Joint Annual Performance Review 2007 - Ministry of Health

7. Professor Koum Kanal, Director of NMCHC reported on the quality improvement that
focusing to both public and private as well as the quality of health services and health
infrastructures by emphasizing that improving quality of health services is essential in
promoting the public facility utilization as well as promoting the health status of Cambodia
people.
The congress discussed and concluded that: 1) the ownership and leadership of health official
and health staff plays an essential role in improving quality of health services delivered; 2) the
use of quality circle in health facilities with active participation of health official and health
staff; 3) appropriate fund allocation with effectively and efficiently use of fund available as
well as appropriate human resource distribution and management, sufficiently and timely
supply necessary medical equipment and drugs according to the need to provide MPA and
CPA services; and 4) appropriate motivation and incentive mechanism that links to the system
for accreditation and strengthening the implementation of professional ethic.
8. Ms. Keat Phuong, Director of Human Resource Development Department reported on
the progress and achievement in the component of human resource development which has
been given high priority, especially the appropriate training and distribution to support the
development and function of the health facilities to enable the provision of basic health
services. Training midwives to fill the gap is the critical and urgent issue. Due to additional
official posts provided by the Royal Government the Ministry has been enabled to recruit
additional nursing and midwifery students by giving priority to remote areas. In addition to
the basic training, the Ministry focuses as well on skills training including midwifery and lifesaving
skills, basic surgical skills and nursing reanimation and anesthesia.
The congress discussed on the selection criteria for primary midwives and suggested to give
priority according to the provinces rather than to region. The congress also suggested
allocating adequate fund to training institution in order to improve the quality of training.
9. Doctor Khuoth Thavary, Deputy Director of the Finance and Budgeting Department
reported to the congress about the achievement made in the health financing component. The
Royal Government considers the health sector as one of the priority areas by increasing
national budget for this sector every year and including funding for equity fund to enable the
poor to receive health care at public facilities.
The congress considered that the progress in the health financing reform is still limited and
sustainability is the essential issue to tackles. The congress focused on expanding the
implementation of equity fund and the social health insurance initiative. All emphasized on
the need of adequate and timely fund allocation according to the need including the allocation
and effectively and efficiently use of fund available; and stressed on strengthening the
transparency and harmonization in designing, planning and implementing the annual
operational plan. The congress requested to all national hospitals to facilitate and provide
services to the poor referred to their facilities even though they are covered by the equity
fund.
10. H.E. Professor Koeut Meach, Deputy Director General for Administration and Finance
reported to the congress the achievement in the health institutional development component.
The performance-based incentive scheme and the priority mission group have been developed
to enhance the effective human resource distribution, extend the health services to ruralremote
areas and to improve the quality of health services delivered. The projects were
designed based on the result of functional analysis and in consultation with the high level
working group of the Ministry of Health with participation from the representative of the
Administration Reform Council; Ministry of Economic and Finance; and other health
development partners, and thereafter, were agreed in principle. The standard number of staff
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