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 extend. 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-monetory interventions that can adress - 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 memebres - 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 altough there is a need to concurrently reinforce the health system.
|Date of Award||23 Sep 2011|
- Vrije Universiteit Brussel
|Supervisor||T. Mets (Promotor), Wim Van Damme (Promotor), Johan Bilsen (Jury), Anne-Marie Depoorter (Jury), F. Louckx (Jury), Peter Stewart Hill (Jury) & P. Donceel (Jury)|
- Health services
- Rural setting