Access to Health Care for All? User Fees Plus a Health Equity Fund in Sotnikum, Cambodia.

Hdl Handle:
http://hdl.handle.net/10144/16775
Title:
Access to Health Care for All? User Fees Plus a Health Equity Fund in Sotnikum, Cambodia.
Authors:
Hardeman, W; Van Damme, W; Van Pelt, M; Por, I; Kimvan, H; Meessen, B
Journal:
Health Policy and Planning
Abstract:
User fees in health services are a source of much debate because of their potential risk of negative effects on access to health care for the poor. A Health Equity Fund that identifies the poor and pays on their behalf may be an alternative to generally ineffective fee exemption policies. This paper presents the experience of such a Health Equity Fund, managed by a local non-governmental organization, in Sotnikum, Cambodia. It describes the results of the first 2 years of operations, investigates the constraints to equitable access to the district hospital and the effects of the Health Equity Fund on these constraints. The Health Equity Fund supported 16% of hospitalized patients. We found four major constraints to access: financial, geographical, informational and intra-household. The results of the study show that the Health Equity Fund effectively improves financial access for the poor, but that the poor continue to face many constraints for timely access. The study also found that the Health Equity Fund as set up in Sotnikum was very cost-effective, with minimal leakage to non-poor. Health Equity Funds managed by a local non-governmental organization seem to constitute a promising channel for donors who want to invest in poverty reduction. However, further research and experimentation are recommended in different contexts and with different set-ups.
Affiliation:
Médecins sans Frontières, Phnom Penh, Cambodia.
Publisher:
Published by Oxford University Press
Issue Date:
Jan-2004
URI:
http://hdl.handle.net/10144/16775
PubMed ID:
14679282
Additional Links:
http://heapol.oxfordjournals.org/cgi/reprint/19/1/22?ijkey=so75L6EDzh3K2&keytype=ref&siteid=heapol
Language:
en
Description:
To access this article, click on "Additional Links"
ISSN:
0268-1080
Appears in Collections:
Health Politics

Full metadata record

DC FieldValue Language
dc.contributor.authorHardeman, W-
dc.contributor.authorVan Damme, W-
dc.contributor.authorVan Pelt, M-
dc.contributor.authorPor, I-
dc.contributor.authorKimvan, H-
dc.contributor.authorMeessen, B-
dc.date.accessioned2008-01-24T15:01:46Z-
dc.date.available2008-01-24T15:01:46Z-
dc.date.issued2004-01-
dc.identifier.citationAccess to Health Care for All? User Fees Plus a Health Equity Fund in Sotnikum, Cambodia. 2004, 19 (1):22-32notHealth Policy Planen
dc.identifier.issn0268-1080-
dc.identifier.pmid14679282-
dc.identifier.urihttp://hdl.handle.net/10144/16775-
dc.descriptionTo access this article, click on "Additional Links"-
dc.description.abstractUser fees in health services are a source of much debate because of their potential risk of negative effects on access to health care for the poor. A Health Equity Fund that identifies the poor and pays on their behalf may be an alternative to generally ineffective fee exemption policies. This paper presents the experience of such a Health Equity Fund, managed by a local non-governmental organization, in Sotnikum, Cambodia. It describes the results of the first 2 years of operations, investigates the constraints to equitable access to the district hospital and the effects of the Health Equity Fund on these constraints. The Health Equity Fund supported 16% of hospitalized patients. We found four major constraints to access: financial, geographical, informational and intra-household. The results of the study show that the Health Equity Fund effectively improves financial access for the poor, but that the poor continue to face many constraints for timely access. The study also found that the Health Equity Fund as set up in Sotnikum was very cost-effective, with minimal leakage to non-poor. Health Equity Funds managed by a local non-governmental organization seem to constitute a promising channel for donors who want to invest in poverty reduction. However, further research and experimentation are recommended in different contexts and with different set-ups.en
dc.language.isoenen
dc.publisherPublished by Oxford University Press-
dc.relation.urlhttp://heapol.oxfordjournals.org/cgi/reprint/19/1/22?ijkey=so75L6EDzh3K2&keytype=ref&siteid=heapol-
dc.rightsArchived on this site with kind permission from Oxford University Pressen
dc.subject.meshCambodiaen
dc.subject.meshFees and Chargesen
dc.subject.meshFinancing, Organizeden
dc.subject.meshHealth Care Reformen
dc.subject.meshHealth Servicesen
dc.subject.meshHealth Services Accessibilityen
dc.subject.meshHealth Services Researchen
dc.subject.meshHumansen
dc.subject.meshSocial Classen
dc.subject.meshSocial Justiceen
dc.titleAccess to Health Care for All? User Fees Plus a Health Equity Fund in Sotnikum, Cambodia.en
dc.contributor.departmentMédecins sans Frontières, Phnom Penh, Cambodia.en
dc.identifier.journalHealth Policy and Planningen

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