Policy Evidence Observatory ยท SDG 3.8

Primary Health Care Financing & Catastrophic Risk Evidence

Direct verdict: Over 1.0 billion people incur out-of-pocket health spending above the 10% SDG 3.8.2 threshold, driven primarily by uninsured outpatient chronic medicines and acute hospital episodes. Switch thresholds below or launch the SDG 3.8.2 Simulator.

SDG 3.8.2 Catastrophic Threshold Audit
Affected Population
1.04 billion
LMIC Median OOP Share
39.4% THE
Primary Driver
OPD Drugs & NCDs
Clinician measuring an adult patient's blood pressure on a rural primary health care clinic veranda
Plate 01: Frontline Hypertension Triage Routine primary care blood pressure screening and zero-copay generic antihypertensive dispensing prevent avoidable tertiary cardiovascular shocks.

SDG 3.8.2 Catastrophic Expenditure Quick-Triage

Test household out-of-pocket exposure or open the full Financial Protection Workbench.

Monthly Consumption (PPP)$380
$380 / mo
Monthly PHC & NCD OOP$34
$34 / mo
Annual Acute Inpatient OOP$320
$320 / yr
Public Benefit Coverage0%
SDG 3.8.2 STATUS: URGENT (10% - 24.9%)
16.0% Annual Consumption Share

Breaches the 10% SDG 3.8.2 threshold. Shift chronic dispensing to zero-copay PHC clinics and generic MedMon supply.

Annualized Household OOP Outlay$728 / yr
WHO Capacity-to-Pay Share29.1%
Monthly Reduction for Safe <10%$24 / mo
Client-side only. Zero storage or telemetry.

SDG 3.8.1 Service Coverage & Fragile-System Benchmarks

Synthesized from WHO GHED, South Sudan HSSRP, and MedMon country price audits.

System Cohort / Context SDG 3.8.1 Index PHC Workforce / 10k OOP Share Protection Tier
South Sudan (HSSRP Baseline) 32 7.6 54.2% CRITICAL ≥25%
Papua New Guinea (SDG3 GAP) 41 11.4 18.9% URGENT 10-24%
Sudan (West Darfur UNAMID) 44 14.2 51.8% CRITICAL ≥25%
Cambodia (25-Center NCD Pilot) 58 19.6 41.5% URGENT 10-24%
Tunisia (Societal Dialogue) 70 34.8 36.1% URGENT 10-24%
WHO Minimum Workforce Norm 80+ 44.5 <15.0% SAFE <10% CHE
Workforce Density Gap vs. WHO Norm
Core physicians, nurses, and midwives per 10,000 population
PHC Workforce Density per 10,000 Population vs WHO Minimum Threshold Norm 44.5 South Sudan 7.6 PNG 11.4 Sudan 14.2 Cambodia 19.6 Tunisia 34.8 0 20 / 10k 44.5 / 10k

Five Evidence Synthesis Pillars

Direct routes to each flagship policy dossier, dataset table, and interactive diagnostic.

Pillar 01
South Sudan HSSRP (US$ 2.8B), Boma Health Initiative, and bridging the humanitarian-development divide across 44% facility access zones.
7.6 vs 44.5 / 10k
Pillar 02
Uganda supply logistics, Vietnam family medicine capitation, WHA75 strategic roundtable, and Cambodia 25-center diabetes screening.
4 x 9 Matrix
Pillar 03
Addressing 122 of 163 country NCD disruptions, 542,000 cold-chain insulin vials (US$ 1.3M), and 17-country MedMon price monitoring.
122 / 163 States
Pillar 04
Thirteen-agency Primary Health Care Accelerator coordination, BMZ supplementary financing, and Papua New Guinea 24/7 subnational PHC.
13 Agencies
Pillar 05
West Darfur UNAMID priority-setting (pp. 42-49), Tunisia Societal Dialogue, Oman 90% Patient Safety Friendly Hospitals, and NCD Hard Talks.
90% Oman PSFH