Out-of-Pocket Health Spending 2012

Out-of-pocket health spending measures the personal financial burden of healthcare costs in different countries.

189 data pointsโ€ขโ€ขGlobal Coverageโ€ขShare of out-of-pocket spending on healthcare | Our World in Dataโ€ข

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Complete Data Rankings

Rank
Actions
1
Armenia flag
Armenia
78.587 %
2
Myanmar flag
Myanmar
76.7 %
3
Afghanistan flag
Afghanistan
74.486 %
4
Nigeria flag
Nigeria
72.844 %
5
Georgia flag
Georgia
72.534 %
6
Yemen flag
Yemen
71.613 %
7
Turkmenistan flag
Turkmenistan
68.286 %
8
Bangladesh flag
Bangladesh
68.279 %
9
Comoros flag
Comoros
67.966 %
10
Sierra Leone flag
Sierra Leone
67.689 %
11
Cameroon flag
Cameroon
66.845 %
12
Sudan flag
Sudan
65.455 %
13
Tajikistan flag
Tajikistan
63.936 %
14
India flag
India
63 %
15
Azerbaijan flag
Azerbaijan
62.98 %
16
Guinea flag
Guinea
62.399 %
17
Iraq flag
Iraq
61.663 %
18
Pakistan flag
Pakistan
61.157 %
19
Egypt flag
Egypt
60.884 %
20
Niger flag
Niger
60.806 %
21
Cambodia flag
Cambodia
59.576 %
22
Chad flag
Chad
59.428 %
23
Togo flag
Togo
59.249 %
24
Guinea-Bissau flag
Guinea-Bissau
58.732 %
25
Guatemala flag
Guatemala
58.32 %
26
Philippines flag
Philippines
58.315 %
27
Albania flag
Albania
58.213 %
28
Central African Republic flag
Central African Republic
58.081 %
29
Uzbekistan flag
Uzbekistan
56.246 %
30
Nepal flag
Nepal
56.075 %
31
Mauritania flag
Mauritania
55.428 %
32
Saint Kitts and Nevis flag
Saint Kitts and Nevis
55.361 %
33
Iran flag
Iran
54.961 %
34
Grenada flag
Grenada
54.764 %
35
Indonesia flag
Indonesia
53.618 %
36
Equatorial Guinea flag
Equatorial Guinea
53.35 %
37
Cรดte d'Ivoire flag
Cรดte d'Ivoire
52.798 %
38
Senegal flag
Senegal
52.774 %
39
Morocco flag
Morocco
52.746 %
40
Eritrea flag
Eritrea
52.553 %
41
Sri Lanka flag
Sri Lanka
51.931 %
42
Mauritius flag
Mauritius
51.613 %
43
Saint Lucia flag
Saint Lucia
51.079 %
44
Syrian Arab Republic flag
Syrian Arab Republic
50.799 %
45
Honduras flag
Honduras
49.86 %
46
Laos flag
Laos
48.632 %
47
Bulgaria flag
Bulgaria
47.747 %
48
Paraguay flag
Paraguay
46.331 %
49
Mali flag
Mali
44.744 %
50
Trinidad and Tobago flag
Trinidad and Tobago
44.686 %
51
Ukraine flag
Ukraine
43.934 %
52
State of Palestine flag
State of Palestine
43.8 %
53
Kyrgyzstan flag
Kyrgyzstan
43.244 %
54
Cyprus flag
Cyprus
42.372 %
55
Republic of Moldova flag
Republic of Moldova
42.218 %
56
Ethiopia flag
Ethiopia
42.167 %
57
Liberia flag
