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Out-of-Pocket Health Expenditure by Country
Ranking of 193 countries by Out-of-Pocket Health Expenditure (% of health expenditure)
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| Rank | Country | Continent | Out-of-Pocket Health Expenditure | Year |
|---|---|---|---|---|
| 1 |
Tuvalu
|
Oceania | 0.0% | 2023 |
| 2 |
Nauru
|
Oceania | 0.7% | 2023 |
| 3 |
Marshall Islands
|
Oceania | 1.1% | 2023 |
| 4 |
Micronesia, Fed. Sts.
|
Oceania | 2.6% | 2023 |
| 5 |
Kiribati
|
Oceania | 2.9% | 2023 |
| 6 |
Solomon Islands
|
Oceania | 3.2% | 2023 |
| 7 |
Rwanda
|
Africa | 4.1% | 2023 |
| 8 |
Botswana
|
Africa | 4.3% | 2023 |
| 9 |
Tonga
|
Oceania | 5.9% | 2023 |
| 10 |
Oman
|
Asia | 6.3% | 2023 |
| 11 |
South Africa
|
Africa | 6.7% | 2023 |
| 12 |
Timor-Leste
|
Asia | 7.0% | 2023 |
| 13 |
Brunei Darussalam
|
Asia | 7.4% | 2023 |
| 14 |
Qatar
|
Asia | 7.4% | 2023 |
| 15 |
Namibia
|
Africa | 7.5% | 2023 |
| 16 |
Fiji
|
Oceania | 8.3% | 2023 |
| 17 |
Vanuatu
|
Oceania | 8.4% | 2023 |
| 18 |
Monaco
|
Europe | 8.5% | 2023 |
| 19 |
Papua New Guinea
|
Oceania | 8.6% | 2023 |
| 20 |
Luxembourg
|
Europe | 8.8% | 2023 |
| 21 |
France
|
Europe | 9.3% | 2023 |
| 22 |
Croatia
|
Europe | 9.4% | 2023 |
| 23 |
United Arab Emirates
|
Asia | 9.7% | 2023 |
| 24 |
Thailand
|
Asia | 9.9% | 2023 |
| 25 |
Kuwait
|
Asia | 10.0% | 2023 |
| 26 |
Zambia
|
Africa | 10.3% | 2023 |
| 27 |
Mozambique
|
Africa | 10.4% | 2023 |
| 28 |
Zimbabwe
|
Africa | 10.6% | 2023 |
| 29 |
United States
|
North America | 10.9% | 2023 |
| 30 |
Eswatini
|
Africa | 11.0% | 2023 |
| 31 |
Germany
|
Europe | 11.1% | 2023 |
| 32 |
Andorra
|
Europe | 11.1% | 2023 |
| 33 |
Ireland
|
Europe | 11.3% | 2023 |
| 34 |
Malawi
|
Africa | 12.0% | 2023 |
| 35 |
Netherlands
|
Europe | 12.0% | 2023 |
| 36 |
Palau
|
Oceania | 12.1% | 2023 |
| 37 |
Japan
|
Asia | 12.2% | 2023 |
| 38 |
Slovenia
|
Europe | 12.4% | 2023 |
| 39 |
New Zealand
|
Oceania | 12.6% | 2023 |
| 40 |
Sweden
|
Europe | 13.0% | 2023 |
| 41 |
San Marino
|
Europe | 13.1% | 2023 |
| 42 |
Lesotho
|
Africa | 13.2% | 2023 |
| 43 |
Samoa
|
Oceania | 13.4% | 2023 |
| 44 |
Norway
|
Europe | 13.7% | 2023 |
| 45 |
Denmark
|
Europe | 14.0% | 2023 |
| 46 |
Finland
|
Europe | 14.1% | 2023 |
| 47 |
Saudi Arabia
|
Asia | 14.1% | 2023 |
| 48 |
Czechia
|
Europe | 14.6% | 2023 |
| 49 |
United Kingdom
|
Europe | 14.6% | 2023 |
| 50 |
Colombia
|
South America | 14.6% | 2023 |
| 51 |
Iceland
|
Europe | 14.7% | 2023 |
| 52 |
Canada
|
North America | 15.2% | 2023 |
| 53 |
Poland
|
Europe | 15.8% | 2023 |
| 54 |
Australia
|
Oceania | 15.8% | 2023 |
| 55 |
Austria
|
Europe | 16.5% | 2023 |
| 56 |
Cuba
|
North America | 16.6% | 2023 |
| 57 |
Sao Tome and Principe
|
Africa | 16.7% | 2023 |
| 58 |
Uruguay
|
South America | 17.1% | 2023 |
| 59 |
Gabon
|
Africa | 17.3% | 2023 |
| 60 |
Cyprus
|
Asia | 17.9% | 2023 |
| 61 |
Maldives
|
Asia | 18.0% | 2023 |
| 62 |
Turkiye
|
Asia | 19.0% | 2023 |
| 63 |
Libya
|
Africa | 19.2% | 2023 |
| 64 |
Suriname
|
South America | 19.7% | 2023 |
| 65 |
Liechtenstein
|
Europe | 19.7% | 2023 |
| 66 |
