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World HealtH StatiSticS 2009 107 Health expenditure Globally in 2006, expenditure on health was about 8.7% o gross domestic product, with the highest level in the  Americas at 12.8% and the lowest in the South-East Asia Region at 3.4%. Tis translates to about US$ 716 per capita on the average but there is tremendous variation ranging rom a very low US$ 31 per capita in the South-East Asia Region to a high o US$ 2636 per capita in the Americas. Te share o government in health spending varies rom 76% in Europe to 34% in South-East Asia. Where government expen diture in health is low, the shortall is made up in low-income countries by private spending, about 85% o which is out o pocket. Tis means that payment is made at the point o accessing health services. Such payment does not allow or pooling o risks and leads to a high probability o catastrophic payment s that can result in poverty or the household. External resources are becoming a major source o health unding in low-income countries. From a share o 12% o total health expenditure in 2000, external resources repr esented 17% o low-income country health expenditure in 2006. Some low-income countries have two thirds o their total health expenditure unded by external resources. In these situations, predictabili ty o aid is an important concern. Tese data are generated rom sources that WHO has been collecting or over 10 years. Te most comprehensi ve and consistent data on health nancing are generated rom national health accounts that collect expenditure inormation within an internationally recognized ramework. National health accounts trace the nancing as it fows rom sources which provide the unds to agents who decide on the use o the unds to providers and beneciaries o health services. Not all countries have or update national health accounts and, in these instances, data are obtained through technical contacts in country or rom publicly available documents and reports. Missing values are estimated using various accounting techniques depending on the data available or each country. WHO sends all such estimates to the respective ministries o health every year or validation.    T   a    b    l   e    7

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World HealtH StatiSticS

2009

107

Health expenditure

Globally in 2006, expenditure on health was about 8.7% o gross domestic product, with the highest level in the Americas at 12.8% and the lowest in the South-East Asia Region at 3.4%. Tis translates to about US$ 716 per capitaon the average but there is tremendous variation ranging rom a very low US$ 31 per capita in the South-East AsiaRegion to a high o US$ 2636 per capita in the Americas.

Te share o government in health spending varies rom 76% in Europe to 34% in South-East Asia. Wheregovernment expenditure in health is low, the shortall is made up in low-income countries by private spending, about85% o which is out o pocket. Tis means that payment is made at the point o accessing health services. Suchpayment does not allow or pooling o risks and leads to a high probability o catastrophic payments that can result inpoverty or the household.

External resources are becoming a major source o health unding in low-income countries. From a share o 12%o total health expenditure in 2000, external resources represented 17% o low-income country health expenditure in2006. Some low-income countries have two thirds o their total health expenditure unded by external resources. Inthese situations, predictability o aid is an important concern.

Tese data are generated rom sources that WHO has been collecting or over 10 years. Te most comprehensiveand consistent data on health nancing are generated rom national health accounts that collect expenditureinormation within an internationally recognized ramework. National health accounts trace the nancing as it fowsrom sources which provide the unds to agents who decide on the use o the unds to providers and beneciaries o health services. Not all countries have or update national health accounts and, in these instances, data are obtained

through technical contacts in country or rom publicly available documents and reports. Missing values are estimatedusing various accounting techniques depending on the data available or each country. WHO sends all such estimatesto the respective ministries o health every year or validation.

