WORKING GROUP PRESENTATIONS
CAMBODIA WORKING GROUP PRESENTATION
Discussion topics:
Pricing mechanism
Integration of supervision of community financing into overall supervision
Action Plans
(see “Cambodia Country Report,”
p.25)
I. Operationalize community co-managed health centers
| No. |
Sequence of activities to be carried out to accomplish the action stated above |
Resources required & costs involved |
Person or agency responsible |
Due date |
Indicator to measure expected outcome |
| 1. |
Provision of essential drugs |
$13 mil. |
CMS |
All year |
|
| 2. |
Completion of RDF operational guidelines |
$30,000 |
Financing Task Force |
Dec. 1996-Jan. 1997 |
|
| 3. |
Training of health center staff |
$20,000 |
PHD/DHD |
From Feb. 1997 |
|
| 4. |
RDF implementation |
|
HC/DHD |
From Feb. 1997 |
|
Topics to be included in operational guidelines:
○ fee setting
○ payment method
○ exemptions
○ accounting and financing
○ community role in health services
○ supervision and monitoring
II. Strengthen skills of district management teams
| No. |
Sequence of activities to be carried out to accomplish the action stated above |
Resources required & costs involved |
Person or agency responsible |
Due date |
Indicator to measure expected outcome |
| 1. |
Train district management teams |
$15,000 |
PHD/MOH |
From Feb. 1997 |
|
III. Strengthen community capacity for co-management
| No. |
Sequence of activities to be carried out to accomplish the action stated above |
Resources required & costs involved |
Person or agency responsible |
Due date |
Indicator to measure expected outcome |
| 1. |
Community sensitization; committee formation |
$10,000 |
MRD, SWA, PHD |
From Dec. 1996 |
|
| 2. |
Train committees and health staff |
$10,000 |
SWA, PHD, DHD |
From Feb. 1997 |
|
IV. Improve efficiency of drug replenishment
| No. |
Sequence of activities to be carried out to accomplish the action stated above |
Resources required & costs involved |
Person or agency responsible |
Due date |
Indicator to measure expected outcome |
| 1. |
CMS support/Logistics |
$70,000 |
CMS |
Jan. 1997-Dec. 1997 |
|
| 2. |
Central/provincial senior staff development |
$10,000 |
MOH pharmacy |
Aug. 1997-Dec. 1997 |
|
| 3. |
Training of district and health center pharmacy staff |
$40,000 |
MOH and PHD pharmacies, DHD |
Jan. 1997-Dec. 1997 |
|
| 4. |
Sustainable supply study |
$20,000 |
MOH pharmacy and finance, CMS |
May-97 |
|
V. Improve drug use
| No. |
Sequence of activities to be carried out to accomplish the action stated above |
Resources required & costs involved |
Person or agency responsible |
Due date |
Indicator to measure expected outcome |
| 1. |
Review and update treatment guidelines |
$40,000 |
MOH, DG, pharmacy |
Jan. 1997-Mar. 1997 |
|
| 2. |
Prescriber in-service training |
$30,000 |
MOH, PHD, DG |
Jan. 1997-dec. 1997 |
|
VI. Improve planning and monitoring
| No. |
Sequence of activities to be carried out to accomplish the action stated above |
Resources required & costs involved |
Person or agency responsible |
Due date |
Indicator to measure expected outcome |
| 1. |
Planning workshops |
$20,000 |
MOH, PHD |
Jan. 1996-Dec. 1997 |
|
| 2. |
Develop monitoring indicators |
$10,000 |
MOH, PHD |
Jan. 1997 |
|
| 3. |
Provincial, district supervision |
$40,000 |
MOH, PHD, DHD |
Jan. 1997-Dec. 1997 |
|
| 4. |
Regional RDF study visits |
$15,000 |
MOH |
Apr. 1997 |
|
VII. Enhance public awareness
| No. |
Sequence of activities to be carried out to accomplish the action stated above |
Resources required & costs involved |
Person or agency responsible |
Due date |
Indicator to measure expected outcome |
| 1. |
Community drug use surveys |
$20,000 |
MOH, pharmacies, CWDA |
Feb. 1997 |
|
| 2. |
Develop consumer public education materials |
$30,000 |
MOH |
Apr. 1997-May 1997 |
|
| 3. |
Drug seller training program |
$10,000 |
MOH/PHD |
From Mar. 1997 |
|
Recommendations to the Essential Drugs Project
1. Continued political will for essential drugs, health reform and financing
2. Participating countries should develop operational guidelines for RDFs covering key areas to bridge policy and action
3. Increased sharing of knowledge/documents and experience between countries
4. More attention to replenishment issues (a number of countries do not seem to have documented ED supply strategies)
