IDEAS home Printed from https://ideas.repec.org/p/bwp/bwppap/esid-043-14.html
   My bibliography  Save this paper

The political economy of inclusive healthcare in Cambodia Guarantee Scheme in India

Author

Listed:
  • Tim Kelsall
  • Seiha Heng

Abstract

Over the past 15 years, Cambodia has made significant strides in expanding effective access to free healthcare for poor people, thanks largely to 'Health Equity Funds' (HEFs), a multi-stakeholder health-financing mechanism. HEF operators have helped expand access, incentivise health staff, and lobby on behalf of poor patients. However, despite their successes, they have been unable convincingly to address some of the deeper-seated problems of the Cambodian health system, such as under-resourced facilities, underpaid, poorly qualified staff, and a burgeoning private sector. This paper explains this state of affairs as a product of Cambodia's 'political settlement', in which relatively successful multi-stakeholder initiatives exist as 'islands of effectiveness' in a sea of rent-seeking and patronage. While such islands may currently be the best solution available for poor people, the deeper problems are unlikely to be solved without a shift in the political settlement itself.

Suggested Citation

  • Tim Kelsall & Seiha Heng, 2014. "The political economy of inclusive healthcare in Cambodia Guarantee Scheme in India," Global Development Institute Working Paper Series esid-043-14, GDI, The University of Manchester.
    • Handle: RePEc:bwp:bwppap:esid-043-14
    as

