Joint Annual Performance Review 2007 - Ministry of Health

Quality Assurance Office include the creation of quality assessment tools and a total of 12
provincial and municipal hospitals have been assessed. In addition, the Quality Assurance
Office has been involved in the creation and testing of a national licensing and accreditation
system to facilitate health services, both in the public and private sector, in accordance with
the priorities agreed upon and in collation with development partners.
4. Human Resource Development
One of the highest priorities in human resource development in the health sector is staff
training and distribution in support of the development and functioning of referral hospitals
and health centers in providing basic health services.
With regard to post basic midwifery training (3+1), a total of 85 midwives have graduated and
88 students have been newly recruited for academic year 2006-2007 at the Technical School
of Medical Care (TSMC) and 3 regional training centers (RTCs). The increase in the number
of new students will mean additional civil service posts to be provided by the Royal
Government to the MoH. A total of 398 students have graduated from four RTCs as first
batch primary nurses-midwives, including 192 primary midwives. A total of 246 students
have enrolled in the second Batch for the academic year 2006-2007, including 146 primary
midwifery students. Recruitment has been dependent upon the number of posts available and
upon female candidates who live near health centers in need of midwives. The MoH plans to
recruit an additional 120 midwifery students every year for school year 2007-2008 at the four
RTCs.
In addition, a total of 84 health centre staff have received a 4-month midwifery course. In
2006, a total of 170 health centers have staff with training in midwifery skills (4-month course
and life saving skill course), 29 health centers have staff who have just completed their
midwifery course, 14 referral hospitals have staff who have received training in basic surgery,
and 14 other referral hospitals have staff with nursing training in reanimation and anesthesia.
5. Health Financing
The MoH is a priority ministry that receives funding support from government and the
international community and, in addition the national budget is increased every year. The
national budget that was provided to the health sector in 2006 is 1.08% of the GDP (target
1.26%) or 6.64% of the total national budget, against the target of 10%. Total budget spent in
2006 is 261,741 Million riel or 94.8% of the 2006 adjusted budget plan. Per capita
expenditure from the national budget in 2006 is US$4.64.
In 2006, the MoH has received the national budget in the amount of 471,298,749 riel for equity
funds to support poor people in improving access to health services at 4 national hospitals and 2 referral
hospitals.
Equity fund projects have been implemented in 30 ODs including 7 contracting districts. The numbers
of poor patients covered by equity funds have increased from 46,700 in 2005 to 89,320 in 2006.
On health insurance, the numbers of community-based health insurance (CBHI) schemes have increased
from 4 to 8 and a total of 33,122 household members from 7,012 households have been issued a CBHI
card.
6. Institutional Development
A Merit Based Pay Initiative (MBPI) has been proposed based on the functional analysis report and has
been discussed by the High Level Working Group of the MoH with the involvement of representatives
of the Council for Administrative Reform, the Ministry of Economy and Finance, and health partners,
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