Health Equity and Quality Improvement Project (H-EQIP)
The Cambodian Health Equity and Quality Improvement Project (H-EQIP) was co-financed by the Royal Government of Cambodia and several development partners. KfW co-financed the trust fund and a parallel accompanying measure, which GFA has been implementing since October 2017. The objective of H-EQIP was to improve access to quality health services for targeted populations, while protecting them from impoverishment due to the cost of health services. H-EQIP had three components:
- Strengthening health service delivery
- Improving financial protection and equity
- Ensuring sustainable and responsive health systems.
H-EQIP built on innovations supported under the previous sector program, particularly Health Equity Funds (HEFs) for social health protection of the poor and performance-based service delivery grants to health facilities and health administrations (operational districts and provincial health departments). H-EQIP further strengthened the results orientation of both HEFs and SDGs.
Under the first component of H-EQIP, GFA conducted independent quality assessments of health facilities and health administrations to verify the results of government-led assessments that formed the basis for performance-based financing in the Cambodian health sector. A key strategic shift was to achieve institutional sustainability by transferring responsibility from GFA to an independent government agency (Payment Certification Agency, PCA).