Bosnia and Herzegovina Health expenditure profile

HEALTH SPENDING IN BRIEF WHO PAYS FOR HEALTH?

0.3%0.2%

Health spending (% of GDP) 9.2

28.7% Health expenditure per capita (US$) 444 Public Out-of-pocket Public spending on health per capita (US$) 314 Voluntary prepayment External 70.8% Other GDP per capita (US$) 4,808

Life expectancy, both sexes (years) 77

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?

100 500 20

80 400 16

60 300 12 % US$ 40 200 8

20 100 4

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) Bosnia and Herzegovina

PRIORITY OF HEALTH IN BUDGET ALLOCATION IS A POLITICAL CHOICE

30

20

10 Government health spending

% of total government spending 0

Iraq Fiji Iran China Peru Cuba Nauru Tonga Tuvalu Gabon Turkey BrazilMexico SerbiaBelizeSamoa Guyana Belarus Albania Algeria Croatia Panama DominicaMalaysia Grenada Mauritius EcuadorRomaniaBulgaria Jamaica ColombiaNamibiaLebanonThailand Paraguay Maldives Azerbaijan Botswana Macedonia Suriname Costa Rica Saint Lucia Kazakhstan South Africa Cook Islands Turkmenistan Marshall Islands Equatorial Guinea Russian Federation Dominican Republic St Vincent & Grenadines Bosnia and Herzegovina

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?

6,000 9

4,000 6

2,000 3 % 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)

HOW IS PUBLIC FUNDING CHANNELED?

GOVERNMENT SCHEMES COMPULSORY HEALTH INSURANCE 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006

400 300 200 100 0 0 100 200 300 400 Per capita (US$) Per capita (US$) Contributions Government transfers

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