Liberia
41.802 %
58
Benin flag
Benin
41.528 %
59
Tunisia flag
Tunisia
40.978 %
60
Ecuador flag
Ecuador
40.96 %
61
Vietnam flag
Vietnam
40.779 %
62
Mexico flag
Mexico
40.641 %
63
Congo, Democratic Republic of the flag
Congo, Democratic Republic of the
40.275 %
64
China flag
China
39.235 %
65
El Salvador flag
El Salvador
39.043 %
66
Guyana flag
Guyana
38.896 %
67
Peru flag
Peru
38.875 %
68
South Korea flag
South Korea
38.672 %
69
Barbados flag
Barbados
38.607 %
70
Jamaica flag
Jamaica
38.207 %
71
Latvia flag
Latvia
37.823 %
72
Singapore flag
Singapore
37.698 %
73
Nicaragua flag
Nicaragua
37.636 %
74
Uganda flag
Uganda
37.512 %
75
Lebanon flag
Lebanon
37.336 %
76
Ghana flag
Ghana
36.881 %
77
Montenegro flag
Montenegro
35.914 %
78
Dominica flag
Dominica
35.471 %
79
Serbia flag
Serbia
35.43 %
80
North Macedonia flag
North Macedonia
35.244 %
81
Zimbabwe flag
Zimbabwe
34.969 %
82
Panama flag
Panama
34.785 %
83
Bolivia flag
Bolivia
34.358 %
84
Chile flag
Chile
33.408 %
85
Dominican Republic flag
Dominican Republic
33.398 %
86
Russia flag
Russia
33.398 %
87
Malaysia flag
Malaysia
33.038 %
88
Madagascar flag
Madagascar
32.489 %
89
Burkina Faso flag
Burkina Faso
32.384 %
90
Maldives flag
Maldives
32.188 %
91
Malta flag
Malta
32.091 %
92
Saint Vincent and the Grenadines flag
Saint Vincent and the Grenadines
31.857 %
93
Lithuania flag
Lithuania
31.801 %
94
Kenya flag
Kenya
31.604 %
95
Mongolia flag
Mongolia
31.509 %
96
Belarus flag
Belarus
30.774 %
97
Greece flag
Greece
30.449 %
98
Congo flag
Congo
29.738 %
99
Brazil flag
Brazil
29.682 %
100
Portugal flag
Portugal
29.583 %
101
Hungary flag
Hungary
29.372 %
102
Bosnia and Herzegovina flag
Bosnia and Herzegovina
29.213 %
103
Bahamas flag
Bahamas
28.746 %
104
Haiti flag
Haiti
28.44 %
105
Suriname flag
Suriname
28.275 %
106
Gabon flag
Gabon
28.005 %
107
Kazakhstan flag
Kazakhstan
27.82 %
108
Algeria flag
Algeria
27.216 %
109
Antigua and Barbuda flag
Antigua and Barbuda
26.896 %
110
Bahrain flag
Bahrain
26.804 %
111
Libya flag
Libya
26.105 %
112
Argentina flag
Argentina
25.935 %
113
Belize flag
Belize
25.185 %
114
Fiji flag
Fiji
24.789 %
115
Tanzania flag
Tanzania
24.69 %
116
Cabo Verde flag
Cabo Verde
24.568 %
117
Costa Rica flag
Costa Rica
24.503 %
118
Poland flag
Poland
24.264 %
119
Israel flag
Israel
23.408 %
120
Switzerland flag
Switzerland
23.354 %
121
Slovakia flag
Slovakia
23.233 %
122
Spain flag
Spain
23.174 %
123
Djibouti flag
Djibouti
22.948 %
124
