Health · Africa ranking
Out-of-Pocket Health Spending by African country
Nigeria has the highest out-of-pocket share of health spending of any African country, at 70.9%, ahead of Cameroon and Equatorial Guinea.
Out-of-pocket expenditure as a share of current health expenditure (WHO). 54 of 54 countries, ranked · WHO GHO, 2023.
Nigeria
Cameroon
Equatorial GuineaBy region
Full ranking
| # | Country | Out-of-Pocket Health Spending | |
|---|---|---|---|
| 1 | Nigeria | 70.9% | |
| 2 | Cameroon | 67.7% | |
| 3 | Equatorial Guinea | 66% | |
| 4 | Togo | 64.3% | |
| 5 | Liberia | 63.2% | |
| 6 | Guinea-Bissau | 61.6% | |
| 7 | Sudan | 57.4% | |
| 8 | Egypt | 57.2% | |
| 9 | Comoros | 56.6% | |
| 10 | Sierra Leone | 54.5% | |
| 11 | Guinea | 54.4% | |
| 12 | Chad | 51.7% | |
| 13 | Niger | 51.5% | |
| 14 | Eritrea | 48.4% | |
| 15 | Mali | 47.2% | |
| 16 | Ethiopia | 46.3% | |
| 17 | Mauritius | 45.2% | |
| 18 | Central African Republic | 45% | |
| 19 | Algeria | 45% | |
| 20 | Senegal | 44.3% | |
| 21 | Burkina Faso | 43.8% | |
| 22 | Mauritania | 43.8% | |
| 23 | Benin | 42.4% | |
| 24 | Democratic Republic of the Congo | 38% | |
| 25 | Tunisia | 37.9% | |
| 26 | Morocco | 37.3% | |
| 27 | Gambia | 33.8% | |
| 28 | Angola | 32.5% | |
| 29 | Uganda | 32.2% | |
| 30 | Cote d'Ivoire | 32% | |
| 31 | Somalia | 30.8% | |
| 32 | Djibouti | 28.8% | |
| 33 | Republic of the Congo | 28% | |
| 34 | Seychelles | 28% | |
| 35 | Tanzania | 27.9% | |
| 36 | Madagascar | 27.4% | |
| 37 | South Sudan | 27.1% | |
| 38 | Ghana | 26.7% | |
| 39 | Cabo Verde | 25.7% | |
| 40 | Burundi | 24.5% | |
| 41 | Kenya | 24.2% | |
| 42 | Libya | 19.2% | |
| 43 | Gabon | 17.3% | |
| 44 | Sao Tome and Principe | 16.7% | |
| 45 | Lesotho | 13.2% | |
| 46 | Malawi | 12% | |
| 47 | Eswatini | 11% | |
| 48 | Zimbabwe | 10.6% | |
| 49 | Mozambique | 10.4% | |
| 50 | Zambia | 10.3% | |
| 51 | Namibia | 7.5% | |
| 52 | South Africa | 6.7% | |
| 53 | Botswana | 4.3% | |
| 54 | Rwanda | 4.1% |
Togo
Liberia
Guinea-Bissau
Sudan
Egypt
Comoros
Sierra Leone
Guinea
Chad
Niger
Eritrea
Mali
Ethiopia
Mauritius
Central African Republic
Algeria
Senegal
Burkina Faso
Mauritania
Benin
Democratic Republic of the Congo
Tunisia
Morocco
Gambia
Angola
Uganda
Cote d'Ivoire
Somalia
Djibouti
Republic of the Congo
Seychelles
Tanzania
Madagascar
South Sudan
Ghana
Cabo Verde
Burundi
Kenya
Libya
Gabon
Sao Tome and Principe
Lesotho
Malawi
Eswatini
Zimbabwe
Mozambique
Zambia
Namibia
South Africa
Botswana
RwandaGet this ranking via API
One call to /v1/data returns the latest Out-of-Pocket Health Spending figure for every country you pass — JSON, with source metadata on each observation.
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"Cite or republish this ranking
Data: Africa API — WHO GHO, 2023. Free to republish with a link to this page. Pull the live figures via the API above so your version never goes stale.
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Drop this chart into your article or site — it stays live as the data updates. Paste the snippet anywhere HTML is allowed (a citation link is included).
Frequently asked questions
Which African country has the highest out-of-pocket share of health spending?
Nigeria has the highest out-of-pocket share of health spending in Africa at 70.9% (2023), followed by Cameroon and Equatorial Guinea.
Which African country has the lowest out-of-pocket share of health spending?
Rwanda has the lowest out-of-pocket share of health spending of the 54 African countries with data, at 4.1% (2023).
How many African countries report Out-of-Pocket Health Spending data?
54 of 54 African countries have a recent Out-of-Pocket Health Spending figure in the Africa API. Each value links to the country's full series with source and history.
How do I get this ranking via API?
Call GET /v1/data?metric_key=health_oop_expenditure_pct_che&latest=true with the country codes you need and a free Africa API key — the response returns the latest value per country as JSON.
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