Method for allocating direct expenditure by the Australian Government to states and territories

To estimate the overall levels of public health expenditure in each state and territory, it is necessary to allocate the Australian Government funding in supporting public health programs on a state and territory basis. The Australian Government funds expenditure on public health activities through:

  • the provision of FFAs to states and territories
  • its own direct expenditure in supporting public health programs.

The Australian Government’s FFAs can readily be allocated on a state and territory basis. Because its direct expenditures are generally not available on this basis, other indicators need to be used to allocate these expenditures.

Except for the purchases of essential vaccines by the Australian Government on behalf of the state and territory governments, direct expenditure by the Australian Government has been apportioned across state and territories using population measures that directly relate to the recipients or the people that are direct beneficiaries of the expenditure. For example, direct expenditure on breast cancer screening has been split according to the relative share of specific target populations in each state and territory – in this case women aged 50–74 years. Alternatively, where the specific populations are not readily identifiable, then the total populations for each state and territory have been used.

Table 2: Population groups used in apportioning direct expenditure by the Australian Government across state and territories

Public health activity categories

Population groups

Communicable disease control 

  • HIV/AIDS, hepatitis C and sexually transmitted diseases
  • Needle and syringe programs 
  • Other communicable disease control

Total state/territory population numbers

Total state/territory population numbers

Total state/territory population numbers

Selected health promotion 

Total state/territory population numbers 

Organised immunisation

Total state/territory population numbers

Environmental health 

Total state/territory population numbers

Foods standards and hygiene 

Total state/territory population numbers

Screening programs
Breast cancer screening
Cervical screening

  • Medicare benefit payments 
  • Other expenditure
Bowel cancer screening 

Females aged 50–74 years by state/territory 

Recipients by state of location

Females aged 25–75 years by state/territory

Adult population aged 50–74 years by state/territory

Prevention of hazardous and harmful drug
 
Alcohol 
 Tobacco 
 Illicit and other drugs of dependence 
 Mixed

Total state/territory population numbers

Total state/territory population numbers

Total state/territory population numbers

Total state/territory population numbers

Public health research

Total state/territory population numbers

Public health n.f.d.

Total state/territory population numbers

Note: These are the population groups used by the AIHW to apportion the expenditure. The actual target groups of the associated programs may vary.