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អង្គការ សមាគមគាំពារសុខភាពសង្គម

អង្គការ សមាគមគាំពារសុខភាពសង្គម. Social Health Protection for the Informal Sector in Cambodia. Mr. Sao Chhorn- SN, Bcom , MBA Managing Director Social Health Protection Association (SHPA). Contents. What is SHPA Overview of Social Health Protection in Cambodia

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អង្គការ សមាគមគាំពារសុខភាពសង្គម

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  1. អង្គការ សមាគមគាំពារសុខភាពសង្គម Social Health Protection for the Informal Sector in Cambodia Mr. Sao Chhorn-SN, Bcom, MBAManaging Director Social Health Protection Association (SHPA) Interim Working Group Meeting on Social Protection 19th June 2013

  2. Contents Interim Working Group Meeting, 19th June 2013 What is SHPA Overview of Social Health Protection in Cambodia Status of Social Health Protection for Informal Sector (SHP-IS) Challenges for SHP-IS Solutions for SHP-IS

  3. What is the Social Health Protection Association (SHPA) ? Interim Working Group Meeting, 19th June 2013 • Not-for-profit organization for operators of social health protection schemes (HEFs, CBHI, vouchers etc.) • Formally registered in May 2012 • Owned by its members (13 NGOs and CBOs) with elected Board of Directors • Support from German Development Cooperation through GIZ for start-up

  4. SHPA’s Organizational Set-up Interim Working Group Meeting, 19th June 2013

  5. SHPA’s Vision & Mission Interim Working Group Meeting, 19th June 2013 Vision: “A future where … all Cambodians have access to quality health services and other relevant social assistance regardless of wealth, socio-economic status or other factors” Mission: “To support and promote the quality, sustainability and coverageof CBHI and other social health protection and/or micro-insurance schemes in Cambodia”

  6. SHPA’s Activities Interim Working Group Meeting, 19th June 2013 • A collective voice and platform for collaboration • Policy, advocacy and research • Joint tools, guidelines and standards • A high quality resource centre • Technical support, training and capacity development for new and existing schemes • An information and communication platform • Information sharing and networking between members • Improve marketing and promotion of SHP products

  7. Social Health Protection in Cambodia Interim Working Group Meeting, 19th June 2013 For formal sector: National Social Security Fund (NSSF) for private sector under Ministry of Labor and Vocational Training National Social Security Fund for civil servants (NSSF-C) Private insurers

  8. SHP in Cambodia (Cont.) *With focus on demand-side mechanisms For informal sector* (Ministry of Health): Health Equity Funds (HEF) for pre-identified poor Exemptions and SUB-Os by health providers ‘Community based health insurance’ (CBHI)OR ‘voluntary membership’ for near poor through integrated SHP schemes Vouchers for priority health services Private micro-insurers targeting medium income population

  9. Status of SHP for Informal Sector • Planned expansion of Health Equity Funds (HEF) to all districts - very positive development! • BUT not a solution for majority of informal sector - approx. 50% of total population • Integrated SHP schemes: • Improved cost-effectiveness for integrated schemes • Improved coverage rates of successful schemes (30% to 40% of target population in some districts) • But overall membership down from 250,000 at end of 2011 to 135,000 in 2013

  10. Challenges – Operational Level Difficult financial environment – lack of funding for integrated schemes Demand creation – improve demand for health insurance / SHP among target population Improving quality - perceived quality of public health services remains poor Strengthening capacity of operators – SHPA’s role!

  11. Challenges – Policy Level SHPA and its members strongly support emphasis on Universal Health Coverage (UHC) in long run - draft Health Financing Policy BUT uncertainty about approach in short-to medium-term (next 3 to 5 years) AND misunderstanding among some partners on position of Government / MoH toward voluntary enrolment and integrated SHP schemes

  12. Solutions for SHP-IS Interim Working Group Meeting, 19th June 2013 Clarity on Government support for integrated SHP schemes Investment in scaling up of integrated schemes Investment in innovation (e.g. risk based subsidy) to further improve effectiveness …and exploring linkages with wider social protection system: comprehensive, integrated approach to all risks and vulnerabilities

  13. អង្គការ សមាគមគាំពារសុខភាពសង្គម Thanks for Your Attention! - www.shpa.org.kh chhornsao@shpa.org.kh

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