Health Equity and Quality Improvement Project (H-EQIP)
- Partner: Ministry of Health
- Location: nation-wide
- Duration: 2016-2021
- Budget: 175.2 mil USD(RGC:94.2 mil USD, Multi Donor Fund: 81mil USD)
The H-EQIP will build on the innovations supported in the HSSP2, particularly HEFs and SDG, and aims to increase the sustainability of these innovations by improving their resourcing and management as envisaged in the RGC’s HSP-3. It will further strengthen the results-based focus of both HEFs and SDGs with a specific goal of improving the quality of health service delivery and service utilization by the poor. In addition, the Project will use a multi-pronged approach to strengthen health systems, especially to support improvements in quality of care, by focusing on enhancing provider knowledge through both pre-service and in-service training, improved availability of critical infrastructure in health facilities, and strengthening Public Financial Management (PFM). Using a set of disbursement linked indicators (DLIs), the Project will disburse funds against targets achieved with these health system strengthening measures. Another key strategic shift is to attain institutional sustainability through a transfer of responsibility for third party HEF verification from an internationally recruited firm to an independent government agency, which will be established by June 2018, and extending this responsibility to include verifying SDG results at all levels of the health system
Main Componenet of H-EQIP is as belows;
Strengthening Health Services Delivery: This component will expand the previous Service Delivery Grants (SDGs) into a mechanism for providing performance-based financing to different levels of the Cambodian primary and secondary health system based on achievement of results. The grants will go to Health Centers, Hospitals, and OD and PHDs. SDGs were introduced as part of the HSSP2 and are intended to provide supplementary funds to SOAs in addition to their budgetary funds from the MoH, strengthen internal health service delivery contracting, and promote decentralization.
-Improving Financial Protection and Equity: This component will continue to support and expand the Health Equity Fund (HEF) system and co-finance with the RGC the cost of health services for the poor. The current HEF system is expected to evolve with changes in government policy on beneficiaries and benefits packages and Social Health Protection (SHP).
-Ensuring Sustainable and Responsive Health Systems: This component supports a program of activities designed to improve supply-side readiness and strengthen the institutions that will be implementing project activities. This component has 3 sub-components including 1) Health System Strengthening, 2) Health Infrastructure Improvement and 3) Project Management, Monitoring and Evaluation.
–Contingent Emergency Response: The objective of the contingency response component, with a provision zero allocation, is to allow for the reallocation of financing in accordance with the IDA Immediate Response Mechanism (IRM) to provide an immediate response to an eligible crisis or emergency, as needed.