Publication: Cambodia : Using Contracting to Reduce Inequity in Primary Health Care Delivery
Date
2004-10
ISSN
Published
2004-10
Author(s)
Schwartz, J. Brad
Bhushan, Indu
Abstract
This study examines the equity impact of
using private sector contracts for the delivery of primary
health care as an alternative to traditional government
provision in Cambodia. It does so by using pre- and post
intervention data from a large scale contracting experiment
to provide primary health care in rural districts of
Cambodia between 1998 and 2001. Equity as well as coverage
targets for primary health care services were explicitly
included in contracts awarded in five of nine rural
districts with a population totaling over 1.25 million
people. The remaining four districts included in the test
were given identical equity and coverage targets and used
the traditional government provision of services. After
two-and-a-half years of the trial, the results suggest that
although coverage of primary health care services in all
districts had substantial increases, people in the poorest
one-half of households living in contracted districts were
more likely to receive these services than similarly
circumstanced poor people in government districts, other
factors equal.
Citation
“Schwartz, J. Brad; Bhushan, Indu. 2004. Cambodia : Using Contracting to Reduce Inequity in Primary Health Care Delivery. HNP discussion paper;. © World Bank, Washington, DC. http://openknowledge.worldbank.org/entities/publication/350b834d-b9ef-5e28-81e4-e2ca1b04d8dd License: CC BY 3.0 IGO.”