General Information |
Project/Program |
Project |
Project Name |
Health Sector Reform Phase 3 |
Duration |
Feb, 1998 ~ Dec, 2000 |
Donor |
UNDP, DFID, NORAD and WHO |
Implementiong Organization |
Ministry of Health (MOH), World Health Organisation (WHO) |
Sector and/or Subsector Classification |
Health |
Region |
Cambodia |
Financing |
6.8 million |
Analytical Information |
Stakeholders |
The Ministry of Health (MOH), Medical Combodia Ministry of Economy and Finance Ministry of Eucation (MEDICAM), and NGOs (CoCom, ProCoCom) |
Cross-cutting Issue |
Environment |
|
Gender |
|
Impact Analysis |
The project was considered successful. The immediate objective of the project was to increase people’s access to and utilization of good quality essential health services whether subsidized by government or paid for through public-private mix. It successfully developed and strengthened capacity in the MOH and the district- health system was implemented in 5 provinces so that health services functioned well. Also, new methods for service delivery were implemented in Phnom Penh, which helped to serve poor populations in the city. |
Effectiveness |
Ownership/Partnership |
Evaluation |
Even though the project was co-financed by 4 agencies including UNDP, DFID, NORAD and WHO, the partnership among the various organizations was fairly great. When WHO had limited capacity to provide technical backstopping for the project, DFID provided some technical advice on reform issues and health financing. It is notable that, during project planning, each joint meetings among the agencies were regularly held to identify common approaches for monitoring, evaluation and reporting procedure. |
Rating |
4/5 |
Policy Coherence/Harmonization |
Evaluation |
The project is related to Cambodia’s policies. In Cambodia, the health status of the population is still low while the high expenditure on health by families is a major cause of impoverishment and a major burden on poor households. Currently, there is an urgent need to review helath policies and strategies in order to identify how to improve access to effective health services and reduce the waste of expenditure on poor quality provision. |
Rating |
4/5 |
Evaluation Framework |
Evaluation |
The evaluation took place in Cambodia from 13 to 24 Sep, 1999. A team of six including members from the MOH and 3 of the funding agencies evaluated the activities and achievements of the project, visited 3 provinces and carried out a series of interviews with key Ministry of Health official, other relevant ministries including the Ministry of Economy and Finance project staff, donors, UN agencies, NGO and the private sector. |
Rating |
4/5 |
Alignment/Composition of Finance |
Evaluation |
The project does not seem to be sustainable without additional funding. Overall it contributed to improving the health system, but it will not become effective and sustainable without the development of systems and capacity. Among the donor agencies, DFID was the biggest one, accounting for more than 60 percent of the total budget, followed by UNDP, NORAD, WHO. For the first year, only 20 percent of the project funds were used because there were delays. |
Rating |
2/5 |
Other Remarks |
This project is the third phase of support to the Cambodian Ministry of Health. The first phase was ran from 1992 to 1994, funded by British aid, UNDP and WHO, and the second phase was from 1995 to 1997, funded by the same agencies and also by NORAD. Both phases were executed by WHO in close collaboration with the MOH. |