IDEAS home Printed from https://ideas.repec.org/a/taf/cnpexx/v21y2016i2p238-255.html
   My bibliography  Save this article

Inclusive healthcare and the political settlement in Cambodia

Author

Listed:
  • Tim Kelsall
  • Seiha Heng

Abstract

Over the past 15 years Cambodia has made significant strides in expanding effective access to free healthcare for the poor, thanks largely to ‘Health Equity Funds’ (HEFs), a multi-stakeholder health-financing mechanism. HEF operators have helped expand access, incentivise health staff, and lobby on behalf of poor patients. However, despite their successes, they have been unable convincingly to address some of the deeper-seated problems of the Cambodian health system, such as under-resourced facilities, underpaid, poorly qualified staff and a burgeoning private sector. This paper explains this state of affairs as a product of Cambodia's ‘political settlement’, in which relatively successful multi-stakeholder initiatives exist as ‘islands of effectiveness’ in a sea of rent-seeking and patronage. While such islands may currently be the best solution available for the poor, the deeper problems are unlikely to be solved without a shift in the political settlement itself.

Suggested Citation

  • Tim Kelsall & Seiha Heng, 2016. "Inclusive healthcare and the political settlement in Cambodia," New Political Economy, Taylor & Francis Journals, vol. 21(2), pages 238-255, March.
    • Handle: RePEc:taf:cnpexx:v:21:y:2016:i:2:p:238-255
    DOI: 10.1080/13563467.2015.1079174
    as

    Download full text from publisher

    File URL: http://hdl.handle.net/10.1080/13563467.2015.1079174
    Download Restriction: Access to full text is restricted to subscribers.
    File URL: https://libkey.io/10.1080/13563467.2015.1079174?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Brian Levy & Michael Walton, 2013. "Institutions, incentives and service provision: Bringing politics back in," Global Development Institute Working Paper Series esid-018-13, GDI, The University of Manchester.
    2. World Bank, 2011. "Cambodia - More Efficient Government Spending for Strong and Inclusive Growth : Integrated Fiduciary Assessment and Public Expenditure Review," World Bank Publications - Reports 2813, The World Bank Group.
    3. World Bank, 2013. "Where Have All the Poor Gone? : Cambodia Poverty Assessment 2013," World Bank Publications - Reports 17546, The World Bank Group.
    4. Slocomb, Margaret, 2010. "An Economic History of Cambodia in the Twentieth Century," University of Chicago Press Economics Books, University of Chicago Press, number 9789971694999, April.
    5. Sen, Kunal, 2013. "The Political Dynamics of Economic Growth," World Development, Elsevier, vol. 47(C), pages 71-86.
    6. Tim Kelsall & Seiha Heng, 2014. "The political settlement and economic growth in Cambodia," Global Development Institute Working Paper Series esid-037-14, GDI, The University of Manchester.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Bukenya, Badru & Golooba-Mutebi, Frederick, 2020. "What explains sub-national variation in maternal mortality rates within developing countries? A political economy explanation," Social Science & Medicine, Elsevier, vol. 256(C).
    2. Vasudha Chhotray & Anindita Adhikari & Vidushi Bahuguna, 2018. "The political prioritisation of welfare in India: Comparing the Public Distribution System in Chhattisgarh and Jharkhand," Global Development Institute Working Paper Series esid-111-18, GDI, The University of Manchester.
    3. Abdul-Gafaru Abdulai, 2018. "The political economy of maternal healthcare in Ghana," Global Development Institute Working Paper Series esid-107-18, GDI, The University of Manchester.
    4. Chhotray, Vasudha & Adhikari, Anindita & Bahuguna, Vidushi, 2020. "The political prioritization of welfare in India: Comparing the public distribution system in Chhattisgarh and Jharkhand," World Development, Elsevier, vol. 128(C).

