Share of the population at risk of catastrophic spending when surgical care is required in Sierra Leone

Sierra Leone: Share of the population at risk of catastrophic spending when surgical care is required was 84.3% in 2019. ▼ Falling

Latest (2019)
84.3%
Change on year
down 3.4%
World rank
10th
of 134 countries
All-time high
97.3%
in 2007
All-time low
54.3%
in 2014
Years of data
17
2003–2019

Share of the population at risk of catastrophic spending when surgical care is required in Sierra Leone, 2003–2019

0204060801002003201120192003: 95.9 % of people at risk2004: 96 % of people at risk2005: 95.7 % of people at risk2006: 96.3 % of people at risk2007: 97.3 % of people at risk2008: 97 % of people at risk2009: 95.7 % of people at risk2010: 97 % of people at risk2011: 94.4 % of people at risk2012: 92.7 % of people at risk2013: 77.2 % of people at risk2014: 54.3 % of people at risk2015: 58.9 % of people at risk2016: 61.8 % of people at risk2017: 78.8 % of people at risk2018: 87.3 % of people at risk2019: 84.3 % 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. Measured in % of people at risk.

Analysis

Sierra Leone recorded 84.3% for share of the population at risk of catastrophic spending when surgical care is required in 2019.

The figure is down 3.4% on the previous year and down 11.9% over ten years.

Over the whole period, share of the population at risk of catastrophic spending when surgical care is required in Sierra Leone peaked at 97.3% in 2007 and was at its lowest, 54.3%, in 2014.

That places Sierra Leone 10th out of 134 countries with data for 2019, putting it in the top 10%.

The long-run direction has been consistently falling across the 17 years of available data.

Share of the population at risk of catastrophic spending when surgical care is required in Sierra Leone, year by year

Annual values for Share of the population at risk of catastrophic spending when surgical care is required in Sierra Leone, 2003 to 2019.
Year % of people at risk Change
2003 95.9%
2004 96.0% +0.1%
2005 95.7% -0.3%
2006 96.3% +0.6%
2007 97.3% +1.0%
2008 97.0% -0.3%
2009 95.7% -1.3%
2010 97.0% +1.4%
2011 94.4% -2.7%
2012 92.7% -1.8%
2013 77.2% -16.7%
2014 54.3% -29.7%
2015 58.9% +8.5%
2016 61.8% +4.9%
2017 78.8% +27.5%
2018 87.3% +10.8%
2019 84.3% -3.4%

Averages by decade

DecadeAverage LowestHighest Years
2000s 96.3% 95.7% 97.3% 7
2010s 78.7% 54.3% 97.0% 10

Countries ranked near Sierra Leone

  1. 7 Guinea-Bissau 86.5% compare
  2. 8 Niger 86.3% compare
  3. 9 Congo, Democratic Republic of the 85.0% compare
  4. 11 Chad 82.4% compare
  5. 12 Estonia 78.3% compare
  6. 13 Togo 72.4% compare

See the full ranking of 134 places →

More population data for Sierra Leone

All data for Sierra Leone →

Frequently asked questions

What is share of the population at risk of catastrophic spending when surgical care is required in Sierra Leone?
Share of the population at risk of catastrophic spending when surgical care is required in Sierra Leone was 84.3% in 2019, according to Harvard Medical School Program in Global Surgery and Social Change (PGSSC), via World Bank (2026) – processed by Our World in Data.
What is the highest share of the population at risk of catastrophic spending when surgical care is required recorded in Sierra Leone?
The highest recorded value was 97.3% in 2007.
What is the lowest share of the population at risk of catastrophic spending when surgical care is required recorded in Sierra Leone?
The lowest recorded value was 54.3% in 2014.
How does Sierra Leone rank for share of the population at risk of catastrophic spending when surgical care is required?
Sierra Leone ranks 10th out of 134 countries with data for 2019.
Is share of the population at risk of catastrophic spending when surgical care is required rising or falling in Sierra Leone?
Over the last ten years it is down 11.9%. The long-run trend across the full record is falling.
Where does this Sierra Leone data come from?
The figures come from Harvard Medical School Program in Global Surgery and Social Change (PGSSC), via World Bank (2026) – processed by Our World in Data, published as part of Share of the population at risk of catastrophic spending when surgical care is required. Statizoid updates them automatically from the source API.

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Share of the population at risk of catastrophic spending when surgical care is required in Sierra Leone. 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 11 September 2026, from https://population.statizoid.com/stat/share-of-the-population-at-risk-of-catastrophic-expenditure-when-surgical-care-is-required/sierra-leone/

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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.