Seychelles Health expenditure profile

HEALTH SPENDING IN BRIEF WHO PAYS FOR HEALTH?

2.1% 1.9% Health spending (% of GDP) 3.9

Health expenditure per capita (US$) 597 Public Out-of-pocket Public spending on health per capita (US$) 573 Voluntary prepayment External Other GDP per capita (US$) 15,165 96.0%

Life expectancy, both sexes (years) 74

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?

100 600 15

80

400 10 60 % US$ 40 200 5

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) Seychelles

PRIORITY OF HEALTH IN BUDGET ALLOCATION IS A POLITICAL CHOICE

25

20

15

10

5 Government health spending % of total government spending 0 Italy Qatar Oman Latvia Israel SpainMalta Palau Chile Japan Kuwait Cyprus Greece Poland Estonia Finland AustriaIceland France Canada Ireland Monaco Bahrain Hungary Portugal Slovenia SlovakiaAndorra Belgium NorwaySweden Uruguay Barbados Lithuania ArgentinaSingapore BahamasDenmarkAustralia Germany Seychelles San Marino Switzerland Saudi Arabia Luxembourg Netherlands New Zealand Czech Republic United Kingdom Republic of Korea Brunei Darussalam Trinidad and Tobago UnitedSaint Arab Kitts Emirates and Nevis Antigua and Barbuda

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?

20,000 8

15,000 6

10,000 4

5,000 2 % 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

600 400 200 0 0 200 400 600 Per capita (US$) Per capita (US$)

Source: Global Health Expenditure Database. Data are for 2016 unless otherwise specified.