Out-of-pocket health expenditure (% of current health expenditure)
79.3%
Source: World Bank World Development Indicators, sourced from WHO GHEDAs of 2023-12-31
Next steps
Public health
Out-of-pocket health spend is classified Critical at 79.3%, observed through 2023-12-31.
Out-of-pocket health expenditure (% of current health expenditure)
79.3%
Source: World Bank World Development Indicators, sourced from WHO GHEDAs of 2023-12-31
Assessment
Critical
BDPolicyLab analytical classification based on the stated assessment basis. It is not an official agency designation. Benchmark stress score: 97/100.
Source: BDPolicyLab assessmentAs of 2023-12-31
Movement
Unchanged
Current for source cadence
Source: BDPolicyLab comparable assessmentsAs of 24 Aug 2026, 01:25
Current for source cadence. Cadence basis: annual official series with publication lag.
Source: BDPolicyLab Crisis Orb Updated 2026-08-23
| Evidence | Reading | Observed through | Primary source |
|---|---|---|---|
| Out-of-pocket health expenditure (% of current health expenditure) | 79.3% | 2023-12-31 | World Bank World Development Indicators, sourced from WHO GHEDSH.XPD.OOPC.CH.ZS |
Comparable assessments
Current movement: Unchanged
Critical
25 Jul 2026, 04:03 to 24 Aug 2026, 01:25
337 comparable assessments.
Decision architecture
These are linked records, not recommendations. They identify documented responsibility, published policy work, and modelled instruments that have passed their respective public gates.
Owns
Public health, family planning, medical education, and pharmaceutical regulation
Authority: Constitution of Bangladesh, Article 55; Rules of Business 1996
Monitors
Budget preparation, public finance management, and government accounting
Authority: Constitution of Bangladesh, Article 55; Rules of Business 1996
Grounded prescription
Cutting Bangladesh's Out-of-Pocket Health BurdenWith more than 67% of health spending paid out of pocket (world top decile), Bangladesh needs a sequenced shift toward pooled public financing, led by DGHS, starting with primary care and essential medicines.
Research · Primary
Bangladesh Health System: Remarkable Gains, Persistent Gaps, and the Path to Universal CoverageResearch · Related
Bangladesh Pharmaceutical Industry AnalysisResearch · Related
Child Nutrition in Bangladesh: BDHS 2022 EvidenceResearch · Primary
The State of Bangladesh HealthResearch · Related
The State of Bangladesh Public FinanceBasis: Budget appropriation; execution governed by the Public Procurement Act 2006 (Act XXIV of 2006) and Public Procurement Rules 2008.
Model limits
Basis: Fertiliser, power, gas and food subsidies appear as budget lines rather than under a single statute. Converting an outlay into a consumer-price change needs the subsidised volume and the unsubsidised reference price, neither of which is in the lake.
Model limits
The assessment compares the latest source observation with BDPolicyLab analytical monitoring bands. For this detector, higher readings indicate greater stress; the internal analytical cutoffs are 20.0%, 30.0%, 40.0%, 55.0%. The score is a level-anchored piecewise-linear transformation with state bands at 20, 40, 60, and 85. Benchmark reference: WHO health financing: out-of-pocket spending above ~40% of current health expenditure drives catastrophic and impoverishing costs (SDG 3.8); WHO recommends keeping OOP well below 20%. The indicator's primary source is identified with the evidence in this card. Forecast ranges are published only as calibrated 80% predictive intervals with an explicit source time unit.
BDPolicyLab analytical classification based on the stated assessment basis. It is not an official agency designation.
No public forecast is shown because the validation or time-unit requirement was not met.
Sources: World Bank World Development Indicators, sourced from WHO GHED