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108

7. Health expenditure

Member State Health expenditure ratios a

Total expenditure onhealth as % of gross

domestic product

General governmentexpenditure on health

as % of totalexpenditureon health b

Private expenditure onhealth as % of total

expenditure on health b

General governmentexpenditure on health

as % of totalgovernmentexpenditure

External resources forhealth as %

of totalexpenditure on health

2000 2006 2000 2006 2000 2006 2000 2006 2000 2006

Afghanistand,e,f 6.1 9.2 3.1 32.4 96.9 67.6 6.7 6.2 1.0 28.1

Albania 6.4 6.5 36.3 37.3 63.7 62.7 7.1 8.7 6.0 3.5

Algeria 3.5 4.2 73.3 81.1 26.7 18.9 9.0 11.9 0.1 0.1

Andorra 7.6 7.4 65.0 70.4 35.0 29.6 19.1 22.7 0.0 0.0

Angolad

2.4 2.6 79.9 86.8 20.1 13.2 3.2 5.0 3.6 7.0

Antigua and Barbuda 4.8 4.3 69.0 67.3 31.0 32.7 12.1 10.4 3.6 0.2

Argentina 8.9 10.1 55.4 45.5 44.6 54.5 14.7 14.2 0.0 0.1

Armenia 6.4 4.7 17.7 41.2 82.3 58.8 4.6 9.7 8.5 14.5

Australiag

8.3 8.7 67.1 67.7 32.9 32.3 15.4 17.0 0.0 0.0

Austria 9.9 10.2 76.8 75.9 23.2 24.1 14.7 15.7 0.0 0.0

Azerbaijanh

4.8 4.1 18.1 26.1 81.9 73.9 4.2 3.9 3.9 0.7

Bahamasi

6.5 7.4 47.6 48.7 52.4 51.3 14.5 14.3 0.0 0.0

Bahrainf

4.0 3.6 67.5 68.2 32.5 31.8 10.2 9.5 0.0 0.0Bangladesh

j3.3 3.2 26.5 31.8 73.5 68.2 6.1 7.0 19.4 15.8

Barbadosi

6.2 6.6 65.5 63.4 34.5 36.6 11.6 11.9 4.0 3.0

Belarus 6.4 6.4 76.6 74.9 23.4 25.1 10.7 10.2 0.1 0.2

Belgiumk

9.1 9.9 71.8 72.5 28.2 27.5 13.4 14.8 0.0 0.0

Belize 5.0 4.7 48.0 54.7 52.0 45.3 6.7 9.0 2.9 1.4

Benin 4.6 4.7 47.6 50.2 52.4 49.8 11.3 10.8 16.0 21.0

Bhutan 5.2 3.5 73.6 72.1 26.4 27.9 8.6 7.6 27.1 10.0

Bolivia 6.1 6.4 60.1 62.8 39.9 37.2 9.8 11.6 6.0 3.6

Bosnia and Herzegovinaj

7.0 9.5 51.8 55.2 48.2 44.8 6.4 12.3 10.1 0.8

Botswana 4.8 7.1 63.7 76.5 36.3 23.5 8.3 17.8 0.5 5.8

Brazil 7.2 7.5 40.0 47.9 60.0 52.1 5.5 7.2 0.5 0.1

Brunei Darussalam 2.5 1.9 83.5 80.7 16.5 19.3 5.0 5.3 … …

Bulgarial

6.2 7.2 58.7 56.7 41.3 43.0 8.6 11.2 2.0 0.2

Burkina Faso 5.1 6.3 39.6 56.9 60.4 43.1 8.9 15.8 13.9 32.9

Burundid

4.1 8.7 13.2 8.6 86.8 91.4 2.1 2.4 21.8 47.5

Cambodiaj, m

5.8 5.9 22.5 26.0 77.5 74.0 8.7 10.8 9.4 22.2

Cameroond

4.6 4.6 22.5 21.2 77.5 78.8 6.8 6.7 4.1 8.0

Canada 8.8 10.0 70.4 70.4 29.6 29.6 15.1 17.8 0.0 0.0

Cape Verde 4.6 4.9 73.5 78.3 26.5 21.7 9.6 11.1 13.5 17.5

Central African Republic 3.8 4.0 41.4 38.3 58.6 61.7 10.0 10.9 22.9 21.2

Chad 6.3 4.9 42.5 53.9 57.5 46.1 13.1 13.8 24.9 17.7

Chile 6.2 5.3 48.7 52.7 51.3 47.3 11.3 14.1 0.1 0.1

China 4.6 4.6 38.3 40.7 61.7 59.3 11.1 9.9 0.1 0.1

Colombia 7.7 7.3 80.9 85.4 19.1 14.6 16.4 17.0 0.3 0.0

Comorosd 2.8 3.2 54.1 55.1 45.9 44.9 9.5 8.4 29.7 31.9

Congo 2.1 2.1 57.7 71.7 42.3 28.3 4.8 5.4 4.6 3.4

Cook Islandsi, n

3.8 4.3 90.6 91.5 9.4 8.5 9.9 11.5 2.2 23.2

Costa Rica 6.5 7.7 76.8 68.4 23.2 31.6 21.7 21.5 1.0 0.1

Côte d'Ivoire 5.3 3.8 24.8 23.6 75.2 76.4 7.2 4.2 4.6 8.3

Croatia 9.1 8.2 86.1 86.1 13.9 13.9 14.5 16.4 0.4 0.1

Cubai

6.7 7.7 90.9 91.6 9.1 8.4 11.9 11.2 0.1 0.2

Cyprusl

5.7 6.2 41.6 44.8 58.4 55.2 6.4 6.4 0.0 0.0

Czech Republick

6.5 6.9 90.3 88.0 9.7 12.0 14.1 13.8 0.0 0.0

Democratic People's Republic of Koread,i,o

3.6 3.5 85.9 85.6 14.1 14.4 6.0 6.0 0.8 49.6

Democratic Republic of the Congo 3.7 6.8 1.1 18.7 98.9 81.3 0.4 5.8 3.7 51.9

Denmarkk

8.3 10.8 82.4 85.9 17.6 14.1 12.6 18.0 0.0 0.0

Djibouti 5.8 6.8 67.8 74.1 32.2 25.9 12.0 13.4 32.6 30.1

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World HealtH StatiSticS

2009

   T  a   b   l  e   7

Health expenditure ratios a Health expenditure per capita a

Social securityexpenditure on health

as % of generalgovernment

expenditure on health

Out-of-pocketexpenditure as %

of privateexpenditure on health

Private prepaidplans as %of private

expenditure on health

Per capita totalexpenditureon health at

average exchangerate (US$)

Per capita totalexpenditureon health c (PPP int. $)

Per capitagovernment

expenditure on healthat average exchange

rate (US$)

Per capitagovernmentexpenditureon health c (PPP int. $)

2000 2006 2000 2006 2000 2006 2000 2006 2000 2006 2000 2006 2000 2006

0.0 0.0 98.9 78.5 0.0 0.0 6 27 … 91 <1 9 … 29

20.2 30.2 99.9 94.9 0.0 0.0 75 187 239 381 27 70 87 142

35.5 26.7 96.7 94.6 3.1 5.2 63 148 188 315 46 120 138 255

88.1 87.7 76.2 73.4 21.6 24.4 1 284 2 822 1 905 2 980 835 1 987 1 239 2 099

0.0 0.0 100.0 100.0 0.0 0.0 16 71 56 115 13 62 44 100

0.0 0.0 86.8 86.9 13.2 13.1 412 517 599 823 285 348 413 555

59.4 58.5 63.3 43.8 32.6 51.1 689 551 814 1 205 382 251 451 549

0.0 0.0 91.6 87.6 … 0.1 40 98 130 226 7 41 23 93

0.0 0.0 60.0 56.4 21.9 23.2 1 734 3 302 2 271 3 119 1 164 2 237 1 524 2 113

58.8 59.1 66.1 65.8 20.7 19.2 2 364 3 974 2 858 3 608 1 816 3 014 2 196 2 737

0.0 0.0 78.3 86.4 0.3 0.7 31 102 104 254 6 27 19 66

1.8 2.8 40.3 41.1 58.6 57.8 1 078 1 419 1 361 1 872 513 691 648 912

0.4 0.4 68.7 68.0 25.4 12.6 488 788 820 … 329 537 554 …0.0 0.0 88.1 88.3 0.0 0.1 11 12 27 37 3 4 7 12

