Joint Annual Performance Review 2007 - Ministry of Health

Results: Coverage (10)
• The evidence from the Functional assessment however
shows that not all midwives functioning in HCs have
these technical skills and, not all offer women-friendly
care.
• Efforts to increased coverage of births by a trained
provider – a midwife, must include strengthening the
“enabling environment” and increasing the competencies
of the current midwives, so that more women will use
midwives in HC.
• Studies from many parts of the world show there is a
direct positive correlation between births by a formally
trained (skilled) healthcare provider and ANC. The same
has been found in Cambodia. Efforts should therefore
be strengthened to increase ANC coverage, in particular
in HCs.
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Results: Competency (1)
• Three tools for the functional assessment were
developed:
– Self-assessment of clinical competencies (tool 1)
– Knowledge assessment (tool 2)
– Observed assessment of clinical skills (tool 4)
• 185 Midwives, both PMWs and SMWs, were
assessed with tool 1 in RHs and HCs in five
randomly selected ODs (Oudong, Preah Sdach,
Sampeou Loun, Preah Net Preah, Angkor
Chum, Stong) and in Rattanakiri, Kratie and later
in Phnom Penh and sub-sample of 58 midwives
was further assessed using tools 2 and 4.
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