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In Country Advocacy_Ashley Latimer_10.17.13
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
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
The underlying initiative – Every Woman Every Child – was launched in September 2010 by Ban Ki-moon. This global strategy set out key areas where action was urgently needed to enhance financing, strengthen policy, and improve service delivery. With a focus on key interventions, 16 million women’s, newborn’s, and children’s lives could be saved by 2015.What you don’t see on this slide is who is involved in making this all happen. This is truly a global call: governments, multilaterals, bilaterals, civil society, private sector, donors, etc. The Information and Accountability for Results and Resources cross cuts all of these initiatives, as does Countdown to 2015.