ArticlePloS one2016
Access to Treatment for Diabetes and Hypertension in Rural Cambodia: Performance of Existing Social Health Protection Schemes.
Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.
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Who cites it
34 citing papers in PubMed, 1 synthesis or guideline pooled it, 79 citations in OpenAlex.
- Health seeking behaviours and private sector delivery of care for non-communicable diseases in low- and middle-income countries: a systematic review.BMC health services research · 2024Pooled it
- Facilitators and Barriers to Chronic Disease Self-Management and Mobile Health Interventions for People Living With Diabetes and Hypertension in Cambodia: Qualitative Study.JMIR mHealth and uHealth · 2020Trial
- Associated factors and educational and economic inequalities with raised blood pressure in Cambodia: analysis of the data from a national household survey.BMC public health · 2026Article
- Health financial resilience in individuals and households: a scoping review of components, strategies and outcomes.BMC public health · 2025Article
- Educational and economic disparities and risk factors associated with diabetes and impaired fasting glucose in Cambodia: analysis of a national population-based study.Journal of global health · 2025Article
- How health seeking behavior develops in patients with type 2 diabetes: a qualitative study based on health belief model in China.Frontiers in public health · 2024Article
- The role of the private sector in noncommunicable disease prevention and management in low- and middle-income countries: a series of systematic reviews and thematic syntheses.International journal of qualitative studies on health and well-being · 2023Review
- Article
- The Flipped Break-Even: Re-Balancing Demand- and Supply-Side Financing of Health Centers in Cambodia.International journal of environmental research and public health · 2023Article
- Article
- Scaling-up integrated type-2 diabetes and hypertension care in Cambodia: what are the barriers to health system performance?Frontiers in public health · 2023Article
- Assessing the potential of wearable health monitors for health system strengthening in low- and middle-income countries: a prospective study of technology adoption in Cambodia.Health policy and planning · 2022Review
- Construction of the health risk assessment index system for assessing the chronic diseases based on the general health.Journal of family medicine and primary care · 2022Article
- The cascade of hypertension care in Cambodia: evidence from a cross-sectional population-based survey.BMC health services research · 2022Article
- User experiences and perceptions of health wearables: an exploratory study in Cambodia.Global health research and policy · 2021Article
- Article
- Hypertension and diabetes patients' perspective of challenges and their coping mechanisms in Mukono and Buikwe districts in Uganda - a qualitative study.Open research Europe · 2021Article
- Scale-up integrated care for diabetes and hypertension in Cambodia, Slovenia and Belgium (SCUBY): a study design for a quasi-experimental multiple case study.Global health action · 2020Article
- A global perspective on the costs of hypertension: a systematic review.Archives of medical science : AMS · 2020Review
- Article
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Authors and funding
6 authors at 5 institutions in 4 countries.
Funding
Abstract
backgroundNon-communicable diseases (NCD) pose challenges to Cambodia's health system. Medicines for NCD are on the National Essential Medicines List but no clinical guidelines support their utilization. Two social health protection schemes aimed at the informal sector population exist (Health Equity Funds and Insurance) together with two disease-specific interventions (a Peer Educator Network and Chronic Diseases Clinics) targeted at NCD patients. This study examines performance of these various schemes in relation to NCD.
methodsCross-sectional household survey among 709 individuals self-reporting diabetes and/or hypertension in three geographical locations in rural Cambodia using a structured questionnaire investigating diagnostic and treatment pathways, health seeking behaviour, health expenditures, and financial coping mechanisms.
resultsTwo third of respondents with NCD were female and 55% did not belong to any scheme. The majority (59%) were diagnosed in the private sector and only 56% were on allopathic treatment that was mainly sought in the private sector (49%). Outpatient treatment cost was higher in the private sector and when using multiple providers of care. The majority were indebted, 11% due to health-related expenses. Contrary to social health protection schemes, disease-specific interventions offered better access to allopathic treatment and provided medicines in accordance with NEML.
conclusionThe benefit packages of existing social health protection schemes and services in the public health sector should be adjusted to cater for the needs of people living with NCD in rural Cambodia. Initiatives that offer active disease management strategies and promote patients and community participation appear more successful in increasing treatment adherence and decreasing the risk of financial hardship.
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