Joint Annual Performance Review 2007 - Ministry of Health

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• Extend equity fund supported safe motherhood in districts where birth assisted by trained health personnel is low. (MoH/HSSP expansion of HEF planned) • Prioritize remote facilities for PMG/Performance based incentives expansion (expected 2008-09) 3. Funding/Implentation Gaps Identified • CPA strengthening system-wide, as well as for EOC and pediatric care focus of the the 10 RH’s serving the GAVI/HSS supported districts for MCH Continuum of Care. • IMCI, Nutrition and capacities strengthening for Paediatric Care. • Exclusive and complimentary feeding promotion; IYCF re-inforcement. • Maternity Waiting Houses 4. Next Steps • Costing of priority interventions, commitment to fund and identification of external support where necessary: JAPR process • Identification of priority ODs for CSS, MPA and CPA strengthening using CDHS, HIS, and other appropriate data sources • Identification of HR, supplies and equipment gaps in health facilities for MPA and CPA implementation through facilities checklists distributed with AOP Guidelines. • In AOPs at all levels, increase planned expenditure on the 5 HS Priorities, including the interventions recommended here by 20%. • Ensure quarterly monitoring and reporting of AOP implementation at all levels of the system, with special focus on RH’s and OD’s. • Align interventions with existing MoH policy and projects, especially for those focused on districts with special needs (GAVI, GFATM, HSSP, Contracting, HEF, CSS Costing etc.) 10
Maternal & Reproductive Health and Child and Newborn Health Priority, 2008 Areas Bottleneck for improving maternal health & reproductive health Interventions i Infrastructure • weak referral- commune-HC-CPA1-CPA2/3 • Continue Government and donor support for better infrastructures • Inadequate basic infrastructure/resources: and resources: fuel, power, safe water, transport, − supplies, equipment, medical materials equipment, budget − MPA kits Financial • Service cost (lack of equity fund) • EF supported reproductive health • Community-Based Health Insurance Service • CPA Capacity: Low capacity of districtbased RH to manage EOC, • Implement CPA Guidelines • Development of clinical management guideline for maternal and reproductive health • EOC training and implementation • Outreach, outreach PLUS • Maternal death audit • Training & systematic post training follow-up • • HC not available 24 hours • Promote the initiative of Maternity preparedness plan • MPA Level of implementation • CPA and • MPA levels • CPA and MPA levels • Central level • CPA levels • MPA levels • Place to stay before & post-delivery - “maternity waiting home” • Maternity waiting home for remote provinces - at RH for high risk pregnant women • CPA • Human resource: shortage of trained/skilled staff/MW, Coverage of pre and in-service training & Low salary and lack of incentives, staff competency • Quality of safe abortion services, • Implement recommendations made by Midwifery Review • Promote linkages between Traditional Birth Attendant to health facilities for skills birth attendant • PMG • Enforcement the implementation of the Professional Ethic • Promote and strengthen Safe abortion practices − Capacity building − supplies, equipment, medical materials • Central level • CPA level • MPA level especially • Both private and public • CPA level • MPA level • Community - 11 -
Page 1 and 2: Ministry of Health Joint Annual Per
Page 3 and 4: FOREWORD The Joint Annual Performan
Page 5 and 6: SUMMARY REPORT ON 2006 HEALTH SECTO
Page 7 and 8: percentage of women receiving 1 cap
Page 9: Priority Interventions for Health S
Page 13 and 14: • Insufficient resources and capa
Page 15 and 16: − − − Thoroughly look to any
Page 17 and 18: health centers or during outreach a
Page 19 and 20: Health Service Delivery: Indicator,
Page 21 and 22: Indicators Baseline 2002 Target Ach
Page 23 and 24: ** The 2002 baseline and 2003 targe
Page 25 and 26: 27 28 29 30 Detection rate of smear
Page 27 and 28: Strategy 5 Strengthen the managemen
Page 29 and 30: 42 X X X * Nb of high temperature i
Page 31 and 32: 1. There was a delay in finalizing
Page 37 and 38: Strategy 8: Promote healthy lifesty
Page 41 and 42: QUALITY IMPROVEMENT I-Introduction
Page 43 and 44: In order to support the MoH to impl
Page 45 and 46: 1. General hospital management and
Page 47 and 48: Quality Improvement: Indicator, Bas
Page 49 and 50: Key indicator Number of PHD's that
Page 51 and 52: HUMAN RESOURCE DEVELOPMENT I-Introd
Page 53 and 54: HCs will have midwifery graduates a
Page 55 and 56: HRD Indicators, Baseline, Targets /
Page 57 and 58: hospital (CPA2 & CPA3, total 51) wi
Page 59 and 60: HEALTH FINANCING Strategy 14: Monit
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Constraints: • The national budge
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Health Financing: Indicator, Baseli
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6 Review lessons from evaluation of
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Indicators Baseline 2002 Target 200
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22 Strengthen resources allocation
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The HR database was maintained and
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structures and processes into the r
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3 All levels of the MoH respond app
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conducted to provincial, OD and hea
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7 Effective donor coordination mech
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-Arsenicosis IECs Development Strat
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Welcome Remark by H.E. Dr. Nuth Sok
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− National and International Gues
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coverage for children aged 6-59 mon
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and this has been agreed upon in pr
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Opening Remarks by Dr Michael J. O
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Opening Address by H.E. Keo Puthrea
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Closing Remarks Dr Michael J. O’L
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Wrap-up of the 28 th Annual Health
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7. Professor Koum Kanal, Director o
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13. Professor Koum Kanal, Director
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Agenda JAPR, 5-7 March 2007 Hotel:
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Summary Report on key area of healt
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Dr. Lim Thai Pheang Director, Natio
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Constraints 4. Unclear define the i
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III-Constrains • Despite the ever
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Enhance the management and technica
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Key Strategies • Increase the kno
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Sort of Drugs need to pay attention
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Actions taken to eliminate counterf
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Picture of counterfeit drugs detect
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Picture of counterfeit drugs detect
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snñidæan • Effectiveness of the
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Background (1) • Cambodia has mad
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Midwifery in Cambodia (1) • Midwi
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Midwifery in Cambodia (5) • IU al
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Results: Coverage (4) Of the 936 HC
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Results: Coverage (8) • To increa
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Results: Competency (2) Traditional
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Results: Competency (5) Chart 4.4.
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Results: Competency (9) • The lar
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Results: Pre-service Training (2) C
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Results: Pre-service Training (6) S
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Results: In-service Training (1) Li
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Results: Retaining midwives(1) •
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Results: Attractiveness of midwifer
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Recommendations: Area 2- Preservice
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Recommendations: Area 3- Recruitmen
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The Health Financing Achievements i
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A.Strategy 14: Ensure regular and a
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I. The indicators and the achieveme
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IV. Priorities for 2007 - 2008 •
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I. Achievements (cont.) Indicators
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I. Achievements (cont.) Indicators
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III. Priorities for 2007 - 2008 •
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I. Achievements Indicators Baseline
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Budget 2007 Total budget increased
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• Participants are requested to r
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191 Working together Within Units (
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Joint Annual Performance Review 2007 - Ministry of Health

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