A System-Wide Analysis of Health Financing Equity in Cambodia



Cambodia, like many low- and middle-income countries, has embraced the Universal Health Coverage (UHC) philosophy and initiated health financing reforms to move more quickly and equitably towards it. On the path to UHC, health care financing needs to ensure fair contributions to health care costs according to households’ ability-to-pay and equitable access to quality health services with mechanisms to protect the poor. This requires reliable evidence on the distribution of the burden of health care financing and benefits from the delivery of health care to inform policy. Available evidence suggests that there is improvement in equity in health financing and access to services in Cambodia, and this is partly due to the introduction of major health financing schemes such as Health Equity Funds. However, past evaluations of equity in health care financing have typically focused on one mechanism in isolation from the broader health financing and delivery system. Moreover, they have tended to focus exclusively on the public sector, thereby ignoring a thriving private sector. This study proposes a whole-of-system approach to provide a more comprehensive assessment of equity in health system financing in Cambodia. Research findings are expected to inform policy on the best way to promote access to effective and affordable health care for the Cambodian population, especially the poor.


Key project areas

  • Health equity; access to health services

Study design

  • Quantitative survey; qualitative interviews; documentary analysis


  • Cambodia


  • 2015-2017

Principal Investigator(s)

  • Virginia Wiseman (UNSW), Augustine Asante (UNSW), Por Ir (NIPH, Cambodia), Marco Liverani (LSHTM), Andrew Hayen (UNSW), Bart Jacobs (GIZ), Stephen Jan (UNSW)

Funding source

  • Australian Research Council (ARC)

Project partners

  • National Institute of Public Health (Cambodia)


For more information on this project please contact Marco Liverani

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