|Progress Toward Outcome
- Timely Report of suspected disease outbreaks (24H): There were 12 outbreaks that occurred nationwide in Q2 2016 including suspected Zika, food poisoning, alcohol poisoning, water poisoning due to pesticide, rabies, flu cluster (H1N1). In total, 733 cases reported in the period including 436 females and 12 people died (11 in project provinces). All outbreaks were reported within 24 hours.
- No outbreak of international concern occurred since 2015. Information sharing template is used by project provinces who have already shared CD data in Q2, 2016, to neighboring provinces in Lao and Vietnam. However, not all outbreaks are reported across borders within 24 hours as it is not possible to confirm cases within this amount of time.
- In Q3 2014, a baseline survey was conducted under CDC 2, and 494 (27%) of 3,600 households in 180 remote villages were found to have applied 8 clean (Proper CDC) practices. Further, 4,371 (99%) of 4,412 children under five years old were reported to have slept under mosquito nets. The cumulative achievement will be determined from household endline survey (post-intervention survey).
|Status of Implementation Progress (Outputs, Activities, and Issues)
Progress in Output 1:
- National MOH focal points work closely with WHO IHR Contact Points through regular workshops, meetings, informal meetings, as well as by electronic communication on behalf of MOH. Emergency meetings are also conducted with other development partners such as US CDC, UNICEF, etc. to address all disease outbreaks of national or regional concern and make investigations and timely response as well as informing the public, raising awareness and collecting response contributions.
- In Q2 2016, the CDC department announced several messages to the public through its website which included (i) a hotline number, 115, to promote public calling to report any CD event; (ii) alert information about dengue fever in Mondul Kiri, Preah Vihear, Kampong Thom, Siem Reap, Oddor Meanchey, Kampong Chhnang, Banteay Meanchey, Phnom Penh and Kandal province; and (ii) Reminding the public on sign/symptom and prevention measures for seasonal flu.
- Cambodia's project coordinating unit has regularly collaborated with the regional coordination unit (RCU) through exchanging/sharing project documents, providing inputs to develop cross-border information sharing templates, and arranging regional workshops/meetings.
- The project conducted simulation exercises on joint outbreak investigation in Stung Treng Province (December, 2014) with Champasack and Attapeu (Lao PDR). The SOP for joint outbreak investigation and response workshop will be conducted on 22-23 September 2016. An agenda and concept note for the workshop have been shared with Lao PDR, Vietnam, RCU, ADB and WHO.
- The CDC website is maintained and updated, and the project webpage is integrated with the MOH CDC website. Among the knowledge and communication products developed were project reports (quarterly, annual), project maps, survey and assessment (baseline survey for MHV, Sero-Prevalence survey EV71, demographic assessment), press releases (AI, SARS, SWD, swine flu, MERS, other diseases), monthly bulletins, IEC materials (posters, booklets, radio spots, TV spots, leaflets), CDC news, job announcements and procurement notices for CDC2 and CDC2 AF projects. CDC website links with other websites such as MoH, US-CDC, RCU, and WHO.
- Cambodia has accomplished key outputs in cross border activities: (i) Information sharing template is developed and agreed by the cross border country. The template is used by all project provinces. CD data in Q1 and Q2, 2016 has been shared with Lao PDR and Viet Nam; (ii) Cambodia, Viet Nam and Lao PDR agreed to pilot cross border collaboration meetings: Stung Treng & Ratanakiri (CAM) Champasak & Attapeu (LAO), Takeo & Kampot (CAM) - An Giang (VIE), and Svay Rieng & Tbong Khmum (CAM) Tay Ninh (VIE). Cambodia (Stung Treng, Ratanakiri, CDC department and PCU) participated in a cross-border collaboration meeting on 16-17 Aug 2016 in Pakse, Lao PDR.
- A National IHR/APSED review workshop was conducted in May 2016 and key core capacities 2014-16 were reported and EA also developed the national work plan of IHR for the next 5 years. An Emergency Operating Centre (EOC) exists at the CDC Meeting Room and resources for implementing IHR are available for 11 project provinces. The SOP for joint outbreak investigation and response workshop is scheduled on 22-23 September 2016 while a One Health workshop is planned in Q4 2016.
Progress in Output 2:
- In Q2, 2016, 11 targeted provinces have conducted refresher training, community meetings and also supportive supervision to build capacity of village management groups (VMGs) and increase engagement of village members in community-based activities. The CDC department also supervised field activities of VMG to monitor community health education and local participation with the project.
- Mid-year workshop to review the implementation of MHVs involved 36 key staff (F: 6) from 11 project provinces.
- In Q2 2016, refresher training on CDC core topics for the model health villages were conducted in five provinces of Kampot, Kandal, Svay Rieng, Prey Veng, and Kratie; there were 235 VMG participants in the training sessions (91 were female and 22 were IP).
- In Q2, 2016, three courses on integrated CDC and malaria surveillance and control were conducted to strengthen staff capacity in the 11 project provinces. On 13-17 May 2016, staff training on risk communication to deal with the media for emerging diseases and malaria was conducted. Other relevant trainings were: staff training on emerging diseases and malaria surveillance, conducted on 9-12 May 2016 with 56 staff participants; and another session on 16-19 May 2016 with 50 staff participants; refresher training for 10 diseases and malaria control in Mondul Kiri province on 30-31 May 2016.
Progress in Output-3:
- All national consultants were recontracted for the AF extension phase. Four consultants (international social development expert, national social development specialist and procurement expert and international QA/QC expert) are in the process of being hired and are expected to be on board October 2016.