Health Equity Funds: Improving access to health care for the poor MSF’s experience in Sotnikum, Cambodia. Ir Por 18 December 2003. Outline. Context: In Cambodia, in Sotnikum and the ‘New Deal’ Rationale: Why a Health Equity Fund? Objective Who should be the implementer?
18 December 2003
‘Better income for staff in exchange for better service to the population’
(addressing provider-side constraints)
=> Better service to the population??
=> Better income for staff??
Need for a separate fund =
‘Health Equity Fund’ funded by MSF/UNICEF
Develop a sustainable solution to improve access to hospital care for the poor
(addressing demand-side constraints)
=> Need for a local social NGO
Decision on support is made by NGO staff based on:
Once entitled to the support, the patient and his/her family receive benefits from CFDS:
…according to need
Based on 2 in-depth analyses:
=> The supported patients are genuinely poor
1- Some barriers to access remain for the poorest:
2- Sustainability, mainly financial and socio-political, is still questioned.
3- Implementer is not locally based, leading to relatively high administrative cost and staff turn over.