Joint Annual Performance Review 2007 - Ministry of Health

coverage for children aged 6-59 months is 77% and 87% for the first and second round
respectively.
Second ANC coverage is 59% against the target of 60%. TT-full protection for pregnant
women is 76% and deliveries attended by trained health personnel are 44%. The coverage of
iron/folate supplementation to pregnant women attending first ANC at health centers or
during outreach activities is 86%, 26% higher than the target (60%). However, the coverage
of iron/folate supplementation to post-partum women is only 39%. The rate of married
women aged 15-49 using a modern contraceptive method is 27% [CDHS 2005].
Voluntary counseling and confidential testing (VCCT) activities have increased remarkably;
in 2006 a total of 41 new VCCT sites were established, bringing the total number of VCCT
sites to 150. At present, there are 44 health facilities offering opportunistic infections (OI) and
ART services in 19 provinces and municipalities. A total of 20,131 active AIDS patients,
including 18,344 adults and 1,787 children, were receiving ART treatment. By the end of
2006, the prevention of mother-to-child transmission program (PMTCT) has been
implemented in 60 sites in health centers and referral hospitals in 39 operational districts and
21 provinces and municipalities.
Tuberculosis control and treatment activities have also increased significantly as all health
centers in the country have implemented the DOTS strategy. The detection rate of pulmonary
tuberculosis with smear positive is 65% against the target of 70%. The TB control program
continued to keep the success cure rate at a high level, over 85%, which is the WHO target. In
addition, the community DOTS program has been expanded to a further 125 health centers.
Bed net treatment and insecticide treated nets (ITNs) distribution activities remain a priority
in malaria prevention, particularly in malaria endemic areas. In 2006, 81% of malaria endemic
areas have been provided with ITNs and retreated nets, nearly achieving the target (85%).
Reported severe malaria deaths have declined to 7.9% against the target of 10.2%. Deaths
from severe dengue have dropped to a level lower than 0.9%, achieving the target.
Deworming in children aged 12-59 months has increased markedly; in 2006, 56.7% of
children aged 12-59 months have received deworming medicine (Mebendazole), 16.7%
higher than the target (40%).
Avian influenza epidemic control measures have been actively implemented in close
collaboration with relevant institutions and neighboring countries with the technical and
financial support of various development partners.
2. Behavior Change and Communication
Numerous achievements in regard to providers and consumers’ behavior change have been
produced through production and dissemination of TV spots and short movies, and roundtable
discussions have been organized in order to inform the public about the importance of
colostrum, exclusive breastfeeding and complementary food. The Sub-Decree on Marketing
of Products for Infant and Young Child Feeding has officially been disseminated. Education
on the effects of tobacco has been developed and a total of 8 smoke free
hospital/school/pagoda programs have been created. Furthermore, the “providers’ behavior
change intervention” training program has been developed successfully in the Phnom Penh
Municipal Referral Hospital and in a number of provinces.
3. Quality Improvement
Quality improvement has been taken care of, both in the public and private sector, with a
focus on quality of health service delivery and infrastructure. Achievements produced by the
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