Countries With the Lowest Out-of-pocket Health Spending
Every country with a figure for out-of-pocket health spending, ranked from lowest to highest. The top three are Tuvalu (0.0446%), Naoero (0.732%) and Marshall Islands (1.05%). The middle country of the 193 has 27.6%.
What this measures
Out-of-pocket expenditure (% of current health expenditure), in % of health spending. Source: World Health Organization Global Health Expenditure Database. For this measure, higher is worse.
The share of a country's health spending paid by patients themselves when they get care. Health spending as a share of GDP is already on the site and shows how much is spent. This shows who pays.
The full ranking
Each country’s latest figure, from 2021–2024. The year beside each value says when it was measured.
| Rank | Country | Out-of-pocket health spending | Year | Region |
|---|---|---|---|---|
| 1 | Tuvalu | 0.0446% | 2023 | East Asia & Pacific |
| 2 | Naoero | 0.732% | 2023 | East Asia & Pacific |
| 3 | Marshall Islands | 1.05% | 2023 | East Asia & Pacific |
| 4 | Micronesia, Fed. Sts. | 2.58% | 2023 | East Asia & Pacific |
| 5 | Kiribati | 2.91% | 2023 | East Asia & Pacific |
| 6 | Solomon Islands | 3.16% | 2023 | East Asia & Pacific |
| 7 | Rwanda | 4.1% | 2023 | Sub-Saharan Africa |
| 8 | Botswana | 4.26% | 2023 | Sub-Saharan Africa |
| 9 | Tonga | 5.86% | 2023 | East Asia & Pacific |
| 10 | Oman | 6.31% | 2023 | Middle East, North Africa, Afghanistan & Pakistan |
| 11 | South Africa | 6.69% | 2023 | Sub-Saharan Africa |
| 12 | Timor-Leste | 6.99% | 2023 | East Asia & Pacific |
| 13 | Brunei Darussalam | 7.41% | 2023 | East Asia & Pacific |
| 14 | Qatar | 7.43% | 2023 | Middle East, North Africa, Afghanistan & Pakistan |
| 15 | Namibia | 7.49% | 2023 | Sub-Saharan Africa |
| 16 | Fiji | 8.31% | 2023 | East Asia & Pacific |
| 17 | Vanuatu | 8.38% | 2023 | East Asia & Pacific |
| 18 | Monaco | 8.45% | 2023 | Europe & Central Asia |
| 19 | Luxembourg | 8.5% | 2024 | Europe & Central Asia |
| 20 | Papua New Guinea | 8.55% | 2023 | East Asia & Pacific |
| 21 | France | 9.23% | 2024 | Europe & Central Asia |
| 22 | Croatia | 9.38% | 2023 | Europe & Central Asia |
| 23 | United Arab Emirates | 9.67% | 2023 | Middle East, North Africa, Afghanistan & Pakistan |
| 24 | Thailand | 9.93% | 2023 | East Asia & Pacific |
| 25 | Kuwait | 10% | 2023 | Middle East, North Africa, Afghanistan & Pakistan |
| 26 | Zambia | 10.3% | 2023 | Sub-Saharan Africa |
| 27 | Mozambique | 10.4% | 2023 | Sub-Saharan Africa |
| 28 | Ireland | 10.6% | 2024 | Europe & Central Asia |
| 29 | Zimbabwe | 10.6% | 2023 | Sub-Saharan Africa |
| 30 | Germany | 10.7% | 2024 | Europe & Central Asia |
| 31 | United States | 10.9% | 2023 | North America |
| 32 | Eswatini | 11% | 2023 | Sub-Saharan Africa |
| 33 | Andorra | 11.1% | 2023 | Europe & Central Asia |
| 34 | Slovenia | 11.7% | 2024 | Europe & Central Asia |
| 35 | Netherlands | 11.8% | 2024 | Europe & Central Asia |
| 36 | Malawi | 12% | 2023 | Sub-Saharan Africa |
| 37 | Palau | 12.1% | 2023 | East Asia & Pacific |
| 38 | Japan | 12.2% | 2023 | East Asia & Pacific |
| 39 | New Zealand | 12.7% | 2024 | East Asia & Pacific |
| 40 | San Marino | 13.1% | 2023 | Europe & Central Asia |
| 41 | Lesotho | 13.2% | 2023 | Sub-Saharan Africa |
| 42 | Sweden | 13.4% | 2024 | Europe & Central Asia |