    Download full text from publisher

    File URL: http://www.effective-states.org/wp-content/uploads/working_papers/final-pdfs/esid_wp_43_kelsall_heng.pdf
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Matthias vom Hau, 2012. "State capacity and inclusive development: new challenges and directions," Global Development Institute Working Paper Series esid-002-12, GDI, The University of Manchester.
    2. Rajagopal, 2014. "The Human Factors," Palgrave Macmillan Books, in: Architecting Enterprise, chapter 9, pages 225-249, Palgrave Macmillan.
    3. Brian Levy & Michael Walton, 2013. "Institutions, incentives and service provision: Bringing politics back in," Global Development Institute Working Paper Series esid-018-13, GDI, The University of Manchester.
    4. 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.
    5. World Bank, 2011. "Cambodia - More Efficient Government Spending for Strong and Inclusive Growth : Integrated Fiduciary Assessment and Public Expenditure Review," World Bank Publications - Reports 2813, The World Bank Group.
    6. Ir, Por & Bigdeli, Maryam & Meessen, Bruno & Van Damme, Wim, 2010. "Translating knowledge into policy and action to promote health equity: The Health Equity Fund policy process in Cambodia 2000-2008," Health Policy, Elsevier, vol. 96(3), pages 200-209, August.
    7. Slocomb, Margaret, 2010. "An Economic History of Cambodia in the Twentieth Century," University of Chicago Press Economics Books, University of Chicago Press, number 9789971694999, December.
    8. Sen, Kunal, 2013. "The Political Dynamics of Economic Growth," World Development, Elsevier, vol. 47(C), pages 71-86.
    9. World Bank, 2011. "Republic of Chad - Public Expenditure Review Update : Using Public Resources for Economic Growth and Poverty Reduction," World Bank Publications - Reports 2821, The World Bank Group.
    10. World Bank, 2013. "Where Have All the Poor Gone? : Cambodia Poverty Assessment 2013," World Bank Publications - Reports 17546, The World Bank Group.
    11. Tim Kelsall & Seiha Heng, 2014. "The political settlement and economic growth in Cambodia," Global Development Institute Working Paper Series esid-037-14, GDI, The University of Manchester.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Tim Kelsall & Sothy Khieng & Chuong Chantha & Tieng Tek Muy, 2016. "The political economy of primary education reform in Cambodia," Global Development Institute Working Paper Series esid-058-16, GDI, The University of Manchester.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Tim Kelsall & Seiha Heng, 2016. "Inclusive healthcare and the political settlement in Cambodia," New Political Economy, Taylor & Francis Journals, vol. 21(2), pages 238-255, March.
    2. repec:ilo:ilowps:487627 is not listed on IDEAS
    3. Tim Kelsall & Sothy Khieng & Chuong Chantha & Tieng Tek Muy, 2016. "The political economy of primary education reform in Cambodia," Global Development Institute Working Paper Series esid-058-16, GDI, The University of Manchester.
    4. Anthony Bebbington & Abdul-Gafaru Abdulai & Marja Hinfelaar & Denise Humphreys Bebbington & Cynthia Sanborn, 2017. "Political settlements and the governance of extractive industry: A comparative analysis of the longue duree in Africa and Latin America," Global Development Institute Working Paper Series esid-081-17, GDI, The University of Manchester.
    5. Chhotray, Vasudha & Adhikari, Anindita & Bahuguna, Vidushi, 2020. "The political prioritization of welfare in India: Comparing the public distribution system in Chhattisgarh and Jharkhand," World Development, Elsevier, vol. 128(C).
    6. Robert Darko Osei & Charles Ackah & George Domfe & Michael Danquah, 2015. "Political settlements, the deals environment and economic growth: The case of Ghana," Global Development Institute Working Paper Series esid-053-15, GDI, The University of Manchester.
    7. Vasudha Chhotray & Anindita Adhikari & Vidushi Bahuguna, 2018. "The political prioritisation of welfare in India: Comparing the Public Distribution System in Chhattisgarh and Jharkhand," Global Development Institute Working Paper Series esid-111-18, GDI, The University of Manchester.
    8. Tom Lavers & Sam Hickey, 2015. "Investigating the political economy of social protection expansion in Africa: At the intersection of transnational ideas and domestic politics," Global Development Institute Working Paper Series esid-047-15, GDI, The University of Manchester.
    9. Tim Kelsall & Seiha Heng, 2014. "The political settlement and economic growth in Cambodia," Global Development Institute Working Paper Series esid-037-14, GDI, The University of Manchester.
    10. Rahman, Shaikh Moksadur, 2020. "Relationship between Job Satisfaction and Turnover Intention: Evidence from Bangladesh," Asian Business Review, Asian Business Consortium, vol. 10(2), pages 99-108.
    11. Wang Kai, 2019. "Towards a Taxonomy of Idea Generation Techniques," Foundations of Management, Sciendo, vol. 11(1), pages 65-80, January.
    12. Bridgelall, Raj & Stubbing, Edward, 2021. "Forecasting the effects of autonomous vehicles on land use," Technological Forecasting and Social Change, Elsevier, vol. 163(C).
    13. Bevilacqua, Maurizio & Ciarapica, Filippo Emanuele, 2018. "Human factor risk management in the process industry: A case study," Reliability Engineering and System Safety, Elsevier, vol. 169(C), pages 149-159.
    14. Naveena Prakasam & Louisa Huxtable-Thomas, 2021. "Reddit: Affordances as an Enabler for Shifting Loyalties," Information Systems Frontiers, Springer, vol. 23(3), pages 723-751, June.
    15. Colin Jerolmack & Alexandra K. Murphy, 2019. "The Ethical Dilemmas and Social Scientific Trade-offs of Masking in Ethnography," Sociological Methods & Research, , vol. 48(4), pages 801-827, November.
    16. Valeriy Makarov & Albert Bakhtizin, 2014. "The Estimation Of The Regions’ Efficiency Of The Russian Federation Including The Intellectual Capital, The Characteristics Of Readiness For Innovation, Level Of Well-Being, And Quality Of Life," Economy of region, Centre for Economic Security, Institute of Economics of Ural Branch of Russian Academy of Sciences, vol. 1(4), pages 9-30.
    17. Zhao, Jing & Knoop, Victor L. & Wang, Meng, 2020. "Two-dimensional vehicular movement modelling at intersections based on optimal control," Transportation Research Part B: Methodological, Elsevier, vol. 138(C), pages 1-22.
    18. Kristine Edgar Danielyan & Samvel Grigoriy Chailyan, 2019. "Delineation of Effectors Impact on The Human Brain Derived Phosphoribosylpyrophosphate Synthetase-1 Activity," Biomedical Journal of Scientific & Technical Research, Biomedical Research Network+, LLC, vol. 24(1), pages 17918-17926, December.
    19. Chuan Wang & Yupeng Liu & Wen Hou & Chao Yu & Guorong Wang & Yuyan Zheng, 2021. "Reliability and availability modeling of Subsea Autonomous High Integrity Pressure Protection System with partial stroke test by Dynamic Bayesian," Journal of Risk and Reliability, , vol. 235(2), pages 268-281, April.
    20. Mohammad AL-Zoubi, 2018. "The Role of Technology, Organization, and Environment Factors in Enterprise Resource Planning Implementation Success in Jordan," International Business Research, Canadian Center of Science and Education, vol. 11(8), pages 48-65, August.
    21. Damgaard, Mette Trier & Nielsen, Helena Skyt, 2018. "Nudging in education," Economics of Education Review, Elsevier, vol. 64(C), pages 313-342.

    More about this item

    NEP fields

    This paper has been announced in the following NEP Reports:

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:bwp:bwppap:esid-043-14. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Rowena Harding (email available below). General contact details of provider: https://edirc.repec.org/data/wpmanuk.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.