This statistical profile documents government, private, household and external financing shares in Gambia, The's health system.
The health financing structure of Gambia, The in 2023 comprised 44.9% from domestic general government sources, 37.6% from domestic private sources and 17.4% from external sources. Out-of-pocket payments represented 89.8% of domestic private health expenditure. Current health expenditure was 2.9% of GDP, or $26 per capita in current US dollars.
In the common comparison year 2023, Gambia, The ranked 125th of 193 economies by the government share of current health expenditure.
Gambia, The Public and Private Health Financing by Year
Data source: World Bank, World Development Indicators — Domestic general government health expenditure, % of current health expenditure (SH.XPD.GHED.CH.ZS); Domestic private health expenditure, % of current health expenditure (SH.XPD.PVTD.CH.ZS); Out-of-pocket expenditure, % of current health expenditure (SH.XPD.OOPC.CH.ZS); External health expenditure, % of current health expenditure (SH.XPD.EHEX.CH.ZS); Current health expenditure, % of GDP (SH.XPD.CHEX.GD.ZS); Current health expenditure per capita, current US$ (SH.XPD.CHEX.PC.CD); Current health expenditure per capita, PPP, current international $ (SH.XPD.CHEX.PP.CD).
License: CC BY-4.0. Retrieved 2026-07-12.
About the Indicators
Domestic general government health expenditure, % of current health expenditure. The share of current health expenditure financed by domestic government sources (general and social health insurance).
Domestic private health expenditure, % of current health expenditure. The share of current health expenditure financed by domestic private sources, including households, private insurance and firms.
Out-of-pocket expenditure, % of current health expenditure. The share of current health expenditure paid directly by households at the point of service, a subset of domestic private expenditure.
External health expenditure, % of current health expenditure. The share of current health expenditure financed by external sources, such as foreign governments or international organizations.
Current health expenditure, % of GDP. Total spending on health, excluding capital investment, expressed as a share of GDP.
Current health expenditure per capita, current US$. Current health expenditure divided by population, in current U.S. dollars.
Current health expenditure per capita, PPP, current international $. Current health expenditure per capita, converted using purchasing power parity rates to account for differences in price levels between countries.