Health spending

% of GDP. Ranking of 193 countries with data from 2021 to 2024. Series code SH.XPD.CHEX.GD.ZS.

Medians

World	6.4%
Low income	4.9%
Upper middle income	6.2%
High income	8.0%
Lower middle income	4.5%
Middle East, North Africa, Afghanistan & Pakistan	5.6%
Europe & Central Asia	7.9%
Sub-Saharan Africa	4.4%
Latin America & Caribbean	6.8%
East Asia & Pacific	5.9%
South Asia	4.0%
North America	14.0%

Ranking

Rank 1 is the highest value. It does not mean best or worst.

Filter by country, region or income group

Rank	Country	Value	Year	5-yr change	Z-score	Region	Income group
1	Tuvalu	27.1%	2023	+8.7 pp	+2.4	East Asia & Pacific	Upper middle income
2	Naoero	18.2%	2023	+7.1 pp	+2.4	East Asia & Pacific	High income
3	United States	16.7%	2023	+0.2 pp	−0.1	North America	High income
4	Afghanistan	15.0%	2023	+0.8 pp	+0.2	Middle East, North Africa, Afghanistan & Pakistan	Low income
5	Marshall Islands	13.4%	2023	−1.1 pp	+0.1	East Asia & Pacific	Upper middle income
6	Liberia	13.0%	2023	+2.6 pp	+1.2	Sub-Saharan Africa	Low income
7	Micronesia, Fed. Sts.	12.9%	2023	+0.9 pp	+1.2	East Asia & Pacific	Upper middle income
8	Lesotho	12.6%	2023	+1.5 pp	+0.2	Sub-Saharan Africa	Lower middle income
9	Germany	12.3%	2024	+0.8 pp	+1.0	Europe & Central Asia	High income
10	Austria	11.8%	2024	+1.2 pp	+1.6	Europe & Central Asia	High income
11	Switzerland	11.7%	2023	+0.5 pp	+0.8	Europe & Central Asia	High income
12	South Sudan	11.6%	2023	−0.1 pp	+0.1	Sub-Saharan Africa	Low income
13	France	11.5%	2024	+0.4 pp	−0.3	Europe & Central Asia	High income
14	Canada	11.3%	2024	+0.3 pp	+0.1	North America	High income
15	Sweden	11.2%	2024	+0.3 pp	+0.9	Europe & Central Asia	High income
16	United Kingdom	11.1%	2024	+1.2 pp	+0.6	Europe & Central Asia	High income
17	Kiribati	10.9%	2023	0.0 pp	+0.5	East Asia & Pacific	Lower middle income
18	Palau	10.9%	2023	−0.3 pp	−0.5	East Asia & Pacific	High income
19	Belgium	10.8%	2023	−0.2 pp	−0.5	Europe & Central Asia	High income
20	Japan	10.7%	2023	0.0 pp	−0.6	East Asia & Pacific	High income
21	West Bank and Gaza	10.7%	2023	+1.1 pp	+1.9	Middle East, North Africa, Afghanistan & Pakistan	Lower middle income
22	Central African Republic	10.7%	2023	−0.3 pp	+1.4	Sub-Saharan Africa	Low income
23	Chile	10.5%	2024	+1.2 pp	+1.8	Latin America & Caribbean	High income
24	Finland	10.5%	2023	+1.4 pp	+3.0	Europe & Central Asia	High income
25	Australia	10.4%	2023	+0.3 pp	+0.7	East Asia & Pacific	High income
26	Argentina	10.3%	2023	+0.1 pp	+0.1	Latin America & Caribbean	Upper middle income
27	Portugal	10.2%	2024	+0.7 pp	+0.6	Europe & Central Asia	High income
28	New Zealand	10.1%	2024	+1.4 pp	+1.3	East Asia & Pacific	High income
29	Netherlands	10.0%	2024	+0.1 pp	−0.5	Europe & Central Asia	High income
30	Slovenia	9.9%	2024	+1.3 pp	+1.9	Europe & Central Asia	High income
31	Brazil	9.7%	2023	+0.3 pp	+1.0	Latin America & Caribbean	Upper middle income
32	Yemen, Rep.	9.7%	2023	+0.6 pp	+0.7	Middle East, North Africa, Afghanistan & Pakistan	Low income
33	Montenegro	9.7%	2023	+1.3 pp	+0.5	Europe & Central Asia	Upper middle income
34	Timor-Leste	9.6%	2023	+3.2 pp	+2.4	East Asia & Pacific	Lower middle income
