Joint Annual Performance Review 2007 - Ministry of Health

enhancement. And H.E. Deputy Prime Minister declared the open of the 28th Annual Health
Congress and the 5th Joint Annual Health Sector Review.
5. Professor Sann Chan Soeung, Deputy Director General for Health reported to the
congress the health sector achievement focusing on the delivery of public health care services
through the health infrastructure development and health services delivery at health centers,
referral hospital and through outreach activities together with other public health programs,
especially the maternal newborn and child health programs; the communicable disease control
programs and the health promotion activities. As of 2006, 90 per cent of health centers
country wide received MPA supplies and provide MPA services. The public facility
utilization increased to 0.56 per capita per annum for general population and to 1.0 per capita
per annum for under-five children.
81 per cent of under-1 year children received DTP-3 and 87 per cent of children aged 6-59
months received vitamin A supplementation. The proportion of pregnant women attending
ANC-2 was 59 per cent where the proportion of pregnant women who is fully immunized
against tetanus was 76 per cent. 44 per cent of deliveries were attended by trained health
workers and approximately 27 per cent of married women aged from 15-49 years are
currently using one of the modern contraceptive methods.
The number of VCCT center increased to 150 country-wide and there are 44 health facilities
providing treatment for opportunist infections and ART services. The PMTCT has been
implemented in 60 health centers and referral hospital where the DOTS treatment has been
implemented in all health centers across the country. The BK+ pulmonary tuberculosis
detection rate increased and the rate of success treatment is kept at a high level that is even
higher than that of the WHO's recommendation. Furthermore, the community DOTS was
established and implement through 125 health centers.
Malaria and dengue control activities increased. Insecticide treated nets have been distributed
and re-impregnated in 81 per cent of villages in endemic areas. The case fatality rate of severe
malaria has been reduced to 7.9 per cent and the case fatality rate of severe dengue was less
than 0.9 per cent.
In addition, the avian influenza control measures have been implemented in close
collaboration with other involved institutions and neighboring countries under the technical
and financial support from health development partners.
6. Doctor Lim Thai Pheang, Director of the National Center for Health Promotion
reported to the congress the progress and achievement in behavior change communication that
have been implemented through the development and production and dissemination of health
promotion and educational message in form of radio and TV spots, short documentaries and
round table discussion by focusing on the important of exclusively breastfeeding. The subdecree
on marketing of products for infant and young child feeding was officially
disseminated. The health education on advert effects of tobacco has been developed and the
program for hospital-school-pagoda without smoke has been implemented in 8 sites.
The health congress discussed and agreed on the importance of the changes in the attitude and
behavior of both providers and clients in the improvement of the quality of health services;
and the importance of raising awareness of public on health care seeking behavior and healthy
life-style. The congress acknowledged that the above-mentioned tasks would depend on many
factors: the commitment of and appropriate motivation for the providers together with the
improvement of quality of health services; encourage VHSG to mobilize active community
participation in health development activities and other activities; and the continuity of the
health education activities focusing on specific health topic and target population.
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