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Lesotho - P4H Network
Current Health Expenditure (CHE) as % Gross Domestic Product (GDP)10.2%CHE/GDP
Out-of-pocket (OOPS) spending as % of Current Health Expenditure (CHE)14.1%OOP/CHE
Domestic General Government Health Expenditure (GGHE-D) as % General Government Expenditure (GGE)8%GGHE-D/GGE
Gross Domestic Product (GDP), in constant (2020) US$ per capita in millions (M), billions (B) or trillions (T)3BGDP (USD)
Population in thousands (K), millions (M) or billions (B)2.3MPopulation
Incidence of Catastrophic Health Spending at 10% Threshold (SDG 3.8.2) Total4.5%Catastrophic Health Spending

Lesotho allocated 12% of its GDP and 11% of its total domestic budget to health in 2020. Current health expenditure (CHE) comprises these contributions: 52% from the government, 33% from donors and 15% from out-of-pocket expenditures. Lesotho does not have national insurance, but the government allocates resources to primary and secondary health care, to make care affordable. 

In 2008, Lesotho implemented a user fee policy, which stated primary health care would be free and secondary and tertiary health care would receive significant subsidies. Strengthening the system and eliminating user fees improved access to maternity care and reduced neonatal mortality rates in Lesotho.