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PROJECTContextIt is commonly assumed that personswith disabilities are not at high risk ofHIV or other sexually transmitted infectionsas they are often wrongly believednot to be sexually active, unlikely to usealcohol or drugs, and are less at risk ofsexual violence than their non-disabledpeers. Moreover, policymakers andservice providers may believe that thenumber of persons with disabilities isnegligible and that they do not deservethe same attention as non-disabledpeople. As a result, they do not ensureuniversal accessibility to service andinformation provision.The evidence of two Handicap InternationalFederation studies conductedin 2009 and 2010 suggests thatpersons with disabilities, especiallywomen who face barriers in communication,are at risk of HIV infectionand vulnerable to sex-based violenceas they are frequently excluded fromaccess to prevention programs andresponsive services. Evidence suggeststhat persons with disabilities arefacing significant structural barriers inenjoying their civil, political and humanrights in Cambodia.ObjectivesThe goal of the project is to improveaccess to HIV prevention, sexualviolence protection and supportsystems for persons with disabilities,Courtesy of Handicap Internationalwith a special focus put on personswith sensory impairment. To achievethis goal the project works at both thenational and local levels with mainstreamstakeholders (HIV/AIDS orgender organizations, local authorities,etc.), Disabled Peoples Organizationsand/or organizations working for them.The project includes activities forawareness raising, training and a supportivemechanism for referring sexualviolence survivors with disabilities toappropriate services (health, psychosocial and legal). Topics addressedencompass HIV prevention, reproductivehealth and sexual violence.Target populationsPersons with disabilities with a specialfocus on deaf women and youngpeople with sensory impairments,national HIV/AIDS and gender organizations,commune councils and localstakeholders involved in HIV/AIDS andsexual violence protection, DisabledPeople Organizations, including Self-Help Groups, and NGOs working withpersons with disabilities.Operational PartnersGovernment: Ministry of Health,Provincial Health Departments andOperational Districts, National AIDSAuthority and Provincial AIDS Offices,Provincial Departments of Women’sAffairs, Provincial Departments ofSocial Affairs, Veterans and YouthRehabilitation, Commune Councils.Disabilitiy organizations: Deaf DevelopmentProgram, Krousar Thmey,Association of Blind Cambodians,Local DPOs and SHGs.HIV/aids organization: HIV/AIDsCoordination Committee.Gender/legal and Psychosocialorganizations: Banteay Srei,LICADHO and TransculturalPsychosocial Organisation.DonorsAgence Française de Développementand HI.Contact PersonDr. Vivath Chou, HIV/DisabilityProject Managerpm-hiv@hicambodia.orgImplemented by HI FederationMain Achievementsand Progress in 2011• Advocacy and support toolsproduced for disability inclusioninto HIV/AIDS and sexual violenceresponse• Documentation of good practices/lessons learnt and one film producedabout working process withdeaf women at community level• Refresher training and exposurevisit to health facility, communecouncil and police post organizedwith 6 deaf learning groups of 97deaf women• 22 (50% female) focal personsfrom 11 DPO/SHGs trainedby project staff have organizedawareness raising sessionsfor 96 (51% female) membersof reproductive age• Disability training provided to71 (39% female) focal personsfrom commune councils, healthcenters, Banteay Srei and itsvolunteers, and support offeredto mainstream disability into theirown actions• 12 (50% female) focal personsfrom six commune councilswere trained and have organizedawareness raising on sexualviolence protection for 261 (61%female) village volunteers. Togetherthey organized awarenessraising sessions for 1,266 (70%female) villagers• Training and supporting toolsprovided to 35 (75% female) focalpersons from Krousar Thmeyand Deaf Development Programfor HIV/AIDS and sexual reproductivehealth inclusion in theirtraining plan• Four quiz shows on sexualviolence protection organizedduring the 16-day campaignin cooperation with communecouncils and attended by morethan 1,700 persons• Eight deaf women were referredto informal education trainingand 2 more deaf women, survivorsof rape, were referredto health services.26 Annual report 2011
