The Health Systems in Transition (HiT) profiles are country-based reports that provide a detailed description of a health system and of reform and policy initiatives in progress or under development in a specific country. Each profile is produced by country experts in collaboration with an international editor. In order to facilitate comparisons between countries, the profiles are based on a common template used by the Asia Pacific and European Observatories on Health Systems and Policies. The template provides detailed guidelines and specific questions, definitions and examples needed to compile a profile.

In 2017, the Royal Government of Cambodia published a new Social Protection Policy Framework (SPPF), providing an ambitious vision for a social protection system in which a comprehensive set of policies and institutions operate in sync with each other to sustainably reduce poverty and vulnerability.The Social Protection System Review of Cambodia prompts and answers a series of questions that are crucial for the implementation ofthe framework : How will emerging trends affect the needs for social protection, now and into the future? To what extent are Cambodia’s social protection instruments able – or likely – to address current and future livelihood challenges? How does fiscal policy affect social protection objectives? This review provides a contribution to the ongoing policy dialogue on social protection, sustainable growth and poverty reduction. It includes four chapters. Chapter 1 is a forward-looking assessment of Cambodia’s social protection needs. Chapter 2 maps the social protection sector and examines its adequacy. An investigation of the distributive impact of social protection and tax policy is undertaken in Chapter 3. The last chapter concludes with recommendations for policy strategies that could support the establishment of an inclusive social protection system in Cambodia, as envisaged by the SPPF.

Ten years after the introduction of publically-funded universal health insurance, the Mexican health system finds itself at a critical juncture.

The report focuses on a review of the implementation experience of case-based and DRG mechanisms in the Asia and Pacific region, drawing particularly on research in Australia, Japan, New Zealand, the Republic of Korea, Singapore and Thailand.

In 2017, the Royal Government of Cambodia published a new Social Protection Policy Framework (SPPF), providing an ambitious vision for a social protection system in which a comprehensive set of policies and institutions operate in sync with each other to sustainably reduce poverty and vulnerability.

This publication examines how public spending on health care can be made more efficient and equitable in developing countries, focusing on strategic purchasing and contracting of services from non-governmental providers. It is divided into six sections under the headings of: the conceptual framework; how to make strategic purchasing pro-poor; purchasing health services; purchasing inputs; supply, demand and markets; legal and regulatory issues.

The Kingdom of Cambodia has an ancient pedigree, a time when its people first established small principalities which evolved in small kingdoms. These kingdoms merged, often violently, eventually establishing the great Angkorian kingdom of the Khmer. The great building complex known as Angkor Wat, an achievement of stupendous proportion, whose dimensions are still being determined, is a product of the Khmer Empire. The empire was subject to much tension, both internally from competing nobles who sought to ascend the powerful throne, to outside kingdoms who tried to invade and subjugate the Khmer. Vietnam to the east, and further south also to the east, was the Cham Empire, while to the west was the Thai. These three kingdoms warred with the Khmer, eventually reducing it from grandeur. After the Khmer Empire fell, Cambodia entered a Dark Ages, a period of 431 years, from 1431 to 1862, years of scant records. Historians today try to reconstruct why the empire fell and why its people moved from the Siem Reap area and why records from this time are almost entirely unknown. In 1862, France became Cambodia's protector, defending its autonomy from both Vietnam and Thailand (Siam) who were both nibbling at either end of Cambodia. The Protectorate ended in 1942 when the Japanese occupied the land, followed by the return of the French in 1945, after the end of the Second World War. As in other countries subjugated by colonist powers, the defeat of France encouraged Cambodian nationalists to fight for a return to independence and autonomy. It is in this crucible that the Khmer Rouge, a communist-inspired group, began an insurrection against the French, and later against the Cambodian government. The Khmer Rouge, inspired by nihilistic beliefs, came to power in 1975 and began the tragic genocide of the Cambodian people. Between a quarter to a third of the people were murdered, representing the best and the elite of its society. There were many actors in this saga, both ancient and modern. I review these persons, to the extent known and the roles they played in Cambodian history and the effect it has had on the country today. The character of Pol Pot, mastermind and leader of the Khmer Rouge, is of special importance. I review his strange way of not identifying with a leadership role until absolutely necessary. But the menace of this man went much deeper; through guile and bland smiles, he allayed fear about himself, though he ordered the murder of those closest to him. Yet, even as they were led away, they disbelieved the order for their deaths, believing that if they could but have a moment with him, all would be set right. Even those closest to him did not see him for the monster he really was. He was a master at guile and deception, with none seeing the man as the monster of terror and destruction. Even in the Far East where exhibiting emotion and genuine feeling is shunned to the nth degree, this man’s ability to remain hidden reflects the ultimate achievement. But he brought ruin to his nation, with today’s loss of the elite of the country. I spent two months in Cambodia, visiting and researching material for this review. During my time there, I visited the only synagogue in the country, the Chabad House in Phnom Penh. It was then that I became aware of an amazing fact: a granddaughter of royalty celebrated her Bat Mitzvah in the capital, attended by members of the royal family. The story of how a member of the Cambodian royal family became Jewish is itself an incredible development. Cambodia today is a Third World country, with many attractions, both superb and revolting. At core, its representations reflect the saga of humanity, whose pages are sometimes elevating and also horrific. I describe my journey to this corner of Asia, hoping I've done justice to its many contours and personalities.