35	Namibia	9.5%	2023	+0.9 pp	+0.2	Sub-Saharan Africa	Lower middle income
36	Norway	9.4%	2023	−0.5 pp	−0.4	Europe & Central Asia	High income
37	Denmark	9.4%	2024	−0.8 pp	−2.0	Europe & Central Asia	High income
38	Cuba	9.4%	2023	−1.6 pp	−2.6	Latin America & Caribbean	Upper middle income
39	Armenia	9.3%	2023	−0.7 pp	−1.5	Europe & Central Asia	Upper middle income
40	El Salvador	9.3%	2023	+1.0 pp	+0.6	Latin America & Caribbean	Upper middle income
41	Maldives	9.3%	2023	+2.0 pp	+0.4	South Asia	Upper middle income
42	Spain	9.2%	2023	+0.1 pp	−0.4	Europe & Central Asia	High income
43	Burundi	9.1%	2023	+1.8 pp	+0.8	Sub-Saharan Africa	Low income
44	Uruguay	9.0%	2023	+0.1 pp	+0.8	Latin America & Caribbean	High income
45	Iceland	9.0%	2024	+0.3 pp	+0.5	Europe & Central Asia	High income
46	Bosnia and Herzegovina	8.9%	2023	+0.2 pp	−0.7	Europe & Central Asia	Upper middle income
47	South Africa	8.9%	2023	+0.8 pp	+1.6	Sub-Saharan Africa	Upper middle income
48	Malta	8.8%	2023	+0.7 pp	0.0	Middle East, North Africa, Afghanistan & Pakistan	High income
49	Guinea-Bissau	8.8%	2023	+1.5 pp	+0.8	Sub-Saharan Africa	Low income
50	Korea, Rep.	8.7%	2024	+1.0 pp	+1.3	East Asia & Pacific	High income
51	Czechia	8.5%	2024	+1.0 pp	+0.8	Europe & Central Asia	High income
52	Mozambique	8.5%	2023	+0.5 pp	+1.2	Sub-Saharan Africa	Low income
53	Italy	8.4%	2024	−0.2 pp	−1.2	Europe & Central Asia	High income
54	Greece	8.4%	2023	+0.3 pp	−0.1	Europe & Central Asia	High income
55	Paraguay	8.4%	2023	+1.6 pp	+2.2	Latin America & Caribbean	Upper middle income
56	Panama	8.3%	2023	+0.7 pp	+0.4	Latin America & Caribbean	High income
57	Nicaragua	8.3%	2023	−0.2 pp	−0.2	Latin America & Caribbean	Lower middle income
58	Ukraine	8.2%	2021	+0.7 pp	+2.9	Europe & Central Asia	Upper middle income
59	Colombia	8.1%	2024	+0.3 pp	+0.4	Latin America & Caribbean	Upper middle income
60	Cyprus	8.1%	2023	+1.3 pp	+0.9	Europe & Central Asia	High income
61	Poland	8.1%	2024	+1.7 pp	+6.4	Europe & Central Asia	High income
62	Serbia	8.0%	2023	−0.2 pp	−1.1	Europe & Central Asia	Upper middle income
63	Tunisia	8.0%	2023	+2.0 pp	+2.6	Middle East, North Africa, Afghanistan & Pakistan	Lower middle income
64	Bulgaria	7.9%	2023	+0.6 pp	+0.6	Europe & Central Asia	High income
65	Estonia	7.8%	2024	+1.2 pp	+2.1	Europe & Central Asia	High income
66	Libya	7.8%	2023	+2.9 pp	+2.9	Middle East, North Africa, Afghanistan & Pakistan	Upper middle income
67	Burkina Faso	7.8%	2023	+2.9 pp	+2.0	Sub-Saharan Africa	Low income
68	Honduras	7.7%	2023	+0.5 pp	−0.3	Latin America & Caribbean	Lower middle income
69	Andorra	7.7%	2023	+0.3 pp	+0.4	Europe & Central Asia	High income
70	Jordan	7.7%	2023	+0.7 pp	+1.3	Middle East, North Africa, Afghanistan & Pakistan	Upper middle income
71	Jamaica	7.6%	2023	+0.8 pp	+0.7	Latin America & Caribbean	Upper middle income
72	Lithuania	7.6%	2024	+0.7 pp	+1.4	Europe & Central Asia	High income
73	Ecuador	7.6%	2023	−0.3 pp	−0.2	Latin America & Caribbean	Upper middle income
74	Trinidad and Tobago	7.5%	2023	+0.9 pp	+1.3	Latin America & Caribbean	High income
75	Eswatini	7.5%	2023	+0.2 pp	+0.5	Sub-Saharan Africa	Lower middle income
