Professional Documents
Culture Documents
Introduction
1996 User Fee schemes at facility level established .
User fees for poor and indigent patients was functioning relatively well at Health Centre level, but not as effectively at Hospital level.
Health Equity Funds were introduced as a demand-side financing mechanism to improve access for the poor.
Health Equity Funds first covered the user fees related to hospitalization (CPA health services),
Introduction
In 2003 HEFs became an integral component of:
the Health Sector Strategic Plan (2003-2007) and the National Poverty Reduction Strategy (2003-2006), and later the National Strategic Development Plan (2006-2010). Health Equity Funds are also an important element of the new Strategic Framework for Health Financing (2008-2015) and the second Health Sector Strategic Plan (2008-2015).
In 2007, Inter Ministerial Prakas 809 established a subsidization mechanism call Government Health Equity Fund
Models of HEF
Model 1: National hospitals
Operate on government subsidy No third party operator Direct medical benefit No transport, food or funeral allowance Pre- and Post-Identification Accountable for use of funds to MOH
Large NGOs purchase maternal health services for all clients: - 4 ANC visits - Delivery at facility - Postnatal check up (24 hrs) => free for client, facility gets 10 $
Large NGOs purchase FP services for all clients: - IUD - VSC => free for client, and transport, facility gets $ based on user fee scheme
Government incentive
In 02 February 2007 , RGC giving
the financial incentives to motivate the midwives to provide services. Samdech Decho HUN SEN, Prime Minister of The RGC has committed and supported these
MMR development in Cambodia 1990-2010. Estimates for 1990 and 1995 from WHO, the remainder from CDHS For 2005 and 2010 with 95% confidence intervals
Achievements 2011
Total ODs implemented HEF & Subsidy
Number ODs with Government subsidy-Group2 HEF with Gvt & DPs funding -Group 3&4 Total RHs with HEF & subsidy Total HCs With HEF NHs with government subsidy Group 1
Total poor pop cover by HEF within 58ODs % poor pop with HEF coverage No,proportion of RHs with HEF Total CBHI beneficiaries New CBHI benificiaries registered Total CBHI benificiaries drop out