Progress Update on Health Equity and Quality Improvement Project in Cambodia
The Health Equity and Quality Improvement Project (H-EQIP) in Cambodia, managed by the World Bank, aims to strengthen health service delivery, improve financial protection and equity, and ensure sustainable health systems. Significant progress has been made in project implementation despite initial delays, with key accomplishments including the establishment of a Payments Certification Agency, accreditation of public hospitals, and expansion of insured services. Challenges remain in ensuring the sustainability of software systems and integrating formal and informal healthcare sectors.
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Presentation Transcript
UHC progress in Cambodia A high-level overview of the H-EQIP project 2019-04-04
Summary H-EQIP is the Health Equity and Quality Improvement Project World Bank is the lead (managing) donor; duration May-2016 to June-2021 Key areas of focus: Strengthening Health Service Delivery: $74.20 M Improving Financial Protection and Equity: $70.00 M Ensuring Sustainable & Responsive Health Systems: $30.00 M 2
Top ~15% of population has health coverage (formal sector) NEXT TARGET: Informal Sector H-EQIP focus Bottom ~20% of population has health coverage thru the HEF 3
July 2018 status update Despite initial rollout delays, project implementation is now progressing well and has made considerable progress since project effectiveness on November 9, 2016. Lump sum grants financed by the Royal government of Cambodia are flowing to the health facilities on time, and these funds are now complemented by performance based grants for about one-third of the country. Service Delivery Grants phase 2 roll-out is expected to be in the fourth quarter of 2018, and with the recruitment of an ICT firm to support the SDGs expected in July 2018, the SDG rollout should be nationwide by early 2019, fully using ICT tools. Payment of Health Equity Fund (HEF) is on time, and transition of HEF monitoring role to the Payment Certification Agency is on track. HEF was expanded to five national hospitals in April 2018, and the new Prakas on HEF benefit package was approved in May 2018. HEF Promoters to support the Post-Identification process and promoting HEF services are now on board in all six regions of the country. 4
Significant accomplishments Payments Certification Agency established and operating (independent from MOH) Public hospitals accredited; annual quality audit 3.5M Cambodians in the beneficiary database; receiving health insurance and social protection Expanded portfolio of insured services being rolled out; include quality-of-care metrics Khmer-developed software stack (PMRS) supporting HEF operations (CR, ADT, EMR, HIE, IIS) 6
Challenges Sustainability of PMRS software Context needs to be clarified: Work underway to refresh the national digital health strategy (WHO leading) Need a national digital health blueprint (??) Unclear how formal and informal sector to be brought into a single system 7