76	Tajikistan	7.4%	2023	+0.4 pp	+0.2	Europe & Central Asia	Lower middle income
77	North Macedonia	7.4%	2023	+1.0 pp	+0.7	Europe & Central Asia	Upper middle income
78	Tonga	7.4%	2023	+1.2 pp	+1.5	East Asia & Pacific	Upper middle income
79	Slovak Republic	7.4%	2023	+0.7 pp	+0.7	Europe & Central Asia	High income
80	Latvia	7.3%	2023	+0.9 pp	+0.4	Europe & Central Asia	High income
81	Croatia	7.1%	2023	+0.4 pp	+0.4	Europe & Central Asia	High income
82	Israel	7.1%	2023	−0.1 pp	−0.5	Middle East, North Africa, Afghanistan & Pakistan	High income
83	Belarus	7.1%	2023	+1.6 pp	+2.6	Europe & Central Asia	Upper middle income
84	Albania	7.1%	2023	+0.5 pp	+0.6	Europe & Central Asia	Upper middle income
85	Russian Federation	7.0%	2023	+1.7 pp	+1.1	Europe & Central Asia	High income
86	Bolivia	6.9%	2023	+0.3 pp	+0.1	Latin America & Caribbean	Lower middle income
87	Costa Rica	6.9%	2023	−0.4 pp	−2.2	Latin America & Caribbean	High income
88	Georgia	6.9%	2023	−0.9 pp	−1.9	Europe & Central Asia	Upper middle income
89	Ireland	6.9%	2024	+0.2 pp	−0.2	Europe & Central Asia	High income
90	Guatemala	6.8%	2023	+0.7 pp	+0.9	Latin America & Caribbean	Upper middle income
91	Samoa	6.8%	2023	+2.0 pp	+1.1	East Asia & Pacific	Upper middle income
92	Uzbekistan	6.7%	2023	+2.2 pp	+1.5	Europe & Central Asia	Lower middle income
93	Moldova	6.7%	2023	0.0 pp	−1.0	Europe & Central Asia	Upper middle income
94	San Marino	6.6%	2023	−1.7 pp	−3.6	Europe & Central Asia	High income
95	Comoros	6.6%	2023	+1.6 pp	+0.8	Sub-Saharan Africa	Lower middle income
96	Malawi	6.5%	2023	−0.3 pp	−1.1	Sub-Saharan Africa	Low income
97	Hungary	6.4%	2023	−0.2 pp	−1.5	Europe & Central Asia	High income
98	Bahamas, The	6.3%	2023	+0.5 pp	+0.2	Latin America & Caribbean	High income
99	Botswana	6.3%	2023	+0.2 pp	+0.5	Sub-Saharan Africa	Upper middle income
100	Nepal	6.2%	2023	+1.6 pp	+1.6	South Asia	Lower middle income
101	Togo	6.1%	2023	−0.1 pp	+0.3	Sub-Saharan Africa	Lower middle income
102	Mongolia	6.1%	2023	+1.5 pp	+0.6	East Asia & Pacific	Upper middle income
103	Morocco	6.1%	2023	+1.1 pp	+2.5	Middle East, North Africa, Afghanistan & Pakistan	Lower middle income
104	Iran, Islamic Rep.	6.0%	2023	−0.6 pp	−0.4	Middle East, North Africa, Afghanistan & Pakistan	Upper middle income
105	Zambia	6.0%	2023	+1.2 pp	+0.8	Sub-Saharan Africa	Lower middle income
106	China	5.9%	2023	+0.9 pp	+2.2	East Asia & Pacific	Upper middle income
107	Luxembourg	5.9%	2024	+0.4 pp	+1.8	Europe & Central Asia	High income
108	Cabo Verde	5.8%	2023	+1.1 pp	+0.5	Sub-Saharan Africa	Upper middle income
109	Sao Tome and Principe	5.8%	2023	−0.1 pp	−1.2	Sub-Saharan Africa	Lower middle income
110	St. Kitts and Nevis	5.7%	2023	+0.8 pp	+1.0	Latin America & Caribbean	High income
111	Liechtenstein	5.7%	2023	+0.2 pp	0.0	Europe & Central Asia	High income
112	Romania	5.7%	2023	+0.2 pp	+0.4	Europe & Central Asia	High income
113	Saudi Arabia	5.7%	2023	+0.3 pp	+0.1	Middle East, North Africa, Afghanistan & Pakistan	High income
114	Peru	5.6%	2023	+0.6 pp	+0.4	Latin America & Caribbean	Upper middle income
