Cambodia

Start: 1998
Phase: First pilot started in 1998
Coverage Estimate: 10%
Feasibility: Modest
Supported by: ADB and MOH

Description: This was the first country that started contracting in a form that later evolved into PBF. The initiatives were donor-driven and the government did not come on board. The country has moved to experiment with health equity funds instead and a hierarchical contracting mechanism of the different layers of the MOH. New initiatives might be necessary to integrate lessons learned from other countries, which scaled up PBF nation-wide such as Rwanda and Burundi. A promising overview article has been published in Social Science & Medicine on the Cambodia experience which contains recommendations for the way forward.

References

Keovathanak K, Leslie P (2013),  “Strengthening district health service management and delivery through internal contracting: Lessons from pilot projects in Cambodia”. Social Science & Medicine 96 (2013) 241e249

Bhushan, I., E. Bloom, et al. (2007). Contracting for Health: Evidence from Cambodia. Soeters, R. and F. Griffiths (2003). “Improving government health services through contract management: a case from Cambodia.” Health Policy and Planning 18(1): 74-83.

Soeters, R. and F. Griffiths (2003). “Improving government health services through contract management: a case from Cambodia.” Health Policy and Planning 18(1): 74-83.

Annear, P. (2010). A comprehensive review of the literature on health equity funds in Cambodia 2001-2010 and annotated bibliography. Health Policy and Health Finance Knowledge Hub working paper series. Melbourne, The Nossal Institute for Global Health.

 

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