As noted in your documents, over 60% of health expenditure in the Region is paid out of pocket, and this already makes a significant contribution to widespread poverty.

正如你们的文件中所指出的，本区域60%以上的卫生支出为直接自付，这在很大程度上加剧了广泛的贫困。

youdao

Out-of-pocket expenditure at the point of service is the least efficient, and the most impoverishing - already pushing millions below the poverty line each year.

在服务站点自费支付效率最低，而且最可能导致贫穷——这种办法已经每年将数百万人推至贫困线以下。

youdao