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Issues in Monitoring Equity in Resource Allocation

Issues in Monitoring Equity in Resource Allocation. Presentation to Kwa-Maritane Meeting 17-20 August 2000 Di McIntyre. Identifying priority groups. Recognise the socio-economic health status link Appropriate type & level of disaggregation:

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Issues in Monitoring Equity in Resource Allocation

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  1. Issues in Monitoring Equity in Resource Allocation Presentation to Kwa-Maritane Meeting 17-20 August 2000 Di McIntyre

  2. Identifying priority groups • Recognise the socio-economic health status link • Appropriate type & level of disaggregation: • To facilitate targeting of resources - geographic areas • To target accurately-small enough areas not to obscure pockets of poor health/SES through averages (peri-urban areas)

  3. Key Principles • Improving health status is the goal • Equity perspective • Where vast inequities exist, reduce gap in health status as quickly as possible • Improve health status of the worst off • Target allocation of limited government resources to such groups • Recognise different starting points (unequal treatment}

  4. Data Issues • Health need side: • Household survey data - advocate for improvements (& in vital statistics) • Health resources side: • Expenditure (not budgets) - adequate disaggregation; NHA institutionalisaiton • Personnel • Public/private sector - remove those not dependent on public sector services

  5. Resource allocation process • Political in nature (losers will obstruct) • Explicit allocation mechanism: inter-& intra-geographic areas & level of care • Transparent process:wide agreement on basis for allocation in advance • Advocacy with decision-makers • Importance of other social sectors

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