Italy flag
Italy
22.55 %
125
Estonia flag
Estonia
22.541 %
126
Romania flag
Romania
22.428 %
127
Burundi flag
Burundi
22.402 %
128
Jordan flag
Jordan
21.583 %
129
Bhutan flag
Bhutan
20.506 %
130
Belgium flag
Belgium
20.429 %
131
Australia flag
Australia
19.934 %
132
Gambia flag
Gambia
19.447 %
133
Austria flag
Austria
19.144 %
134
Seychelles flag
Seychelles
18.865 %
135
Uruguay flag
Uruguay
18.465 %
136
Iceland flag
Iceland
18.456 %
137
Colombia flag
Colombia
17.859 %
138
Sao Tome and Principe flag
Sao Tome and Principe
17.796 %
139
Angola flag
Angola
17.619 %
140
Finland flag
Finland
17.462 %
141
Lesotho flag
Lesotho
16.89 %
142
United Arab Emirates flag
United Arab Emirates
16.739 %
143
Palau flag
Palau
16.618 %
144
Turkey flag
Turkey
15.932 %
145
Saudi Arabia flag
Saudi Arabia
15.156 %
146
Canada flag
Canada
14.992 %
147
Kuwait flag
Kuwait
14.955 %
148
Norway flag
Norway
14.8 %
149
Sweden flag
Sweden
14.798 %
150
Czech Republic flag
Czech Republic
14.216 %
151
United Kingdom flag
United Kingdom
14.165 %
152
Samoa flag
Samoa
13.921 %
153
Andorra flag
Andorra
13.622 %
154
Denmark flag
Denmark
13.513 %
155
Germany flag
Germany
13.49 %
156
Thailand flag
Thailand
13.422 %
157
Ireland flag
Ireland
13.325 %
158
Cuba flag
Cuba
13.131 %
159
Japan flag
Japan
12.972 %
160
Zambia flag
Zambia
12.632 %
161
Slovenia flag
Slovenia
12.46 %
162
United States flag
United States
12.335 %
163
New Zealand flag
New Zealand
11.836 %
164
Croatia flag
Croatia
11.473 %
165
Luxembourg flag
Luxembourg
11.47 %
166
San Marino flag
San Marino
11.336 %
167
France flag
France
11.327 %
168
Qatar flag
Qatar
10.884 %
169
Eswatini flag
Eswatini
10.508 %
170
Oman flag
Oman
10.244 %
171
Malawi flag
Malawi
10.242 %
172
Rwanda flag
Rwanda
10.178 %
173
Netherlands flag
Netherlands
10.091 %
174
Namibia flag
Namibia
9.907 %
175
Timor-Leste flag
Timor-Leste
9.493 %
176
Papua New Guinea flag
Papua New Guinea
9.221 %
177
Brunei Darussalam flag
Brunei Darussalam
8.852 %
178
Vanuatu flag
Vanuatu
7.994 %
179
South Africa flag
South Africa
7.722 %
180
Tuvalu flag
Tuvalu
5.979 %
181
Mozambique flag
Mozambique
5.555 %
182
Monaco flag
Monaco
5.554 %
183
Tonga flag
Tonga
4.668 %
184
Botswana flag
Botswana
4.24 %
185
Solomon Islands flag
Solomon Islands
3.023 %
186
Micronesia (Fed. States of) flag
Micronesia (Fed. States of)
2.885 %
187
Marshall Islands flag
Marshall Islands
1.578 %
188
Nauru flag
Nauru
0.782 %
189
Kiribati flag
Kiribati
0.629 %

