This document summarizes PATH's progress on their Enhanced Diarrheal Disease and Pneumonia Project in Cambodia. It discusses how the project worked with the Cambodian Ministry of Health to improve policies around diarrhea and pneumonia treatment and prevention. This included re-establishing a technical working group, updating treatment guidelines, and developing multi-year plans. The project also demonstrated a model for prevention and pre-referral treatment at the community level in one district. Looking forward, PATH plans to expand this model to another province in collaboration with the Ministry of Health and other partners.

1. In-Country Advocacy in an Alphabet
Soup World:
Advocacy Across the Various GlobalLevel Initiatives
CORE Group Fall Meeting
October 17, 2013

2. Information & Accountability for Results & Resources:
the Expert Review Group; Countdown to 2015
Towards a Common Approach for RMNCH
Global Strategy for Women’s and Children’s Health:
Every Woman Every Child

3. Progress on
Enhanced Diarrheal Disease and
Pneumonia Project
in Cambodia
PATH Cambodia Multi Project Office
ORK, VICHIT
Senior Program Officer
EDD/Pneumonia Project Manager, PATH

4. Background

Cambodia Demographic Health Survey 2010:

16,000 children die annually

15% of under 5 mortality attributable to diarrhea and pneumonia

About 20% of children with diarrhea receive no treatment

40% of under five are stunted and 28% are underweight

In rural areas, 2 in 3 households reported no toilet facility;
in urban households, 1 in 8 has no toilet facility

25% of households do not treat their drinking water;
11% of households used some type of filter prior to drinking

In 1998, the Ministry of Health Cambodia developed an integrated National
Acute Respiratory Infection and Control of Diarrheal Disease Program (ARI/CDD)

Recently, the MoH supported efforts of WHO and UNICEF to develop the
integrated Global Action Plan for Pneumonia & Diarrhea (GAPPD)

5. Improved policy environment





Re-established the ARI/CDD Technical
Working Group (TWG) and conducted
regular quarterly meetings
Updated the National ARI/CDD Policy

Zinc given over-the-counter status

Interventions focused at community
level
Development of ARI/CDD Multi-Year Plan
2013-2017; Zinc and ORS Distribution Plan
2013-2017
Development of Operational Guidelines
on ARI/CDD
Other technical support to National
ARI/CDD program

6. Demonstration model at Baray-Suntuk District
on prevention & pre-referral treatment




PATH provided financial and technical
support
National ARI-CDD was an important
coordinator and offered technical and
commodities support (ORS and zinc)
through MoH supply system
Provincial, district, and health center
levels provided training, supervision,
coordination, and monitored the
demonstration
Village Health Supported Group (VHSG)
provided mothers classes on diarrhea and
pneumonia prevention, pre-referral
treatment, and referral

7. Scale up plan and main partners

The Scale-Up plan:



Districts with NGOs / INGOs/ UN support (2013)
Districts without NGOs / INGOs / UN support used Pooled Funds
“HSSP2 fund” (Annual Operational Plan “AOP 2014”)
Main partners:

UNICEF

WVC (World Vision Cambodia)

Save the Children

RACHA (Reproductive and Child Health Alliance)

RHAC (Reproductive Health Association of Cambodia)
© Kent Truog

8. EDD / P Demonstration (GAPPD)

9. Next Steps in Cambodia

New two year funding from internal PATH resources (August 2013 to August
2015)

Objective: To improve the community prevention, pre-referral treatment, and
referral for children with diarrhea and pneumonia in Cambodia

In collaboration with Ministry of Health, PATH will:

Scale up the demonstration model of community prevention, pre-referral
treatment, and referral for childhood diarrhea and pneumonia disease to
whole Kampong Thom province and one district in Siem Reap province

Scale up will include integrated WASH, nutrition, immunization, and
household cook stove projects

Develop the community reporting system by integrating into the MoH
Health Information System

Develop a module of the demonstration model for MoH to eventually
takeover and run program

10. Questions?

11. Toolkits and Resources
•
•
UN Commission on Life Saving Commodities
GAPPD Advocacy Toolkit
•
•
•
•
•
Advocacy Actions
Templates
Messages
Diarrhea & Pneumonia Mapping Brief
Every Newborn Toolkit
•
•
Tools
Factsheets
© Aurelio Ayala III
10/21/2013

12. Thank you!
Ork, Vichit: vichito@path.org
Ashley Latimer: alatimer@path.org
Page 12
10/21/2013