Slovak Republic
|
Europe | 20.2% | 2023 |
| 67 |
Jamaica
|
North America | 20.2% | 2023 |
| 68 |
Israel
|
Asia | 20.5% | 2023 |
| 69 |
Antigua and Barbuda
|
North America | 20.8% | 2023 |
| 70 |
Spain
|
Europe | 20.9% | 2023 |
| 71 |
Belgium
|
Europe | 21.5% | 2023 |
| 72 |
Switzerland
|
Europe | 22.0% | 2023 |
| 73 |
Estonia
|
Europe | 22.1% | 2023 |
| 74 |
Romania
|
Europe | 23.0% | 2023 |
| 75 |
Hungary
|
Europe | 23.1% | 2023 |
| 76 |
Italy
|
Europe | 23.6% | 2023 |
| 77 |
Costa Rica
|
North America | 24.1% | 2023 |
| 78 |
Kenya
|
Africa | 24.2% | 2023 |
| 79 |
Argentina
|
South America | 24.5% | 2023 |
| 80 |
Burundi
|
Africa | 24.5% | 2023 |
| 81 |
Dominican Republic
|
North America | 25.1% | 2023 |
| 82 |
Singapore
|
Asia | 25.4% | 2023 |
| 83 |
Bhutan
|
Asia | 25.5% | 2023 |
| 84 |
Cabo Verde
|
Africa | 25.7% | 2023 |
| 85 |
Brazil
|
South America | 26.2% | 2023 |
| 86 |
Guyana
|
South America | 26.3% | 2023 |
| 87 |
Montenegro
|
Europe | 26.3% | 2023 |
| 88 |
St. Vincent and the Grenadines
|
North America | 26.6% | 2023 |
| 89 |
Ghana
|
Africa | 26.7% | 2023 |
| 90 |
Belize
|
North America | 26.8% | 2023 |
| 91 |
Peru
|
South America | 27.0% | 2023 |
| 92 |
South Sudan
|
Africa | 27.1% | 2023 |
| 93 |
Bolivia
|
South America | 27.3% | 2023 |
| 94 |
Madagascar
|
Africa | 27.4% | 2023 |
| 95 |
Moldova
|
Europe | 27.5% | 2023 |
| 96 |
Bahamas, The
|
North America | 27.5% | 2023 |
| 97 |
Kazakhstan
|
Asia | 27.6% | 2023 |
| 98 |
Tanzania
|
Africa | 27.9% | 2023 |
| 99 |
Seychelles
|
Africa | 28.0% | 2023 |
| 100 |
Congo, Rep.
|
Africa | 28.0% | 2023 |
| 101 |
Russian Federation
|
Europe | 28.4% | 2023 |
| 102 |
Belarus
|
Europe | 28.5% | 2023 |
| 103 |
Bahrain
|
Asia | 28.7% | 2023 |
| 104 |
Djibouti
|
Africa | 28.8% | 2023 |
| 105 |
Portugal
|
Europe | 29.3% | 2023 |
| 106 |
Dominica
|
North America | 29.3% | 2023 |
| 107 |
Venezuela, RB
|
South America | 29.7% | 2023 |
| 108 |
Lebanon
|
Asia | 29.7% | 2023 |
| 109 |
Somalia, Fed. Rep.
|
Africa | 30.8% | 2023 |
| 110 |
Ecuador
|
South America | 30.9% | 2023 |
| 111 |
Malta
|
Europe | 30.9% | 2023 |
| 112 |
Bosnia and Herzegovina
|
Europe | 31.0% | 2023 |
| 113 |
Lithuania
|
Europe | 31.0% | 2023 |
| 114 |
Indonesia
|
Asia | 31.1% | 2023 |
| 115 |
Korea, Rep.
|
Asia | 31.8% | 2023 |
| 116 |
Cote d'Ivoire
|
Africa | 32.0% | 2023 |
| 117 |
Serbia
|
Europe | 32.1% | 2023 |
| 118 |
Uganda
|
Africa | 32.2% | 2023 |
| 119 |
China
|
Asia | 32.2% | 2023 |
| 120 |
El Salvador
|
North America | 32.5% | 2023 |
| 121 |
Angola
|
Africa | 32.5% | 2023 |
| 122 |
Gambia, The
|
Africa | 33.8% | 2023 |
| 123 |
Greece
|
Europe | 34.3% | 2023 |
| 124 |
Jordan
|
Asia | 34.5% | 2023 |
| 125 |
Chile
|
South America | 34.6% | 2023 |
| 126 |
Latvia
|
Europe | 35.1% | 2023 |
| 127 |
Bulgaria
|
Europe | 35.5% | 2023 |
| 128 |
Paraguay
|
South America | 36.3% | 2023 |
| 129 |
Malaysia
|
Asia | 37.1% | 2023 |
| 130 |
St. Lucia
|
North America | 37.1% | 2023 |
| 131 |
Morocco
|
Africa | 37.3% | 2023 |
| 132 |
Nicaragua
|
North America | 37.6% | 2023 |
| 133 |
Tunisia
|
Africa | 37.9% | 2023 |
| 134 |
Congo, Dem. Rep.
