Statizoid

Share of the population at risk of catastrophic spending when surgical care is required by country

Catastrophic expenditure is defined as direct out-of-pocket payments for surgical and anaesthesia care exceeding 10% of total income.

Countries reporting
132
Highest
100.0%
Côte d'Ivoire
Lowest
0.0%
Sweden
Median
12.4%
Years covered
20
2003–2022
Data points
2,380

What the numbers show

Share of the population at risk of catastrophic spending when surgical care is required is currently reported for 132 countries. The highest value is 100.0% in Côte d'Ivoire; the lowest is 0.0% in Sweden.

The median across all reporting countries is 12.4%, and the mean is 24.1%.

Over the past decade 24 countries rose and 95 fell. The largest increase was in Syrian Arab Republic (up 1,983.3%), and the largest decrease in United Kingdom of Great Britain and Northern Ireland (down 100.0%).

Share of the population at risk of catastrophic spending when surgical care is required: full country ranking

#Country LatestYear 10-year changeTrend
1 Côte d'Ivoire 100.0% 2022 unchanged flat
2 Burundi 97.8% 2022 up 3.9% flat
3 Yemen 93.4% 2022 up 25.5% rising
4 Latvia 89.9% 2022 down 7.3% falling
5 Central African Republic 89.7% 2008 — flat
6 Syrian Arab Republic 87.5% 2020 up 1,983.3% volatile
7 Guinea-Bissau 86.5% 2022 down 0.7% rising
8 Niger 86.3% 2018 down 9.0% flat
9 Congo, Democratic Republic of the 85.0% 2022 down 3.8% falling
10 Sierra Leone 84.3% 2019 down 11.9% falling
11 Chad 82.4% 2022 up 13.2% rising
12 Estonia 78.3% 2020 down 15.9% falling
13 Togo 72.4% 2022 up 1.8% falling
14 Mauritania 69.1% 2022 up 17.7% falling
15 Uganda 68.4% 2022 down 6.2% falling
16 Tajikistan 68.2% 2022 up 14.6% falling
17 Congo 63.7% 2022 up 30.3% falling
18 Sudan 63.3% 2022 down 8.9% rising
19 Madagascar 59.0% 2016 down 20.1% falling
20 Nepal 58.2% 2022 down 27.6% falling
21 Guinea 57.5% 2019 down 25.9% falling
22 Burkina Faso 56.2% 2022 down 5.4% falling
23 Cameroon 54.3% 2022 down 12.4% falling
24 Angola 51.7% 2022 up 73.5% falling
25 Gambia 51.6% 2022 up 34.7% rising
26 Bangladesh 51.0% 2022 down 31.9% falling
27 Comoros 47.8% 2022 down 15.4% falling
28 Benin 47.4% 2019 down 9.4% falling
29 Mali 46.6% 2022 down 34.5% falling
30 Tanzania, United Republic of 45.9% 2019 down 40.5% falling
31 Honduras 45.8% 2022 down 18.7% falling
32 Guatemala 44.1% 2022 up 0.5% falling
33 Iran, Islamic Republic of 43.7% 2022 up 4.3% falling
34 Papua New Guinea 39.5% 2022 up 26.6% rising
35 Nicaragua 38.3% 2022 down 14.1% falling
36 Pakistan 33.7% 2022 down 44.3% falling
37 Lithuania 32.6% 2022 down 33.7% falling
38 Lesotho 30.0% 2022 up 11.9% falling
39 Belize 29.5% 2022 down 13.0% rising
40 Sri Lanka 29.2% 2022 down 40.9% falling
41 Senegal 28.4% 2022 down 37.7% falling
42 Egypt 26.6% 2022 down 7.0% falling
43 Iraq 26.4% 2018 up 312.5% rising
44 Paraguay 25.2% 2022 down 13.7% falling
45 Azerbaijan 23.1% 2011 down 67.0% volatile
45 Brazil 23.1% 2022 up 55.0% falling
47 Iceland 22.6% 2022 down 57.6% falling
48 Cape Verde 21.6% 2022 up 28.6% falling
49 Botswana 20.9% 2022 up 39.3% falling
49 Morocco 20.9% 2022 down 28.2% falling
51 Lao People's Democratic Republic 20.5% 2022 down 66.5% falling
52 India 20.4% 2022 down 60.2% falling
53 Hungary 20.2% 2022 down 55.3% falling
54 Haiti 19.1% 2022 down 17.0% falling
55 Armenia 19.0% 2022 down 39.7% falling
56 Ecuador 18.2% 2022 down 25.4% falling
57 Indonesia 17.3% 2022 down 37.8% falling
57 Kenya 17.3% 2020 down 47.1% falling
57 Rwanda 17.3% 2022 down 23.1% falling
60 Philippines 16.6% 2022 down 60.1% falling
61 Gabon 15.8% 2022 down 11.7% volatile
62 Colombia 15.1% 2022 up 31.3% falling
63 Bolivia, Plurinational State of 14.3% 2022 down 62.6% falling
64 Chile 13.8% 2021 up 42.3% falling
65 Tunisia 13.6% 2022 down 18.1% volatile
66 El Salvador 13.3% 2022 down 39.8% falling
