Joint Annual Performance Review 2007 - Ministry of Health

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Midwifery in Cambodia (3) • In 2003, the Ministry of Health also introduced a 1-year Primary Nurse-Midwifery programme specifically for use in the North-East Region. This programme was designed to address the severe shortage of midwives in the North-East, and a lower entry requirement (completed grade 7 schooling) was adopted to ensure that local women who were willing to live and work in that region were eligible for some elementary training in nursing and midwifery. Graduates from this programme may enter into civil service against the post of a Primary Midwife (PMW). 9 Midwifery in Cambodia (4) • In 2005, The Ministry of Health decided to expand this one-year programme nationwide and revised the curriculum. Successful graduates following the midwifery field of study, will get a Diploma in Primary Midwifery, and will be eligible to enter Civil Service against the post of Primary Midwife. • In 2004/2005, one private sector post-basic (1 year after nursing) midwifery training programme was initiated at the International University (IU) in Phnom Penh. The University intends to produce 20 graduates per year and use the national 1-year post-basic curriculum. The first batch of graduates is expected in 2006. 10 5
Midwifery in Cambodia (5) • IU also is planning to start a four-year midwifery course (Bachelor in Midwifery) for none nurse entrants, to commence later in 2006. • Despite all of the above training programmes, there remains a growing shortage of midwives, particularly in rural and remote areas. There is a very low level of applicants to the Post-basic (3+1) Midwifery programme, and the attractiveness of midwifery as a profession is considered to be decreasing due to low civil service status, low salaries, limited interest of young people to live and work in rural/remote areas, and fear of health risks, especially HIV/AIDs. 11 Results: Coverage (1) • It is clear that midwives in Cambodia are working in many different sectors throughout the country, including in the private sector and for NGOs. Estimates suggest approaching 4,000 midwives reside in the country. Give that number of these are retired and that some 2,626 are working in the public sector, it is obvious that the majority of them are employed in the health sector, mainly in public service. 12 6
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Ministry of Health Joint Annual Per
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FOREWORD The Joint Annual Performan
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SUMMARY REPORT ON 2006 HEALTH SECTO
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percentage of women receiving 1 cap
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Priority Interventions for Health S
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Maternal & Reproductive Health and
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• Insufficient resources and capa
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− − − Thoroughly look to any
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health centers or during outreach a
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Health Service Delivery: Indicator,
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Indicators Baseline 2002 Target Ach
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** The 2002 baseline and 2003 targe
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27 28 29 30 Detection rate of smear
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Strategy 5 Strengthen the managemen
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42 X X X * Nb of high temperature i
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1. There was a delay in finalizing
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Strategy 8: Promote healthy lifesty
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QUALITY IMPROVEMENT I-Introduction
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In order to support the MoH to impl
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1. General hospital management and
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Quality Improvement: Indicator, Bas
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Key indicator Number of PHD's that
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HUMAN RESOURCE DEVELOPMENT I-Introd
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HCs will have midwifery graduates a
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HRD Indicators, Baseline, Targets /
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hospital (CPA2 & CPA3, total 51) wi
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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
Page 85 and 86: − National and International Gues
Page 87 and 88: coverage for children aged 6-59 mon
Page 89 and 90: and this has been agreed upon in pr
Page 91 and 92: Opening Remarks by Dr Michael J. O
Page 93 and 94: Opening Address by H.E. Keo Puthrea
Page 95 and 96: Closing Remarks Dr Michael J. O’L
Page 97 and 98: Wrap-up of the 28 th Annual Health
Page 99 and 100: 7. Professor Koum Kanal, Director o
Page 101 and 102: 13. Professor Koum Kanal, Director
Page 103 and 104: Agenda JAPR, 5-7 March 2007 Hotel:
Page 105 and 106: dMeNIrkarerobcMsikçasalaénkarBini
Page 107 and 108: Summary Report on key area of healt
Page 109 and 110: Dr. Lim Thai Pheang Director, Natio
Page 111 and 112: Constraints 4. Unclear define the i
Page 113 and 114: III-Constrains • Despite the ever
Page 115 and 116: Enhance the management and technica
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Page 119 and 120: Key Strategies • Increase the kno
Page 121 and 122: eKaledAéneKalneya)ayCatiGMBI»sf O
Page 123 and 124: Sort of Drugs need to pay attention
Page 125 and 126: Actions taken to eliminate counterf
Page 127 and 128: Picture of counterfeit drugs detect
Page 129 and 130: Picture of counterfeit drugs detect
Page 131 and 132: snñidæan • Effectiveness of the
Page 133 and 134: Background (1) • Cambodia has mad
Page 135: Midwifery in Cambodia (1) • Midwi
Page 139 and 140: Results: Coverage (4) Of the 936 HC
Page 141 and 142: Results: Coverage (8) • To increa
Page 143 and 144: Results: Competency (2) Traditional
Page 145 and 146: Results: Competency (5) Chart 4.4.
Page 147 and 148: Results: Competency (9) • The lar
Page 149 and 150: Results: Pre-service Training (2) C
Page 151 and 152: Results: Pre-service Training (6) S
Page 153 and 154: Results: In-service Training (1) Li
Page 155 and 156: Results: Retaining midwives(1) •
Page 157 and 158: Results: Attractiveness of midwifer
Page 159 and 160: Recommendations: Area 2- Preservice
Page 161 and 162: Recommendations: Area 3- Recruitmen
Page 163 and 164: The Health Financing Achievements i
Page 165 and 166: A.Strategy 14: Ensure regular and a
Page 167 and 168: I. The indicators and the achieveme
Page 169 and 170: IV. Priorities for 2007 - 2008 •
Page 171 and 172: I. Achievements (cont.) Indicators
Page 173 and 174: I. Achievements (cont.) Indicators
Page 175 and 176: III. Priorities for 2007 - 2008 •
Page 177 and 178: I. Achievements Indicators Baseline
Page 179 and 180: 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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