APIDocsPricingGet a free API key
Indicator

Out-of-Pocket Health Spending by African country

2023

Out-of-pocket expenditure as a share of current health expenditure (WHO).

Africa, 202354 of 54 countries
42.2%population-weighted average
Highest in 2023Nigeria · 70.9%Lowest in 2023Rwanda · 4.1%Reported in 20230 of 54 countries surveyed
Click a country to pin it — pinned countries are named on the map. Hatching means no record.
Western Sahara — no separate recordTanzania — 27.9%Democratic Republic of the Congo — 38.0%Somalia — 30.8%Kenya — 24.2%Sudan — 57.4%Chad — 51.7%South Africa — 6.7%Lesotho — 13.2%Zimbabwe — 10.6%Botswana — 4.3%Namibia — 7.5%Senegal — 44.3%Mali — 47.2%Mauritania — 43.8%Benin — 42.4%Niger — 51.5%Nigeria — 70.9%Cameroon — 67.7%Togo — 64.3%Ghana — 26.7%Cote d'Ivoire — 32.0%Guinea — 54.4%Guinea-Bissau — 61.6%Liberia — 63.2%Sierra Leone — 54.5%Burkina Faso — 43.8%Central African Republic — 45.0%Republic of the Congo — 28.0%Gabon — 17.3%Equatorial Guinea — 66.0%Zambia — 10.3%Malawi — 12.0%Mozambique — 10.4%Eswatini — 11.0%Angola — 32.5%Burundi — 24.5%Madagascar — 27.4%Gambia — 33.8%Tunisia — 37.9%Algeria — 45.0%Eritrea — 48.4%Morocco — 37.3%Egypt — 57.2%Libya — 19.2%Ethiopia — 46.3%Djibouti — 28.8%Uganda — 32.2%Rwanda — 4.1%South Sudan — 27.1%Nigeria 70.9%Nigeria 70.9%Ethiopia 46.3%Ethiopia 46.3%Kenya 24.2%Kenya 24.2%South Africa 6.7%South Africa 6.7%2023HIGHEST IN 2023Nigeria70.9%Cameroon67.7%Equatorial Guinea66.0%Togo64.3%Liberia63.2%LOWEST IN 2023Rwanda4.1%Botswana4.3%South Africa6.7%Namibia7.5%Zambia10.3%PINNEDEthiopia46.3%16 of 54Kenya24.2%41 of 54OTHER ISLAND STATES · NOT DRAWNCabo Verdenot drawn25.7%Comorosnot drawn56.6%Mauritiusnot drawn45.2%Sao Tome and Principenot drawn16.7%Seychellesnot drawn28.0%% of health spending · quintiles of the observed range4.1%16.7%28%42.4%51.7%70.9%no record
20142024
WHO · national statistics offices · the provider's own estimates where a country has not reportedCC BY 4.0
Countries

By region

Population-weighted, so a region’s figure is the share of its people, not the average of its countries.
Western Africa16 of 16 countries57.4%
Northern Africa6 of 6 countries50.4%
Middle Africa9 of 9 countries42.2%
Eastern Africa18 of 18 countries29.1%
Southern Africa5 of 5 countries6.9%
Africaall 54 countries · 54 with a 2023 figure42.2%

What to know before you quote this

Specific to this series. For how we treat data generally, see methods.
54 countries have no usable 2024 recordNot a low value — no figure within the window. Algeria, Angola, Benin, Botswana, Burkina Faso and 49 more are hatched on the map and blank in the table.
Certainty is judged year by yearA country can be Reported in one year and Modelled the next. The tag follows the year on the scrubber, so the 2024 assessment is not a verdict on the whole series.

About this data

Out-of-Pocket Health SpendingOut-of-pocket expenditure as a share of current health expenditure (WHO).
SourceWHO, with processing by Africa API
Unit% of health spending
Last updated8 Aug 2026
Next expected updateAug 2027
Date range2000–2023
Coverage54 of 54 countries · 0 reported, 54 modelled, 0 with no usable figure

How the figure is made

ReportedA national statistics office or the original provider published the figure for that year directly. 0 countries did so for 2023 — the certainty shown on this page is that 2023 assessment, not a per-series one.ModelledNo direct figure that year. The provider’s own estimate, interpolation or projection stands in, and is marked as such wherever it appears.No dataNo usable figure within the window. Drawn hatched on the map and left blank in the table — not zero, and not filled in.

