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36.4  Lebanon






 37.7
                                               53.7                  12.7

 Palestine


 Tunisia                             Syrian Arab
                     20.9              Republic      Iraq               Islamic Republic              Afghanistan
 Morocco                                                                     of Iran
 37.7
                                                     39.7                                             63.9
 58.4                                                                          40.6
                                   Jordan                                                                        Pakistan
 Libya             Egypt                                       Kuwait
                                                                                                              56.3
                                                 Saudi Arabia
 26.5               55.7

                                                      14.3            United Arab
                                                                        Emirates                       17.8
                                                                                     Oman


 20%  40%  60%  80%  Sudan                                                        5.8



 Out of pocket expenditure  75.5                          76.4    Yemen


 as % of total health expenditure           Djibouti                                                   Bahrain




 Out-of-pocket payments comprise all direct formal and informal payments made by users of care   Somalia  23.3
 at the point of delivery. High out-of-pocket payment can be a major deterrent to people receiving   35.8          Qatar
 the health care they need, of good quality, and can expose people to financial hardship. The   Not
 Region continues to be a low investor in health, with a high share of out-of-pocket payment in   Available
 total health spending – exceeding 75% in some low-income countries. It is estimated that around                    6.9
 16.5 million individuals face financial hardship and around 7.5 million are pushed into poverty
 every year because of high out-of-pocket payments.


 Disclaimer: The presentation of material on the maps contained herein does not imply the expression of any opinion whatsoever
 on the part of the World Health Organization concerning the legal status of any country, territory, city or areas or its authorities of
 its frontiers or boundaries. Dotted lines on maps represent approximate border areas for which there may not yet be full agreement.  Source: Regional Office data, 2014
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