|
Africa | 38.0% | 2023 |
| 135 |
Viet Nam
|
Asia | 39.2% | 2023 |
| 136 |
North Macedonia
|
Europe | 39.6% | 2023 |
| 137 |
Panama
|
North America | 40.5% | 2023 |
| 138 |
Mexico
|
North America | 41.2% | 2023 |
| 139 |
St. Kitts and Nevis
|
North America | 41.8% | 2023 |
| 140 |
West Bank and Gaza
|
Asia | 42.1% | 2023 |
| 141 |
Kyrgyz Republic
|
Asia | 42.3% | 2023 |
| 142 |
Benin
|
Africa | 42.4% | 2023 |
| 143 |
Iran, Islamic Rep.
|
Asia | 43.1% | 2023 |
| 144 |
Mauritania
|
Africa | 43.8% | 2023 |
| 145 |
Burkina Faso
|
Africa | 43.8% | 2023 |
| 146 |
India
|
Asia | 43.9% | 2023 |
| 147 |
Senegal
|
Africa | 44.3% | 2023 |
| 148 |
Philippines
|
Asia | 44.4% | 2023 |
| 149 |
Lao PDR
|
Asia | 44.8% | 2023 |
| 150 |
Algeria
|
Africa | 45.0% | 2023 |
| 151 |
Central African Republic
|
Africa | 45.0% | 2023 |
| 152 |
Mauritius
|
Africa | 45.2% | 2023 |
| 153 |
Trinidad and Tobago
|
North America | 45.3% | 2023 |
| 154 |
Ukraine
|
Europe | 45.3% | 2021 |
| 155 |
Ethiopia
|
Africa | 46.3% | 2023 |
| 156 |
Mali
|
Africa | 47.2% | 2023 |
| 157 |
Albania
|
Europe | 48.3% | 2023 |
| 158 |
Eritrea
|
Africa | 48.4% | 2023 |
| 159 |
Grenada
|
North America | 48.5% | 2023 |
| 160 |
Mongolia
|
Asia | 48.8% | 2023 |
| 161 |
Barbados
|
North America | 49.5% | 2023 |
| 162 |
Niger
|
Africa | 51.5% | 2023 |
| 163 |
Chad
|
Africa | 51.7% | 2023 |
| 164 |
Haiti
|
North America | 52.4% | 2023 |
| 165 |
Pakistan
|
Asia | 52.9% | 2023 |
| 166 |
Honduras
|
North America | 53.1% | 2023 |
| 167 |
Iraq
|
Asia | 54.0% | 2023 |
| 168 |
Guinea
|
Africa | 54.4% | 2023 |
| 169 |
Sierra Leone
|
Africa | 54.5% | 2023 |
| 170 |
Sri Lanka
|
Asia | 54.8% | 2023 |
| 171 |
Comoros
|
Africa | 56.6% | 2023 |
| 172 |
Guatemala
|
North America | 57.2% | 2023 |
| 173 |
Egypt, Arab Rep.
|
Africa | 57.2% | 2023 |
| 174 |
Sudan
|
Africa | 57.4% | 2023 |
| 175 |
Georgia
|
Asia | 58.8% | 2023 |
| 176 |
Nepal
|
Asia | 59.4% | 2023 |
| 177 |
Cambodia
|
Asia | 60.6% | 2023 |
| 178 |
Guinea-Bissau
|
Africa | 61.6% | 2023 |
| 179 |
Tajikistan
|
Asia | 62.4% | 2023 |
| 180 |
Liberia
|
Africa | 63.2% | 2023 |
| 181 |
Uzbekistan
|
Asia | 64.1% | 2023 |
| 182 |
Togo
|
Africa | 64.3% | 2023 |
| 183 |
Azerbaijan
|
Asia | 64.6% | 2023 |
| 184 |
Equatorial Guinea
|
Africa | 66.0% | 2023 |
| 185 |
Cameroon
|
Africa | 67.7% | 2023 |
| 186 |
Yemen, Rep.
|
Asia | 69.1% | 2023 |
| 187 |
Myanmar
|
Asia | 71.1% | 2023 |
| 188 |
Nigeria
|
Africa | 71.9% | 2023 |
| 189 |
Syrian Arab Republic
|
Asia | 72.4% | 2023 |
| 190 |
Afghanistan
|
Asia | 77.1% | 2023 |
| 191 |
Turkmenistan
|
Asia | 77.4% | 2023 |
| 192 |
Bangladesh
|
Asia | 79.3% | 2023 |
| 193 |
Armenia
|
Asia | 80.5% | 2023 |