Cambodia Health Equity and Quality Improvement Project (H-EQIP)

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The project development objectives of Health Equity and Quality Improvement Project for Cambodia is to improve access to quality health services for targeted population groups with protection against impoverishment due to the cost of health services in teh country. This project has four components. 1) The first component, Strengthening Health Service Delivery, will expand the current Service Delivery Grant (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. It has three subcomponents as follows: (i) the first subcomponent, Service Delivery Grants : Health Centers (HCs), will provide SDGs to HCs to help finance the Minimum Package of Activities (MPA) of HCs. Over and above the fixed grants, the amount and payment of the performance grants will be based on the utilization (that is, quantity) of services provided and on the quality of services; (ii) the second subcomponent, Service Delivery Grants: Hospitals, aims to incentivize improvements in the quality of care at the secondary level, improve performance in capacity-building activities for in-service and preservice candidates, and promote utilization of services by Health Equity Fund (HEF) beneficiaries; (iii) the third subcomponent, Service Delivery Grants: Provincial Health Departments (PHDs) and Operational District (ODs), aims to strengthen the management of ODs and PHDs. 2) The second component, Improving Financial Protection and Equity, will continue to support and expand the HEF system and co-finance with the RGC the cost of health services for the poor. 3) The third component, Ensuring Sustainable and Responsive Health Systems, will support a program of activities designed to improve supply-side readiness and strengthen the institutions that will be implementing project activities. It has three subcomponents as follows: (i) the first subcomponent, Health System Strengthening, will support a program of activities designed to improve supply-side readiness and strengthen the institutions that will be implementing project activities; (ii) the second subcomponent, Health Infrastructure Improvements, is expected to finance civil works according to the priorities identified by the Ministry of Health (MOH) in its civil works plan 2016–2020; (iii) the third subcomponent,Project Management, Monitoring, and Evaluation, will support provision of technical and operational assistance for the day-to-day coordination, administration, procurement, financial management (FM), environmental and social safeguards management, and Monitoring and Evaluation (M&E) of the project, including the carrying out of financial audits of the project. 4) The fourth component, Contingent Emergency Response, will allow for the reallocation of financing in accordance with the International Development Association (IDA) Immediate Response Mechanism (IRM) to provide an immediate response to an eligible crisis or emergency, as needed.