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Tim Kelsall & Seiha Heng, 2014. "The political economy of inclusive healthcare in Cambodia Guarantee Scheme in India," Global Development Institute Working Paper Series esid-043-14, GDI, The University of Manchester.
    2. repec:ilo:ilowps:487627 is not listed on IDEAS
    3. Tim Kelsall & Sothy Khieng & Chuong Chantha & Tieng Tek Muy, 2016. "The political economy of primary education reform in Cambodia," Global Development Institute Working Paper Series esid-058-16, GDI, The University of Manchester.
    4. Anthony Bebbington & Abdul-Gafaru Abdulai & Marja Hinfelaar & Denise Humphreys Bebbington & Cynthia Sanborn, 2017. "Political settlements and the governance of extractive industry: A comparative analysis of the longue duree in Africa and Latin America," Global Development Institute Working Paper Series esid-081-17, GDI, The University of Manchester.
    5. Robert Darko Osei & Charles Ackah & George Domfe & Michael Danquah, 2015. "Political settlements, the deals environment and economic growth: The case of Ghana," Global Development Institute Working Paper Series esid-053-15, GDI, The University of Manchester.
    6. Tim Kelsall & Seiha Heng, 2014. "The political settlement and economic growth in Cambodia," Global Development Institute Working Paper Series esid-037-14, GDI, The University of Manchester.
    7. Tom Lavers & Sam Hickey, 2015. "Investigating the political economy of social protection expansion in Africa: At the intersection of transnational ideas and domestic politics," Global Development Institute Working Paper Series esid-047-15, GDI, The University of Manchester.
    8. Shrabani Saha & Kunal Sen, 2019. "The corruption-growth relationship: Do political institutions matter?," WIDER Working Paper Series wp-2019-65, World Institute for Development Economic Research (UNU-WIDER).
    9. Heng Dyna & Senh Senghor & Ear Sothy & Kanga Em, 2015. "Impacts of Cambodia's Tariff Elimination on Household Welfare and Labor Market: a CGE Approach," Working Papers MPIA 2015-08, PEP-MPIA.
    10. Luca, Davide, 2016. "Votes and Regional Economic Growth: Evidence from Turkey," World Development, Elsevier, vol. 78(C), pages 477-495.
    11. Willem Paling, 2012. "Planning a Future for Phnom Penh: Mega Projects, Aid Dependence and Disjointed Governance," Urban Studies, Urban Studies Journal Limited, vol. 49(13), pages 2889-2912, October.
    12. Pritish Behuria & Tom Goodfellow, 2016. "The political settlement and ‘deals environment’ in Rwanda: Unpacking two decades of economic growth," Global Development Institute Working Paper Series esid-057-16, GDI, The University of Manchester.
    13. JieYeon Celes Moon & Lewis Seagull, 2020. "Addressing Cambodia’s Clean Water Infrastructure," Proceedings of the 18th International RAIS Conference, August 17-18, 2020 023jym, Research Association for Interdisciplinary Studies.
    14. Derek Headey & Marie Ruel, 2023. "Food inflation and child undernutrition in low and middle income countries," Nature Communications, Nature, vol. 14(1), pages 1-10, December.
    15. Anush Kapadia, 2017. "The structure of state borrowing: towards a political theory of control mechanisms," Cambridge Journal of Regions, Economy and Society, Cambridge Political Economy Society, vol. 10(1), pages 189-204.
    16. Koopman, Eline & Wacker, Konstantin M., 2023. "Drivers of growth accelerations: What role for capital accumulation?," World Development, Elsevier, vol. 169(C).
    17. Ryan H. Murphy & Colin O’Reilly, 2019. "Applying panel vector autoregression to institutions, human capital, and output," Empirical Economics, Springer, vol. 57(5), pages 1633-1652, November.
    18. Takasaki, Yoshito, 2020. "Impacts of disability on poverty: Quasi-experimental evidence from landmine amputees in Cambodia," Journal of Economic Behavior & Organization, Elsevier, vol. 180(C), pages 85-107.
    19. Brian Levy & Lawule Shumane, 2017. "School governance in a fragmented political and bureaucratic environment: Case studies from South Africa’s Eastern Cape province," Global Development Institute Working Paper Series esid-084-17, GDI, The University of Manchester.
    20. Anne Mette Kjaer & Nansozi K. Muwanga, 2016. "Inclusion as political mobilisation: The political economy of quality education initiatives in Uganda," Global Development Institute Working Paper Series esid-065-16, GDI, The University of Manchester.
    21. Di Tommaso, Marco R. & Prodi, Elena & Di Matteo, Dante & Mariotti, Ilaria, 2022. "Local public spending, electoral consensus, and sustainable structural change," Structural Change and Economic Dynamics, Elsevier, vol. 63(C), pages 435-453.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:taf:cnpexx:v:21:y:2016:i:2:p:238-255. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Chris Longhurst (email available below). General contact details of provider: http://www.tandfonline.com/cnpe20 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.