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Antigua and Barbuda Health expenditure profile

HEALTH SPENDING IN BRIEF WHO PAYS FOR HEALTH?

Health spending (% of GDP) 4.3 7.2%

Health expenditure per capita (US$) 623 Public 32.2% Out-of-pocket Voluntary prepayment Public spending on health per capita (US$) 377 60.6% External Other GDP per capita (US$) 14,461

Life expectancy, both sexes (years) 76

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 ON HEALTH IS ASSOCIATED WITH LOWER OUT-OF-POCKET SPENDING DOES GOVERNMENT SPEND ENOUGH ON HEALTH?

100 800 20

80 600 15

60

400 10 % US$ 40

200 5 20

Out-of-pocket spending % of health 0 0 0 0 2 4 6 8 10 12 14 2008 2009 2010 2011 2012 2013 2014 2015 2016 Public spending on health % of GDP Health spending per capita (US$, bars) Government health spending % of total government spending (line)

PRIORITY OF HEALTH IN BUDGET ALLOCATION IS A POLITICAL CHOICE

25

20

15

10

5 Government health spending % of total government spending 0 Italy Latvia SpainMalta Palau Chile Greece Poland Estonia Finland AustriaIceland France Ireland Monaco Hungary Portugal Slovenia SlovakiaAndorra Belgium NorwaySweden Uruguay Lithuania ArgentinaSingapore BahamasDenmarkAustralia Germany San Marino Switzerland Luxembourg Netherlands Czech Republic Republic of Korea Brunei Darussalam 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 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?

15,000 6

10,000 4

5,000 2 % of GDP (lines)

GDP per capita (US$, bars) 0 0 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

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.