands, British Virgin Islands, Virgin Islands (U.S.), Kosovo