Gambia
Republic of the Gambia
Population
2.7M
GGHE % of GDP
1.3%
2023
Ext. Debt Service % GDP
3.2%
2024
Health Spend/Capita
$11.6
2023
OOP Spending
33.8%
2023
GDP per Capita
$889.9
2025
Fiscal Pressure Alert
Expenditure on debt as % of GDP (3.2%) exceeds government expenditure on health as % of GDP (1.3%). This indicates significant fiscal pressure that may crowd out health financing.
Debt Service / GDP
3.2%
Health Exp. / GDP
1.3%
Benchmark Snapshot
How Gambia ranks against its western africa peer group across each indicator category. Click a card for methodology details.
Finances
General Fiscal Space
Finance Utilisation
Health Impact
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Africa Scorecard on Domestic Financing for Health
AU framework tracking 7 key indicators for health financing commitments
1/7
Targets Met
Government domestic spending on health per capita
Target: > USD 86 per capita
Government domestic funding for health as % of GDP
Target: > 5% of GDP
GGHE as % of Total Health Expenditure (Abuja Declaration)
Target: >= 50% (domestic public majority)
Government domestic funding for health as % of GGE
Target: > 15% (Abuja Declaration)
External resources for health as % of Current Health Expenditure
Target: <= 20% (lower aid reliance)
Out-of-pocket expenditure as % of Current Health Expenditure
Target: <= 25%
Tax to GDP Ratio
Target: > 15% (minimum threshold for basic state capacity)
Health Expenditure Composition
Funding Source Distribution
Proportional Breakdown
Government
0.0%
External Aid
0.0%
Out-of-Pocket
0.0%
Gap to Target Analysis
Visualizing relative performance (+/- distance) versus established global and regional indicator targets (e.g., ALM, SDG targets). Green indicates outperforming or meeting the target, Red indicates falling behind.
Health Financing Indicators
Government Health Expenditure per Capita (USD)
$11.6
2023 · WHO GHED
General Government Health Expenditure as % of GDP
1.3%
2023 · WHO GHED
Government Health Expenditure as % of General Government Expenditure
5.5%
2023 · WHO GHED
Government Health Expenditure as % of Total Health Expenditure
44.9%
2023 · WHO GHED
External Resources for Health as % of Current Health Expenditure
17.4%
2023 · WHO GHED
Out-of-Pocket Expenditure as % of Current Health Expenditure
33.8%
2023 · WHO GHED
UHC Financial Hardship — Catastrophic Spending (10% threshold) (SDG 3.8.2)
0.2%
2015 · WHO GHO
UHC Financial Hardship — Catastrophic Spending (25% threshold)
0.0%
2015 · WHO GHO
Public Per Capita Expenditure on Medicines
$0
2020 · WHO GHED
Private Per Capita Expenditure on Medicines
$0.6
2021 · WHO GHED
External Debt Service as % of Government Expenditure
33.6%
2024 · World Bank IDS / World Bank WDI