Share of out-of-pocket spending on healthcare vs. GDP per capita in Sao Tome and Principe

Sao Tome and Principe: Share of out-of-pocket spending on healthcare vs. GDP per capita was 16.7% in 2023. ▼ Falling

Latest (2023)
16.7%
Change on year
up 9.6%
World rank
137th
of 193 countries
All-time high
43.8%
in 2000
All-time low
11.7%
in 2021
Years of data
24
2000–2023

Share of out-of-pocket spending on healthcare vs. GDP per capita in Sao Tome and Principe, 2000–2023

102030402000201120232000: 43.8 % of current health expenditure2001: 43.6 % of current health expenditure2002: 41.9 % of current health expenditure2003: 31.9 % of current health expenditure2004: 35.3 % of current health expenditure2005: 33.4 % of current health expenditure2006: 39.9 % of current health expenditure2007: 35.3 % of current health expenditure2008: 30.2 % of current health expenditure2009: 27.4 % of current health expenditure2010: 25.7 % of current health expenditure2011: 23.8 % of current health expenditure2012: 17.8 % of current health expenditure2013: 14.2 % of current health expenditure2014: 15 % of current health expenditure2015: 16 % of current health expenditure2016: 13.9 % of current health expenditure2017: 14.8 % of current health expenditure2018: 15.8 % of current health expenditure2019: 17 % of current health expenditure2020: 11.8 % of current health expenditure2021: 11.7 % of current health expenditure2022: 15.2 % of current health expenditure2023: 16.7 % of current health expenditure

Source: Global Health Expenditure Database, WHO, via World Bank (2026) – processed by Our World in Data. Measured in % of current health expenditure.

Analysis

The most recent figure for share of out-of-pocket spending on healthcare vs. gdp per capita in Sao Tome and Principe is 16.7%, measured in 2023.

That represents a change of up 9.6% on the previous year and up 17.0% over ten years.

Over the whole period, share of out-of-pocket spending on healthcare vs. gdp per capita in Sao Tome and Principe peaked at 43.8% in 2000 and was at its lowest, 11.7%, in 2021.

That places Sao Tome and Principe 137th out of 193 countries with data for 2023, putting it in the middle of the range.

The long-run direction has been consistently falling across the 24 years of available data.

Share of out-of-pocket spending on healthcare vs. GDP per capita in Sao Tome and Principe, year by year

Annual values for Share of out-of-pocket spending on healthcare vs. GDP per capita in Sao Tome and Principe, 2000 to 2023.
Year % of current health expenditure Change
2000 43.8%
2001 43.6% -0.5%
2002 41.9% -3.9%
2003 31.9% -23.8%
2004 35.3% +10.5%
2005 33.4% -5.3%
2006 39.9% +19.5%
2007 35.3% -11.5%
2008 30.2% -14.4%
2009 27.4% -9.4%
2010 25.7% -6.2%
2011 23.8% -7.4%
2012 17.8% -25.2%
2013 14.2% -20.0%
2014 15.0% +5.6%
2015 16.0% +6.5%
2016 13.9% -13.1%
2017 14.8% +6.1%
2018 15.8% +7.2%
2019 17.0% +7.4%
2020 11.8% -30.3%
2021 11.7% -1.6%
2022 15.2% +30.5%
2023 16.7% +9.6%

Sao Tome and Principe compared with similar countries

  • Sao Tome and Principe's 16.7% is below the median for lower middle income countries, which is 37.6%, 44% of the median. (47 countries reporting)
  • Sao Tome and Principe's 16.7% is below the median for Sub-Saharan Africa, which is 32.4%, 51% of the median. (48 countries reporting)

Averages by decade

DecadeAverage LowestHighest Years
2000s 36.3% 27.4% 43.8% 10
2010s 17.4% 13.9% 25.7% 10
2020s 13.8% 11.7% 16.7% 4

Countries ranked near Sao Tome and Principe

  1. 134 Cyprus 17.9% compare
  2. 135 Gabon 17.3% compare
  3. 136 Uruguay 17.1% compare
  4. 138 Cuba 16.6% compare
  5. 139 Austria 16.5% compare
  6. 140 Poland 16.2% compare

See the full ranking of 193 places →

More economy & growth data for Sao Tome and Principe

All data for Sao Tome and Principe →

Frequently asked questions

What is share of out-of-pocket spending on healthcare vs. gdp per capita in Sao Tome and Principe?
Share of out-of-pocket spending on healthcare vs. gdp per capita in Sao Tome and Principe was 16.7% in 2023, according to Global Health Expenditure Database, WHO, via World Bank (2026) – processed by Our World in Data.
What is the highest share of out-of-pocket spending on healthcare vs. gdp per capita recorded in Sao Tome and Principe?
The highest recorded value was 43.8% in 2000.
What is the lowest share of out-of-pocket spending on healthcare vs. gdp per capita recorded in Sao Tome and Principe?
The lowest recorded value was 11.7% in 2021.
How does Sao Tome and Principe rank for share of out-of-pocket spending on healthcare vs. gdp per capita?
Sao Tome and Principe ranks 137th out of 193 countries with data for 2023.
Is share of out-of-pocket spending on healthcare vs. gdp per capita rising or falling in Sao Tome and Principe?
Over the last ten years it is up 17.0%. The long-run trend across the full record is falling.
Where does this Sao Tome and Principe data come from?
The figures come from Global Health Expenditure Database, WHO, via World Bank (2026) – processed by Our World in Data, published as part of Share of out-of-pocket spending on healthcare vs. GDP per capita. Statizoid updates them automatically from the source API.

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Share of out-of-pocket spending on healthcare vs. GDP per capita in Sao Tome and Principe. Statizoid, drawing on Global Health Expenditure Database, WHO, via World Bank (2026) – processed by Our World in Data. Retrieved 16 September 2026, from https://economy.statizoid.com/stat/share-of-out-of-pocket-expenditure-vs-gdp-per-capita/sao-tome-and-principe/

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About this data

Indicator
Share of out-of-pocket spending on healthcare vs. GDP per capita
Unit
% of current health expenditure
Source
Global Health Expenditure Database, WHO, via World Bank (2026) – processed by Our World in Data
Licence
CC BY 4.0 (Our World in Data)
Coverage
193 places, 4,562 data points, 2000–2024
Last refreshed

Out-of-pocket spending on healthcare as percent of total current healthcare expenditure vs. GDP per capita, adjusted for inflation and differences in living costs between countries.