id okr-10986-13685
recordtype oai_dc
spelling okr-10986-136852021-04-23T14:03:09Z Cambodia : Using Contracting to Reduce Inequity in Primary Health Care Delivery Schwartz, J. Brad Bhushan, Indu AGED ANTENATAL CARE BIRTH SPACING BLOOD PRESSURE CHILD IMMUNIZATION CURATIVE HEALTH CARE DIARRHEA DISTRICTS ESSENTIAL DRUGS EXPENDITURES GENDER HEALTH CARE COVERAGE HEALTH CARE DELIVERY HEALTH CARE FACILITIES HEALTH CARE INDICATORS HEALTH CARE INFRASTRUCTURE HEALTH CARE SERVICE INDICATORS HEALTH CENTERS HEALTH DELIVERY HEALTH FACILITIES HEALTH SERVICES HOSPITALS HOUSEHOLDS HUMAN DEVELOPMENT IMMUNIZATION INCOME INTERVENTION MANAGERS MATERNAL HEALTH MEDICAL CARE MEDICAL SUPPLIES NUTRITION PRIMARY HEALTH CARE PRIMARY HEALTH CARE SERVICES PRIVATE SECTOR PROBABILITY PUBLIC HEALTH PUBLIC HEALTH CARE QUALITY OF CARE RADIO REHABILITATION RURAL AREAS TUBERCULOSIS VILLAGES VITAMIN A WEIGHT WORKERS This study examines the equity impact of using private sector contracts for the delivery of primary health care as an alternative to traditional government provision in Cambodia. It does so by using pre- and post intervention data from a large scale contracting experiment to provide primary health care in rural districts of Cambodia between 1998 and 2001. Equity as well as coverage targets for primary health care services were explicitly included in contracts awarded in five of nine rural districts with a population totaling over 1.25 million people. The remaining four districts included in the test were given identical equity and coverage targets and used the traditional government provision of services. After two-and-a-half years of the trial, the results suggest that although coverage of primary health care services in all districts had substantial increases, people in the poorest one-half of households living in contracted districts were more likely to receive these services than similarly circumstanced poor people in government districts, other factors equal. 2013-05-30T15:27:00Z 2013-05-30T15:27:00Z 2004-10 http://documents.worldbank.org/curated/en/2004/10/5363613/cambodia-using-contracting-reduce-inequity-primary-health-care-delivery http://hdl.handle.net/10986/13685 English en_US HNP discussion paper; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank World Bank, Washington, DC Publications & Research :: Working Paper Publications & Research East Asia and Pacific Cambodia
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language English
en_US
topic AGED
ANTENATAL CARE
BIRTH SPACING
BLOOD PRESSURE
CHILD IMMUNIZATION
CURATIVE HEALTH CARE
DIARRHEA
DISTRICTS
ESSENTIAL DRUGS
EXPENDITURES
GENDER
HEALTH CARE COVERAGE
HEALTH CARE DELIVERY
HEALTH CARE FACILITIES
HEALTH CARE INDICATORS
HEALTH CARE INFRASTRUCTURE
HEALTH CARE SERVICE INDICATORS
HEALTH CENTERS
HEALTH DELIVERY
HEALTH FACILITIES
HEALTH SERVICES
HOSPITALS
HOUSEHOLDS
HUMAN DEVELOPMENT
IMMUNIZATION
INCOME
INTERVENTION
MANAGERS
MATERNAL HEALTH
MEDICAL CARE
MEDICAL SUPPLIES
NUTRITION
PRIMARY HEALTH CARE
PRIMARY HEALTH CARE SERVICES
PRIVATE SECTOR
PROBABILITY
PUBLIC HEALTH
PUBLIC HEALTH CARE
QUALITY OF CARE
RADIO
REHABILITATION
RURAL AREAS
TUBERCULOSIS
VILLAGES
VITAMIN A
WEIGHT
WORKERS
spellingShingle AGED
ANTENATAL CARE
BIRTH SPACING
BLOOD PRESSURE
CHILD IMMUNIZATION
CURATIVE HEALTH CARE
DIARRHEA
DISTRICTS
ESSENTIAL DRUGS
EXPENDITURES
GENDER
HEALTH CARE COVERAGE
HEALTH CARE DELIVERY
HEALTH CARE FACILITIES
HEALTH CARE INDICATORS
HEALTH CARE INFRASTRUCTURE
HEALTH CARE SERVICE INDICATORS
HEALTH CENTERS
HEALTH DELIVERY
HEALTH FACILITIES
HEALTH SERVICES
HOSPITALS
HOUSEHOLDS
HUMAN DEVELOPMENT
IMMUNIZATION
INCOME
INTERVENTION
MANAGERS
MATERNAL HEALTH
MEDICAL CARE
MEDICAL SUPPLIES
NUTRITION
PRIMARY HEALTH CARE
PRIMARY HEALTH CARE SERVICES
PRIVATE SECTOR
PROBABILITY
PUBLIC HEALTH
PUBLIC HEALTH CARE
QUALITY OF CARE
RADIO
REHABILITATION
RURAL AREAS
TUBERCULOSIS
VILLAGES
VITAMIN A
WEIGHT
WORKERS
Schwartz, J. Brad
Bhushan, Indu
Cambodia : Using Contracting to Reduce Inequity in Primary Health Care Delivery
geographic_facet East Asia and Pacific
Cambodia
relation HNP discussion paper;
description This study examines the equity impact of using private sector contracts for the delivery of primary health care as an alternative to traditional government provision in Cambodia. It does so by using pre- and post intervention data from a large scale contracting experiment to provide primary health care in rural districts of Cambodia between 1998 and 2001. Equity as well as coverage targets for primary health care services were explicitly included in contracts awarded in five of nine rural districts with a population totaling over 1.25 million people. The remaining four districts included in the test were given identical equity and coverage targets and used the traditional government provision of services. After two-and-a-half years of the trial, the results suggest that although coverage of primary health care services in all districts had substantial increases, people in the poorest one-half of households living in contracted districts were more likely to receive these services than similarly circumstanced poor people in government districts, other factors equal.
format Publications & Research :: Working Paper
author Schwartz, J. Brad
Bhushan, Indu
author_facet Schwartz, J. Brad
Bhushan, Indu
author_sort Schwartz, J. Brad
title Cambodia : Using Contracting to Reduce Inequity in Primary Health Care Delivery
title_short Cambodia : Using Contracting to Reduce Inequity in Primary Health Care Delivery
title_full Cambodia : Using Contracting to Reduce Inequity in Primary Health Care Delivery
title_fullStr Cambodia : Using Contracting to Reduce Inequity in Primary Health Care Delivery
title_full_unstemmed Cambodia : Using Contracting to Reduce Inequity in Primary Health Care Delivery
title_sort cambodia : using contracting to reduce inequity in primary health care delivery
publisher World Bank, Washington, DC
publishDate 2013
url http://documents.worldbank.org/curated/en/2004/10/5363613/cambodia-using-contracting-reduce-inequity-primary-health-care-delivery
http://hdl.handle.net/10986/13685
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