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Contracting health care services for the rural poor : Contratacion de servicios de atencion medica para los pobres de las zonas rurales (Испанский)

In summary, the results of this experiment of Non-Governmental Organization (NGO) contracting in rural Cambodia indicate that while all districts increased health service coverage rates, the contracted districts outperformed the government districts in achieving higher coverage rates and providing a more pro-poor distribution of services. In addition, private out-of-pocket health care expenditures in contracted districts were lower than government districts, which clearly benefited those who could least afford to pay. NGOs appear to be more responsive to contractual obligations to effectively and equitably provide health care services than standard government provision of services given the same goals. Overall, the results suggest contracting primary health care may be an efficient and effective means to increase health care coverage rates and better target primary health care services to the poor.

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