Achieving the Twin Objectives of Efficiency and Equity: Contracting Health Services in Cambodia

Publication | March 2002

This study suggests that efficiency gains in the provision of health services do not come at the expense of equity. Rather, improvement in efficiency appears to also lead to better access of health services by the poor in Cambodia.

Over 25 years of conflict has left Cambodia with a depleted human resource base and no functioning public service infrastructure. From a near zero base, development of a health care system has been in progress for less than a decade. Although considerable strides have been made, health indicators are still among the worst in the Asian and Pacific region. Average life expectancy at birth is estimated at only 56.4 years: 54.4 years for males and 58.3 years for females. Infant mortality rate is estimated to be 95 per 1,000 live births, while the under-five mortality rate is 124 and the maternal mortality ratio is 437 per 100,000 live births (NIS et al. 2001). The public health care system is still rudimentary, with the use of facilities at a low 0.35 contact per capita per year.


  • Government Contracting of Health Services
  • Was Contracting Effective?
  • Was Contracting Efficient?
  • Was Contracting Equitable?
  • Conclusion
  • References

Additional Details

  • Governance and public sector management
  • Fragile situations
  • Health
  • Cambodia
  • 1655-5260 (Print)


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