{
  "id": "hea-oope-085",
  "question": "What share of India's health spending do households pay out of pocket?",
  "topic": "Health",
  "unit": "% of total health expenditure",
  "decimals": 1,
  "measures": "Households' out-of-pocket spending on health (paid directly by households when they receive care) as a share of total health expenditure, from the National Health Accounts of the Health Ministry. It does not depend on the GDP series. From 2017-18 the estimates take household spending from the NSS 75th round (2017-18); earlier editions used the 71st round (2014), so years before 2017-18 are not shown.",
  "verified": true,
  "source": {
    "name": "National Health Systems Resource Centre (NHSRC), Ministry of Health and Family Welfare, National Health Accounts Estimates for India 2022-23",
    "url": "https://nhsrcindia.org/sites/default/files/2026-05/NHA%202022-23%20Report.pdf",
    "table": "NHA 2022-23 report, Table 3 (Key health financing indicators, NHA 2017-18 to 2022-23), row 14 (OOPE as a percent of THE); same values in NHA 2021-22 report Table 3; note on OOPE sources (NSS 75th vs 71st round), section 2.6",
    "licence": "GODL-India"
  },
  "released": "2026-05-27",
  "retrieved": "2026-10-20",
  "nextDueBy": "2027-07-26",
  "processing": "Copied as published.",
  "exam": {
    "publisher": "National Health Accounts Technical Secretariat (NHATS) at NHSRC, Ministry of Health and Family Welfare",
    "survey": "National Health Accounts Estimates for India 2022-23 (tenth report; the series began with 2013-14)",
    "frequency": "Annual",
    "measures": "Households' out-of-pocket expenditure on health as a share of total health expenditure (THE)",
    "notes": [
      "NHA estimates follow the System of Health Accounts 2011 (SHA 2011) framework and the National Health Accounts Guidelines for India 2016.",
      "In 2022-23 total health expenditure was ₹8,81,359 crore (3.37% of GDP on the 2022-23 base), of which government spent 43.72% and households 43.41% out of pocket."
    ]
  },
  "targets": [],
  "values": [
    {
      "period": "2017-18",
      "start": "2017-04",
      "end": "2018-03",
      "value": 48.8
    },
    {
      "period": "2018-19",
      "start": "2018-04",
      "end": "2019-03",
      "value": 48.2
    },
    {
      "period": "2019-20",
      "start": "2019-04",
      "end": "2020-03",
      "value": 47.1
    },
    {
      "period": "2020-21",
      "start": "2020-04",
      "end": "2021-03",
      "value": 44.4
    },
    {
      "period": "2021-22",
      "start": "2021-04",
      "end": "2022-03",
      "value": 39.4
    },
    {
      "period": "2022-23",
      "start": "2022-04",
      "end": "2023-03",
      "value": 43.4
    }
  ],
  "page": "https://india.tf/c/hea-oope-085/",
  "csv": "https://india.tf/c/hea-oope-085/data.csv",
  "versions": "https://india.tf/c/hea-oope-085/versions.csv"
}