Language:
English
Pages:
1 Online-Ressource (8 Seiten)
,
Illustrationen
Series Statement:
Good-Practice-Reihe 06B
Uniform Title:
Gesundheitsfürsorge für die Ärmsten durch den "Health Equity Fund"
Keywords:
Kambodscha Gesundheit
;
Gesundheitswesen
;
HIV
Abstract:
This article deals with the Cambodian Health Equity Fund (HEF), which, in a modified form since 2000, has enabled around three million people classified as extremely poor, i.e. around 20% of the country`s total population, to receive free health care at various levels. The service financed by the HEF starts with the services of local health centres and extends from district and provincial hospitals (Referral Hospitals) to special treatment in the capital Phnom Penh. The surveys carried out in 2017-2018 by the Institute for Development and Peace (INEF), University of Duisburg-Essen, within the framework of a study in a total of 28 health facilities and among numerous actors in their environment confirm the positive effects of the HEF-supported care system on poor patients. On the one hand, many people who could not afford any medical care before are now visiting the state institutions for treatment purposes. On the other hand, the services offered there have improved significantly compared to earlier years. This is also due to the fact that part of the payments from the HEF (60%) goes to the staff, whose motivation is significantly increased in this way. In particular, mothers-to-be (e.g. free births in qualified health facilities) and women with small children benefit from comprehensive aftercare, which also includes nutrition counselling and thus addresses the problem of widespread malnutrition in Cambodia, especially among children. One challenge remains the fact that a large part of Cambodia`s population is vulnerable (including the extreme- ly poor, this is around 55%), so that a solution must also be found for people living just above the poverty line to enable them affordable access to health services.
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