115	Lebanon	5.6%	2023	−2.5 pp	−1.1	Middle East, North Africa, Afghanistan & Pakistan	Lower middle income
116	Mauritius	5.6%	2023	0.0 pp	−0.2	Sub-Saharan Africa	Upper middle income
117	Iraq	5.5%	2023	+1.5 pp	+1.5	Middle East, North Africa, Afghanistan & Pakistan	Upper middle income
118	Mexico	5.5%	2023	+0.3 pp	−0.1	Latin America & Caribbean	Upper middle income
119	Turkmenistan	5.5%	2023	−0.1 pp	+0.5	Europe & Central Asia	Upper middle income
120	Suriname	5.4%	2023	−1.2 pp	−0.4	Latin America & Caribbean	Upper middle income
121	Barbados	5.4%	2023	−0.4 pp	−1.6	Latin America & Caribbean	High income
122	Solomon Islands	5.4%	2023	+1.5 pp	+2.3	East Asia & Pacific	Lower middle income
123	Rwanda	5.1%	2023	−0.3 pp	−1.3	Sub-Saharan Africa	Low income
124	Philippines	5.1%	2023	+1.1 pp	+0.9	East Asia & Pacific	Upper middle income
125	Dominica	5.0%	2023	−1.2 pp	−1.3	Latin America & Caribbean	Upper middle income
126	Chad	5.0%	2023	+1.7 pp	+3.2	Sub-Saharan Africa	Low income
127	United Arab Emirates	5.0%	2023	+0.9 pp	+0.9	Middle East, North Africa, Afghanistan & Pakistan	High income
128	Kuwait	5.0%	2023	−0.2 pp	+0.4	Middle East, North Africa, Afghanistan & Pakistan	High income
129	Egypt, Arab Rep.	4.9%	2023	+0.1 pp	+0.3	Middle East, North Africa, Afghanistan & Pakistan	Lower middle income
130	St. Lucia	4.7%	2023	+0.5 pp	−0.3	Latin America & Caribbean	Upper middle income
131	Sierra Leone	4.7%	2023	−0.6 pp	−0.9	Sub-Saharan Africa	Low income
132	Grenada	4.7%	2023	+0.1 pp	−0.7	Latin America & Caribbean	Upper middle income
133	Cambodia	4.6%	2023	+0.1 pp	−0.3	East Asia & Pacific	Lower middle income
134	Dominican Republic	4.6%	2023	+0.4 pp	−0.3	Latin America & Caribbean	Upper middle income
135	Viet Nam	4.6%	2023	−0.5 pp	−0.6	East Asia & Pacific	Upper middle income
136	Cameroon	4.6%	2023	+0.9 pp	+1.6	Sub-Saharan Africa	Lower middle income
137	Thailand	4.5%	2023	+0.7 pp	+0.6	East Asia & Pacific	Upper middle income
138	Kyrgyz Republic	4.5%	2023	−0.5 pp	−1.2	Europe & Central Asia	Lower middle income
139	Singapore	4.5%	2023	+0.4 pp	+0.1	East Asia & Pacific	High income
140	Seychelles	4.5%	2023	+0.1 pp	−0.3	Sub-Saharan Africa	High income
141	Myanmar	4.5%	2023	−0.1 pp	0.0	East Asia & Pacific	Lower middle income
142	St. Vincent and the Grenadines	4.4%	2023	+0.2 pp	+0.1	Latin America & Caribbean	Upper middle income
143	Bhutan	4.4%	2023	+1.3 pp	+1.6	South Asia	Lower middle income
144	Kenya	4.4%	2023	+0.3 pp	−0.5	Sub-Saharan Africa	Lower middle income
145	Algeria	4.4%	2023	−1.6 pp	−1.6	Middle East, North Africa, Afghanistan & Pakistan	Upper middle income
146	Mauritania	4.3%	2023	+1.5 pp	+1.7	Sub-Saharan Africa	Lower middle income
147	Senegal	4.3%	2023	−0.1 pp	−0.3	Sub-Saharan Africa	Lower middle income
148	Turkiye	4.3%	2023	+0.2 pp	0.0	Europe & Central Asia	Upper middle income
149	Azerbaijan	4.3%	2023	+0.4 pp	+0.2	Europe & Central Asia	Upper middle income
150	Uganda	4.2%	2023	+0.2 pp	−0.8	Sub-Saharan Africa	Low income
151	Nigeria	4.2%	2023	+1.1 pp	+1.6	Sub-Saharan Africa	Lower middle income
152	Belize	4.1%	2023	−0.6 pp	−1.9	Latin America & Caribbean	Upper middle income
153	Vanuatu	4.1%	2023	+0.7 pp	+0.6	East Asia & Pacific	Lower middle income
