Health and wellbeing · ranked by Out-of-pocket expenditure
Countries with the highest out-of-pocket share of health spending
| # | Name | Out-of-pocket expenditure | Change |
|---|---|---|---|
| 1 | 80.47 % of current health expenditure | new | |
| 2 | 79.31 % of current health expenditure | new | |
| 3 | 77.39 % of current health expenditure | new | |
| 4 | 77.14 % of current health expenditure | new | |
| 5 | 72.4 % of current health expenditure | new | |
| 6 | 71.9 % of current health expenditure | new | |
| 7 | 71.13 % of current health expenditure | new | |
| 8 | 69.13 % of current health expenditure | new | |
| 9 | 67.65 % of current health expenditure | new | |
| 10 | 65.98 % of current health expenditure | new |
Show positions 11–50
| 11 | 64.63 % of current health expenditure | new | |
| 12 | 64.34 % of current health expenditure | new | |
| 13 | 64.06 % of current health expenditure | new | |
| 14 | 63.24 % of current health expenditure | new | |
| 15 | 62.36 % of current health expenditure | new | |
| 16 | 61.56 % of current health expenditure | new | |
| 17 | 60.6 % of current health expenditure | new | |
| 18 | 59.39 % of current health expenditure | new | |
| 19 | 58.76 % of current health expenditure | new | |
| 20 | 57.37 % of current health expenditure | new | |
| 21 | 57.2 % of current health expenditure | new | |
| 22 | 57.18 % of current health expenditure | new | |
| 23 | 56.57 % of current health expenditure | new | |
| 24 | 54.81 % of current health expenditure | new | |
| 25 | 54.47 % of current health expenditure | new | |
| 26 | 54.42 % of current health expenditure | new | |
| 27 | 53.98 % of current health expenditure | new | |
| 28 | 53.06 % of current health expenditure | new | |
| 29 | 52.93 % of current health expenditure | new | |
| 30 | 52.4 % of current health expenditure | new | |
| 31 | 51.68 % of current health expenditure | new | |
| 32 | 51.48 % of current health expenditure | new | |
| 33 | 49.49 % of current health expenditure | new | |
| 34 | 48.8 % of current health expenditure | new | |
| 35 | 48.48 % of current health expenditure | new | |
| 36 | 48.45 % of current health expenditure | new | |
| 37 | 48.27 % of current health expenditure | new | |
| 38 | 47.23 % of current health expenditure | new | |
| 39 | 46.27 % of current health expenditure | new | |
| 40 | 45.29 % of current health expenditure | new | |
| 41 | 45.27 % of current health expenditure | new | |
| 42 | 45.24 % of current health expenditure | new | |
| 43 | 45.02 % of current health expenditure | new | |
| 44 | 45 % of current health expenditure | new | |
| 45 | 44.84 % of current health expenditure | new | |
| 46 | 44.36 % of current health expenditure | new | |
| 47 | 44.33 % of current health expenditure | new | |
| 48 | 43.89 % of current health expenditure | new | |
| 49 | 43.82 % of current health expenditure | new | |
| 50 | 43.77 % of current health expenditure | new |
History
How the top 10 has moved
Positions of today's top 10 across every published snapshot.
About this ranking
Countries with the highest out-of-pocket share of health spending, explained
Countries with the highest out-of-pocket share of health spending is a live ranking of the top 50 entries in health and wellbeing by Out-of-pocket expenditure, built from public data published by World Bank Open Data. It was last refreshed on 2026-11-02. This is the first published snapshot; from the next refresh onwards the page will also show movers, new entries and a rank history chart.
Armenia currently holds #1 with 80.47 % of current health expenditure. Bangladesh is second with 79.31 % of current health expenditure. Turkmenistan completes the top three with 77.39 % of current health expenditure. Together the top three account for about 32% of the combined top-10 total, which gives a quick sense of how concentrated this ranking is.
How it is measured: The share of total current health spending paid directly out of pocket by households. World Bank indicator SH.XPD.OOPC.CH.ZS; most recent year available per country, regional and income aggregates excluded. Caveat: Countries report in different years; each shows its latest available figure. Source: World Bank Open Data (CC BY 4.0). The full top 50 is on this page, with positions 11 to 50 one click away, and each entry links to its own profile showing every ranking it appears in.
Use this page to check who is number one right now, compare any two entries head to head, or test yourself with the quiz, which asks you to name all ten in three minutes. Year-end archives are available for 2026, freezing the ranking as it stood at the close of each year. Top10Earth never estimates or edits a value: each number is fetched from its source, hashed, stored and ranked by software, then checked by a quality gate before it is published. If a refresh fails the gate, the previous snapshot stays live and the problem is reviewed by a person.
Frequently asked questions
- Who is #1 in Countries with the highest out-of-pocket share of health spending?
- Armenia is #1 with 80.47 % of current health expenditure, as of 2026-11-02. Bangladesh is #2.
- How is Countries with the highest out-of-pocket share of health spending ranked?
- By Out-of-pocket expenditure. The share of total current health spending paid directly out of pocket by households. World Bank indicator SH.XPD.OOPC.CH.ZS; most recent year available per country, regional and income aggregates excluded.
- How often is this ranking updated?
- It refreshes on a fixed schedule from World Bank Open Data. The latest snapshot was captured on 2026-11-02.
- Where does the data come from?
- World Bank Open Data. Source: World Bank Open Data (CC BY 4.0). The raw payload for every refresh is stored unchanged so any number can be traced back.