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11. CLASSIFICATION OF BENEFICIARY/RECIPIENT CHARACTERISTICS
Principles and analytical use
"Beneficiaries/recipients are the people who receive health goods and services or benefit from
those activities (beneficiaries/recipients can be categorised in many different ways, including their age
and sex, their socioeconomic status, their health status, and their location)" (Guide to producing national health accounts, 5.06 ).
Statistics on expenditure by the different groups of population helps to address issues related to
sustainability, equity and fairness. Statistics by beneficiaries/recipients can reveal when population
groups are spending more on health than others, be it an age group, a region, a group of patients, etc.
They can also highlight efficiency differences; and they support informed priority setting decision.
Building expenditure by beneficiaries/ recipients means allocating expenditure to groups of
population formed around a chosen characteristic: disease, programme, cluster of interventions, etc.
These include:
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demographic characteristics (sex, age, …)
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socio-economic characteristics (income/wealth quintile, poverty level/vulnerable groups, expenditure quintile, education, insured/not insured, …)
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health characteristics (by health status, disease, intervention/symptoms)
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geographical characteristics (administrative regions, geopolitical regions, rural/urban, etc.)
Key issues
The unit will explain how to build each of these beneficiary/recipient expenditures.
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This includes explanations on how to set up the groups and deal with overlapping issues (offering as many known solutions as possible). For example, under demographic characteristics (age, sex), the chapter could provide solutions for distributing by disease, e.g. how do you classify people living with HIV/AIDS (PLWHA) who are treated for tuberculosis? Where do you classify expenditure provided for the resident of one region by a provider of a different region?
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Another issues addressed under boundaries and classifications would be that of Health Boundaries and what total is to be distributed and why (total expenditure on personal health care. Total current expenditure on health or total expenditure on health).
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