Joint Annual Performance Review 2007 - Ministry of Health

Priority Interventions for Health Sector AOP 2008:
Maternal, Newborn and Child Health
On 19 Feb 2007, a technical workshop was hosted by the MoH Department of Planning and
Health Information at the Phnom Penh Hotel, under the chairmanship of H.E. Professor Eng
Hout, in order to identify, prioritize and cost feasible interventions for health sector priorities
for the coming year.
For the past 3 years the JAPR has set priorities for the next AOP. These priorities have helped
the health sector focus its objectives and activities on Maternal, Child, and Reproductive
Health. The current HS Priorities are: Emergency Obstetric Care, Attendance at Delivery by
Trained Health Providers, Implementation of the 12 Child Survival Scorecard Interventions,
Full MPA Status at Health Centers, Reproductive Health including Birth Spacing Services.
These require implementation of many different kinds of interventions, some of which may be
especially useful in solving important bottlenecks to improving performance. Participants
were asked to identify: (1) bottlenecks in improving maternal, child and reproductive health;
and (2) interventions that could solve some of these bottlenecks in one year; and (3) costing
and funding information for these interventions. A matrix detailing the results of these
consultations follows at the end of this document.
Based on examination of key bottlenecks, the following interventions were identified for
recommendation to the 2007 Joint Annual Performance Review (JAPR). Several of these
interventions are already funded and in implementation, several others link closely to ongoing
projects, others however represent gaps that may be of special interest to health partners.
1. Recommended Interventions: System-Wide
• Strengthen the implementation of CPA Guidelines, including HR, supplies and
equipment as well as development of clinical management guidelines for maternal and
reproductive health, newborn care and child health.
• Commence implementation of Midwifery Review recommendations: pre and inservice
training, midwife coverage, staff competency
• Scale up implementation of the 12 Child Survival Score Card interventions, with
special attention to IMCI, Nutrition and training for Paediatric Care (including neonatal)
at Referral Hospitals. (Community, HC, RH. Funding needed for scale-up and
training).
• Expand BCC activities for exclusive and complimentary feeding, increase the number
of Baby Friendly Hospital and Communities and re-enforce Sub-decree of marketing
on IYCF products.
• Expand of CBD and long term method to reduce unwanted pregnancy, and promotion
of safe abortion through training, equipment and supplies (DfID supported
implementation commencing)
2. Recommended Interventions: Districts with special needs
• Strengthen MCH continuum of care (ANC, delivery, new born care and post partum
care) at community, and Health Center Level and RHs (CPA2 strengthening, with
emphasis on improving quality of EOC and pediatric care), in districts where birth
assisted by trained health personnel is low. (10 GAVI/HSS supported ODs. CPA
strengthening still needs funding).
• Establish maternity waiting house with benefits (food, travel cost) at RH’s in remote
districts.(UNFPA currently supporting Stung Treng.)
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