Indicators · People and labour
Health spending paid out of pocket
Share of current health spending paid directly by households at the point of care.
Why it matters
High shares mean thin insurance cover, cash-paying patients and room for medical schemes and pharmacies.
Read with care
Published with a lag of two to three years.
Out-of-pocket share: highest in Comoros, lowest in Botswana
Health spending paid out of pocket, %. Latest year available, 2023. 16 of 16 countries have data.
10%
11%
27%
33%
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Ranked: out-of-pocket shareiWhy it mattersHigh shares mean thin insurance cover, cash-paying patients and room for medical schemes and pharmacies.
Click a country to highlight it.
How spread out SADC is
Over time
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Health spending paid out of pocket against income per person
Each bubble is a SADC country, sized by population. Dashed lines mark the SADC medians. Countries far from the pattern are worth a closer look.
Table
The same figures as the map, for screen readers and copying.| Rank | Country | Value | Year | Five-year change | Grade | Details |
|---|---|---|---|---|---|---|
| 1 | Comoros | 56.6% | 2023 | down 10.7 points since 2018 | B | |
| 2 | Mauritius | 45.2% | 2023 | down 1.7 point since 2018 | B | |
| 3 | DRC | 38.0% | 2023 | down 3.6 points since 2018 | B | |
| 4 | Angola | 32.5% | 2023 | down 3.7 points since 2018 | B | |
| 5 | Seychelles | 28.0% | 2023 | up 1.8 point since 2018 | B | |
| 6 | Tanzania | 27.9% | 2023 | up 7.1 points since 2018 | B | |
| 7 | Madagascar | 27.4% | 2023 | down 1.9 point since 2018 | B | |
| 8 | Lesotho | 13.2% | 2023 | down 1.3 point since 2018 | B | |
| 9 | Malawi | 12.0% | 2023 | down 0.8 points since 2018 | B | |
| 10 | Eswatini | 11.0% | 2023 | up 0.9 points since 2018 | B | |
| 11 | Zimbabwe | 10.6% | 2023 | up 1.8 point since 2018 | B | |
| 12 | Mozambique | 10.4% | 2023 | up 1.0 point since 2018 | B | |
| 13 | Zambia | 10.3% | 2023 | little changed since 2018 | B | |
| 14 | Namibia | 7.5% | 2023 | down 0.3 points since 2018 | B | |
| 15 | South Africa | 6.7% | 2023 | up 0.8 points since 2018 | B | |
| 16 | Botswana | 4.3% | 2023 | down 0.8 points since 2018 | B |