| 43 | Samoa | 13.4% | 2023 | East Asia & Pacific |
| 44 | Norway | 13.7% | 2023 | Europe & Central Asia |
| 45 | Denmark | 13.9% | 2024 | Europe & Central Asia |
| 46 | Czechia | 14.1% | 2024 | Europe & Central Asia |
| 47 | Finland | 14.1% | 2023 | Europe & Central Asia |
| 48 | Saudi Arabia | 14.1% | 2023 | Middle East, North Africa, Afghanistan & Pakistan |
| 49 | United Kingdom | 14.6% | 2024 | Europe & Central Asia |
| 50 | Colombia | 14.7% | 2024 | Latin America & Caribbean |
| 51 | Iceland | 14.9% | 2024 | Europe & Central Asia |
| 52 | Canada | 15.3% | 2024 | North America |
| 53 | Australia | 15.8% | 2023 | East Asia & Pacific |
| 54 | Poland | 16.2% | 2024 | Europe & Central Asia |
| 55 | Austria | 16.5% | 2024 | Europe & Central Asia |
| 56 | Cuba | 16.6% | 2023 | Latin America & Caribbean |
| 57 | Sao Tome and Principe | 16.7% | 2023 | Sub-Saharan Africa |
| 58 | Uruguay | 17.1% | 2023 | Latin America & Caribbean |
| 59 | Gabon | 17.3% | 2023 | Sub-Saharan Africa |
| 60 | Cyprus | 17.9% | 2023 | Europe & Central Asia |
| 61 | Maldives | 18% | 2023 | South Asia |
| 62 | Turkiye | 19% | 2023 | Europe & Central Asia |
| 63 | Libya | 19.2% | 2023 | Middle East, North Africa, Afghanistan & Pakistan |
| 64 | Suriname | 19.7% | 2023 | Latin America & Caribbean |
| 65 | Liechtenstein | 19.7% | 2023 | Europe & Central Asia |
| 66 | Slovak Republic | 20.2% | 2023 | Europe & Central Asia |
| 67 | Jamaica | 20.2% | 2023 | Latin America & Caribbean |
| 68 | Israel | 20.5% | 2023 | Middle East, North Africa, Afghanistan & Pakistan |
| 69 | Antigua and Barbuda | 20.8% | 2023 | Latin America & Caribbean |
| 70 | Spain | 20.9% | 2023 | Europe & Central Asia |
| 71 | Estonia | 21.4% | 2024 | Europe & Central Asia |
| 72 | Belgium | 21.5% | 2023 | Europe & Central Asia |
| 73 | Switzerland | 22% | 2023 | Europe & Central Asia |
| 74 | Italy | 22.3% | 2024 | Europe & Central Asia |
| 75 | Romania | 23% | 2023 | Europe & Central Asia |
| 76 | Hungary | 23.1% | 2023 | Europe & Central Asia |
| 77 | Costa Rica | 24.1% | 2023 | Latin America & Caribbean |
| 78 | Kenya | 24.2% | 2023 | Sub-Saharan Africa |
| 79 | Argentina | 24.5% | 2023 | Latin America & Caribbean |
| 80 | Burundi | 24.5% | 2023 | Sub-Saharan Africa |
| 81 | Dominican Republic | 25.1% | 2023 | Latin America & Caribbean |
| 82 | Singapore | 25.4% | 2023 | East Asia & Pacific |
| 83 | Bhutan | 25.5% | 2023 | South Asia |
| 84 | Cabo Verde | 25.7% | 2023 | Sub-Saharan Africa |
| 85 | Brazil | 26.2% | 2023 | Latin America & Caribbean |
| 86 | Guyana | 26.3% | 2023 | Latin America & Caribbean |
| 87 | Montenegro | 26.3% | 2023 | Europe & Central Asia |
| 88 | St. Vincent and the Grenadines | 26.6% | 2023 | Latin America & Caribbean |
| 89 | Ghana | 26.7% | 2023 | Sub-Saharan Africa |
| 90 | Belize | 26.8% | 2023 | Latin America & Caribbean |
| 91 | Peru | 27% | 2023 | Latin America & Caribbean |
| 92 | South Sudan | 27.1% | 2023 | Sub-Saharan Africa |
| 93 | Bolivia | 27.3% | 2023 | Latin America & Caribbean |
| 94 | Madagascar | 27.4% | 2023 | Sub-Saharan Africa |
| 95 | Moldova | 27.5% | 2023 | Europe & Central Asia |
| 96 | Bahamas, The | 27.5% | 2023 | Latin America & Caribbean |
| 97 | Kazakhstan | 27.6% | 2023 | Europe & Central Asia |
| 98 | Tanzania | 27.9% | 2023 | Sub-Saharan Africa |
