Joint Annual Performance Review 2007 - Ministry of Health

13. Professor Koum Kanal, Director of NMCHC reported the result of Midwifery Review
to the congress emphasized the main focus which is the need for competent and the lack of
midwifery skills at front line health facilities, and stressed that the issues will be increasing
due to the fact that approximately 30 per cent of midwives are nearly coming to retired age.
Therefore, the congress requested to increase the number of student recruited for basic
midwifery training and strengthen the selection and dissemination of midwifery professional
according to the real need with considering the motivation and support morally and
financially.
14. Doctor Hong Rathmony, Deputy Director of Communicable Disease Control
Department reported to the congress the result of a technical consultation workshop which
was held on 19 February 2007, under the chairmanship of H.E. Professor Eng Huot, to
identify, prioritize and cost feasible interventions for health sector priorities for the coming
year.
He reported that for the past 3 years the JAPR has set priorities for the next AoP. These
priorities have helped the health sector focus its objectives and activities on Maternal, Child,
and Reproductive Health. The current HS Priorities are: Emergency Obstetric Care,
Attendance at Delivery by Trained Health Providers, Implementation of the 12 Child Survival
Scorecard Interventions, emphasizing on IMCI and other interventions those have been
considered to be feasible for the short and medium-term implementation, Full MPA Status at
Health Centers, Reproductive Health including Birth Spacing Services. These require
implementation of many different kinds of interventions, some of which may be especially
useful in solving important bottlenecks to improving performance. Core issues had been
identified: 1) bottlenecks in improving maternal, child and reproductive health; 2)
interventions that could solve some of these bottlenecks in one year; and 3) costing and
funding information for these interventions. A matrix detailing the results of these
consultations follows at the end of this document.
Based on the examination of key bottlenecks, interventions were identified for
recommendation to the 2007 Joint Annual Performance Review. Several of these
interventions are already funded and in implementation, several others link closely to ongoing
projects, others however represent gaps that may be of special interest to health partners.
Therefore, the group suggested taking into account the implementation of these intervention
in two different contexts: system-wide implementation and the implementation in the areas
where there is special need, as well as to consider the gap in funding and implementation and
the next steps. The group also suggested aligning interventions with existing MoH policy and
projects, especially for those focused on districts with special needs (GAVI, GFATM, HSSP,
Contracting, HEF, CSS Costing etc.)
15. H.E. Doctor Nuth Sokhom, Minister for Health reported to H.E. Sok An, Deputy Prime
Minister, Highest Representative of Samdach Hun Sen, the Prime Minister of the Royal
Government of Cambodia, that although a lot of achievements made as reported, the congress,
through the profound and thorough discussion, found major core issues that need to be solved
urgently in the year 2007 and 2008 through the identification of priority activities for health
sector as follows:
a) Develop the second long-term health sector strategic plan 2008-2015 and continue to
strengthen and improve the design, planning and implementing the AoP and
strengthen the monitoring system and mechanism at all levels of health system
country-wide;
b) Continue to strengthen and improve the adequate funding provision, including the
effective and efficient distribution and use of fund available, as well as strengthen the
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