1 / 8

Roadmap to Universal Coverage in CAMBODIA

Roadmap to Universal Coverage in CAMBODIA. Bureau of Health Economics and Financing, DPHI, MoH. 4 th TMR Health Policy & Financing, NOSSAL 11 th October 2011. Ros ChhunEang. Outline. 1- Cambodia at a glance 2- Roadmap to UC 3- Progress 4- Challenges. 1-Cambodia at a glance.

Download Presentation

Roadmap to Universal Coverage in CAMBODIA

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Roadmap to Universal Coverage in CAMBODIA Bureau of Health Economics and Financing, DPHI, MoH 4th TMR Health Policy & Financing, NOSSAL 11th October 2011 Ros ChhunEang

  2. Outline 1- Cambodia at a glance 2- Roadmap to UC 3- Progress 4- Challenges

  3. 1-Cambodia at a glance • Population >14 million; >80% are rural farmers • 27 % living under poverty line & almost 90% in rural area • GDP per capita = US$853 • OOP = 2/3

  4. Existing HF mechanisms • National budget • Global free initiatives.... • User fee (not cost recovery, not properly cost), with exemption policy • Special Operating Agency (SOA+SDG) • Fragmented HEF schemes by NGOs • Voucher by NGOs • CBHI by NGOs

  5. 4- Roadmap to UC No Social health Insurance but there are Fragmented Social Health Protection schemes SHP MP development (draft) Vision: To provide effective and equitable access to affordable quality of health services for all Cambodians....?

  6. Pluralistic approaches • Compulsory Social Health Insurance • SHI for formal private sector under NSSF • SHI for Civil servants under NSSF-C • Voluntary Insurance • Community-based health insurance (CBHI) • Social Assistance (HEF)

  7. Progress • NSSF: • established • has implemented work injury for 2ys • Legal framework for SHI being developed • NSSF: • established, • Legal framework for SHI being developed • HEF: covers >80% of the poor - Piloting linkage HEF and CBHI - Preparing expansion plan - Studying on HEF institutional arrangement by NOSSAL • CBHI: covers <1% (temporary circular by MEF) • Plan to review health financing charter (user fee, benefit, payment mechanism) • Plan to review Mater Plan of Social Health Protection

  8. 5- Challenges • Widespread poverty; civil servants and employees are low paid => Low ability-to-pay. • The majority of the population (>80%) are self-employed/farmers • Limited understanding of the rationale of pre-payment schemes among the population => Low commitment & participation. • The health system constraints : quality of care • Local technical capacity for SHI development is limited • SHP/HEF institutional arrangement • Financial sustainability 8

More Related