Burundi Health expenditure profile

HEALTH SPENDING IN BRIEF WHO PAYS FOR HEALTH?

Health spending (% of GDP) 7.7 17.2% 23.5% Health expenditure per capita (US$) 23 Public Out-of-pocket Public spending on health per capita (US$) 5 Voluntary prepayment External 33.8% 24.6% Other GDP per capita (US$) 298

Life expectancy, both sexes (years) 57 0.9%

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 30 15

80

20 10 60 % US$ 40 10 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) Burundi

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?

400 4

300 3

200 2

100 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

12 10 8 6 4 2 0 0 2 4 6 8 10 12 Per capita (US$) Per capita (US$)

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