Senegal Health expenditure profile
HEALTH SPENDING IN BRIEF WHO PAYS FOR HEALTH?
4.6%
Health spending (% of GDP) 5.6 6.1% 4.9%
Health expenditure per capita (US$) 53 33.4% Public Out-of-pocket Public spending on health per capita (US$) 18 Voluntary prepayment External Other GDP per capita (US$) 954 51.0%
Life expectancy, both sexes (years) 67
RICHER COUNTRIES SPEND MORE ON HEALTH… …BUT NOT NECESSARILY AS A SHARE OF GDP
10,000 25
20
1,000 15
10 100
Health spending % of GDP 5
Health spending per capita (US$, log scale) 10 0 100 1,000 10,000 100,000 100 1,000 10,000 100,000 GDP per capita (US$, log scale) GDP per capita (US$, log scale)
MORE GOVERNMENT SPENDING ON HEALTH IS ASSOCIATED WITH LOWER OUT-OF-POCKET SPENDING DOES GOVERNMENT SPEND ENOUGH ON HEALTH?
100 75 9
80
50 6 60 % US$ 40 25 3
20
Out-of-pocket spending % of health 0 0 0 0 2 4 6 8 10 12 14 2006 2008 2010 2012 2014 2016 Public spending on health % of GDP Health spending per capita (US$, bars) Government health spending % of total government spending (line) Senegal
PRIORITY OF HEALTH IN BUDGET ALLOCATION IS A POLITICAL CHOICE
20
15
10
5 Government health spending % of total government spending 0
Togo Haiti Mali Benin C.A.R. Nepal Niger Chad Gambia Liberia Guinea Uganda Ethiopia Senegal Burundi Rwanda Malawi DR Congo Zimbabwe Afghanistan UR Tanzania Burkina Faso Madagascar Guinea-Bissau
IS RELIANCE ON OUT-OF-POCKET SPENDING DECREASING OVER TIME?
100
80
60
40
20
0 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
Public External Other Voluntary prepayment Out-of-pocket
WHEN PUBLIC SOURCES SPEND MORE ON HEALTH, DO HOUSEHOLDS SPEND LESS?
1,250 5
1,000 4
750 3
500 2
250 1 % of GDP (lines)
GDP per capita (US$, bars) 0 0 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
GDP per capita (US$, bars) Public spending on health (% of GDP) Out-of-pocket spending (% of GDP)
DOES INCREASING AID CROWD OUT PUBLIC SPENDING FROM DOMESTIC SOURCES?
EXTERNAL PUBLIC 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006
20 15 10 5 0 0 5 10 15 20 Per capita (US$) Per capita (US$)
Source: Global Health Expenditure Database. Data are for 2016 unless otherwise specified.