154	Niger	4.0%	2023	−1.3 pp	−1.7	Sub-Saharan Africa	Low income
155	Bahrain	4.0%	2023	+0.1 pp	−0.8	Middle East, North Africa, Afghanistan & Pakistan	High income
156	Malaysia	4.0%	2023	+0.2 pp	+0.5	East Asia & Pacific	Upper middle income
157	Antigua and Barbuda	3.9%	2023	−0.8 pp	−2.3	Latin America & Caribbean	High income
158	Mali	3.8%	2023	+0.1 pp	−0.1	Sub-Saharan Africa	Low income
159	Venezuela, RB	3.8%	2023	+1.4 pp	+0.3	Latin America & Caribbean	Lower middle income
160	Kazakhstan	3.8%	2023	+0.9 pp	+1.1	Europe & Central Asia	Upper middle income
161	Somalia, Fed. Rep.	3.7%	2023	+1.2 pp	+3.1	Sub-Saharan Africa	Low income
162	Guinea	3.7%	2023	0.0 pp	−0.7	Sub-Saharan Africa	Lower middle income
163	Congo, Dem. Rep.	3.7%	2023	+0.4 pp	−0.2	Sub-Saharan Africa	Low income
164	Eritrea	3.7%	2023	−0.6 pp	−1.5	Sub-Saharan Africa	Low income
165	Sri Lanka	3.7%	2023	0.0 pp	−0.3	South Asia	Upper middle income
166	Fiji	3.6%	2023	−0.5 pp	−0.4	East Asia & Pacific	Upper middle income
167	Equatorial Guinea	3.5%	2023	+0.6 pp	+1.1	Sub-Saharan Africa	Upper middle income
168	Oman	3.5%	2023	+0.3 pp	−0.3	Middle East, North Africa, Afghanistan & Pakistan	High income
169	Cote d'Ivoire	3.4%	2023	+0.3 pp	−0.1	Sub-Saharan Africa	Lower middle income
170	Madagascar	3.4%	2023	−0.8 pp	−0.9	Sub-Saharan Africa	Low income
171	India	3.3%	2023	+0.5 pp	0.0	South Asia	Lower middle income
172	Benin	3.3%	2023	−0.1 pp	+0.7	Sub-Saharan Africa	Lower middle income
173	Congo, Rep.	3.3%	2023	+1.5 pp	+1.1	Sub-Saharan Africa	Lower middle income
174	Haiti	3.2%	2023	−1.1 pp	−1.6	Latin America & Caribbean	Lower middle income
175	Gabon	3.1%	2023	+0.4 pp	+1.1	Sub-Saharan Africa	Upper middle income
176	Monaco	3.1%	2023	−0.9 pp	−2.7	Europe & Central Asia	High income
177	Tanzania	3.1%	2023	−1.3 pp	−1.5	Sub-Saharan Africa	Lower middle income
178	Ghana	2.9%	2023	+0.5 pp	−1.0	Sub-Saharan Africa	Lower middle income
179	Zimbabwe	2.9%	2023	−1.7 pp	−1.1	Sub-Saharan Africa	Lower middle income
180	Gambia, The	2.9%	2023	−0.3 pp	−1.6	Sub-Saharan Africa	Low income
181	Papua New Guinea	2.9%	2023	+0.6 pp	+1.0	East Asia & Pacific	Lower middle income
182	Sudan	2.9%	2023	−1.6 pp	−1.5	Sub-Saharan Africa	Low income
183	Ethiopia	2.8%	2023	−0.5 pp	−1.8	Sub-Saharan Africa	Low income
184	Syrian Arab Republic	2.7%	2023	−1.2 pp	−4.4	Middle East, North Africa, Afghanistan & Pakistan	Low income
185	Indonesia	2.7%	2023	−0.2 pp	−1.1	East Asia & Pacific	Upper middle income
186	Angola	2.5%	2023	+0.2 pp	+0.5	Sub-Saharan Africa	Lower middle income
187	Qatar	2.5%	2023	−0.4 pp	−0.8	Middle East, North Africa, Afghanistan & Pakistan	High income
188	Pakistan	2.5%	2023	−0.3 pp	−1.0	Middle East, North Africa, Afghanistan & Pakistan	Lower middle income
189	Guyana	2.5%	2023	−2.4 pp	−2.2	Latin America & Caribbean	High income
190	Djibouti	2.3%	2023	−0.2 pp	−1.4	Middle East, North Africa, Afghanistan & Pakistan	Lower middle income
191	Brunei Darussalam	2.2%	2023	−0.2 pp	+0.1	East Asia & Pacific	High income
192	Bangladesh	2.2%	2023	−0.1 pp	−1.3	South Asia	Lower middle income
193	Lao PDR	1.3%	2023	−0.9 pp	−4.6	East Asia & Pacific	Lower middle income

