Madagascar Health Spending
Current health expenditure as % of GDP SH.XPD.CHEX.GD.ZS
Madagascar's health spending was 3.42% in 2025, ranked 164th globally. This represents a 0.1% decrease from 2024. Data from World Bank, covering 2000–2025.
Overview
Madagascar's health spending stood at 3.42% in 2025, a decline of +0.01% from 2023. Based on recent trends, this figure is projected to reach 3.42% by 2025. Madagascar ranked 164th globally.
Madagascar’s health‑spending share of GDP has slipped from an early‑2000s level of 3.99 percent to 3.42 percent in 2025, placing the country 164th in the world. The indicator reached its all‑time high of 5.33 percent in 2016 before falling to a trough of 3.10 percent in 2019, after which it has hovered in the low‑to‑mid‑three‑percent range for the past six years. This downward trajectory contrasts with the modestly higher 3.50 percent recorded by Guinea and the slightly lower 3.30 percent of Benin, both of which occupy adjacent positions in the global ranking. The decline reflects persistent fiscal constraints, limited public‑sector capacity, and recurring shocks such as cyclones and the COVID‑19 pandemic, which have strained Madagascar’s health budget. If economic growth accelerates and reforms improve revenue mobilization, the country could reverse the recent slide and raise its health‑spending ratio, aligning it more closely with regional peers.
Data & projection
| Year | Health Spending | YoY change | Rank |
|---|---|---|---|
| 2026* trend | 3.43% | - | - |
| 2025* trend | 3.42% | - | - |
| 2025 | 3.42% | −0.01% | #164 |
| 2023 | 3.43% | +0.28% | #23 |
| 2022 | 3.15% | −0.40% | #18 |
| 2021 | 3.55% | −0.17% | #20 |
| 2020 | 3.72% | +0.62% | #22 |
| 2019 | 3.10% | −1.12% | #17 |
| 2018 | 4.22% | −0.58% | #47 |
| 2017 | 4.80% | −0.53% | #67 |
| 2016 | 5.33% | +0.33% | #76 |
| 2015 | 5.01% | +0.54% | #68 |
| 2014 | 4.46% | +0.71% | #55 |
| 2013 | 3.75% | −0.16% | #36 |
| 2012 | 3.91% | −0.61% | #39 |
| 2011 | 4.52% | −0.18% | #60 |
| 2010 | 4.70% | +0.31% | #62 |
Detected Pattern
Analysis
Madagascar matched the Export Boom Cycle pattern in 2016. Historically, 71% of countries showing this pattern (546 out of 768) saw health spending improve within 24 months. View full analysis →
Frequently Asked Questions
Madagascar's health spending was 3.42% in 2025. Ranked 164th globally. This represents a 0.1% decrease from the previous year.
Madagascar's health spending peaked at 5.33% in 2016.
The lowest health spending in Madagascar was 3.10% in 2019.
Madagascar ranks 164th globally in health spending as of 2025.
The World Bank indicator code is SH.XPD.CHEX.GD.ZS. Data sourced from World Bank.
Madagascar's health spending is projected to reach 3.42% by 2025 based on trend extrapolation.
The health spending of Madagascar in 2025 was 3.42%. This ranks 164th in the world.
Cite this page
@misc{historysaid_madagascar_health-spending,
title = {Madagascar Health Spending},
url = {https://historysaid.com/madagascar/health-spending/},
publisher = {HistorySaid},
year = {2026}
}