0.0 0.0 77.3 78.6 22.7 21.4 557 774 916 1 208 365 490 601 765

5.8 2.7 57.1 68.8 0.1 0.1 66 243 328 623 51 182 251 466

79.0 81.6 84.7 79.0 12.3 18.7 2 062 3 726 13 4 1 480 2 701 9 3

0.0 8.8 100.0 100.0 … … 153 205 229 332 74 112 110 182

… … 99.9 94.9 0.1 5.1 15 26 50 61 7 13 24 31

0.0 0.0 100.0 100.0 0.0 0.0 42 49 132 140 31 36 97 101

62.0 75.8 81.6 81.0 8.1 10.2 61 79 192 257 37 49 115 161

95.9 93.4 100.0 100.0 … … 93 296 282 616 48 163 146 340

10.5 5.2 35.5 27.5 3.9 5.2 154 379 374 815 98 290 238 624

0.0 0.0 62.7 63.8 33.9 33.8 267 427 506 674 107 204 202 323

… … 98.8 98.9 0.6 0.5 443 571 1 036 941 370 460 865 759

12.7 65.2 99.1 97.1 0.0 0.8 96 297 377 744 57 169 222 421

0.8 0.2 94.4 91.5 1.0 2.1 11 27 41 73 4 15 16 41

… … 79.4 57.4 … … 4 10 12 31 1 1 2 3

0.0 0.0 97.1 84.7 0.0 0.0 17 30 51 96 4 8 12 25

0.1 0.1 94.0 94.8 … … 27 45 75 94 6 10 17 20

2.0 2.0 53.5 49.0 38.9 42.7 2 080 3 917 2 514 3 673 1 465 2 759 1 770 2 587

36.1 28.6 99.6 99.7 0.4 0.3 55 112 97 139 41 88 72 109

… … 95.0 95.0 … … 10 14 25 27 4 5 10 11

… … 96.2 96.2 0.4 0.4 10 29 49 72 4 16 21 39

67.2 67.2 48.7 54.8 51.3 45.1 302 473 572 689 147 249 278 363

57.2 57.3 95.6 83.1 1.0 6.5 44 94 109 216 17 38 42 88

60.2 72.3 59.0 43.9 41.0 56.1 154 217 370 464 124 185 300 396

0.0 0.0 100.0 100.0 0.0 0.0 8 16 21 27 4 9 11 15

0.0 0.0 100.0 100.0 … … 21 44 56 74 12 31 33 53

0.0 0.0 100.0 100.0 0.0 0.0 196 566 436 810 177 517 395 741

89.6 94.0 88.2 86.7 2.3 7.7 265 402 467 779 204 275 359 533

… … 90.7 87.8 9.3 12.2 33 35 84 63 8 8 21 15

97.6 91.0 100.0 92.2 … 7.8 375 790 839 1 169 323 680 723 1 006

0.0 0.0 91.9 93.3 0.0 0.0 183 362 353 674 167 332 321 617

0.0 0.2 95.3 84.3 4.7 12.2 749 1 459 1 973 2 754 311 653 820 1 232

89.5 89.5 100.0 95.5 0.0 1.8 361 953 980 1 511 326 839 885 1 329

0.0 0.0 100.0 100.0 0.0 0.0 16 <1 1 1 14 <1 1 1

0.0 0.0 97.0 48.9 … … 10 10 8 19 <1 2 <1 4

0.0 0.0 91.0 90.1 9.0 9.5 2 479 5 447 2 379 3 773 2 044 4 677 1 961 3 239

11.3 10.1 98.4 98.6 1.6 1.4 44 63 90 133 30 47 61 98

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110

7. Health expenditure

Member State Health expenditure ratios a

Total expenditure onhealth as % of gross

domestic product

General governmentexpenditure on health

as % of totalexpenditureon health b

Private expenditure onhealth as % of total

expenditure on health b

General governmentexpenditure on health

as % of totalgovernmentexpenditure

External resources forhealth as %

of totalexpenditure on health

2000 2006 2000 2006 2000 2006 2000 2006 2000 2006

Dominica 5.9 5.9 69.0 63.0 31.0 37.0 8.6 7.8 3.7 0.8

Dominican Republic 6.3 5.6 34.5 37.0 65.5 63.0 15.9 10.4 2.0 1.9

Ecuadorp

4.2 5.3 31.2 43.6 68.8 56.4 6.4 7.3 4.1 0.7

Egypt 5.6 6.3 40.1 41.4 59.9 58.6 7.5 7.3 1.0 0.8

El Salvador 8.0 6.6 45.2 61.8 54.8 38.2 14.3 15.7 0.9 3.2

Equatorial Guinea 1.9 2.1 50.7 80.4 49.3 19.6 7.8 6.9 9.6 3.5

Eritrea 5.5 3.6 49.7 45.9 50.3 54.1 4.0 4.2 24.7 37.6

Estonial

5.3 5.2 77.5 73.3 22.5 26.7 11.3 11.1 0.9 0.6

Ethiopia 4.3 3.9 53.6 59.3 46.4 40.7 8.5 10.0 16.4 42.7

Fiji 4.7 3.7 69.0 69.8 31.0 30.2 10.3 8.4 6.2 2.1

Finland 7.0 8.2 73.4 76.0 26.6 24.0 10.6 12.7 0.0 0.0

France 10.1 11.0 79.4 79.7 20.6 20.3 15.5 16.7 0.0 0.0

Gabon

d

4.5 4.5 67.9 73.0 32.1 27.0 14.0 14.0 1.5 1.8Gambia 4.4 5.0 44.6 56.8 55.4 43.2 8.8 11.2 29.5 34.7