How the advanced metrics are calculated. Change: latest value minus the value 5 or 10 years earlier, using the nearest observation within two years where the exact year is missing (percentage points for % series). CAGR: (latest ÷ earlier value)^(1 ÷ years between) − 1 over about 10 years, shown only for positive levels such as income and population. Volatility: standard deviation of the 10 observations before the latest. Z-score: how many standard deviations the latest value sits from that 10-year mean. Rank: among countries whose latest value is within 3 years of the newest year for that indicator; 1 is the highest value. Peer medians: the same group of recent values, split by income group, region and world. Share of high-income median: the country's value as a percentage of the median high-income country in the same year, compared with 10 years earlier. A rising share means the country is catching up; it is arithmetic about the past, not a forecast.

Source. World Bank, World Development Indicators (datacatalog.worldbank.org), licensed under CC BY 4.0. Data retrieved 2026-11-11. Some series are compiled by third parties such as the ILO and UN agencies and are subject to those sources' notes.

Changes made. ECONDEX has calculated all changes, growth rates, volatility, z-scores, ranks, peer medians and charts. The World Bank did not prepare, review or endorse them.

Read with care. The latest figure for each country is often one to three years old and different countries report different years. Some figures are modelled estimates. Ranks compare countries on values from different years and are not judgements of performance. Country names, groupings and boundaries follow World Bank usage and imply no view on the legal status of any territory.

Not advice. For information only. This is not investment, financial, legal or policy advice. Do not rely on it for decisions without checking the source.