| 1 | Less than 15% |
| 2 | 15%-29.9% |
| 3 | 30%-39.9% |
| 4 | 40%-49.9% |
| 5 | 50% and over |
| 6 | No data |
| 1 | Less than $15 |
| 2 | $15 to $53 |
| 3 | $54 to $99 |
| 4 | $100 to $299 |
| 5 | $300 to $999 |
| 6 | $1000 or over |
| 7 | no data |
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Out of Pocket Health Expenditure
What does it mean ?
This indicator is calculated by adding together all direct payments from every household to health care providers or pharmacists, as a proportion of the total health-related spending in a country. Out of pocket health expenditure is only part of private health spending, because it does not include private health insurance. Together, government, external and private health spending make up the total health care spending in a country.
Why does it matter ?
Out of pocket health expenditure is a core indicator measuring the equity of health systems and the extent to which access to health care depends on one's ability to pay. Certain households may not be able to fund health care expenses out of pocket, resulting in untreated health problems and lack of care. For others, unplanned health spending will impoverish their whole household as they may be forced borrow money, to sell their assets or pull their children out of school to afford the costs.
How is it collected ?
The preferred source of data for this indicator is a National Health Account, which is an internationally agreed method for collecting information about all financial flows related to health in a country. Where a recent National Health Account is not available, the WHO's health financing team collects similar information using technical contacts in-country and publicly available documents.
WHO World Health Statistics 2014. Estimates for 2012 http://apps.who.int/nha/database
General Government Expenditure on Health Per Capita expressed in PPP international Dollars
What does it mean ?
This indicator shows how much of the government's own resources are allocated to health per person. It is expressed in Purchasing Power Parity (PPP) international dollars. PPP is a hypothetical exchange rate that allows us to compare expenditure across countries while taking into account differences in the cost of living.
Why does it matter ?
This indicator can tell us whether a government spends enough of its own resources on health per person in order to guarantee universal coverage of essential services, particularly for vulnerable groups such as the poor, pregnant women and children. Universal coverage is unlikely to be achieved unless the government allocates sufficient funds to health so that everybody can access the health services they need regardless of their ability to pay. While other funding sources such as donor funds can also make an important contribution to the provision of equitable services, these funds may not be spent according to the country's priorities and may not provide a reliable source of funding in the long-term. There is no consensus on how much funding a government should allocate to health since different countries will have different needs and different contexts. However 54 (PPP) international dollars is often used as a benchmark - for example, this is the minimum amount required to achieve the health MDGs according to the 2010 Taskforce on Innovative International Financing for Health Systems.
How is it collected ?
The preferred source of data for this indicator is a National Health Account, which is an internationally agreed method for collecting information about all financial flows related to health in a country. Where a recent National Health Account is not available, the WHO's health financing team collects similar information using technical contacts in-country and publicly available documents.
2014 WHO World Health Statistics Report http://apps.who.int/nha/database