Georgiaj

7.4 8.4 16.7 21.5 83.3 78.5 6.4 5.6 5.1 6.7

Germany 10.3 10.6 79.7 76.9 20.3 23.1 18.2 17.9 0.0 0.0

Ghana 7.2 5.1 41.4 34.2 58.6 65.8 10.8 4.4 9.5 22.6

Greece 7.9 9.5 60.0 62.0 40.0 38.0 8.6 11.6 … …

Grenada 6.4 6.9 68.3 63.5 31.7 36.5 13.2 9.0 … 0.8

Guatemala 5.5 5.3 39.8 37.7 60.2 62.3 16.7 14.7 3.4 1.0

Guinea 5.3 5.8 12.4 14.1 87.6 85.9 4.0 4.7 9.0 11.8

Guinea-Bissau 7.0 5.8 14.3 26.3 85.7 73.7 2.3 4.0 41.0 33.4

Guyana 5.5 5.9 84.5 85.8 15.5 14.2 10.0 9.0 4.2 27.4

Haiti 6.3 8.4 40.3 67.6 59.7 32.4 23.3 29.8 31.2 65.8

Honduras 5.4 6.4 55.9 47.8 44.1 52.2 15.1 15.0 8.8 5.4

Hungary 6.9 8.3 70.7 70.9 29.3 29.1 10.5 11.3 0.0 …

Icelandk

9.6 9.1 81.0 82.0 19.0 18.0 18.4 18.0 0.0 0.0

India 4.3 3.6 21.8 25.0 78.2 75.0 3.3 3.4 0.6 1.0

Indonesiaj

1.6 2.5 38.3 50.5 61.7 49.5 3.8 6.2 10.8 2.2

Iran (Islamic Republic of)r

5.9 6.8 37.0 50.7 63.0 49.3 9.6 11.5 0.0 0.1

Iraqd,i,s

1.5 3.5 26.9 78.1 73.1 21.9 1.3 3.4 24.8 13.6

Ireland 6.3 7.5 73.5 78.3 26.5 21.7 14.7 17.2 0.0 0.0

Israel 7.8 8.0 62.8 56.0 37.2 44.0 10.2 9.9 2.6 2.3

Italy 8.1 9.0 72.5 77.2 27.5 22.8 12.7 14.2 0.0 0.0

  Jamaica 6.2 4.7 52.6 53.1 47.4 46.9 6.6 4.2 1.8 1.7

  Japan 7.7 8.1 81.3 81.3 18.7 18.7 16.0 17.9 0.0 0.0

 Jordant

9.4 9.7 46.5 43.3 53.5 56.7 10.3 8.7 4.6 4.7

Kazakhstan 4.2 3.6 51.0 64.3 49.0 35.7 9.2 10.4 7.4 0.3

Kenya 4.5 4.6 48.2 47.8 51.8 52.2 11.6 9.7 8.3 14.9

Kiribati 12.1 13.1 88.0 86.9 12.0 13.1 8.7 7.8 26.4 0.4

Kuwait 3.1 2.2 78.1 78.2 21.9 21.8 8.8 4.9 0.0 0.0

Kyrgyzstan 4.7 6.4 44.3 43.0 55.7 57.0 8.3 8.7 9.9 10.0

Lao People's Democratic Republic 3.2 4.0 32.5 18.6 67.5 81.4 5.1 3.7 30.3 12.9

Latvia 6.0 6.6 54.4 59.2 45.6 40.8 8.8 10.8 0.5 0.2

Lebanon 10.9 8.8 30.0 44.3 70.0 55.7 7.8 11.3 2.1 1.9

Lesotho 6.2 6.8 51.0 58.9 49.0 41.1 6.5 8.2 3.1 14.3

Liberiad

3.7 4.8 17.8 25.8 82.2 74.2 4.4 9.8 13.9 50.7

Libyan Arab Jamahiriyad

3.7 2.4 61.7 66.3 38.3 33.7 7.2 5.4 0.0 0.0

Lithuanial

6.5 6.2 69.7 70.0 30.3 30.0 11.6 12.9 1.7 1.8

Luxembourg 5.8 7.3 89.3 90.9 10.7 9.1 13.9 17.1 0.0 0.0

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111

World HealtH StatiSticS

2009

   T  a   b   l  e   7

Health expenditure ratios a Health expenditure per capita a

Social securityexpenditure on health

as % of generalgovernment

expenditure on health

Out-of-pocketexpenditure as %

of privateexpenditure on health

Private prepaidplans as %of private

expenditure on health

Per capita totalexpenditureon health at

average exchangerate (US$)

Per capita totalexpenditureon health c (PPP int. $)

Per capitagovernment

expenditure on healthat average exchange

rate (US$)

Per capitagovernmentexpenditureon health c (PPP int. $)

2000 2006 2000 2006 2000 2006 2000 2006 2000 2006 2000 2006 2000 2006

0.0 0.0 88.9 81.1 11.1 18.9 235 275 387 487 162 173 267 307

17.0 27.1 71.9 64.3 18.7 23.5 172 206 333 379 59 76 115 140

28.0 41.4 85.3 85.6 4.8 5.7 54 166 202 379 17 73 63 165

23.8 26.4 94.1 94.9 0.4 0.2 82 92 208 320 33 38 84 132

44.2 47.7 94.6 88.9 5.4 11.1 169 181 351 360 77 112 159 223

0.0 0.0 89.2 75.6 0.0 0.0 51 440 160 633 26 353 81 509

0.0 0.0 100.0 100.0 0.0 0.0 9 8 33 19 5 4 16 9

88.2 83.9 88.5 93.3 0.0 3.9 219 632 521 958 169 464 404 702

0.0 0.0 79.1 80.6 0.5 3.0 5 7 19 26 3 4 10 16

0.0 0.0 79.1 79.1 15.0 15.0 98 139 160 164 68 97 110 114

19.5 19.6 78.8 77.6 9.8 9.1 1 639 3 232 1 794 2 656 1 203 2 455 1 316 2 018

84.1 93.6 34.4 33.2 61.5 63.0 2 193 3 937 2 542 3 420 1 740 3 139 2 018 2 727

2.0 1.8 100.0 100.0 … … 193 351 552 628 131 256 375 4580.0 0.0 85.3 71.2 3.7 4.6 13 15 39 57 6 9 18 32

