Siem Reap Provincial Health Department, Ministry of Health, No. 221, Street 217, Phnom Penh, Cambodia.
Health Policy. 2010 Aug;96(3):200-9. doi: 10.1016/j.healthpol.2010.02.003. Epub 2010 Mar 1.
To understand how knowledge is used to inform policy on Health Equity Funds (HEFs) in Cambodia; and to draw lessons for translating knowledge into health policies that promote equity.
We used a knowledge translation framework to analyse the HEF policy process between 2000 and 2008. The analysis was based on data from document analysis, key informant interviews and authors' observations.
The HEF policy-making process in Cambodia was both innovative and incremental. Insights from pilot projects were gradually translated into national health policy. The uptake of HEF in health policy was determined by three important factors: a policy context conducive to the creation, dissemination and adoption of lessons gained in HEF pilots; the credibility and timeliness of HEF knowledge generated from pilot projects; and strong commitment, relationships and networks among actors.
Knowledge locally generated through pilot projects is crucial for innovative health policy. It can help adapt blueprints and best practices to a local context and creates ownership. While international organisations and donors can take a leading role in innovative interventions in low-income countries, the involvement of government policy makers is necessary for their scaling-up.
了解知识如何用于为柬埔寨卫生公平基金 (HEF) 政策提供信息；并为将知识转化为促进公平的卫生政策汲取经验教训。
我们使用知识转化框架分析了 2000 年至 2008 年期间的 HEF 政策制定过程。该分析基于文件分析、关键知情者访谈和作者观察的数据。
柬埔寨的 HEF 决策过程具有创新性和渐进性。试点项目的见解逐渐转化为国家卫生政策。在卫生政策中采用 HEF 的决定因素有三个：有利于创建、传播和采用试点项目中获得的经验的政策背景；从试点项目中产生的 HEF 知识的可信度和及时性；以及参与者之间的坚定承诺、关系和网络。
通过试点项目在当地产生的知识对于创新的卫生政策至关重要。它可以帮助调整蓝图和最佳实践以适应当地情况并建立所有权。虽然国际组织和捐助者可以在低收入国家的创新干预措施中发挥主导作用，但政府决策者的参与对于其推广是必要的。
