KEY PERFORMANCE INDICATORS OF HEALTH SERVICES
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1 Coverage of Health Equity Funds Number of Hospital Number of Health Center Regulation of Private Sector Licensed and Unlicensed Private facility from Total 2,361 1,608 1,521 1,699 1,795 Licensed 1,453 62% 1,521 95% 1, % 1, % 1, % Unlicensed % 87 5% 0 0% 0 0% 0 0% Statistic of private services by types Type Lic Unli Lic Unli Lic Unli Lic Unli Lic Unli Cabinet , , ,630 0 Maternity consultation Physiotherapy General consultation 2, , , , ,768 0 Dental Consultation Dental Clinic Beauty Canter Medical Laboratory Maternity Clinic Clinic Poly Clinic Private Hospital Total 3,755 28% 4,622 7% 4,960 0% 5,501 0% 5,644 0% KEY PERFORMANCE INDICATORS OF HEALTH SERVICES Mother and Child Health Propotion of delivery by Health Staff and in Facilities (Public & Private) Births delivered by trained health personnel at health facilities Births delivered by trained health personnel 84 80
2 % of deliveries by Csection % of deliveries by Csection ( compared with total deliveries ) % of deliveries by Csection ( compared with expected pregnancies ) Trend of vaccination of children under 1 year % of children under one year immunized with DPT3HepB % of children under one year immunized against measles Trend of contraceptive prevalent reate (modern methods) Combating HIV / AIDS, Malaria & other Diseases 60,000 50,000 40,000 30,000 20,000 10,000 0 Number of active HIV/AIDS patients on ART 3,067 3,638 4,003 4,123 28,932 33,677 37,666 39,254 4,533 4,216 43,829 46,134 Adult Children Number of Malariat Case Treated and Death ,000 71,814 70, ,690 58,700 60,000 50, ,533 40,000 30, ,135 20,000 10, Case Sick Case Death ,800 1,600 1,400 1,200 1, ,000 35,000 30,000 25,000 20,000 15,000 10,000 5,000 Prevalence of TB and Death rate per 100,000 population 155 1,670 1,670 Dengue Case hospitalized and Death ,542 11,699 12,500 15,980 37,675 18,393 Case Hospitalized 1, , Case Death Death rate per 100,000 Prevalent rate per 100, Designed by Graphic Roots
3 HEALTH SECTOR PROGRESS IN 2013 Department of Planning & Health Information March 2014
4 HEALTH STRATEGY Health Service Delivery Expand coverage of Minimum Packages of Activity and Complementary Packages of Activity based on Health Coverage Plan Strengthen health Service delivery support systems in an integrated manner Target public health service provision and public health interventions according to need. Develop and apply consistent standards of quality across entire health sector (public, private and nonprofit) Develop contracting models as the center of a comprehensive approach to health service delivery 2. Health Care Financing Increase government budget and improve efficiency of government resource allocation for health Align donor funding with Ministry of Health strategies, plans and priorities and strengthen coordination of donor funding for health Reduce financial barriers at the point of care and develop social health protection mechanisms Account for the main sources and uses at service delivery level of national resources for health Strategic intervention Evidence and information for health financing policy 3. Human Resource for Health Improve technical skills and competence of health workforce. Strengthen staff professionalism, ethical conduct, and quality of work. Staff distribution and retention, with priority to personnel essential to health sector priorities Staff remuneration, salaries, performance incentives 4. Health Information System Increase the availability of accurate, timely, and complete health data of high quality from public and private sources, together with enhanced coordination, and resources for the Health Information System. Improve data sharing, management, analysis, dissemination and use across all levels of the health system, including population and sociodemographic data Improve the national disease surveillance system, public facility patient medical record system, and strengthen the case reporting, monitoring and response to noncommunicable diseases. Expand the participation in the national Health Information System by the private sector, and facilitate data use for planning, resource allocation and management of human resources, infrastructure, and supplies 5. Health System Governance Harmonization and alignment within Ministry of Health and across the health sector Public private partnerships Research, policy, regulation and legislation Institutional development Strengthen Ministry of Health stewardship through decentralization and deconcentration Mobilize multisector responses to increase national health system accountable for access to quality health services for all.
