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Cambodia’s strong economic growth over the last two decades, coupled with social protection initiatives, has enabled the country to achieve some impressive health gains. But out-of-pocket health expenditure remains high, preventing many of the poorest from accessing health services.

UHC Indicators


UHC service coverage index: 59.6%

Physicians per 1,000 population: 0.17

Catastrophic expenditure: 15.3%


L4UHC Support


2016 – 2023

Type of Support

  • L4UHC Modules
  • Collective Action Initiatives
  • National coach
  • Ministry of Health
  • National Social Protection Council
  • Insurance Regulator of Cambodia
  • Ministry of Economy and Finance
  • National Social Security Fund
  • Ministry of Social Affairs, Veterans and Youth Rehabilitation
  • National Institute of Public Health
  • German Development Cooperation
  • US Agency for International Development 
  • World health Organization
  • International Labor Organization
  • Ministry for Europe and Foreign Affairs (France)
  • World Bank
  • Swiss Agency for Development and Cooperation
  • Niccolo Rotigliano (GIZ)

Ongoing Collective Action Initiatives


1. Strengthen the referral system

The team is currently strengthening the referral system by focusing on gatekeeping and formulating policy statements in line with the relevant policy documents, such as the Health Strategic Plan-4 (HSP4), Primary Health Care (PHC), Health Equity Funds (HEFs), NSSF’s Healthcare Scheme, and the UHC roadmap.

Completed Collective Action Initiatives


Create a Payment Certification Agency (PCA)


  • PCA director and board of directors appointed, with approximately 20 staff and 52 consultants working for the PCA.

  • Operational manual approved by the Minister of Health.


Develop a National Quality Enhancement Initiative (QEI)

  • Trained Master Trainers for Assessors.
  • Rolled out a nationwide, quality assessment on a quarterly basis, independently verified by a third party.

Establish social health insurance for the public sector (SHI-PS)

  • Contribution rates defined by a sub-decree.
  • Health insurance for civil servants started in January 2018.


October 2022
Regional module in Thailand with Cambodia, Nepal and Pakistan
October 2022
April 2017
Regional module in Japan with Cambodia, Lao PDR and Nepal
April 2017
Fall 2016
Regional module in Malaysia with Cambodia, Lao PDR and Nepal
Fall 2016
May 2016
Regional module in the Philipines with Cambodia, Lao PDR and Nepal
May 2016