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Health · Africa ranking

Out-of-Pocket Health Spending by African country

70.9%Nigeria · highest shown · 2023

Nigeria has the highest reported out-of-pocket share of health spending among the 54 countries shown, at 70.9% (2023).

Out-of-pocket expenditure as a share of current health expenditure (WHO). 54 of 54 countries are shown. Open a country to see its source details and available history.

#1 vs #5417×Nigeria vs Rwanda
Median32.5%Angola
Lowest4.1%Rwanda

By region

unweighted mean of countries shown
West Africa47.5%
16 countries shown · highest value: Nigeria
North Africa42.3%
6 countries shown · highest value: Sudan
Central Africa40.3%
9 countries shown · highest value: Cameroon
East Africa29.6%
16 countries shown · highest value: Comoros
Southern Africa9.1%
7 countries shown · highest value: Lesotho

Full ranking

54 of 54 countries
#CountryOut-of-Pocket Health SpendingPeriod
1Nigeria
70.9%2023
2Cameroon
67.7%2023
3Equatorial Guinea
66%2023
4Togo
64.3%2023
5Liberia
63.2%2023
6Guinea-Bissau
61.6%2023
7Sudan
57.4%2023
8Egypt
57.2%2023
9Comoros
56.6%2023
10Sierra Leone
54.5%2023
11Guinea
54.4%2023
12Chad
51.7%2023
13Niger
51.5%2023
14Eritrea
48.4%2023
15Mali
47.2%2023
16Ethiopia
46.3%2023
17Mauritius
45.2%2023
18Central African Republic
45%2023
19Algeria
45%2023
20Senegal
44.3%2023
21Burkina Faso
43.8%2023
22Mauritania
43.8%2023
23Benin
42.4%2023
24Democratic Republic of the Congo
38%2023
25Tunisia
37.9%2023
26Morocco
37.3%2023
27Gambia
33.8%2023
28Angola
32.5%2023
29Uganda
32.2%2023
30Cote d'Ivoire
32%2023
31Somalia
30.8%2023
32Djibouti
28.8%2023
33Republic of the Congo
28%2023
34Seychelles
28%2023
35Tanzania
27.9%2023
36Madagascar
27.4%2023
37South Sudan
27.1%2023
38Ghana
26.7%2023
39Cabo Verde
25.7%2023
40Burundi
24.5%2023
41Kenya
24.2%2023
42Libya
19.2%2023
43Gabon
17.3%2023
44Sao Tome and Principe
16.7%2023
45Lesotho
13.2%2023
46Malawi
12%2023
47Eswatini
11%2023
48Zimbabwe
10.6%2023
49Mozambique
10.4%2023
50Zambia
10.3%2023
51Namibia
7.5%2023
52South Africa
6.7%2023
53Botswana
4.3%2023
54Rwanda
4.1%2023

Get this ranking via API

GET /v1/data

Request the latest available Out-of-Pocket Health Spending values for the selected countries as JSON. The response includes source metadata; check reporting periods before comparing values.

curl "https://api.africa-api.com/v1/data?metric_key=health_oop_expenditure_pct_che&latest=true&country_codes=NG,KE,ZA,EG" \
  -H "Authorization: Bearer $AFRICA_API_KEY"

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iframe snippet

Paste this snippet into a page that supports iframes. The chart loads the available ranking observations and includes their reporting periods. A link to this page is included.

<iframe src="https://africa-api.com/embed/out-of-pocket-health" width="100%" height="560" loading="lazy" style="border:1px solid #e3e3e3;border-radius:10px;max-width:640px" title="Out-of-Pocket Health Spending by African country — Africa API"></iframe>
<p style="font:13px/1.5 system-ui,sans-serif;margin:.5rem 0"><a href="https://africa-api.com/data/out-of-pocket-health">Out-of-Pocket Health Spending by African country — Africa API</a></p>

About this ranking

Which observations are included?

The table includes 54 of 54 countries with available observations for 2023 or later and within 2 years of the freshest result. Each row shows its reporting period. Countries without an eligible observation are omitted.

Does a higher value mean a better result?

The table is sorted by value, from highest to lowest. The order does not rate a country's performance. Interpretation depends on the indicator and its definition.

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