ArticleBMJ global health2019
Protecting the poor? Impact of the national health equity fund on utilization of government health services in Cambodia, 2006-2013.
Article in BMJ global health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 25 citations in OpenAlex.
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- Enhancing Healthcare Services Quality in a Resource-Limited Country: Perspectives From Cambodia.Health science reports · 2026Article
- What affects the performance of hospital financing interventions in low and lower-middle income countries from the program design and implementation perspective? A scoping review.Health policy and planning · 2025Article
- Universal health coverage in Cambodia: current status and future prospects.Journal of global health · 2025Article
- Reducing fragmentation of primary healthcare financing for more equitable, people-centred primary healthcare.BMJ global health · 2025Article
- Patterns and factors associated with healthcare utilisation in Cambodia: a cross-sectional study based on the World Health Survey Plus 2023.BMJ public health · 2025Article
- Access to ear and hearing care services in Cambodia: a qualitative enquiry into experiences of key informants.The Journal of laryngology and otology · 2024Article
- The inclusion of diagnostics in national health insurance schemes in Cambodia, India, Indonesia, Nepal, Pakistan, Philippines and Viet Nam.BMJ global health · 2023Article
- Disparities in access to ear and hearing care in Cambodia: a mixed methods study on patient experiences.The Journal of laryngology and otology · 2023Article
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- 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
- Using health policy and systems research to influence national health policies: lessons from Mexico, Cambodia and Ghana.Health policy and planning · 2023Review
- Scaling-up integrated type-2 diabetes and hypertension care in Cambodia: what are the barriers to health system performance?Frontiers in public health · 2023Article
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- An equity analysis on the household costs of accessing and utilising maternal and child health care services in Tanzania.Health economics review · 2022Article
- Role of regulatory capacity in the animal and human health systems in driving response to zoonotic disease outbreaks in the the Mekong region.One health (Amsterdam, Netherlands) · 2022Article
- Challenges and opportunities in addressing social determinants of child health in Cambodia: perspectives and experience of frontline providers in two health districts.Canadian journal of public health = Revue canadienne de sante publique · 2021Article
- Article
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Authors and funding
9 authors at 5 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionCambodia's health equity fund (HEF) is the country's most significant social security scheme, covering the poorest one-fifth of the national population. During the last two decades, the HEF system was scaled up from an initial two health districts to national coverage of public health facilities. This is the first national study to examine the impact of the HEF on the utilisation of public health facilities.
methodsWe first investigated the level of national HEF population coverage and health service use made by HEF eligible members using an administrative HEF operational dataset. Second, through multilevel interrupted time series analysis of routine monthly utilisation statistics during 2006-2013, we evaluated the impact of the HEF on hospital and health centre utilisation.
resultsThe proportion of HEF beneficiaries using hospital services in a given year (4.6%) appeared to exceed rates in the general population (3.3%). The introduction of the HEF was associated with: a significant level change in the monthly number of consultations at HCs followed by a gradual slope increase in time trend and a significant level change in the monthly number of deliveries. Overall, this was equivalent to a 15.6% net increase in number of consultations and 5.3% in deliveries in the first year. At RHs: a significant level change in the number of RH inpatient cases, followed by a sustained slope increase; a significant slope increase in the number of outpatient consultations and in the overall number of newborn deliveries. Overall, this was equivalent to a 47.9% net increase in inpatient cases, 24.1% in outpatient cases and 31.4% in deliveries in the first year.
conclusionThe implementation of the HEF scheme was associated with increased utilisation of primary and secondary care services by the poor.
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