In 2004 the Indonesian government made a commitment to provide its entire population with health insurance coverage through a mandatory public health insurance scheme. It has moved boldly already provides coverage to an estimated 76.4 million poor and near poor, funded through the public budget. Nevertheless, over half the population still lacks health insurance coverage, and the full fiscal impacts of the government's program for the poor have not been fully assessed or felt. In addition, significant deficiencies in the efficiency and equity of the current health system, unless addressed will exacerbate cost pressures and could preclude the effective implementation of universal coverage (Ue and the desired result of improvements in population health outcomes and financial protection. For Indonesia to achieve UC, systems' performance must be improved and key policy choices with respect to the configuration of the health financing system must be made. Indonesia's health system performs well with respect to some health outcomes and financial protection, but there is potential for significant improvement. High-level political decisions are necessary on key elements of the health financing reform package. The key transitional questions to get there include: [ the benefits that can be afforded and their impacts on health outcomes and financial protection; [ how the more than 50 percent of those currently without coverage will be insured; [ how to pay medical care providers to assure access, efficiency, and quality; [ developing a streamlined and efficient administrative structure; [ how to address the current supply constraints to assure availability of promised services; [ how to raise revenues to finance the system, including the program for the poor as well as currently uninsured groups that may require government subsidization such as the more than 60 million informal sector workers, the 85 percent of workers in firms of less than five employees, and the 70 percent of the population living in rural areas.

This is the first book to fully review the Mexican health system, its organization and governance, health financing, health care provision, health reforms, and health system performance. The book is based on the most recent data and focuses on the three main components that constitute Mexico’s health system: 1) employment-based social insurance programs, 2) public assistance services for the uninsured, and 3) a private sector composed of service providers, insurers, and pharmaceutical and medical device manufacturers and distributors.

The horrific torture and execution of hundreds of thousands of Cambodians by Pol Pot's Khmer Rouge during the 1970s is one of the century's major human disasters. David Chandler, a world-renowned historian of Cambodia, examines the Khmer Rouge phenomenon by focusing on one of its key institutions, the secret prison outside Phnom Penh known by the code name "S-21." The facility was an interrogation center where more than 14,000 "enemies" were questioned, tortured, and made to confess to counterrevolutionary crimes. Fewer than a dozen prisoners left S-21 alive. During the Democratic Kampuchea (DK) era, the existence of S-21 was known only to those inside it and a few high-ranking Khmer Rouge officials. When invading Vietnamese troops discovered the prison in 1979, murdered bodies lay strewn about and instruments of torture were still in place. An extensive archive containing photographs of victims, cadre notebooks, and DK publications was also found. Chandler utilizes evidence from the S-21 archive as well as materials that have surfaced elsewhere in Phnom Penh. He also interviews survivors of S-21 and former workers from the prison. Documenting the violence and terror that took place within S-21 is only part of Chandler's story. Equally important is his attempt to understand what happened there in terms that might be useful to survivors, historians, and the rest of us. Chandler discusses the "culture of obedience" and its attendant dehumanization, citing parallels between the Khmer Rouge executions and the Moscow Show Trails of the 1930s, Nazi genocide, Indonesian massacres in 1965-66, the Argentine military's use of torture in the 1970s, and the recent mass killings in Bosnia and Rwanda. In each of these instances, Chandler shows how turning victims into "others" in a manner that was systematically devaluing and racialist made it easier to mistreat and kill them. More than a chronicle of Khmer Rouge barbarism, Voices from S-21 is also a judicious examination of the psychological dimensions of state-sponsored terrorism that conditions human beings to commit acts of unspeakable brutality. This title is part of UC Press's Voices Revived program, which commemorates University of California Press's mission to seek out and cultivate the brightest minds and give them voice, reach, and impact. Drawing on a backlist dating to 1893, Voices Revived makes high-quality, peer-reviewed scholarship accessible once again using print-on-demand technology. This title was originally published in 2000. The horrific torture and execution of hundreds of thousands of Cambodians by Pol Pot's Khmer Rouge during the 1970s is one of the century's major human disasters. David Chandler, a world-renowned historian of Cambodia, examines the Khmer Rouge phenomenon