44.0 51.5 93.4 91.9 0.5 1.4 48 147 153 337 8 32 26 73

87.3 87.9 55.1 57.1 40.8 39.7 2 371 3 718 2 670 3 465 1 890 2 858 2 127 2 664

… … 79.6 77.8 6.1 6.0 18 33 65 76 7 11 27 26

46.0 50.8 94.5 94.8 5.5 5.2 919 2 280 1 449 2 547 551 1 414 869 1 580

0.0 0.0 100.0 95.4 … … 261 333 388 485 179 212 265 308

52.3 45.4 89.7 91.4 4.2 3.1 95 143 218 267 38 54 87 101

1.8 1.5 99.5 99.5 0.0 0.0 20 20 47 65 2 3 6 9

5.3 3.0 53.0 55.8 0.0 0.0 11 12 34 29 2 3 5 8

0.0 0.0 100.0 100.0 … … 53 72 116 144 45 62 98 124

0.0 … 84.3 89.6 … … 26 42 61 89 10 29 25 60

14.3 15.8 85.4 87.1 7.3 7.3 62 99 138 226 35 47 77 108

83.9 84.8 89.8 77.6 0.6 4.5 326 929 852 1 492 231 659 602 1 058

33.4 33.5 100.0 100.0 0.0 0.0 2 940 4 994 2 738 3 207 2 383 4 093 2 219 2 628

5.8 4.9 92.1 91.4 1.0 1.1 19 29 63 86 4 7 14 22

7.4 17.3 63.0 70.4 8.3 8.4 12 39 37 82 5 20 14 42

42.3 41.0 95.9 94.8 3.2 4.4 65 215 387 678 24 109 143 344

… … 100.0 100.0 … … 18 62 84 146 5 49 23 114

1.2 0.9 41.0 57.2 28.5 38.6 1 723 3 871 1 950 3 106 1 267 3 030 1 434 2 431

72.4 72.3 78.5 75.3 10.4 14.4 1 557 1 675 1 845 2 034 978 938 1 159 1 138

0.1 0.1 89.1 88.5 3.2 4.1 1 547 2 813 2 061 2 631 1 122 2 172 1 495 2 031

0.0 0.0 65.0 63.7 30.0 32.0 189 180 313 307 99 95 164 163

80.9 78.7 90.1 80.8 1.7 13.7 2 827 2 759 1 967 2 581 2 298 2 242 1 598 2 097

0.6 0.5 74.7 75.9 5.5 7.4 166 238 302 435 77 103 141 188

0.0 0.0 99.0 98.4 0.1 0.1 51 190 198 352 26 122 101 227

10.9 8.8 80.1 80.0 7.1 6.9 18 29 51 67 9 14 25 32

0.0 0.0 100.0 100.0 0.0 0.0 70 121 154 230 61 105 135 200

0.0 0.0 93.9 91.6 6.1 8.4 523 803 903 956 408 628 705 748

10.0 20.9 89.3 94.1 … … 13 35 62 115 6 15 27 50

1.4 11.5 91.8 76.1 0.0 0.4 11 24 41 80 3 4 13 15

87.7 88.1 96.8 97.2 3.2 2.2 197 582 456 1 018 107 345 248 603

52.1 53.1 80.1 76.1 17.3 19.9 485 494 801 859 145 219 240 381

0.0 0.0 73.1 68.9 … … 28 51 65 98 14 30 33 57

0.0 0.0 66.0 65.7 0.0 0.0 7 7 14 15 1 2 3 4

… … 100.0 100.0 0.0 0.0 237 219 385 355 146 145 238 235

88.3 84.5 86.2 98.3 0.3 1.3 212 547 543 981 148 383 378 687

82.6 77.3 65.2 70.7 10.1 18.7 2 708 6 506 3 137 5 494 2 418 5 912 2 800 4 992

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7. Health expenditure

Member State Health expenditure ratios a

Total expenditure onhealth as % of gross

domestic product

General governmentexpenditure on health

as % of totalexpenditureon health b

Private expenditure onhealth as % of total

expenditure on health b

General governmentexpenditure on health

as % of totalgovernmentexpenditure

External resources forhealth as %

of totalexpenditure on health

2000 2006 2000 2006 2000 2006 2000 2006 2000 2006

Madagascar 2.7 3.2 54.5 62.8 45.5 37.2 8.4 9.3 27.3 49.4

Malawi 6.1 12.9 43.8 69.0 56.2 31.0 7.3 17.1 26.9 59.6

Malaysia 3.2 4.3 52.4 44.6 47.6 55.4 6.2 7.0 0.6 0.0

Maldivesj

5.8 8.1 70.8 79.7 29.2 20.3 10.9 9.2 3.3 0.4

Mali 6.3 5.8 32.9 49.6 67.1 50.4 9.5 12.2 7.8 17.6

Malta 6.8 8.4 72.5 77.0 27.5 23.0 12.0 14.7 0.0 0.0

Marshall Islandsi

20.3 14.4 98.0 97.4 2.0 2.6 21.1 14.7 11.4 66.1

Mauritaniad

2.8 2.2 71.2 69.5 28.8 30.5 6.5 5.3 23.6 18.0

Mauritius 3.8 3.9 52.0 51.1 48.0 48.9 8.7 9.4 1.4 1.0

Mexico 5.6 6.6 46.6 44.2 53.4 55.8 12.5 11.8 1.0 0.0

Micronesia (Federated States of) 8.4 13.3 93.9 96.0 6.1 4.0 10.5 18.9 38.4 57.1

Monacod

3.0 4.5 75.3 74.1 24.7 25.9 17.4 15.6 0.0 0.0

Mongolia 5.8 5.7 67.3 73.7 32.7 26.3 10.7 12.7 23.1 1.5Montenegro

u7.8 8.3 71.6 71.9 28.4 28.1 14.4 13.5 … 1.3

Morocco 4.2 5.3 29.4 26.2 70.6 73.8 4.0 4.8 0.8 2.5

Mozambique 4.8 5.0 68.5 70.8 31.5 29.2 13.9 12.5 32.5 60.3

Myanmarv

2.1 2.2 13.4 13.1 86.6 86.9 1.2 1.5 1.1 11.2

Namibia 7.0 5.4 68.9 66.7 31.1 33.3 13.1 10.5 3.8 21.1

Naurui

11.3 13.8 72.7 67.3 27.3 32.7 11.2 38.1 9.8 0.0

Nepalj

5.1 5.1 24.9 30.5 75.1 69.5 7.7 9.2 15.2 15.7

Netherlands 8.0 9.4 63.1 80.0 36.9 20.0 11.4 16.4 0.0 0.0

New Zealand 8.1 9.3 79.1 77.8 20.9 22.2 16.4 18.4 0.0 0.0

Nicaragua 7.1 9.6 51.5 48.2 48.5 51.8 12.9 17.0 8.4 7.7

Niger 3.5 5.9 54.5 54.7 45.5 45.3 10.9 17.8 40.0 32.8

Nigeria 5.0 3.8 33.5 29.7 66.5 70.3 4.2 3.5 16.2 5.9

Niuei

8.0 13.6 98.2 98.6 1.8 1.4 6.3 10.8 4.5 66.3

Norway 8.4 8.7 82.5 83.6 17.5 16.4 16.4 17.9 0.0 0.0

Oman 3.1 2.3 82.3 82.3 17.7 17.7 7.3 5.4 0.0 0.0

Pakistan 2.4 2.0 20.0 16.4 80.0 83.6 1.8 1.3 0.9 3.2

Palaui, j

9.5 10.5 89.1 80.8 10.9 19.2 11.3 11.3 14.4 12.9

Panama 7.8 7.3 68.1 68.8 31.9 31.2 21.3 11.5 1.0 0.2

Papua New Guinea 4.0 3.2 81.7 82.0 18.3 18.0 9.9 7.3 23.8 11.2

Paraguay 9.2 7.6 40.2 38.3 59.8 61.7 17.5 13.2 2.8 0.8

Peru 4.7 4.4 53.0 58.3 47.0 41.7 12.1 13.8 2.0 1.5

Philippines 3.4 3.8 47.6 32.9 52.4 67.1 7.0 6.1 3.5 2.9

Polandk

5.5 6.2 70.0 70.0 30.0 30.0 9.4 9.9 0.0 0.1

Portugal 8.8 10.2 72.5 70.5 27.5 29.5 14.9 15.5 0.0 0.0

Qatarf 2.3 4.3 68.8 78.2 31.2 21.8 5.6 9.7 0.0 0.0

Republic of Korea 4.5 6.4 48.8 55.7 51.2 44.3 9.3 11.7 0.0 0.0

Republic of Moldovaq

5.9 9.4 50.3 46.9 49.7 53.1 8.7 11.0 16.7 4.6

Romanial

5.3 4.5 67.3 76.9 32.7 23.1 9.2 7.9 5.6 0.0

Russian Federation 5.4 5.3 59.9 63.2 40.1 36.8 9.6 10.8 0.2 0.1

Rwanda 4.2 10.9 39.2 42.5 60.8 57.5 8.2 18.8 52.0 52.4

Saint Kitts and Nevis 5.4 5.8 60.3 61.3 39.7 38.7 9.5 9.5 5.3 0.0

Saint Lucia 5.8 6.3 58.5 57.8 41.5 42.2 11.7 10.9 0.4 0.2

Saint Vincent and the Grenadines 5.7 5.6 63.9 62.4 36.1 37.6 10.8 9.3 0.2 0.0

Samoaj

5.6 5.0 70.9 83.0 29.1 17.0 10.8 10.5 17.3 4.3

San Marino 7.5 7.2 85.8 85.4 14.2 14.6 20.4 13.8 0.0 0.0

Sao Tome and Principef

6.3 6.3 80.5 85.0 19.5 15.0 7.6 10.3 27.5 50.5

Saudi Arabia 4.0 3.3 76.4 77.0 23.6 23.0 9.2 8.7 0.0 0.0

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113

World HealtH StatiSticS

2009

   T  a   b   l  e   7

Health expenditure ratios a Health expenditure per capita a

Social securityexpenditure on health

as % of generalgovernment

expenditure on health

Out-of-pocketexpenditure as %

of privateexpenditure on health

Private prepaidplans as %of private

expenditure on health

Per capita totalexpenditureon health at

average exchangerate (US$)

