title: Key issues relating to decentralization at the provincial level of health management in Cambodia.
abstract: The following study was conducted as part of a review of management systems at a Provincial Health Department (Kampong Cham Province) and a National Health Programme (National Immunization Program) in 2002-2003 in Cambodia. The aim of this paper is to identify, analyse and recommend those management system factors that are critical to the success of health management performance, with a particular focus on provincial management. The review has identified critical success factors associated with health management performance at the sub-national level that include a stronger role for effective human resource management in health sector reform, elevation of the status of planning in senior level management, and the development of a more comprehensive and transparent finance system. These success factors will position the provincial level of health management to respond more effectively to the reform challenges of administrative de-concentration and political decentralization that are currently underway across a range of government sectors in Cambodia.
authors.affiliation: Planning and Statistics Unit, Provincial Health Department Kampong Cham Province, Cambodia.
authors.forename: Bunnan
authors.initials: B
authors.lastname: Men
authors.forename: John
authors.initials: J
authors.lastname: Grundy
authors.forename: Jeff
authors.initials: J
authors.lastname: Cane
authors.forename: Lon Chan
authors.initials: LC
authors.lastname: Rasmey
authors.forename: Nguon Sim
authors.initials: NS
authors.lastname: An
authors.forename: Sann Chan
authors.initials: SC
authors.lastname: Soeung
authors.forename: Karl
authors.initials: K
authors.lastname: Jenkinson
authors.forename: Marian
authors.initials: M
authors.lastname: Boreland
authors.forename: Jim
authors.initials: J
authors.lastname: Maynard
authors.forename: Beverley-Ann
authors.initials: BA
authors.lastname: Biggs
mesh_terms: D002160:Cambodia; D003695:Delivery of Health Care / Q000458:organization & administration*; D006801:Humans; D011057:Politics