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Joint Annual Performance Review 2007 - Ministry of Health

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−<br />

−<br />

Thoroughly look to any specific intervention that is (are) neglected or with slower progress in scaling up than other; and<br />

Take into account three things: feasibility, achievability (In short period, especially for 2008, with full conscious that all the medium and long term<br />

intervention are not missed), and sustainability<br />

Focus on the neglected areas: curative care<br />

2. Several reason that IMCI was emphasized.<br />

− IMCI is the strategic approach for service delivery <strong>of</strong> most score card interventions<br />

− There is now an update protocol for diarrhea treatment (low-osmolarity ORS and zinc) and other update protocol for common childhood illness<br />

available and more convenient for both supply and demand sides that need to be introduced<br />

− The sustainable way for scaling up is pre-service training, since the in-service one is very costly that could not be supported by both partners and<br />

MoH itself for long run<br />

3. Many other specific score card interventions are also list down, like vitamin A, IYCF, newborn care...<br />

iv The newborn interventions emphasized by the Cambodia Child Survival Strategy are as follow:<br />

Preventive interventions<br />

1. Early initiation <strong>of</strong> breast feeding<br />

2. Weighing newborn to assess for low birth weight<br />

3. Kangaroo mother care<br />

4. Hepatitis B vaccine with 24 hours<br />

Curative interventions<br />

5. Clean delivery<br />

6. Clean cord care<br />

7. Newborn resuscitation<br />

8. Newborn temperature management<br />

9. Detection and referral <strong>of</strong> neonatal infection<br />

10. Management <strong>of</strong> neonatal infection<br />

11. Antibiotic for premature rupture <strong>of</strong> membranes and<br />

12. Corticosteroid for preterm labor<br />

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