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Lessons learnt from quality improvement collaboratives in Cambodia
  1. Kelly E Perry1,
  2. Nilufar Rakhmanova2,
  3. Premprey Suos2,
  4. Dalen Nhim2,
  5. Bunreth Voeurng3,
  6. Bruno Bouchet4
  1. 1Asia Pacific Regional Office, FHI 360, Bangkok, Thailand
  2. 2Cambodia Office, FHI 360, Phnom Penh, Cambodia
  3. 3Battambang Provincial Health Department, Cambodia Ministry of Health, Battambang, Cambodia
  4. 4Health System Strengthening Division, FHI 360, Washington D.C, District of Columbia, USA
  1. Correspondence to Kelly E Perry; kelly.e.perry{at}


Currently, Cambodia uses performance-based financing (PBF) and a national quality enhancement monitoring system as key components of its strategy to achieve universal health coverage and the health-related Sustainable Development Goals. PBF is one among many strategies to improve the quality of healthcare services and its effects and limitations have been widely documented. We share lessons learnt from the use of quality improvement collaboratives, a facility-based quality improvement strategy, to amplify and complement PBF to address specific service delivery gaps, improve provider competency, and increase patient trust and satisfaction in the health system, a driver of healthcare utilisation.

  • Public Health
  • Health systems
  • Health services research
  • Health systems evaluation
  • Health policy

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Data are available on reasonable request.

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  • Handling editor Seye Abimbola

  • Twitter @KellyPerryMPH

  • Contributors KEP, NR, and DN conceptualized the article and KEP wrote the first and subsequent drafts. PS and DN heavily contributed to the planning and conduct of the work described in the article. NR, PS, DN, BV, and BB provided feedback to drafted versions of the article, with KEP managing and conducting revisions. BB served as the article’s key technical reviewer. KEP accepts full responsibility for the finished work, had access to the data, and controlled the decision to publish.

  • Funding KEP, NR, PS and BB received financial support from the United States Agency for International Development (USAID) under the terms of Cooperative Agreement No. 72044218CAOOOO6 for the research, authorship, and publication of this article. This work is made possible by the support of the American People through the USAID. The contents of this article are the sole responsibility of the coauthors and do not necessarily reflect the views of USAID or the United States Government.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.