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Internal contracting of health services in Cambodia: drivers for change and lessons learned after a decade of external contracting

机译:柬埔寨卫生服务的内部承包:经过十年的外部承包变革的动力和经验教训

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摘要

BackgroundSince the late 1990s, contracting has been employed in Cambodia in an attempt to accelerate rural health system recovery and improve health service delivery. Special Operating Agencies (SOA), a form of ‘internal contracting’, was introduced into selected districts by the Cambodia Ministry of Health in 2009. This study investigates how the SOA model was implemented and identifies effects on service delivery, challenges in operation and lessons learned.
机译:背景技术自1990年代末以来,柬埔寨已采用合同制,以加快农村卫生系统的恢复并改善卫生服务的提供。柬埔寨卫生部于2009年将特殊运营机构(SOA)作为一种“内部承包”形式引入选定的地区。该研究调查了SOA模型的实施方式,并确定了对服务交付,运营挑战和课程的影响学到了。

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