|
Cambodia
|
Grant: CAM36400-01
|
Health Care Financing for the Poor
|
|
Location
Operational districts in the provinces of Prey Veng (Pearaing and Preah Sdach), Kampong Cham (Memut and Ponhea Krek), Koh Kong, Takeo (Ang Rokar and Kirivong), Mondulkiri, and Rattanakiri.
|
Sector
Health, Nutrition, & Social Protection /Other Health & Social Services
|
Initial Listing
20 September 2002
|
Most Recent Update
1 December 2006
|
Executing Agency(ies)
Ministry of Health
|
Grant Fact-Finding Mission Undertaken/Scheduled: 19 Aug-2 Sep 2002
|
|
Grant Approval Date
15 November 2004
|
Estimated Completion Date
31 December 2008
|
- Cost and Financing Plan (in US$)
-
| Source |
Amount |
|
JFPR |
1,847,000.00 |
| Total |
1,847,000.00 |
|
- Description
-
|
|
-
-
|
-
-
|
- Thematic Classification
-
|
- Target Classification
- General Intervention
|
- Objectives and Scope
-
The Project establishes an equity fund to provide financial support for the catastrophic health expenses of the poor and vulnerable populations. This is aimed to improve the access of the poor and vulnerable population to the health system through the provision of targeted, demand-side subsidies. This is also expected to create significant impact on reducing poverty, as catastrophic health events are a leading cause of impoverishment in Cambodia. The Project works with NGOs to identify the poor within defined geographic area. The Project is located in ten Health Operational Districts where the Health Sector Support Project is providing assistance in the management of the health system through contracted NGOs. The Project has five components: (a) establishment of an equity fund, (b) identification of the poor in the ten ODs, (c) support to the fund manager ( a national NGO) in policy dialog with stakeholders on the importance of demand subsidies and in the administration of the equity fund at the national level, (d) monitoring and poverty impact assessment, and (e) local capacity building and management.
- Policy Dialogue
-
- Environment Category:
C
- Environment Impact and Mitigation
-
Not applicable.
- Social Aspects and Remedies
-
- Benefits and Beneficiaries
-
An estimated 650,000 poor and ethnic minority people will be covered by the equity fund by the end of the Project. The Project will mitigate the high cost of catastrophic health care and reduce vulnerability. The health sector, particularly secondary referral hospitals, will benefit from a stronger and more equitable health system.
- Beneficiary Participation in Formulation
-
- Beneficiary Participation in Implementation
-
The Project will establish a local equity fund in each of the 10 covered ODs. The local equity funds will involve the community directly in the design of the local operation and in strategic management. To ensure participation, a district-level committee will be established to advise the equity fund at the local level. The committee will have mixed representation, including users and providers. The equity fund will work closely with hospital-level and OD-level committees where they exist. The community will be actively involved in stipulating the poverty criteria in each OD and the Project will seek guidance from local sources to identify areas with particularly poor communities. At the central level, the national level fund manager will also dialogue with stakeholders. This includes the Government, NGOs, and development partners.
- Consulting Services
-
An independent organization will be contracted to carry surveys and assessments of the progress of the project's activities. NGOs will be contracted to manage the equity funds (EF) at the local levels under the supervision of the fund manager. The regional equity fund manager will be responsible for overall EF management, operating policy, operating systems and plans, and will establish OD-level Beneficiary Identification Systems and OD-level Fund Control Systems. The EF Manager will manage and monitor OD-district level EF and linkages to other organizations at the national and international levels. The manager will work with the MOH's working group for health financing, which among other things includes members from the health economics and finance bureau of the MOH's Department of Planning and Health Information, and the MOH's Department of Budget and Finance.
- Procurement
-
Only limited procurement is expected and the procurement of goods and services below $100,000 will follow ADB's direct purchase procedure. No procurement of civil works is envisaged.
- Contacts
- Bank
|
Anupma Jain
|
|
Social Sector Specialist
|
|
SESS
|
|
Tel. No.:
|
(632) 632-6360
|
|
E-mail:
|
ajain@adb.org
|
- Executing Agency
- Ministry of Health
|
Contact Person
|
:
|
Dr. Char Meng Chuor
|
|
Tel. No.
|
:
|
|
|
Fax. No.
|
:
|
(855-23) 880260
|
|
E-mail
|
:
|
|
|
Contact Person
|
:
|
|
|
Tel. No.
|
:
|
|
|
Fax. No.
|
:
|
|
|
E-mail
|
:
|
|
- Remarks
-
|
|
|
Projects 
Top of page