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Impact of health financing policies in Cambodia: A 20 year experience

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  • Ensor, Tim
  • Chhun, Chhim
  • Kimsun, Ton
  • McPake, Barbara
  • Edoka, Ijeoma

Abstract

Improving financial access to services is an essential part of extending universal health coverage in low resource settings. In Cambodia, high out of pocket spending and low levels of utilisation have impeded the expansion of coverage and improvement in health outcomes. For twenty years a series of health financing policies have focused on mitigating costs to increase access particularly by vulnerable groups. Demand side financing policies including health equity funds, vouchers and community health insurance have been complemented by supply side measures to improve service delivery incentives through contracting.

Suggested Citation

  • Ensor, Tim & Chhun, Chhim & Kimsun, Ton & McPake, Barbara & Edoka, Ijeoma, 2017. "Impact of health financing policies in Cambodia: A 20 year experience," Social Science & Medicine, Elsevier, vol. 177(C), pages 118-126.
  • Handle: RePEc:eee:socmed:v:177:y:2017:i:c:p:118-126
    DOI: 10.1016/j.socscimed.2017.01.034
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    References listed on IDEAS

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    1. Akashi, Hidechika & Yamada, Takako & Huot, Eng & Kanal, Koum & Sugimoto, Takao, 2004. "User fees at a public hospital in Cambodia: effects on hospital performance and provider attitudes," Social Science & Medicine, Elsevier, vol. 58(3), pages 553-564, February.
    2. Flores, Gabriela & Ir, Por & Men, Chean R. & O’Donnell, Owen & van Doorslaer, Eddy, 2013. "Financial protection of patients through compensation of providers: The impact of Health Equity Funds in Cambodia," Journal of Health Economics, Elsevier, vol. 32(6), pages 1180-1193.
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    Cited by:

    1. Kaiser, Andrea Hannah & Okorafor, Okore & Ekman, Björn & Chhim, Srean & Yem, Sokunthea & Sundewall, Jesper, 2023. "Assessing progress towards universal health coverage in Cambodia: Evidence using survey data from 2009 to 2019," Social Science & Medicine, Elsevier, vol. 321(C).
    2. Rika Idei & Hironori Kato, 2020. "Medical-purposed travel behaviors in rural areas in developing countries: a case study in rural Cambodia," Transportation, Springer, vol. 47(3), pages 1415-1438, June.
    3. Rahman, Mohammad Mahbubur & Pallikadavath, Saseendran, 2018. "How much do conditional cash transfers increase the utilization of maternal and child health care services? New evidence from Janani Suraksha Yojana in India," Economics & Human Biology, Elsevier, vol. 31(C), pages 164-183.

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