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Cambodia - Second Health Sector Support Program Project : second additional financing - indigenous peoples plan (Vol. 2) : Social assessment (English)

This report concerns the second additional financing for the Second Health Sector Support Program for Cambodia that will improve access to, and utilization of effective, efficient and quality health services to the population. The project aims to achieve this by (a) strengthening primary health care and essential referral services, (b) strengthening health financing and social protection mechanisms for the poor; and (c) strengthening human resources and institutional capacity on the Ministry of Health. Since no new activities will be introduced under the second additional financing, the nature and scale of impact that may occur on indigenous peoples are expected to be similar to those under the original project and the first additional financing, and the IP communities will continue to benefit from this additional financing. The social assessment undertaken during the preparation of the second additional financing ascertained continued broad community support of indigenous peoples communities to the Second Health Sector Support Program. It also showed that despite the achievements made during the original project and the first additional financing, ethnic minorities still face challenges in accessing quality health care services and tend to be vulnerable to poor health. These challenges include: 1) poor access to health care services; 2) costs are unaffordable; 3) limited ethnic minority participation in health management structure and planning process; 4) health workers are not from local communities; and 5) limited community health education and awareness raising activities. The second additional financing will not finance civil works and concerns four project components: component A will strengthen health service delivery; component B will improve health financing; component C will strengthen human resources; and component D will strengthen health system stewardship functions. No additional funding is available for components C and D. Continued financing of health equity funds and service delivery grants is consistent with the program's development objective. As with the original project and the first additional financing, the second additional financing is expected to have a positive impact on the lives of peoples throughout Cambodia, particularly the poorest, by improving their access to and utilization of effective and efficient health services. The second additional financing will not affect any natural habitats, forests, or cultural resources. No new safeguard policies will be triggered by the second additional financing.


  • Document Date


  • Document Type

    Indigenous Peoples Plan

  • Report Number


  • Volume No


  • Total Volume(s)


  • Country


  • Region

    East Asia and Pacific,

  • Disclosure Date


  • Disclosure Status


  • Doc Name

    Social assessment

  • Keywords

    rights of indigenous people;maternal and child health;provision of health service;traditional birth attendant;cost of health services;ethnic minority community;ethnic minority population;local health authorities;public health facility;live birth;indigenous population;Indigenous Peoples;high infant mortality;ethnic minority groups;indigenous communities;indigenous community;health seeking behavior;access to food;natural resource exploitation;Health Service Delivery;access to land;national legal system;primary level education;indigenous customary law;Council of Elders;formal education system;loss of land;maternal health service;international development agency;government health service;antenatal care services;quality of health;community-based health workers;Donor funded projects;public health system;accessing health care;fees and charge;high population density;focus group;rural area;ethnic language;ethnic group;indigenous group;health indicator;human rights;outreach activity;consultation mechanism;gender group;high concentration;health issue;formal mechanisms;maternity clinic;coping strategy;female participant;livelihood strategy;ecological environment;agricultural production;financial incentive;rice cultivation;outreach education;transportation expense;climatic condition;education coverage;disease burden;chicken raising;language skill;performance reviews;supply side;remote region;equally benefit;targeted population;civil society;health status;significant loss;ethnic identities;shifting cultivation;local culture;health finance;donor funding;building construction;ethnic community;supply shortages;financial barrier;community representative;quality service;medical consultation;traditional ways;administrative decentralization;national origin;religious belief;local ngo;vulnerable group;social cohesion;subsistence agriculture;village elder;agricultural community;ethnic population;income generation;spiritual beliefs;short term consultant;target health;food insecurity;program objectives;government staff;analytical approach;textual analysis;household fall;traditional healer;crop production;noncommunicable diseases;public hospital;medical treatment;Disease Prevention;operational guidance;existing law;legal instructions;legal framework;statistical data;health activities;remote area;national policy;international instrument;traditional customs;immovable property;customary rules;extensive consultation;village communities;social status;population increase;Population Change;outreach service;active engagement;program coverage;vaccination drive;outpatient service;rural average;coverage rate;



Official version of document (may contain signatures, etc)


Cambodia - Second Health Sector Support Program Project : second additional financing - indigenous peoples plan (Vol. 2) : Social assessment (English). Washington, D.C. : World Bank Group.