Joint Annual Performance Review 2007 - Ministry of Health

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- Lack of midwife and qualified staff in midwifery skill in some health centers - Lack of budget for health centers to conduct outreach activities mainly in the catchment areas less than 10 Km radius. - Dissemination of modern contraceptive still did not reach remote areas, coupled with the shortage of qualified staff in reproductive health and as well as limited knowledge of the community in reproductive health. - Inadequate sites for IMCI training - In some health facilities, data from outreach activities for instance vitamin A supplementation was not recorded in the yellow card - Delay in drug procurement coupled with irrational use of drug - Delay in gas supply for refrigerators for immunization activities in some provinces - Lack of budget and fuel for some activities including monitoring and supervision - Lack of incentive for health staff remains a cause of concern to the MoH, coupled with low salaries contributed to low performance of health sector activities Targets for 2007 and Priorities for 2007-2008 - Further upgrading health centers for providing full MPA services - Lobby the government to provide fund to health centers for conducting outreach activities within the catchment areas of less than 10 Km radius - Increase deployment of midwife and qualified staff in midwifery skill and reproductive health in the areas of needs mainly in remote areas - Enhance wide dissemination of reproductive and birth spacing messages to all population, especially those living in remote areas - Strengthen the implementation of DOTS strategy for tuberculosis treatment in all health centers across the country - Continue to expand more VCCT sites in all operational districts, as well as opportunistic infections (OI) and ART services for pediatric care. - Expand IMCI training sites - Continue expanding re-treatment, replacement and distribution of bet-nets to people living in malaria prone areas and - Continue expanding deworming coverage among children aged 12-59 months old through outreach activities. - 18 -
Health Service Delivery: Indicator, Baseline 2002, Target/Priority 2007-2008 Strategy 1: Further improve coverage and access to health services, especially for the poor and other vulnerable groups through planning the location of health facilities and strengthening outreach services. Indicators Baseline 2002 Target 2006 Achievement 2006 Constraint Priority 2007-2008 Target 2007 Target 2008 1 Nb HC received MPA drugs 812 915 881 (EDD) 2 Number of Functioning Health Centers with Basic MPA* 3 Number of Functioning Health Centers with Medium MPA 4 Number of Functioning Health Centers with Full MPA 5 Number of Referral Hospitals with CPA1** 6 Number of Referral Hospitals with CPA2 7 Number of Referral Hospitals with CPA3 8 Average number of outreach Baseline to be 6 outreach per visits per remote village **** per established village per year year 9 Up-dated health coverage plan No baseline Finalized HCP distributed NA 115 PM NA 330 PM To increase provision of MPA drugs to all HCs 895 910 NA 470 447 out of 967 470 out of 972 NA 22 Hospital dept NA 30 27 32 NA 17 17 18 PM DPHI :Finalized and distributed, Website *A defined functioning HC should meet some or all of the following criteria: (a) adequate supply of MPA drugs, (b) at least 5 staff of which one is a secondary midwife, (c) open at least 4 hours per day and with 24 hours on call service, (d) providing all basic MPA services every day, (e) at least 1 outreach session to every village every 2 months, (f) referring patients, (g) community participation. HC with Basic MPA: Adequate MPA drug, at least 4 health staff, and provision of some basic MPA services HC with Medium MPA: Adequate MPA drug, at least 4-5 health staff including 2 nd midwife or secondary nurse trained in midwifery, 1 outreach/2months (6 outreaches per year), health center management committee (HCMC) met at least once every 3 month. HC with Full MPA: Adequate MPA drug, at least 5 health staff or more including 2 nd midwife, provision of full MPA services (Health care activities and Management and Training activities, See MPA Guideline), 24 hours on duty, 1 outreach/2months (6 outreaches per year), HCMC met at least once every 3 month. - 19 -
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 and 10: Priority Interventions for Health S
Page 11 and 12: Maternal & Reproductive Health and
Page 13 and 14: • Insufficient resources and capa
Page 15 and 16: − − − Thoroughly look to any
Page 17: health centers or during outreach a
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
Page 61 and 62: Constraints: • The national budge
Page 63 and 64: Health Financing: Indicator, Baseli
Page 65 and 66: 6 Review lessons from evaluation of
Page 67 and 68: 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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