This report describes the strategy that will be implemented in the evaluation of the SKY Micro Health Insurance program in rural Cambodia. This document is an update to the evaluation design presented in the proposal to BASIS dated January 25th, 2007.

The primary goal of the SKY evaluation is to measure the impacts of SKY on health, utilization, and economic outcomes of its target population. At the household level, health outcomes of interest include primary care utilization, health-seeking behavior, and measured health status. Economic outcomes include families’ vulnerability to health shocks due to high medical costs, loss of income while ill or incapacitated, sales of productive assets, and reductions in investments.