PROJECTContextIn Cambodia, the prevalence of disabilityis conservatively estimated to be8.1% of the national population. Thismeans that more than half a millionCambodians live with disability.The 0-5 year age group accounts for9.9% of all disabilities in Cambodia. 1Even more children develop disabilitieslater in life due to unresolved healthissues during early childhood. Earlydetection and prompt treatment ofcertain conditions can prevent a disabilityfrom developing. In conditionsthat cannot be corrected (i.e. Down’ssyndrome and cerebral palsy), earlyintervention can greatly reduce theimpact that the condition has on thechild’s life and that of the family.ObjectivesThe goal of the project is to contributeto the improvement of the quality oflife of Cambodian people through thereduction of the number of preventabledisabilities in children betweenthe ages of 0-5 years. Since 2010, acomprehensive training package wasapproved by the Ministry of Healthand the project was implemented viaa training-of-trainer system with a newcurriculum to improve the knowledgeand capacity of staff within the statehealth system. Additionally, the projectalso supports key persons from variousministries; building the capacityof Commune Council Committees forWomen and Children, and improvingcollaboration with NGO partners.Target PopulationDirect: Selected staff in Ministry ofHealth, Ministry of Social Affairs, Veteransand Youth Rehabilitation, Ministryof Education, Youth and Sports, andMinistry of Interior; more than 700health service staff from rural SiemReap; school teachers and directors;commune leaders; staff of CapacityBuilding of People with Disabilities inthe Community Organization (Cabdico);Angkor Hospital for Children;other NGOs; selected members ofCommune Council Committees forWomen and Children in 4 districts;students from nutrition project; pregnantwomen receiving informationfrom pregnant club and communityawareness, children receiving assessmentin health centers.Indirect: Children from 0-5 age groupin 4 operational districts, who will benefitfrom the system in target projectareas and from increasing knowledgeand capacity of staff in the healthsystem in target areas as well as thenational system.Operational PartnersMinistry of Health, Ministry of EducationYouth and Sport, Ministry ofSocial Affairs Veterans and YouthRehabilitation, Ministry of Interior, DisabilityAction Council, UNICEF, AngkorHospital for Children and Cabdico.DonorsBelgium Cooperation, HI-Luxembourg,UNICEF.Contact personMs. Chanmolyta Tham, RehabilitationProject Managertham.chanmolyta@hib-cambodia.orgImplemented by HI Belgium1 Cambodia Social & Economic Census, 2004.Nam is a 6-month-old boy with multiple-disabilities:Spina Bifida, Club Foot and Hydrocephalus. Theseare likely the result of one or a combination of severalfactors: his mother had malaria during pregnancy, tookmedicine to treat it without a prescription, continued back-breaking farmwork due to the family’s extreme poverty, and subsisted on a diet low incalories and micronutrients.Nam lives in a village in Traing district’s Roneam commune, in Takeo province,with one brother and his mother who continues to work as a farmer.His father migrates to urban areas to work on construction sites as a daylabourer to support the family.Nam’s situation was brought to the attention of the Happy Child Project inDecember 2011 when an outreach worker was told about the infant duringa regular quarterly meeting with the village’s Health Support Group andtraditional birth attendants.The response was swift. Project staff began working with village healthsupport members to train Nam’s mother on how to care for her son.They also referred him for surgery, a service the family – like many othersin a similar situation – was unaware of.Since surgery, Nam is sleeping better and his mother is happy with theresulting physical improvements. She also finds it easier to care for him.She says that without intervention from the project Nam’s head wouldhave kept swelling. “When he is old enough I promise I will take him tothe Physical Rehabilitation Centre for treatment of his club foot,” shesays emphatically.Main Achievementsand Progress in 2011HI recorded a total of 20,795 childrenin which risk of impairmentor signs of disability were detected.13,091 children were referred tohealth centers, 5,835 children werereferred to state hospitals, 1,194children were referred to privatehospitals, and 47 were referredto Physical Rehabilitation Centers.628 children did not receive anyintervention.Collaboration with the Ministryof Health, other ministries,UNICEF and NGO partners hasimproved and contributed to thedevelopment of a model for earlydetection, referral and early intervention.The number of people receivingtraining through training oftrainer and/or Happy Child Projectteam has increased over last year.The number of health structurestaff aware of the curriculum andits benefits has also increasedthrough workshops and training.Annual report 2011 27
Page 2 and 3: © Erika Piñeros for Handicap Inte
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