| 99 | Seychelles | 28% | 2023 | Sub-Saharan Africa |
| 100 | Congo, Rep. | 28% | 2023 | Sub-Saharan Africa |
| 101 | Portugal | 28.2% | 2024 | Europe & Central Asia |
| 102 | Russian Federation | 28.4% | 2023 | Europe & Central Asia |
| 103 | Belarus | 28.5% | 2023 | Europe & Central Asia |
| 104 | Bahrain | 28.7% | 2023 | Middle East, North Africa, Afghanistan & Pakistan |
| 105 | Djibouti | 28.8% | 2023 | Middle East, North Africa, Afghanistan & Pakistan |
| 106 | Dominica | 29.3% | 2023 | Latin America & Caribbean |
| 107 | Venezuela, RB | 29.7% | 2023 | Latin America & Caribbean |
| 108 | Lebanon | 29.7% | 2023 | Middle East, North Africa, Afghanistan & Pakistan |
| 109 | Somalia, Fed. Rep. | 30.8% | 2023 | Sub-Saharan Africa |
| 110 | Ecuador | 30.9% | 2023 | Latin America & Caribbean |
| 111 | Malta | 30.9% | 2023 | Middle East, North Africa, Afghanistan & Pakistan |
| 112 | Bosnia and Herzegovina | 31% | 2023 | Europe & Central Asia |
| 113 | Indonesia | 31.1% | 2023 | East Asia & Pacific |
| 114 | Lithuania | 31.4% | 2024 | Europe & Central Asia |
| 115 | Cote d'Ivoire | 32% | 2023 | Sub-Saharan Africa |
| 116 | Serbia | 32.1% | 2023 | Europe & Central Asia |
| 117 | Uganda | 32.2% | 2023 | Sub-Saharan Africa |
| 118 | China | 32.2% | 2023 | East Asia & Pacific |
| 119 | El Salvador | 32.5% | 2023 | Latin America & Caribbean |
| 120 | Angola | 32.5% | 2023 | Sub-Saharan Africa |
| 121 | Korea, Rep. | 33.7% | 2024 | East Asia & Pacific |
| 122 | Gambia, The | 33.8% | 2023 | Sub-Saharan Africa |
| 123 | Greece | 34.3% | 2023 | Europe & Central Asia |
| 124 | Jordan | 34.5% | 2023 | Middle East, North Africa, Afghanistan & Pakistan |
| 125 | Latvia | 35.1% | 2023 | Europe & Central Asia |
| 126 | Bulgaria | 35.5% | 2023 | Europe & Central Asia |
| 127 | Paraguay | 36.3% | 2023 | Latin America & Caribbean |
| 128 | Malaysia | 37.1% | 2023 | East Asia & Pacific |
| 129 | St. Lucia | 37.1% | 2023 | Latin America & Caribbean |
| 130 | Morocco | 37.3% | 2023 | Middle East, North Africa, Afghanistan & Pakistan |
| 131 | Nicaragua | 37.6% | 2023 | Latin America & Caribbean |
| 132 | Tunisia | 37.9% | 2023 | Middle East, North Africa, Afghanistan & Pakistan |
| 133 | Congo, Dem. Rep. | 38% | 2023 | Sub-Saharan Africa |
| 134 | Chile | 39.1% | 2024 | Latin America & Caribbean |
| 135 | Viet Nam | 39.2% | 2023 | East Asia & Pacific |
| 136 | North Macedonia | 39.6% | 2023 | Europe & Central Asia |
| 137 | Panama | 40.5% | 2023 | Latin America & Caribbean |
| 138 | Mexico | 41.2% | 2023 | Latin America & Caribbean |
| 139 | St. Kitts and Nevis | 41.8% | 2023 | Latin America & Caribbean |
| 140 | West Bank and Gaza | 42.1% | 2023 | Middle East, North Africa, Afghanistan & Pakistan |
| 141 | Kyrgyz Republic | 42.3% | 2023 | Europe & Central Asia |
| 142 | Benin | 42.4% | 2023 | Sub-Saharan Africa |
| 143 | Iran, Islamic Rep. | 43.1% | 2023 | Middle East, North Africa, Afghanistan & Pakistan |
| 144 | Mauritania | 43.8% | 2023 | Sub-Saharan Africa |
| 145 | Burkina Faso | 43.8% | 2023 | Sub-Saharan Africa |
| 146 | India | 43.9% | 2023 | South Asia |
| 147 | Senegal | 44.3% | 2023 | Sub-Saharan Africa |
| 148 | Philippines | 44.4% | 2023 | East Asia & Pacific |
| 149 | Lao PDR | 44.8% | 2023 | East Asia & Pacific |
| 150 | Algeria | 45% | 2023 | Middle East, North Africa, Afghanistan & Pakistan |
