| Code | SH.UHC.OOPC.25.ZS |
| Indicator Name | Proportion of population spending more than 25% of household consumption or income on out-of-pocket health care expenditure (%) |
| Short definition | Catastrophic Health Expenditure, 25% of total expenditure/income (%) |
| Long definition | Proportion of population spending more than 25% of household consumption or income on out-of-pocket health care expenditure. Out-of-pocket health expenditure is defined as any spending incurred by a household when any member uses a health good or service to receive any type of care (preventive, curative, rehabilitative, long-term or palliative care); provided by any type of provider; for any type of disease, illness or health condition; in any type of setting (outpatient, inpatient, at home). |
| Source | Global Health Observatory. Geneva: World Health Organization; 2023. (https://www.who.int/data/gho/data/themes/topics/financial-protection) |
| Topic | Health: Universal Health Coverage |
| Periodicity | Annual |
| Aggregation method | Weighted average |
| Statistical concept and methodology | Out-of-pocket payments are those made by people at the time of getting any type of service (preventive, curative, rehabilitative, palliative or long-term care) provided by any type of provider. They include cost-sharing (the part not covered by a third party like an insurer) and informal payments, but they exclude insurance premiums. Out-of-pocket payments exclude any reimbursement by a third party, such as the government, a health insurance fund or a private insurance company. Out-of-pocket payments are defined as catastrophic at the 10% (25%) threshold when they represent 10% (25%) or more of household total consumption or income. They are defined as impoverishing if they push household consumption or income below the $2.15 or $3.65 ($ 2017 PPP) per day poverty lines or the relative poverty line of 60% of median consumption, or if they are incurred by households already living under the $2.15 or $3.65 ($ 2017 PPP) per day poverty lines or the relative poverty line of 60% of median consumption. |
| Development relevance | Financial protection in health is one of two dimensions of Universal Health Coverage (UHC) which is defined as all people being able to access the health services they need without facing financial hardship. As Sustainable Development Goal (SDG) indicator 3.8.2, financial protection forms part of SDG Target 3.8 (UHC) and directly relates to SDG 3 (Ensure healthy lives and promote well-being for all at all ages) and SDG 1 (End poverty in all its forms everywhere). As a component of UHC, it is key to improving the well-being of a country’s population, an investment in human capital and a foundational driver of inclusive and sustainable economic growth and development. |
| General comments | This is the Sustainable Development Goal indicator 3.8.2[https://unstats.un.org/sdgs/metadata/]. |
| Notes from original source | 1. For the aggregated data, World Bank’s historical income classification that was based on data from each respective year was used. For example, the FY2002 income classification based on the 2000 GNI per capita was used for the 2000 aggregates, the FY2007 income classification based on the 2005 GNI per capita was used for the 2005 aggregates, and so on.
2. For details of the definition for out-of-pocket health spending, please see the following publication: World Health Organization and World Bank. 2021. Global Monitoring Report on Financial Protection in Health 2021. |
| License URL | https://datacatalog.worldbank.org/public-licenses#cc-by |
| License Type | CC BY-4.0 |
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