โ†‘Top 10 Countries

  1. #1Armenia flagArmenia
  2. #2Myanmar flagMyanmar
  3. #3Afghanistan flagAfghanistan
  4. #4Nigeria flagNigeria
  5. #5Georgia flagGeorgia
  6. #6Yemen flagYemen
  7. #7Turkmenistan flagTurkmenistan
  8. #8Bangladesh flagBangladesh
  9. #9Comoros flagComoros
  10. #10Sierra Leone flagSierra Leone

Analysis: These countries represent the highest values in this dataset, showcasing significant scale and impact on global statistics.

โ†“Bottom 10 Countries

  1. #189Kiribati flagKiribati
  2. #188Nauru flagNauru
  3. #187Marshall Islands flagMarshall Islands
  4. #186Micronesia (Fed. States of) flagMicronesia (Fed. States of)
  5. #185Solomon Islands flagSolomon Islands
  6. #184Botswana flagBotswana
  7. #183Tonga flagTonga
  8. #182Monaco flagMonaco
  9. #181Mozambique flagMozambique
  10. #180Tuvalu flagTuvalu

Context: These countries or territories have the lowest values, often due to geographic size, administrative status, or specific characteristics.

Analysis & Context

In 2012, Armenia led the world in Out-of-Pocket Health Spending with a staggering 78.59%, while the global range spanned from 0.63% in Kiribati to Armenia's high. The global average for this metric was 33.01%, providing insight into the varying financial burdens faced by individuals worldwide.

Economic Factors and Out-of-Pocket Health Spending

The disparity in Out-of-Pocket Health Spending can often be attributed to economic factors and the structure of healthcare systems. Countries like Armenia (78.59%) and Myanmar (76.70%) exhibit high out-of-pocket costs primarily due to limited public health funding and the predominance of private healthcare services. Conversely, nations such as Kiribati (0.63%) and Nauru (0.78%) display minimal personal financial burden due to robust government-funded healthcare systems. In these countries, the state absorbs much of the healthcare cost, reducing the necessity for personal expenditure.

Geographic and Policy Influences

Geographic location and governmental policies significantly influence Out-of-Pocket Health Spending. Nations in regions with less developed healthcare infrastructure, such as Nigeria (72.84%) and Sierra Leone (67.69%), often see higher personal spending due to the lack of accessible public healthcare. In contrast, countries with comprehensive national healthcare policies, such as Monaco (5.55%), ensure lower out-of-pocket expenses by offering extensive healthcare coverage. These variations highlight the critical role of policy decisions in shaping healthcare affordability.

Trends in Year-over-Year Changes

Analyzing year-over-year changes reveals significant shifts in some countries' Out-of-Pocket Health Spending. Iraq experienced the most substantial increase, with a rise of 36.63% (146.4%), possibly due to increased instability affecting public health services. Similarly, Guinea-Bissau saw a notable increase of 22.91% (63.9%), indicating rising personal health expenditures possibly linked to economic challenges. On the other hand, Congo and Libya saw decreases of 11.35% (-27.6%) and 10.56% (-28.8%), respectively, suggesting improvements in healthcare funding or policy changes aimed at reducing personal financial burden.

Implications of High Out-of-Pocket Spending

The implications of high Out-of-Pocket Health Spending are profound, often leading to inequities in healthcare access. In countries like Afghanistan (74.49%) and Yemen (71.61%), high personal healthcare costs can deter individuals from seeking necessary medical treatment, exacerbating health disparities. This financial strain can lead to increased poverty levels as families prioritize healthcare over other essential needs. Conversely, countries with low out-of-pocket expenses, such as Micronesia (2.88%), demonstrate how comprehensive public health funding can enhance healthcare accessibility and reduce economic strain on individuals.

Frequently Asked Questions About Out-of-Pocket Health Spending in 2012

Which country had the highest out-of-pocket health spending in 2012?

Armenia had the highest out-of-pocket health spending in 2012, with 78.59%.

What was the lowest out-of-pocket health spending by any country in 2012?

Kiribati had the lowest out-of-pocket health spending in 2012, at 0.63%.

What was the average out-of-pocket health spending across countries in 2012?

The average out-of-pocket health spending across countries in 2012 was 33.01%.

What was the median out-of-pocket health spending in 2012?

The median out-of-pocket health spending in 2012 was 31.51%.

Which countries were in the top 3 for out-of-pocket health spending in 2012?

The top 3 countries for out-of-pocket health spending in 2012 were Armenia (78.59%), Myanmar (76.7%), and Afghanistan (74.49%).

How many countries' out-of-pocket health spending was below 1% in 2012?

Two countries had out-of-pocket health spending below 1% in 2012: Kiribati at 0.63% and Nauru at 0.78%.