These three states are used the same way across every indicator on the site — how we treat certainty explains the full set and what we never do to a number.

Reuse and cite

Everything on this page is open under CC BY 4.0 — use it anywhere, including commercially, as long as Africa API and the original provider are credited. The provider’s own licence still applies to their data.

How to cite this page
Africa API (2026) — "Out-of-Pocket Health Spending". Data adapted from WHO. Retrieved 18 Oct 2026 from africa-api.com/indicators/out-of-pocket-health
The request behind this view
GET /v1/data?metric_key=health_oop_expenditure_pct_che&year=2023&limit=100

Read next

The measures that explain this one.
HealthInfant MortalityInfant deaths before age one per 1,000 live births.HealthHIV PrevalenceShare of people ages 15-49 living with HIV.HealthHealth Spending (% of GDP)Current health expenditure as a share of GDP.

Out-of-Pocket Health Spending: most recent figure per country, highest to lowest

54 countries · each with its own period

The figures at the top of the page compare every country in the same year. This list takes each country’s newest figure instead, whatever its period, so the order can differ.

#CountryOut-of-Pocket Health SpendingPeriod
1Nigeria70.9%2023
2Cameroon67.7%2023
3Equatorial Guinea66%2023
4Togo64.3%2023
5Liberia63.2%2023
6Guinea-Bissau61.6%2023
7Sudan57.4%2023
8Egypt57.2%2023
9Comoros56.6%2023
10Sierra Leone54.5%2023
11Guinea54.4%2023
12Chad51.7%2023
13Niger51.5%2023
14Eritrea48.4%2023
15Mali47.2%2023
16Ethiopia46.3%2023
17Mauritius45.2%2023
18Central African Republic45%2023
19Algeria45%2023
20Senegal44.3%2023
21Burkina Faso43.8%2023
22Mauritania43.8%2023
23Benin42.4%2023
24Democratic Republic of the Congo38%2023
25Tunisia37.9%2023
26Morocco37.3%2023
27Gambia33.8%2023
28Angola32.5%2023
29Uganda32.2%2023
30Cote d'Ivoire32%2023
31Somalia30.8%2023
32Djibouti28.8%2023
33Republic of the Congo28%2023
34Seychelles28%2023
35Tanzania27.9%2023
36Madagascar27.4%2023
37South Sudan27.1%2023
38Ghana26.7%2023
39Cabo Verde25.7%2023
40Burundi24.5%2023
41Kenya24.2%2023
42Libya19.2%2023
43Gabon17.3%2023
44Sao Tome and Principe16.7%2023
45Lesotho13.2%2023
46Malawi12%2023
47Eswatini11%2023
48Zimbabwe10.6%2023
49Mozambique10.4%2023
50Zambia10.3%2023
51Namibia7.5%2023
52South Africa6.7%2023
53Botswana4.3%2023
54Rwanda4.1%2023
Which observations are included?
The ranking includes 54 of 54 countries with available observations for 2023 or later and within 2 years of the freshest result. Each figure shows its reporting period. Countries without an eligible observation are omitted.
Does a higher value mean a better result?
The ranking 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.

Embed this ranking

free · updates with the data

Drop this ranking into an article or a site and it stays current as the data updates. Paste the snippet anywhere HTML is allowed; a citation link is included.

<iframe src="https://africa-api.com/embed/out-of-pocket-health" width="100%" height="560" loading="lazy" style="border:0;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/indicators/out-of-pocket-health">Out-of-Pocket Health Spending by African country, Africa API</a></p>

Every indicator, by topic

207 indicators, each ranked across the African countries that carry it.

Health

Economy

Trade

Development

Demographics

Child Welfare

Education

Food Security

Agriculture

Governance

Humanitarian

Technology

Infrastructure

Energy

Climate