Per capita totalexpenditureon health c (PPP int. $)

Per capitagovernment

expenditure on healthat average exchange

rate (US$)

Per capitagovernmentexpenditureon health c (PPP int. $)

2000 2006 2000 2006 2000 2006 2000 2006 2000 2006 2000 2006 2000 2006

… … 52.8 52.5 10.8 10.7 7 9 21 28 4 6 11 18

0.0 0.0 42.4 28.4 9.1 15.7 9 21 38 62 4 14 17 43

0.6 0.8 75.4 73.2 11.9 14.4 128 259 289 544 67 115 151 242

0.0 0.0 97.1 97.5 0.0 0.0 132 245 170 422 93 195 120 336

… … 99.1 99.5 0.1 0.5 17 31 52 67 5 15 17 33

0.0 0.0 96.9 90.4 3.1 8.0 641 1 308 2 864 4 223 465 1 008 2 075 3 254

35.0 12.3 100.0 100.0 0.0 0.0 418 358 580 520 410 349 568 506

0.0 0.0 100.0 100.0 0.0 0.0 12 19 40 41 8 13 28 29

… … 74.6 80.6 8.3 10.0 146 230 302 488 76 118 157 250

67.6 60.2 95.3 93.9 4.7 6.1 327 527 507 778 152 233 236 344

21.4 22.2 100.0 100.0 0.0 0.0 170 284 216 375 160 273 202 360

98.5 98.4 83.1 83.6 16.9 16.4 3 775 6 353 4 377 5 585 2 843 4 706 3 297 4 137

24.5 50.0 36.2 44.0 0.0 0.0 26 70 108 164 17 52 73 12198.8 97.0 100.0 100.0 … … 114 348 442 718 81 250 316 516

0.0 0.0 76.6 77.3 23.4 22.7 54 113 109 207 16 30 32 54

0.0 0.0 40.9 40.6 0.6 0.6 11 16 21 36 8 11 15 26

3.1 1.8 99.2 99.4 0.0 0.0 3 5 11 24 <1 1 1 3

1.8 2.3 18.2 15.7 77.3 79.1 127 174 243 261 88 116 167 174

0.0 0.0 24.4 84.4 0.0 0.0 375 758 940 1 214 273 510 684 816

0.0 0.0 91.2 85.2 0.1 0.4 12 17 40 52 3 5 10 16

93.9 95.1 24.3 29.3 43.0 28.7 1 925 3 872 2 337 3 481 1 214 3 097 1 474 2 785

0.0 0.0 69.9 74.6 28.5 21.2 1 109 2 421 1 686 2 448 877 1 884 1 333 1 906

16.2 23.9 90.2 98.1 5.9 1.4 55 92 133 235 28 44 69 113

… … 87.6 96.5 11.3 3.0 5 16 16 38 3 9 9 21

0.0 0.0 92.7 90.4 5.1 6.7 17 33 59 59 6 10 20 18

0.0 0.0 100.0 100.0 0.0 0.0 323 1 043 496 1 261 317 1 028 487 1 243

17.1 14.9 95.5 95.2 0.0 0.0 3 156 6 267 3 039 4 519 2 603 5 241 2 507 3 779

0.0 0.0 65.1 57.7 20.2 22.9 254 332 461 526 209 273 380 433

0.0 0.0 98.2 97.9 … … 12 16 40 47 2 3 8 8

0.0 0.0 100.0 40.3 0.0 43.3 594 811 1 046 1 402 529 655 932 1 133

50.0 47.7 81.3 80.6 18.7 19.2 306 380 560 738 208 262 381 507

0.0 0.0 56.0 41.5 5.5 6.3 26 29 64 62 21 24 52 51

53.0 35.3 88.6 87.7 10.9 11.3 122 117 309 312 49 45 124 119

42.9 39.7 79.4 77.5 17.2 19.0 98 149 232 316 52 87 123 184

14.7 25.8 77.2 83.5 11.1 9.7 34 52 80 120 16 17 38 39

82.6 83.9 100.0 85.4 0.8 1.9 247 555 583 919 173 389 408 643

1.3 1.2 80.8 77.3 11.1 13.8 970 1 864 1 509 2 199 704 1 315 1 095 1 552

0.0 0.0 84.5 88.2 … … 659 2 759 1 259 … 454 2 157 866 …

79.3 77.3 81.5 81.0 8.4 7.6 494 1 168 747 1 467 241 651 364 817

0.0 75.0 97.9 97.7 … 0.4 21 90 86 242 10 42 43 113

89.4 85.0 100.0 96.8 0.0 1.7 87 256 320 472 59 197 215 363

40.3 42.3 74.7 81.5 8.1 10.2 95 367 410 698 57 232 246 441

6.4 4.1 40.7 38.6 0.9 9.2 9 33 24 89 4 14 9 38

0.0 0.0 94.2 94.6 5.8 5.4 387 570 541 768 233 350 326 471

4.9 3.4 95.4 93.8 4.6 6.2 251 350 429 594 147 202 251 343

0.0 0.0 100.0 100.0 … … 164 230 282 393 105 144 180 245

0.3 0.7 81.3 76.1 0.0 0.0 74 117 155 193 52 97 110 161

100.0 84.4 94.8 95.7 5.2 4.3 2 154 3 527 2 870 3 238 1 849 3 011 2 463 2 764

0.0 0.0 100.0 100.0 0.0 0.0 21 49 … 95 17 42 … 81

… … 28.3 13.4 42.4 52.1 362 492 692 720 276 379 529 554

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7. Health expenditure

Member State Health expenditure ratios a

Total expenditure onhealth as % of gross

domestic product

General governmentexpenditure on health

as % of totalexpenditureon health b

Private expenditure onhealth as % of total

expenditure on health b

General governmentexpenditure on health

as % of totalgovernmentexpenditure

External resources forhealth as %

of totalexpenditure on health

2000 2006 2000 2006 2000 2006 2000 2006 2000 2006

Senegal 4.3 5.8 36.9 56.9 63.1 43.1 8.5 12.0 17.4 12.3

Serbiau, w

7.1 8.2 67.4 69.7 32.6 30.3 12.9 12.9 1.1 0.8

Seychelles 5.3 6.3 75.3 75.1 24.7 24.9 8.4 8.8 5.6 3.4

Sierra Leoned

4.9 4.0 43.0 36.4 57.0 63.6 7.6 7.8 19.6 33.5

Singapore 3.5 3.3 36.2 33.1 63.8 66.9 6.2 6.7 0.0 0.0

Slovakia 5.5 7.1 89.4 70.6 10.6 29.4 9.7 13.5 0.0 0.0

Slovenia 8.4 8.4 74.0 72.2 26.0 27.8 13.1 13.5 0.2 0.0

Solomon Islands 5.2 5.1 91.6 91.5 8.4 8.5 17.9 14.1 14.8 18.8

Somaliad, f

… … … … … … … … … …

South Africa 8.1 8.0 42.4 37.7 57.6 62.3 10.9 9.1 0.3 0.9

Spaink

7.2 8.4 71.6 71.2 28.4 28.8 13.2 15.5 0.0 0.0

Sri Lankaj

3.6 4.2 47.9 47.5 52.1 52.5 6.8 8.3 0.3 1.1

Sudan

d

3.0 3.8 26.3 36.8 73.7 63.2 7.2 5.8 4.8 6.5Suriname 8.0 6.2 48.8 42.6 51.2 57.4 9.7 8.0 10.9 8.1

