Health financing for universal coverage

Study of financial access to health services for the poor in Cambodia

Phase 1: Scope, design, and data analysis & Phase 2: In-depth analysis of selected case studies

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Authors:
Royal Melbourne Institute of Technology

Publication details

Editors: Dr Peter Annear, Research Associate, RMIT University, Melbourne
Number of pages: 53 (Phase 1) & 59 (Phase 2)
Publication date: 2006 & 2007
Languages: English

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Overview

This study of financial access to health services for the poor in Cambodia reviews health reform proposals that have been adopted or pioneered in Cambodia, including official user fees, sub-contracting government health service delivery to non-government providers, and community based health insurance. These health reform measures have acted to reduce the burden of health costs on the poor and to improve access.

In recent years, a number of fee exemption systems have, though, failed to protect the poor, who have largely been excluded from access to health care due to cost and other barriers. Now, a new model of health financing and relief for the poor has emerged, called health equity funding. Health equity funding has been particularly successful in reducing financial barriers and increasing utilization of government services. Health equity funding appears to be an efficient and effective way to overcome inequalities and extend health service coverage.

This report details the findings of new research into health and equity in Cambodia carried out by the Ministry of Health, WHO, AusAID and RMIT University.