Djibouti Health expenditure profile HEALTH SPENDING IN BRIEF WHO PAYS FOR HEALTH? 0.6% Health spending (% of GDP) 3.5 27.8% Health expenditure per capita (US$) 70 Public Out-of-pocket 45.8% Public spending on health per capita (US$) 32 Voluntary prepayment External Other GDP per capita (US$) 2,004 25.8% Life expectancy, both sexes (years) 62 RICHER COUNTRIES SPEND MORE ON HEALTH… …BUT NOT NECESSARILY AS A SHARE OF GDP 10,000 25 20 1,000 15 10 100 Health spending % of GDP 5 Health spending per capita (US$, 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? 100 100 10 80 80 8 60 60 6 % US$ 40 40 4 20 20 2 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$, bars) Government health spending % of total government spending (line) Djibouti PRIORITY OF HEALTH IN BUDGET ALLOCATION IS A POLITICAL CHOICE 25 20 15 10 5 Government health spending % of total government spending 0 India Egypt Kenya Congo Nigeria Angola Kiribati Ghana Bhutan SudanBoliviaJordan Tunisia Djibouti Vanuatu Armenia Ukraine Zambia Morocco Georgia Eswatini Lao PDRPakistan Myanmar TajikistanMongolia IndonesiaSri LankaViet Nam Honduras Cameroon MauritaniaMicronesia Cambodia Philippines Uzbekistan GuatemalaNicaraguaEl Salvador Timor-LesteBangladesh Côte d'Ivoire Cabo Verde Solomon Islands Papua New Guinea Republic of Moldova Sao Tome and Principe IS RELIANCE ON OUT-OF-POCKET SPENDING DECREASING OVER TIME? 100 80 60 40 20 0 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 Public External Other Voluntary prepayment Out-of-pocket WHEN PUBLIC SOURCES SPEND MORE ON HEALTH, DO HOUSEHOLDS SPEND LESS? 2,500 5 2,000 4 1,500 3 1,000 2 500 1 % of GDP (lines) GDP per capita (US$, bars) 0 0 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 GDP per capita (US$, bars) Public spending on health (% of GDP) Out-of-pocket spending (% of GDP) DOES INCREASING AID CROWD OUT PUBLIC SPENDING FROM DOMESTIC SOURCES? EXTERNAL PUBLIC 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 50 40 30 20 10 0 0 10 20 30 40 50 Per capita (US$) Per capita (US$) Source: Global Health Expenditure Database. Data are for 2016 unless otherwise specified..