Joint Annual Performance Review 2007 - Ministry of Health

health centers or during outreach activities, against the set target of 60% in 2006. However,
only 39% of post-partum mothers received iron/folate supplementation (42 tablets) either at
health centers or during outreach activities, which fell below the set target of 60%. Current
use of modern contraceptive method among women in reproductive aged 15-49 years old for
birth spacing and limiting remained at 27% (data available only for public sectors), below the
set target of 35% in 2006.
Strategy 3: The complementary package of activities (CPA) guideline was developed and
distributed to all municipal and provincial health departments and concern institutions. In
2006, the number of hospitals offering baby friendly services increased to seven, including the
Kampong Trabek RH/Prey Veng province, Kampong Speu RH, Banteay Meanchey RH, the
National Maternal and Child Health Center (NMCHC), Svay Rieng referral hospital, Stung
Treng RH, and Phnom Penh Red Cross health center, which met the set target.
For the population as a whole, the rate of hospital admissions at 18.4 per 1,000 fell short of
the target of >25 per 1,000 population. For children under the age of five years, however, the
target of >45 hospital admissions per 1,000 was significantly exceeded with an annual rate of
64 per 1,000.
Strategy 4: All health centers across the country were implementing DOTS for tuberculosis
treatment (TB). The case detection rate of smear positive pulmonary TB at an estimated 65
percent fell marginally short of the target of 70 percent. However, the TB cure rate
successfully remained high at more than 85% (which according to the WHO recommendation
is only 85%).
The number of operational districts with VCCT centers remarkably increased to 150 sites in
all operational districts across the country. At the end of 2006, there were 44 health facilities
provided opportunistic infections (OI) and ART services in all 19 municipal and provinces. A
total of 20,131 active patients, including 18,344 adults and 1,787 children were receiving
ART. Eighty one percent (81%) of malaria endemic villages were provided with retreatment
and replacement of impregnated bed nets, which was slightly below the annual target of 85
percent.
Malaria severe case fatality rate decreased to 7.9% as compared with the target of 10.2%,
while malaria incidence rate increased to 7.2% per 1,000 population against the target of
5/1000. Dengue case fatality rate was less than 0.9%, exactly met the target (