Under the framework of the Cambodian German Cooperation the Government of Germany had made available a grant of EUR 2.5 million to develop a voucher scheme for reproductive health services in Cambodia over three years. The vouchers covered services for safe motherhood, family planning, and safe abortions in three provinces. The voucher scheme was expected to achieve the following objectives and outputs: 1) to promote and improve access to specific reproductive health services for poor and vulnerable women as an integrated and complementary financing instrument to existing health equity funds and community based health insurance schemes 2) to contribute to achievement of the Cambodian Millennium Development Goals, 3) to improve quality of care of public and non-public health services providers through enhanced demand-side subsidies and purchasing power of poor patients, and 4) to strengthen vial elements in the development of an effective social health protection system (i.e. quality assurance, accreditation, out-put based reimbursement mechanisms, inclusion of non-public providers). EPOS Health Management implemented the voucher scheme in consortium with the Cambodian NGO Action for Health, Pricewaterhouse Coopers, and Oxford Policy Management.
The implementation tasks of the VMA among others contained the following:
Increase access to high quality reproductive health services, focusing on safe deliveries, long-term family planning, and on confidential and safe comprehensive clinical abortion services.
Select and determine future project beneficiaries based on developed criteria for the identification of the poor (ID Poor).
Select and identify suitable service providers.
Develop and implement a suitable voucher distribution system, which will include effective communication and marketing strategies, awareness campaigns, advocacy for this project approach.
Install the financial management system that includes prudent management of the disposition fund, implementation of a system to process and reimburse Voucher Service Provider claims timely, development and implementation of a financial and fraud control system.
Develop an adequate supply and procurement.
Introduce a monitoring and evaluation system.