Swaziland 6.1 6.3 58.6 65.8 41.4 34.2 11.6 11.2 5.5 12.3

Swedenk

8.2 9.2 84.9 81.7 15.1 18.3 12.6 13.8 0.0 0.0

Switzerlandk

10.3 10.8 55.6 59.1 44.4 40.9 17.1 18.5 0.0 0.0

Syrian Arab Republicx

4.8 3.9 40.4 47.8 59.6 52.2 6.5 6.0 0.1 0.8

Tajikistan 4.6 5.0 20.4 22.5 79.6 77.5 4.9 5.0 2.3 6.3

Thailandj

3.4 3.5 56.1 64.5 43.9 35.5 10.0 11.3 0.0 0.3

The former Yugoslav Republic ofMacedonia

7.6 8.0 70.9 70.6 29.1 29.4 15.8 16.5 3.2 1.1

Timor-Lestey, z

8.8 17.7 70.9 86.0 29.1 14.0 12.7 16.6 52.7 44.9

Togo 4.8 6.0 29.9 21.2 70.1 78.8 8.0 5.8 6.6 12.3

Tonga 5.5 4.9 72.4 74.6 27.6 25.4 15.2 10.6 26.5 34.4

Trinidad and Tobago 3.9 4.4 42.8 56.5 57.2 43.5 5.7 7.6 4.7 2.4

Tunisia 5.6 5.1 48.5 44.2 51.5 55.8 6.8 6.7 0.9 0.9

Turkey 4.9 4.8 62.9 72.5 37.1 27.5 9.8 10.6 0.1 0.0

Turkmenistand

4.8 3.8 74.2 66.5 25.8 33.5 14.9 14.9 1.2 0.1

Tuvalui

13.4 11.4 92.3 92.7 7.7 7.3 5.9 16.1 40.6 4.0

Uganda 6.6 7.0 26.8 25.4 73.2 74.6 7.3 8.9 28.3 31.2

Ukraine 6.0 6.9 48.0 55.4 52.0 44.6 8.4 8.8 0.5 0.5

United Arab Emirates 3.2 2.5 76.6 70.4 23.4 29.6 7.6 8.7 0.0 0.0

United Kingdom 7.1 8.2 80.9 87.3 19.1 12.7 14.7 16.3 0.0 0.0

United Republic of Tanzania 3.9 6.4 40.4 57.8 59.6 42.2 8.9 13.7 26.7 43.9

United States of America 13.2 15.3 43.7 45.8 56.3 54.2 19.5 19.3 0.0 0.0

Uruguay 10.5 8.2 33.4 43.5 66.6 56.5 10.3 9.2 0.1 0.5

Uzbekistan 5.8 4.7 44.9 50.2 55.1 49.8 6.3 8.0 1.1 1.7Vanuatu 4.1 4.1 67.0 65.0 33.0 35.0 9.8 10.9 2.4 8.8

Venezuela (Bolivarian Republic of) 6.0 4.9 53.1 49.5 46.9 50.5 10.9 9.3 0.6 0.1

Viet Nam 5.4 6.6 30.1 32.3 69.9 67.7 6.6 6.4 2.5 2.2

Yemen 4.5 4.5 41.9 46.0 58.1 54.0 6.2 5.6 8.2 24.8

Zambia 5.7 6.2 51.3 60.7 48.7 39.3 9.4 16.4 17.8 38.1

Zimbabwed,f,i

8.3 9.3 43.1 48.7 56.9 51.3 7.3 8.9 1.6 17.3

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115

World HealtH StatiSticS

2009

   T  a   b   l  e   7

Health expenditure ratios a Health expenditure per capita a

Social securityexpenditure on health

as % of generalgovernment

expenditure on health

Out-of-pocketexpenditure as %

of privateexpenditure on health

Private prepaidplans as %of private

expenditure on health

Per capita totalexpenditureon health at

average exchangerate (US$)

Per capita totalexpenditureon health c (PPP int. $)

Per capitagovernment

expenditure on healthat average exchange

rate (US$)

Per capitagovernmentexpenditureon health c (PPP int. $)

2000 2006 2000 2006 2000 2006 2000 2006 2000 2006 2000 2006 2000 2006

17.9 4.0 91.7 77.0 7.1 19.5 20 44 54 92 7 25 20 52

92.4 93.0 85.2 87.9 … … 68 336 411 773 46 234 277 539

5.0 3.8 63.0 62.5 0.0 0.0 401 565 742 931 302 424 558 699

0.0 0.0 75.2 56.4 3.0 3.7 7 12 17 29 3 4 7 11

4.8 17.7 97.0 93.8 0.0 2.9 803 1 017 1 151 1 536 291 337 417 509

94.4 89.5 100.0 79.8 0.0 0.0 208 735 603 1 279 186 520 539 903

93.9 92.9 44.1 42.5 51.0 47.1 710 1 607 1 447 2 063 525 1 161 1 070 1 490

0.0 0.0 66.7 66.7 0.0 0.0 42 44 80 100 39 40 73 91

… … … … … … … … … … … … … …

3.3 4.3 18.9 17.5 75.6 77.7 237 425 519 715 100 160 220 270

9.6 7.3 83.1 74.7 13.7 20.9 1 036 2 328 1 536 2 466 742 1 658 1 100 1 757

0.3 0.1 83.3 86.7 12.2 9.1 33 62 99 171 16 30 47 81

9.3 12.0 100.0 100.0 … … 11 37 37 72 3 14 10 2740.7 42.8 44.0 51.1 0.8 0.8 162 250 369 391 79 106 180 167

