HEALTH POLICIES AND SYSTEMS
the Government of Cambodia is currently implementing the second Health Strategic Plan 2008-
2015 (HSP2) At the same time, the new National Strategic Development Plan (NSDP) 2014-2018
sets out the government’s approach for inclusive growth and sustainable development, wherein
people’s health is identified as one of the priorities for effective human capital. In addition, The
‘Decentralization and Deconcentration’ (D&D) agenda is a key area of public policy reform and is
expected to increase delegation of administrative functions and the resources from the central to
sub-national level. The other important challenges related to health systems development are
persisting high levels of out of pocket payments which accounts for more than 60% of the total
health expenditures, and poor quality of care, particularly in rural and remote facilities. While the
private facilities account for an estimated 49% of treatment episodes and the non-medical sector
such as drug vendors, traditional and religious healers and birth attendants attend to about 21%
of patients, a lot still need to be done in regulating services provided by the private sector. On the
human resources for health, the key outstanding issues include health professional registration,
the scaling up of the workforce to keep pace with population growth, and developing policies
related to private sector service provision. Initiatives to address financial barriers to accessing care
include voucher schemes, Health Equity Funds (HEFs) and other schemes, whereas HEFs have
been the most successful which now cover 80% of the poorest people in the country. The
expansion of the HEFs to cover all the poor population, and eventually shift from individual
schemes to a national health financing policy in support of universal health coverage remains a
major challenge for the Future
HEALTH POLICIES AND SYSTEMSthe Government of Cambodia is currently implementing the second Health Strategic Plan 2008-2015 (HSP2) At the same time, the new National Strategic Development Plan (NSDP) 2014-2018sets out the government’s approach for inclusive growth and sustainable development, whereinpeople’s health is identified as one of the priorities for effective human capital. In addition, The‘Decentralization and Deconcentration’ (D&D) agenda is a key area of public policy reform and isexpected to increase delegation of administrative functions and the resources from the central tosub-national level. The other important challenges related to health systems development arepersisting high levels of out of pocket payments which accounts for more than 60% of the totalhealth expenditures, and poor quality of care, particularly in rural and remote facilities. While theprivate facilities account for an estimated 49% of treatment episodes and the non-medical sectorsuch as drug vendors, traditional and religious healers and birth attendants attend to about 21%of patients, a lot still need to be done in regulating services provided by the private sector. On thehuman resources for health, the key outstanding issues include health professional registration,the scaling up of the workforce to keep pace with population growth, and developing policiesrelated to private sector service provision. Initiatives to address financial barriers to accessing careinclude voucher schemes, Health Equity Funds (HEFs) and other schemes, whereas HEFs havebeen the most successful which now cover 80% of the poorest people in the country. Theexpansion of the HEFs to cover all the poor population, and eventually shift from individualschemes to a national health financing policy in support of universal health coverage remains amajor challenge for the Future
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