5 HEALTH INFRASTRUCTURES Trend of expanding health coverage from , , , ,000 1,200 1,400 OD RH HC HP Health Infrastructure Operational District Referral Hospital Health Center Health Post Total Banteay Meanchey Battambang Kampong Cham Kampong Chhnang Kampong Speu Kampong Thom Kampot Kandal Koh Kong Kratie Mondul Kiri Phnom Penh Preah Vihear Prey Veng Pursat Ratanakiri Siemreap Sihanoukville Stung Treng Svay Rieng Takeo Oddar Meanchey Kep Pailin
6 HUMAN RESOURCE IN PUBLIC HEALTH SECTOR Staff Category Medical Doctor 2,162 2,139 2,180 2,178 2,021 Medical Assistant 1,147 1,087 1,052 1, Dentist Pharmacist Secondary Midwife 1,825 1,863 1,994 2,432 2,734 Secondary Nurse 5,098 5,155 5,366 5,662 5,534 Primary Midwife 1,616 1,815 1,997 2,164 2,332 Primary Nurse 3,404 3,359 3,381 3,366 3,387 Secondary Laboratory technician Others 1,829 1,807 1,716 1,747 2,483 Total 18,113 18,302 18,814 19,721 20,668 Staff Recruitment and Retirement Description Total Health Staff 18,113 18,302 18,814 19,721 20,668 Newly recruited staff ,016 1,474 1,325 Titulairized ,442 Retireers Remove from payroll Leave without salary Promotion Reward/medals 1,994 1, ,723 1,750 HUMAN RESOURCE DEVELOPMENT Training Institution Statistic of Human Resources Training during School Year At The Ministry of Health s and Private Training Institutions Field of Study and Degree # of Intake # of Graduate # of current Student Scholarship SelfPaid Total University of Health Sciences Medical Doctor (MD) ,594 Bachelor Degree in Pharmacy( BDP) Doctor of Dental Surgery (DDS) Bachelor of Science in midwifery (BSM) Bachelor of Science in nursing (BSN) nursing (AND) nursingmidwifery (ADNM) midwifery( ADM) Physical Therapy (ADPT) Radiological Technology (ADRT)
7 Kompong Cham Regional Training Center nursing (AND) nursingmidwifery (ADNM) midwifery (ADM) Primary nurse (PN) Primary midwife (PM) Primary Pharmacy Technician Assistant (PPTA) nursing (AND) nursingmidwifery (ADNM) midwifery (ADM) dental nurse (ADDN) Primary nurse (PN) Primary midwife (PM) Primary Pharmacy Technician Assistant (PPTA) Kompot Regional nursing (AND) Training Center Stung Treng Regional Training Center Institute of Health Science for Royal Army International University BOLINO Institute PUTHISASTRA University nursingmidwifery (ADNM) midwifery (ADM) Primary nurse (PN) Primary midwife (PM) Primary Pharmacy Technician Assistant (PPTA) nursing (AND) midwifery (ADM) Primary nurse (PN) Primary midwife (PM) Primary Pharmacy Technician Assistant (PPTA) Medical Doctor (MD) Bachelor Degree in Pharmacy (BDP) Doctor of Dental Surgery (DDS) nursing (AND) midwifery (ADM) Medical Doctor(MD) N/A N/A Bachelor Degree in Pharmacy (BDP) N/A N/A Doctor of Dental Surgery (DDS) N/A N/A nursing (AND) N/A N/A midwifery (ADM) N/A N/A Bachelor Degree in Pharmacy (BDP) Doctor of Dental Surgery (DDS) dental nursing (ADDN) Medical Doctor (MD) Bachelor Degree in Pharmacy (BDP) Doctor of Dental Surgery (DDS) Bachelor of Science in nursing (BSN) Bachelor of Science in midwifery (BSM) nursing (AND) midwifery (ADM)
8 Medical Doctor (MD) Bachelor Degree in Pharmacy (BDP) Doctor of Dental Surgery (DDS) NORTON University CHENLA University in Phnom Penh CHENLA University in Battambang LIFE University Phnom Penh Institute of Nursing and Paramedical Science Asia Institute of Science Battambang Nursing Institute International Science Institute Kampong Cham University Meanchey University Bachelor of Science in nursing (BSN) Bachelor of Science in midwifery (BSM) nursing (AND) midwifery (ADM) Bachelor of Science in nursing (BSN) Bachelor of Science in midwifery (BSM) nursing (AND) midwifery (ADM) nursing (AND) midwifery (ADM) Bachelor of Science in nursing (BSN) Bachelor of Science in midwifery (BSM) nursing (AND) midwifery (ADM) nursing (AND) midwifery (ADM) nursing (AND) midwifery (ADM) nursing (AND) midwifery (ADM) nursing (AND) Bachelor of Science in nursing (BSN) Bachelor of Science in midwifery (BSM) nursing (AND) midwifery (ADM) dental nurse (ADDN) Primary nurse (PN) Primary midwife (PM) HEALTH FINANCING National Budget from Approved budget 404, , , , , , % of annual increase 20.10% 24.50% 19.00% 15.70% 14.30% 13.51% Expenditure 426, , , , , , % of Expense % % % 94.35% 95.59% 93.43%
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