67 Namibia 11.5% 2022 down 43.1% falling
67 South Africa 11.5% 2022 down 14.8% falling
69 Malaysia 11.3% 2018 down 54.4% falling
70 Algeria 10.8% 2022 down 27.0% rising
70 Russian Federation 10.8% 2020 down 54.4% falling
70 Seychelles 10.8% 2022 down 8.5% volatile
73 Mongolia 10.4% 2022 down 49.8% falling
74 Ghana 9.1% 2022 down 54.3% volatile
75 Costa Rica 8.9% 2022 down 6.3% falling
76 Mauritius 8.8% 2022 down 43.2% falling
77 Venezuela, Bolivarian Republic of 8.6% 2022 up 13.2% falling
78 Mexico 8.2% 2022 down 34.9% falling
79 Cyprus 6.1% 2022 down 31.5% falling
80 Dominican Republic 5.7% 2022 down 61.0% volatile
81 Ethiopia 5.6% 2022 down 73.6% falling
81 Ukraine 5.6% 2022 up 69.7% volatile
83 Portugal 5.2% 2022 down 37.3% falling
84 Bulgaria 5.0% 2022 down 43.2% falling
84 Serbia 5.0% 2022 down 47.9% falling
86 Montenegro 4.7% 2022 down 58.4% falling
87 Argentina 4.5% 2022 up 40.6% volatile
88 Peru 4.4% 2022 down 74.7% volatile
89 Lebanon 4.1% 2015 down 68.0% falling
90 China 3.7% 2022 down 84.1% volatile
91 Solomon Islands 3.3% 2022 up 450.0% rising
92 Albania 3.1% 2022 down 58.7% falling
92 Jamaica 3.1% 2022 down 11.4% volatile
94 Timor-Leste 2.9% 2014 down 95.3% volatile
95 Georgia 2.6% 2022 down 87.6% volatile
96 Greece 2.3% 2022 down 52.1% rising
97 Bosnia and Herzegovina 2.2% 2022 down 35.3% volatile
98 Samoa 1.8% 2016 down 37.9% falling
99 Israel 1.7% 2022 down 51.4% falling
100 Bhutan 1.6% 2022 down 92.8% volatile
101 Belarus 1.5% 2022 down 80.3% volatile
102 Switzerland 1.0% 2022 down 9.1% falling
103 Republic of Moldova 0.9% 2022 down 93.3% volatile
104 Spain 0.7% 2022 down 36.4% rising
104 Italy 0.7% 2022 down 12.5% rising
104 Vanuatu 0.7% 2022 down 72.0% falling
107 Japan 0.5% 2022 unchanged falling
108 United Arab Emirates 0.4% 2022 down 86.2% volatile
108 Croatia 0.4% 2022 down 83.3% volatile
108 Kazakhstan 0.4% 2022 down 66.7% volatile
108 Luxembourg 0.4% 2022 down 63.6% rising
112 Thailand 0.3% 2022 down 86.4% volatile
112 United States of America 0.3% 2022 down 57.1% falling
114 Austria 0.2% 2022 unchanged flat
114 Tonga 0.2% 2008 down 75.0% falling
116 Australia 0.1% 2021 down 66.7% falling
116 Canada 0.1% 2022 down 66.7% falling
116 France 0.1% 2022 — volatile
116 Ireland 0.1% 2022 down 88.9% volatile
116 Republic of Korea 0.1% 2022 down 50.0% falling
116 Poland 0.1% 2021 down 66.7% volatile
116 Romania 0.1% 2022 down 88.9% volatile
116 Slovenia 0.1% 2022 down 75.0% falling
124 Belgium 0.0% 2022 — volatile
124 Germany 0.0% 2022 — volatile
124 Denmark 0.0% 2022 — volatile
124 Finland 0.0% 2022 — volatile
124 United Kingdom of Great Britain and Northern Ireland 0.0% 2022 down 100.0% volatile
124 Netherlands 0.0% 2022 — volatile
124 Norway 0.0% 2022 — volatile
124 Slovakia 0.0% 2022 — volatile
124 Sweden 0.0% 2022 — volatile

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Share of the population at risk of catastrophic spending when surgical care is required by country. Statizoid, drawing on Harvard Medical School Program in Global Surgery and Social Change (PGSSC), via World Bank (2026) – processed by Our World in Data. Retrieved 06 September 2026, from https://population.statizoid.com/stat/share-of-the-population-at-risk-of-catastrophic-expenditure-when-surgical-care-is-required/

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About this data

Indicator
Share of the population at risk of catastrophic spending when surgical care is required
Unit
% of people at risk
Source
Harvard Medical School Program in Global Surgery and Social Change (PGSSC), via World Bank (2026) – processed by Our World in Data
Licence
CC BY 4.0 (Our World in Data)
Coverage
134 places, 2,380 data points, 2003–2022
Last refreshed

Catastrophic expenditure is defined as direct out-of-pocket payments for surgical and anaesthesia care exceeding 10% of total income.