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Enabling the rural poor access to health services through innovative health interventions in Cambodia

Friday, 23 September, 2011 - 16:00
Campus: Brussels Health Campus
Faculty: Medicine and Pharmacy
auditorium P. Brouwer
Bart Jacobs
phd defence

These days a limited range of low-cost effective
preventive and curative health interventions can
potentially reduce morbidity and mortality in
developing countries to a considerable extent.
However, access to such services is constrained
for the poor due to various barriers that exist at
both the supply- and demand side. Situated in a
health district in southeast Cambodia, this thesis
provides an overview of various financial and
non-monetary interventions that can address -
alone or in combination - specific dimensions and
aspects of access barriers to health services. The
thesis provides evaluations of demand side
interventions - community participation and
management of social health protection schemes
by community members - as well as supply side
interventions such as exemptions from user fees
and performance management. The latter was
employed as a tool to sustain a high level of
service delivery during transition of management
authority. These complementary studies indicate
the requirement to concurrently implement
various interventions to enable the poor access to
health services at minimal costs to them. In
Cambodia, many such interventions can be
successfully managed by existing social networks
although there is a need to concurrently reinforce
the health system.