39
One can see that most of the African group of OIC countries display high or very high risk of
catastrophic expenditure for surgical care. Only in Gabon, the Gambia and Mozambique less than
58% of the population is at risk of catastrophic expenditures. In contrast, in Asia, no country has
more than 39% of the population at risk of catastrophic expenditures.
outlines the historical trends in indicators related to financial accessibility of health
services in OIC countries. The data confirms that current health expenditure per capita had
consistently increased in OIC countries and in the three OIC subgroups over the 20-year period.
The out-of-pocket spending data for OIC subgroups reported in show a phenomenal
increase in such spending over the same period.
Table 6: Trends in financial access to care in OIC countries
UHC service
coverage index
Low OIC
average
High African
group
Arab
group
Asian
group
2015 29 49.2 72 39.4 62.5 51.0
(Chad) (Oman)
Out-of-pocket
expenditure
per capita, PPP
(current
internat. $)
Low OIC
average
High African
group
Arab
group
Asian
group
2011-2015 4.4 183.6 936.7 96.1 273.4 186.6
(Mozambique) (Azerbaijan)
2006-2011 161.3 83.1 211.5 175.0
2001-2005 124.6 96.2 167.3 119.6
1996-2000 83.5 47.7 143.8 76.4
Risk of
catastrophic
expenditure for
surgical care (% of
people at risk)
Low OIC
average
High African
group
Arab
group
Asian
group
2011-2015 1.4 44.7 91.6 62.4 36.9 38.9
(Turkey) (Niger)
2006-2011 54.1 66.4 38.2 54.1
2001-2005 56.6 59.8 45.2 59.4
1996-2000 - - - -
Proportion of
population
spending > 10% of
household
consumption or
income on OOP
(%)
Low OIC
average
High African
group
Arab
group
Asian
group
2011-2015 1.8 8.9 26.2 6.8 26.2 5.7