Cambodia : Using Contracting to Reduce Inequity in Primary Health Care Delivery
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 scal...
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| Format: | Working Paper |
| Language: | English en_US |
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World Bank, Washington, DC
2013
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| Online Access: | 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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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 |
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Foreign Institution |
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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 |
| _version_ |
1764424185038241792 |