Target Stakeholder Spending: Health (PI7395)

This metric is intended to disaggregate the number of Client Households: Total (PI7954) according to the proportion of their total household expenditure or income spent on health during the reporting period. These data can be collected directly from target stakeholders (patients) or through the healthcare service/facility. If collected directly from target stakeholders through a survey, organizations should footnote details on the sample size and survey instrument used, as well as details on who administered the survey and who aggregated the resulting data. Third party data may also be available; see Sustainable Development Goal indicator reference below.

This metric, in combination with Client Households: Total (PI7954) aligns with Sustainable Development Goal (SDG) indicator 3.8.2. This SDG indicator offers two "levels" of what constitutes a large share of household expenditure; the options within this disaggregation metric align with those two thresholds. IRIS+ users are encouraged to calculate both. For further guidance, see SDG indicator metadata for indicator 3.8.2 (https://unstats.un.org/sdgs/metadata/files/Metadata-03-08-02.pdf).

In some contexts, this metric can serve as an indicator of whether the outcome being sought by an investor or organization is occurring (the WHAT dimension of impact). For more on the alignment of IRIS metrics to the five dimensions of impact, see IRIS+ and the Five Dimensions of Impact (https://iris.thegiin.org/document/iris-and-the-five-dimensions/). No single metric is sufficient to understand an impact; rather, metrics are selected as a set across all dimensions of impact. When possible, the selection of metrics to measure and describe the five dimensions should be based on best practice and evidence.