Insights by country

1

Haiti

In 2012, Haiti had an Out-of-Pocket Health Spending of 28.439817 %, ranking #104 out of 189 countries. This percentage is significantly higher than the global average, indicating a heavy reliance on personal funds for healthcare services. Contributing factors include Haiti's limited public healthcare infrastructure and ongoing economic challenges, which restrict access to affordable medical care for a majority of the population.

2

Armenia

In 2012, Armenia achieved the highest global rank for Out-of-Pocket Health Spending at #1 with a value of 78.5873 %. This figure significantly exceeds the global average, highlighting a reliance on private health expenditures compared to many countries. The high out-of-pocket spending is primarily driven by limited public health funding and a healthcare system that is still developing, which places more financial burden on individuals for medical services.

3

Indonesia

In 2012, Indonesia ranked #35 globally for Out-of-Pocket Health Spending, with a value of 53.617924 %. This figure is notably higher than the global average, indicating a significant reliance on personal funds for healthcare. Contributing factors include a developing economy, limited public health funding, and a large population facing diverse health challenges, which necessitate out-of-pocket expenditures for adequate medical services.

4

Jordan

In 2012, Jordan ranked #128 globally with an Out-of-Pocket Health Spending value of 21.583143 %. This figure is notably higher than the global average, indicating a significant reliance on personal funds for healthcare. Factors contributing to this high out-of-pocket expenditure include a growing population of refugees, which strains the public health system, and limited government funding for health services.

5

Gabon

Gabon ranked #106 out of 189 countries in 2012 for Out-of-Pocket Health Spending, with a value of 28.004763 %. This figure is notably higher than the global average, indicating a significant reliance on personal funds for healthcare. Contributing factors include Gabon's relatively high cost of living and limited public health infrastructure, which places a financial burden on citizens seeking medical services.

6

Bahrain

Bahrain ranked #110 out of 189 countries for Out-of-Pocket Health Spending in 2012, with a value of 26.803833 %. This figure is higher than the global average, indicating a significant reliance on private health expenditures. Contributing factors include Bahrain's small population and the limited scope of public health funding, which places a greater financial burden on individuals seeking healthcare services.

7

Morocco

In 2012, Morocco ranked #39 globally for Out-of-Pocket Health Spending, with a value of 52.745853 %. This percentage is notably higher than the global average, indicating a significant reliance on personal funds for healthcare. Contributing factors include the country's developing economy and limited public healthcare funding, which places a financial burden on individuals seeking medical services.

8

Lesotho

In 2012, Lesotho's Out-of-Pocket Health Spending was 16.890236 %, ranking #141 out of 189 countries. This figure is notably higher than many countries in the region, reflecting a reliance on personal funds for healthcare services. Contributing factors include a high prevalence of HIV/AIDS, which strains the healthcare system, and limited government funding for public health initiatives.

9

Tanzania

Tanzania's Out-of-Pocket Health Spending in 2012 was 24.69027 %, ranking it #115 out of 189 countries. This percentage is notably higher than the global average, reflecting challenges in accessing affordable healthcare. Key drivers include a high reliance on private health expenditures due to inadequate public health funding and a growing population that often faces economic constraints. These factors contribute to significant financial burdens on individuals seeking medical care.

10

Algeria

In 2012, Algeria's Out-of-Pocket Health Spending was 27.215954 %, ranking #108 out of 189 countries. This figure is notably higher than the global average, indicating significant reliance on personal funds for healthcare services. Contributing factors include the limited public health infrastructure and economic challenges that restrict government investment in health services, leaving many citizens to cover medical expenses directly.

Data Source

Share of out-of-pocket spending on healthcare | Our World in Data

Our World in Data is a research organization that provides comprehensive data and visualizations on various global issues, including health, economics, and education. The dataset on the share of out-of-pocket spending on healthcare offers country-level statistics on the proportion of healthcare expenses paid directly by individuals, highlighting disparities in healthcare financing across nations.

Visit Data Source

Historical Data by Year

Explore Out-of-Pocket Health Spending data across different years. Compare trends and see how statistics have changed over time.

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