0.0 0.0 42.4 41.4 18.9 18.5 80 155 207 300 47 102 121 197

0.0 0.0 91.1 87.9 1.2 1.6 2 280 3 973 2 283 3 162 1 936 3 245 1 938 2 583

72.6 72.6 74.1 75.3 23.6 22.3 3 582 5 660 3 265 4 179 1 992 3 347 1 816 2 471

0.0 0.0 100.0 100.0 0.0 0.0 58 66 159 164 23 31 64 78

0.0 0.0 99.0 96.6 0.0 0.0 6 21 41 81 1 5 8 18

9.4 12.4 76.9 76.6 12.8 15.6 69 113 172 264 39 73 97 170

97.5 93.3 100.0 100.0 … … 136 249 470 630 96 176 334 444

0.0 0.0 43.4 37.2 0.0 0.0 34 52 68 109 24 45 48 94

12.5 17.3 86.6 84.2 5.4 4.3 11 21 32 46 3 4 9 10

0.0 0.0 82.5 84.2 9.6 3.7 87 114 163 181 63 85 118 135

0.0 0.0 86.3 88.0 7.2 6.9 243 600 … … 104 339 … …

26.7 25.2 81.7 81.7 16.6 16.6 114 156 271 355 55 69 131 157

55.5 53.8 74.6 84.2 11.8 15.8 194 352 432 584 122 255 272 423

6.1 6.1 100.0 100.0 0.0 0.0 53 146 … … 39 97 … …

0.0 0.0 11.5 15.6 0.0 0.0 162 280 324 434 149 259 299 402

0.0 0.0 56.7 51.0 0.1 0.2 15 24 45 71 4 6 12 18

0.0 0.5 90.1 88.8 0.9 1.2 39 160 198 433 19 89 95 240

0.0 0.0 69.4 69.4 20.2 20.2 697 1 018 1 263 1 409 534 717 967 992

0.0 0.0 69.5 91.7 16.7 7.8 1 782 3 332 1 846 2 815 1 441 2 908 1 493 2 457

0.0 0.9 80.0 54.3 4.3 7.7 11 23 30 72 4 13 12 42

34.1 28.7 26.6 23.5 62.7 66.4 4 570 6 719 4 570 6 719 1 997 3 076 1 997 3 076

50.0 47.8 25.9 31.1 74.1 68.9 635 476 818 833 212 207 274 362

0.0 0.0 97.0 97.1 0.0 0.0 32 30 83 102 14 15 37 51

0.0 0.0 50.0 50.0 7.5 7.5 53 67 127 125 35 44 85 81

19.5 20.0 87.0 88.6 3.7 3.6 290 332 510 540 154 164 271 267

19.7 38.8 91.7 90.2 4.1 2.6 21 46 75 151 6 15 23 49

… … 94.8 95.2 … … 24 40 84 102 10 18 35 47

0.0 0.0 80.5 67.2 0.7 3.7 18 58 52 79 9 35 26 48

0.0 0.0 48.0 50.3 34.1 28.8 48 38 <1 … 21 18 <1 …

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116

7. Health expenditure

Member State Health expenditure ratios a

Total expenditure onhealth as % of gross

domestic product

General governmentexpenditure on health

as % of totalexpenditureon health b

Private expenditure onhealth as % of total

expenditure on health b

General governmentexpenditure on health

as % of totalgovernmentexpenditure

External resources forhealth as %

of totalexpenditure on health

2000 2006 2000 2006 2000 2006 2000 2006 2000 2006

RANGES OF COUNTRY VALUES

Minimum 1.5 1.9 1.1 8.6 1.8 1.4 0.4 1.3 0.0 0.0

Maximum 20.3 17.7 98.2 98.6 98.9 91.4 23.3 38.1 52.7 66.3

Median 5.7 6.2 56.9 62.8 43.1 37.2 9.7 10.7 2.5 1.7

WHO REGION

Arican Region 5.5 5.5 44.8 47.1 55.2 52.9 8.2 8.7 6.8 10.7

Region o the Americas 11.3 12.8 45.7 47.7 54.3 52.3 16.3 16.8 0.1 0.1

South-East Asia Region 3.6 3.4 28.0 33.6 72.0 66.4 4.2 4.7 2.4 1.9European Region 8.0 8.4 73.6 75.6 25.8 24.4 13.7 14.8 0.2 0.1

Eastern Mediterranean Region 4.3 4.5 47.1 50.9 52.9 49.1 7.0 7.3 1.2 2.0

Western Pacifc Region 6.0 6.1 63.9 61.0 36.1 39.0 13.7 13.8 0.2 0.2

INCOME GROUP

Low income 4.2 4.3 33.3 36.2 66.7 63.8 5.4 5.9 11.7 16.9

Lower middle income 4.5 4.5 39.2 43.2 60.8 56.8 7.9 8.2 1.1 0.8

Upper middle income 6.1 6.3 52.9 55.1 47.1 44.8 9.1 9.8 0.6 0.2

High income 10.0 11.2 59.8 60.7 40.0 39.3 16.0 17.1 0.0 0.0

Global 8.2 8.7 56.6 57.6 43.3 42.4 13.7 14.3 0.3 0.4

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117

World HealtH StatiSticS

2009

   T  a   b   l  e   7

Health expenditure ratios a Health expenditure per capita a

Social securityexpenditure on health

as % of generalgovernment

expenditure on health

Out-of-pocketexpenditure as %

of privateexpenditure on health

Private prepaidplans as %of private

expenditure on health

Per capita totalexpenditureon health at

average exchangerate (US$)

Per capita totalexpenditureon health c (PPP int. $)

Per capitagovernment

expenditure on healthat average exchange

rate (US$)

Per capitagovernmentexpenditureon health c (PPP int. $)

2000 2006 2000 2006 2000 2006 2000 2006 2000 2006 2000 2006 2000 2006

0.0 0.0 11.5 13.4 0.0 0.0 3 <1 <1 1 <1 <1 <1 1

100.0 98.4 100.0 100.0 77.3 79.1 4 570 6 719 4 570 6 719 2 843 5 912 3 297 4 992

2.0 2.9 88.2 85.3 4.2 5.2 98 211 282 377 60 114 143 212

8.2 7.6 55.9 49.8 36.2 39.6 33 58 83 111 15 27 37 52

32.2 27.7 33.7 30.6 56.7 60.4 1 799 2 636 1 935 2 788 815 1 252 885 1 329

6.3 8.5 88.7 88.3 2.5 2.8 19 31 58 85 6 11 16 29

50.0 49.2 68.6 70.8 22.4 22.1 936 1 756 1 197 1 719 704 1 350 881 1 299

15.0 19.7 88.0 87.0 7.4 8.1 69 116 184 259 36 65 87 132

65.6 63.1 88.9 80.7 4.2 9.3 290 361 297 461 212 246 190 282

3.4 7.0 89.9 85.4 2.6 2.8 14 22 39 57 5 8 13 21

38.7 40.3 91.4 85.7 3.3 5.9 38 74 106 181 15 33 42 78

41.3 40.4 70.4 70.0 23.6 25.7 235 412 480 707 121 225 254 389

45.1 41.6 39.3 36.2 50.5 54.3 2 629 4 012 2 691 3 848 1 574 2 470 1 608 2 335

43.9 41.1 51.5 49.3 39.5 42.0 473 716 555 790 276 429 314 455