Research for stronger health systems during and after crisis

ReBUILD's work on health financing in Cambodia

In 1996 the National Health Financing Charter introduced a legal framework for charging user fees at public sector health facilities for all users except the very poor. Since then a number of innovations have been introduced in Cambodia such as User Fees Exemption, Health Equity Fund and community based health insurance. Studies have been conducted to assess the impact of these interventions, with a limited number on community based health insurance. Their findings are mixed and localised. Our research is trying to document and analyse the overall impact of changes in financing policy on rural poor households' expenditure for health and patterns of expenditure using mixed methods. It will highlight any gendered impacts. Our aim is to produce recommendations for a policy to support the poorest rural households.