Joint Annual Performance Review 2007 - Ministry of Health

percentage of women receiving 1 capsule of Vitamin A within 8 weeks of delivery fell to 50%
from 52% in 2005. However, Vitamin A coverage for children 6-59 months improved, with
77% receiving capsules in Round 1 and 78% in Round 2. This was under target but
nevertheless a marked improvement for R1. The percentage of children aged 12– 59 months
who received mebendazole rose to 56.7%, well above the target 40% and last year’s 35%,
Initiatives to support breastfeeding continued, with 7 hospitals now implementing the baby
friendly hospital initiative and 1999 villages implementing baby friendly communities.
Although implementation of the Sub-Decree on Infant and Young Child Feeding was delayed,
awareness of colostrums, exclusive breastfeeding in the first 6 months, and supplementary
food was raised through a series of television spots. The results of the Cambodia
Demographic and Health Survey 2005 indicate that 60% of children exclusively breastfed
during their first six months.
Full MPA Status at Health Centers
All health centers are now equipped with refrigerators, although gas supplies and technical
support for maintenance continue to pose challenges at some facilities. All health centers are
continuing to implement DOTS for TB. The 2006 target of 470 Health Centers providing Full
MPA Coverage was missed, however progress was made in 2006, with Full MPA now at 447
out of a total of 967 Health Centers. To improve the quality of service at health centers,
important steps were taken to extend the implementation of Priority Mission Groups in
Kampong Trach Distrct, Takeo and the North-West region.
Birth Spacing Services
The percentage of married women using modern contraceptive methods supplied by the
public health service rose further to over 27%, and many women are also seeking these
services from the MoH’s partners in the private sector.
Cross-cutting Performance
Program Based Budgeting and Planning was piloted throughout the MOH, thereby
strengthening the Ministry’s ability to link resources to performance. Annual Operational
Plans for 2007 by institution were successfully completed and the consolidated sector AOP
for 2007 was approved and is being implemented. Contracting is ongoing 11 Operational
Districts, and a review of the contracting strategy will soon be completed as a contribution to
the HSP Mid-Term Review. The Human Resources database was maintained throughout the
year, and the performance management system (PMS) was successfully adopted by central
departments. 69% medical doctors were registered with the Medical Council, and the
Membership of the Dental Council has been approved by sub-degree.
Progress continued on the complicated but essential task of improving staff remuneration and
linking it to performance through ongoing work on the development of a merit-based
component as part of the performance management approach in the MoH. The scheme is
intended to cover 160 positions at the central MoH during 2007 and based on the lessons
learnt and experience gained the scheme would be extended to cover 2 PHDs and 2 National
Programs. Important progress was made in enabling the health system to expand access to the
poor. Equity Funds expanded to cover 30 Operational Districts, with 89,320 poor people
benefiting from them in 2006. 86,483 poor households were pre-identified for Equity Fund
eligibility, and 8 Community Based Health Insurance Schemes have been implemented.
Total public health expenditure from both Government and Partner sources continued to rise
rapidly. Government financed planned public health expenditure per capita rose to USD 4.64
in 2006, and the 2007 approved Government recurrent budget for health rose to 80.2 Million
Dollars, which is nearly $6 per capita. Total planned public health expenditure has risen from
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