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

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  • 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
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    References listed on IDEAS

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    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.

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