| A sustainability assessment of a health equity fund initiative in Cambodia. | |
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MedLine Citation:
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PMID: 17624869 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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All but one of the health equity funds (HEFs) currently operating in Cambodia, introduced to address the adverse effects of low user fee exemption rates, rely heavily on external funding and have high administrative overheads. This article reports on a study of one type of HEF, based in Kirivong Operational Health District (KOD) and operated through local pagoda structures, which demonstrates minimal reliance on external funding and low administrative overheads. We utilize an adapted sustainability assessment framework to assess the ability of pagoda structures to enable financial access for the poorest to public sector health services. We further analyse the strengths and limitations of the pagoda-managed equity fund initiative, with a view to assessing not only its sustainability but its potential for replication in other settings.Our study shows that, against key sustainability indicators (health service utilization and health outcomes; management capacity and financial viability; community mobilization and government support), the pagoda-managed equity fund initiative scores well. However, it is evident that some external financial support is needed to allow the HEFs to function effectively. We conclude with recommendations for replicating the initiative, which include working innovatively with indigenous grassroots organizations to enhance community HEF ownership and to keep administrative overheads low. |
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Authors:
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Bart Jacobs; Neil Price; Sam Oeun Sam |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: The International journal of health planning and management Volume: 22 ISSN: 0749-6753 ISO Abbreviation: Int J Health Plann Manage Publication Date: 2007 Jul-Sep |
Date Detail:
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Created Date: 2007-08-13 Completed Date: 2008-01-02 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8605825 Medline TA: Int J Health Plann Manage Country: England |
Other Details:
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Languages: eng Pagination: 183-203 Citation Subset: H |
Copyright Information:
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Copyright (c) 2007 John Wiley & Sons, Ltd. |
Affiliation:
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Swiss Red Cross, Phnom Penh, Cambodia. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Cambodia Health Services / economics*, utilization Health Services Accessibility* Humans Program Evaluation* Public Health / economics |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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