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Better Policy for Better Health

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Publications

Expanding Social Health Protection in Cambodia: An Assessment of the Current Coverage Potential and Gaps, and Social Equity Considerations

The Royal Government of Cambodia recently launched its National Social Protection Policy framework to strengthen and expand social security and assistance. To inform social health protection policy, we examine socio-economic survey data and administrative coverage data to assess the coverage potential of existing coverage mechanisms and current gaps; and compare equitable contribution rates. Over 53 per cent of the population currently has no social health protection coverage mechanism, and about 16 per cent of the population who do have access to a mechanism are not yet enrolled. Current expansion efforts focus on the formal employee scheme, primarily benefiting individuals from higher income households. In addition, recent coverage expansion to some informal workers leaves significant gaps, particularly among the informal sector. We find out-of-pocket health care expenditure to be an excessive share of income among lower wealth quintile individuals and conclude they are financially vulnerable. Finally, we illustrate that an equitable approach to individual, monthly health care contributions among the lower three quintiles has a severely limited potential for revenue generation, and collection costs could exceed the amount collected. Therefore, we recommend that vulnerable groups should be exempted from contribution payments as social health protection is expanded.

Expanding Social Health Protection in Cambodia: An Assessment of the Current Coverage Potential and Gaps, and Social Equity Considerations
Expanding Social Health Protection in Cambodia: An Assessment of the Current Coverage Potential and Gaps, and Social Equity Considerations

Kolesar, R., S. Pheakdey, B. Jacobs, N. Chan, S. Yok, et al. 2020. "Expanding Social Health Protection in Cambodia: An Assessment of the Current Coverage Potential and Gaps, and Social Equity Considerations." International Social Security Review.
English External LinkMay 2020

Related Materials

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Evidence to Action: Advancing Universal Health Coverage in Cambodia
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Why Policy Matters: Reforms Lead to a Healthy Outlook for Nigerians
Why Policy Matters: Reforms Lead to a Healthy Outlook for Nigerians

Tags

    Cambodia    
Equity     Health Financing     Health Insurance     Health Systems Strengthening     Journal article     Key Populations        

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  • About
    • Project Overview
    • Partners
    • Leadership
    • Contact
    • Work with Us
    • Home
  • Our Work
    • Family Planning
    • HIV
    • COVID-19 Response
    • Health Financing
    • Maternal Health
    • Modeling
    • Capacity Development
    • Gender
    • Health Equity
  • Countries
    • Africa
    • Afghanistan & Pakistan
    • Asia
    • Latin America & the Caribbean
  • Resources
    • Publications
    • Models
    • News
    • Viewpoints
    • Conferences & Events
    • Webinars
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CONTACT US

Health Policy Plus
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policyinfo@thepalladiumgroup.com

Health Policy Plus (HP+) is a seven-year cooperative agreement funded by the U.S. Agency for International Development under Agreement No. AID-OAA-A-15-00051, beginning August 28, 2015. HP+ is implemented by Palladium, in collaboration with Avenir Health, Futures Group Global Outreach, Plan International USA, Population Reference Bureau, RTI International, ThinkWell, and the White Ribbon Alliance for Safe Motherhood.

USAID-from the American People

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