| 151 | Central African Republic | 45% | 2023 | Sub-Saharan Africa |
| 152 | Mauritius | 45.2% | 2023 | Sub-Saharan Africa |
| 153 | Trinidad and Tobago | 45.3% | 2023 | Latin America & Caribbean |
| 154 | Ukraine | 45.3% | 2021 | Europe & Central Asia |
| 155 | Ethiopia | 46.3% | 2023 | Sub-Saharan Africa |
| 156 | Mali | 47.2% | 2023 | Sub-Saharan Africa |
| 157 | Albania | 48.3% | 2023 | Europe & Central Asia |
| 158 | Eritrea | 48.4% | 2023 | Sub-Saharan Africa |
| 159 | Grenada | 48.5% | 2023 | Latin America & Caribbean |
| 160 | Mongolia | 48.8% | 2023 | East Asia & Pacific |
| 161 | Barbados | 49.5% | 2023 | Latin America & Caribbean |
| 162 | Niger | 51.5% | 2023 | Sub-Saharan Africa |
| 163 | Chad | 51.7% | 2023 | Sub-Saharan Africa |
| 164 | Haiti | 52.4% | 2023 | Latin America & Caribbean |
| 165 | Pakistan | 52.9% | 2023 | Middle East, North Africa, Afghanistan & Pakistan |
| 166 | Honduras | 53.1% | 2023 | Latin America & Caribbean |
| 167 | Iraq | 54% | 2023 | Middle East, North Africa, Afghanistan & Pakistan |
| 168 | Guinea | 54.4% | 2023 | Sub-Saharan Africa |
| 169 | Sierra Leone | 54.5% | 2023 | Sub-Saharan Africa |
| 170 | Sri Lanka | 54.8% | 2023 | South Asia |
| 171 | Comoros | 56.6% | 2023 | Sub-Saharan Africa |
| 172 | Guatemala | 57.2% | 2023 | Latin America & Caribbean |
| 173 | Egypt, Arab Rep. | 57.2% | 2023 | Middle East, North Africa, Afghanistan & Pakistan |
| 174 | Sudan | 57.4% | 2023 | Sub-Saharan Africa |
| 175 | Georgia | 58.8% | 2023 | Europe & Central Asia |
| 176 | Nepal | 59.4% | 2023 | South Asia |
| 177 | Cambodia | 60.6% | 2023 | East Asia & Pacific |
| 178 | Guinea-Bissau | 61.6% | 2023 | Sub-Saharan Africa |
| 179 | Tajikistan | 62.4% | 2023 | Europe & Central Asia |
| 180 | Liberia | 63.2% | 2023 | Sub-Saharan Africa |
| 181 | Uzbekistan | 64.1% | 2023 | Europe & Central Asia |
| 182 | Togo | 64.3% | 2023 | Sub-Saharan Africa |
| 183 | Azerbaijan | 64.6% | 2023 | Europe & Central Asia |
| 184 | Equatorial Guinea | 66% | 2023 | Sub-Saharan Africa |
| 185 | Cameroon | 67.7% | 2023 | Sub-Saharan Africa |
| 186 | Yemen, Rep. | 69.1% | 2023 | Middle East, North Africa, Afghanistan & Pakistan |
| 187 | Myanmar | 71.1% | 2023 | East Asia & Pacific |
| 188 | Nigeria | 71.9% | 2023 | Sub-Saharan Africa |
| 189 | Syrian Arab Republic | 72.4% | 2023 | Middle East, North Africa, Afghanistan & Pakistan |
| 190 | Afghanistan | 77.1% | 2023 | Middle East, North Africa, Afghanistan & Pakistan |
| 191 | Turkmenistan | 77.4% | 2023 | Europe & Central Asia |
| 192 | Bangladesh | 79.3% | 2023 | South Asia |
| 193 | Armenia | 80.5% | 2023 | Europe & Central Asia |
More on out-of-pocket health spending
- Countries With the Highest Out-of-pocket Health Spending
- Out-of-pocket health spending by country: trend over time and what it goes with
Related rankings
- Countries With the Lowest Life Expectancy
- Countries With the Lowest Infant Mortality
- Countries With the Lowest Under-5 Mortality
- Countries With the Lowest Health Spending
- Countries With the Lowest Suicide Rates
- Countries With the Lowest Hospital Beds
- Countries With the Lowest Basic Water Access
- Countries With the Lowest Basic Sanitation
A ranking describes countries, not the people in them, and a high or low place does not by itself say why. All country rankings.