Health ranking · World Bank

Health Expenditure (% of GDP)

Tuvalu leads 193 ranked countries at 27.1% (2023); the midpoint country sits at 6.4%.

27.1%
Tuvalu
6.4%
Median
193
Countries ranked
20×
Top–bottom spread
% of GDP Source: World Bank
Top 15 by Health Expenditure (% of GDP) (% of GDP)
  1. 1 Tuvalu 27.1%
  2. 2 Nauru 18.2%
  3. 3 United States 16.7%
  4. 4 Afghanistan 15.0%
  5. 5 Marshall Islands 13.4%
  6. 6 Liberia 13.0%
  7. 7 Micronesia, Fed. Sts. 12.9%
  8. 8 Lesotho 12.6%
  9. 9 Germany 12.3%
  10. 10 Austria 11.8%
  11. 11 Switzerland 11.7%
  12. 12 South Sudan 11.6%
  13. 13 France 11.5%
  14. 14 Canada 11.3%
  15. 15 Sweden 11.2%

Full ranking — all 193 countries

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

Primary source: World Bank Open Data, indicator code SH.XPD.CHEX.GD.ZS (193 countries). Read methodology →

How is the Health Expenditure (% of GDP) ranking compiled?

A ranking is a snapshot of relative position, not a fixed property of a country, and a few habits make it far more useful to read. Every country shown has a non-null observation for its most recent reporting year, and that year is not synchronised across the table, so two neighbouring rows may describe different points in time. The size of the spread between the top and the bottom tells you whether an indicator is structurally uneven across the world or broadly universal, and that shape is often more informative than any single rank. Where a value is expressed per capita or as a share, currency revisions and population updates can shift positions between releases. Treat the order as a starting point for questions, then open the underlying country profiles to understand why each sits where it does.

This ranking orders 193 countries by Health Expenditure (% of GDP), measured in % of GDP. Tuvalu leads with 27.1% (2023), while Lao PDR sits at the bottom with 1.3%. The midpoint country reports 6.4%, so any country below that mark falls in the lower half of the distribution and any above sits in the upper half. The spread between the top and bottom gives you an immediate sense of how unevenly this indicator is distributed across the Health picture.

Health Expenditure (% of GDP) is part of the Health topic and is collected by World Bank. It is one of more than a thousand country-level indicators we track, drawn from official, publicly available statistical releases that undergo agency review. The most recent observations shown here are from 2023, reflecting the latest release cycle for this series. Because definitions, base years, and methodologies can change, the "Year" column is shown for every row — always check it before comparing two countries whose values come from different vintages.

Click any country name to open its full profile with hundreds more indicators in context, or use the Compare tool to pair any two countries from this table side by side. You can also browse all indicators inside the Health topic from the breadcrumbs above to see which other measures move together with Health Expenditure (% of GDP). Data is licensed under CC BY 4.0 from World Bank, which means you may reuse the figures freely in articles, reports, and research so long as you credit the original agency.

How rankings are constructed: every country with a non-null observation for Health Expenditure (% of GDP) in its most recent reporting year is included; countries with no data for that indicator are excluded from the ranking rather than imputed or interpolated. Ranks are dense (1, 2, 3 with no skips on ties) and ties break alphabetically by country name. The "Year" column carries the observation vintage because the world is not synchronous: some countries publish a 2024 figure for this indicator while others only have a 2021 or 2019 reading, depending on each statistical agency's release cycle and the country's own reporting compliance. We never carry-forward a stale year to make the ranking look complete.

What the spread tells you: when the gap between the top and bottom of a ranking is wide — say a 50× ratio between the leader and the median — the indicator is structurally uneven across the global income gradient. When the spread is narrow — a 2-3× ratio — the indicator is more universal, reaching most economies regardless of GDP per capita. Comparing the spread of Health Expenditure (% of GDP) against peer indicators in the Health topic is the fastest way to see which dimensions of development are converging globally and which remain stubbornly polarised.

Cross-checks before citing: if you plan to cite a figure from this ranking, open the source country's profile and confirm the year, the unit of measurement, and whether the underlying definition has changed in recent revisions. World Bank publishes definition notes alongside every series; the Health chapter of the WDI metadata document is a good place to verify the boundaries of the variable. Be especially careful with per-capita figures (population denominators get revised after each census), GDP figures (PPP vs current-USD vs constant-USD make order-of-magnitude differences), and health indicators that switch between crude rates and age-standardised rates between releases.