{"id":1205124,"name":"Risk of catastrophic expenditure for surgical care (% of people at risk)","unit":"% of people at risk","createdAt":"2026-03-01T08:24:29.000Z","updatedAt":"2026-05-12T18:50:20.000Z","coverage":"","timespan":"2003-2022","datasetId":7396,"shortUnit":"%","columnOrder":0,"shortName":"sh_sgr_crsk_zs","catalogPath":"grapher/worldbank_wdi/2026-02-27/wdi/wdi#sh_sgr_crsk_zs","descriptionFromProducer":"The proportion of population at risk of catastrophic expenditure when surgical care is required. Catastrophic expenditure is defined as direct out of pocket payments for surgical and anaesthesia care exceeding 10% of total income.\n\n### Aggregation method:\nWeighted average\n\n### Statistical concept and methodology:\nMethodology: The probability of experiencing impoverishment when surgical care is required and the probability of experiencing catastrophic expenditure (10 percent of total income) when surgical care is required.\nStatistical concept(s): The Lancet Commission on Global Surgery, assembled in 2013 to assess surgical care around the world. Commissioners engaged in an iterative global consultative process with partners in over 110 countries to develop six core indicators of the strength of a surgical system. Two indicators assess a country’s preparedness to deliver safe surgery and anesthesia, two assess the current delivery of safe care, and two assess the state of financial risk protection for those seeking surgery.\n\n### Development relevance:\nBillions people lack access to safe and affordable surgical, anesthesia and obstetric (SAO) care while a third of the global burden of disease requires surgical and/or anesthesia decision-making or treatment. Treating the sick very often requires surgery and anesthesia. Despite such huge burden of disease, safe and affordable SAO care is often overlooked.\n\n### Limitations and exceptions:\nPrior to 2015, global data on surgery, anesthesia and obstetric care was virtually nonexistent. With the idea that “We can’t manage what we don’t measure”, the Lancet Commission on Global Surgery developed six Surgical, Obstetric and Anesthesia (SAO) indicators and collected data for them. The analysis of these data show large gaps in SAO care across countries by income groups.","type":"float","dataChecksum":"7075963226608528334","metadataChecksum":"5337660270036956791","datasetName":"World Development Indicators","updatePeriodDays":365,"datasetVersion":"2026-02-27","nonRedistributable":false,"display":{"unit":"% of people at risk","shortUnit":"%"},"schemaVersion":2,"presentation":{},"dimensions":{"years":{"values":[{"id":2003},{"id":2004},{"id":2005},{"id":2006},{"id":2007},{"id":2008},{"id":2009},{"id":2010},{"id":2011},{"id":2012},{"id":2013},{"id":2014},{"id":2015},{"id":2016},{"id":2017},{"id":2018},{"id":2019},{"id":2020},{"id":2021},{"id":2022}]},"entities":{"values":[{"id":16,"name":"Albania","code":"ALB"},{"id":17,"name":"Algeria","code":"DZA"},{"id":19,"name":"Angola","code":"AGO"},{"id":21,"name":"Argentina","code":"ARG"},{"id":22,"name":"Armenia","code":"ARM"},{"id":23,"name":"Australia","code":"AUS"},{"id":24,"name":"Austria","code":"AUT"},{"id":25,"name":"Azerbaijan","code":"AZE"},{"id":28,"name":"Bangladesh","code":"BGD"},{"id":30,"name":"Belarus","code":"BLR"},{"id":4,"name":"Belgium","code":"BEL"},{"id":31,"name":"Belize","code":"BLZ"},{"id":32,"name":"Benin","code":"BEN"},{"id":33,"name":"Bhutan","code":"BTN"},{"id":34,"name":"Bolivia","code":"BOL"},{"id":35,"name":"Bosnia and 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countries","code":"OWID_UMC"},{"id":63,"name":"Uruguay","code":"URY"},{"id":62,"name":"Uzbekistan","code":"UZB"},{"id":221,"name":"Vanuatu","code":"VUT"},{"id":238,"name":"Venezuela","code":"VEN"},{"id":355,"name":"World","code":"OWID_WRL"},{"id":61,"name":"Yemen","code":"YEM"}]}},"origins":[{"id":13623,"title":"World Development Indicators","description":"The World Development Indicators (WDI) database, published by the World Bank, is a comprehensive collection of global development data, providing key economic, social, and environmental statistics. It includes over 1,500 indicators covering more than 200 countries and territories, with data spanning several decades.WDI serves as a vital resource for policymakers, researchers, businesses, and analysts seeking to understand global trends and make data-driven decisions. The database covers a wide range of topics, including economic growth, education, health, poverty, trade, energy, infrastructure, governance, and environmental sustainability.The indicators are sourced from reputable national and international agencies, ensuring high-quality, consistent, and comparable data. Users can access the database through interactive online tools, API services, and downloadable datasets, facilitating detailed analysis and visualization.WDI is also used for tracking progress on the Sustainable Development Goals (SDGs) and other global development initiatives. By providing accessible and reliable statistics, it helps to inform policy discussions and strategies globally.Whether for academic research, policy planning, or economic analysis, the World Development Indicators database is an essential tool for understanding and addressing global development challenges.","producer":"Harvard Medical School Program in Global Surgery and Social Change (PGSSC), via World Bank","citationFull":"Program in Global Surgery and Social Change (PGSSC), Harvard Medical School, uri: https://www.pgssc.org/. Indicator SH.SGR.CRSK.ZS (https://data.worldbank.org/indicator/SH.SGR.CRSK.ZS). World Development Indicators - World Bank (2026). Accessed on 2026-02-27.","versionProducer":"125","urlMain":"https://data.worldbank.org/indicator/SH.SGR.CRSK.ZS","urlDownload":"https://databankfiles.worldbank.org/public/ddpext_download/WDI_CSV.zip","dateAccessed":"2026-02-27","datePublished":"2026-01-28","license":{"url":"https://datacatalog.worldbank.org/search/dataset/0037712/World-Development-Indicators","name":"CC BY 4.0"}}]}