The political economy of inclusive healthcare in Cambodia
Abstract
Over the past 15 years, Cambodia has made significant strides in expanding effective access to free healthcare for poor people, thanks largely to 바카라 사이트˜Health Equity Funds바카라 사이트™ (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 Cambodia바카라 사이트™s 바카라 사이트˜political settlement바카라 사이트™, in which relatively successful multi-stakeholder initiatives exist as 바카라 사이트˜islands of effectiveness바카라 사이트™ 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.
Citation
Kelsall, T.; Seiha, H. The political economy of inclusive healthcare in Cambodia. Effective States and Inclusive Development Research Centre (ESID), University of Manchester, Manchester, UK (2014) 38 pp. ISBN 978-1-908749-43-7 [ESID Working Paper No. 43]
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