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Cambodia
>> Regional Overview >> Cambodia Overview Program Data Sheet
442-009
USAID MISSION: Cambodia
PROGRAM TITLE: HIV/AIDS and Family Health (Pillar: Global Health)
STRATEGIC OBJECTIVE AND NUMBER: Increased Use of HIV/AIDS and Family Health Services and Appropriate Health-Seeking Behavior, 442-009
STATUS: New
PLANNED FY 2002 OBLIGATION AND FUNDING SOURCE: $15,000,000 CSH; $7,000,000 ESF
PROPOSED FY 2003 OBLIGATION AND FUNDING SOURCE: $22,500,000 DA
INITIAL OBLIGATION: FY 2002 ESTIMATED COMPLETION DATE: FY 2005Summary: USAID's HIV/AIDS and Family Health program in Cambodia includes-
- public awareness campaign/social marketing efforts;
- technical assistance to improve quality and expand coverage of HIV/AIDS and health services;
- technical assistance and training to strengthen health-system planning and management skills;
- technical assistance to improve the use of data at the operational and management levels;
- training in strengthened surveillance, case detection, and successful treatment of tuberculosis (TB); and
- efforts to improve collaboration between government, NGOs and the private sector.
Inputs, Outputs, and Activities: FY 2002 Program: As a result of a comprehensive assessment in 2001, USAID funds will focus on a rapid scale-up and national level expansion of successful HIV-prevention interventions, combined with strengthening of health systems to meet reproductive, family health, and infectious disease needs of Cambodia's largely rural population. This combined approach will replace separate programs in HIV/AIDS and reproductive and child health. USAID grantees will develop and test community-based approaches for care and support of those infected by HIV/AIDS. Voluntary counseling and testing programs will be expanded. USAID funds will continue to support Cambodia's surveillance system to monitor the epidemiological and behavioral trends of the epidemic. These efforts are key to helping Cambodian NGOs and health authorities balance prevention and care efforts and to develop and target appropriate prevention messages. USAID will also fund technical assistance, social marketing, and public awareness campaigns at the national and provincial levels to help prevent HIV and to reduce the stigma associated with the disease.
USAID efforts in health system strengthening will focus on technical assistance, training, and service provision. The focus will be on key provinces and operational districts where combining activities in HIV/AIDS, maternal and child health, reproductive health, and infectious diseases will result in a strengthened health system and better services. Funds will support skills training for midwives and development of a referral system to provide emergency obstetric care. USAID activities will make contraceptive information and services routinely available at the community level; increase the availability and effectiveness of outreach antenatal-care services; provide tetanus toxoid and anemia prophylaxis; and diagnose and treat sexually transmitted infections (STIs), TB, dengue fever, and malaria. This program will also train health providers in standard clinical management practices for infectious diseases and to design interventions aimed at public and private health providers, drug dispensers, and consumers in order to improve the quality of drugs and decrease the inappropriate use of drugs and other medications.
Planned FY 2003 Program: USAID intends to use FY 2003 funds to continue the FY 2002 program.
SUBMISSION OF THIS PROGRAM DATA SHEET CONSTITUTES FORMAL NOTIFICATION OF USAID'S INTENT TO OBLIGATE FY 2002 FUNDS FOR THE ACTIVITIES DESCRIBED ABOVE. Performance and Results: USAID programs focused strongly on targeted behavior change interventions in 2001 in order to motivate increased condom use by high-risk individuals, reduce commercial sex, and seek treatment for sexually transmitted diseases. National HIV and behavioral surveys since 1999 have shown declining trends in HIV prevalence and increased condom use among all high-risk groups since 1997. During 1997-2000, HIV prevalence decreased from 39% to 31% among sex workers, from six to 3.1% among the police, and from 3.2% to 2.3% among women attending antenatal clinics.
USAID programs in six provinces conducted HIV outreach education, STI referrals, and treatment for 4,187 sex workers. Overall, 277 have been trained as group leaders and 3,889 are now in sex worker networks. By the end of FY 2001, 2,617 peer educators among the military were trained, and they in turn have trained 28,044 of their peers. In all, more than 37,000 of Cambodia's uniformed services, or nearly 100%, have received HIV/AIDS prevention training. USAID programs continue to provide support for active HIV/AIDS surveillance and STI prevalence surveys.
USAID funding for orphans/vulnerable children has improved the physical and emotional development, and care and education of children affected by HIV/AIDS, in addition to activities preventing exploitation and HIV infection. By the end of FY 2001, a total of 10,201 children had benefited from these programs. In addition, 1,529 people living with HIV/AIDS received care and support as a result of HIV/AIDS funding.
USAID activities trained 1,993 health-center staff throughout Cambodia in family health. The estimated number of beneficiaries for maternal and child health services through one Cambodian NGO alone grew from 215,000 to 360,000 clients in a single year.
Principal Contractors and Grantees: To be determined. Current USAID activities are implemented through the International HIV/AIDS Alliance, CARE International, EngenderHealth, Family Health International, Helen Keller International, Partners for Development, the Reproductive Health Association of Cambodia, and Population Services International.
US Financing in Thousands of Dollars
442-009 Increased Use of HIV/AIDS and Family Health Services and Appropriate Health-Seeking Behavior CSH ESF DA Through September 30, 2000 Obligations 0 0 Expenditures 0 0 Unliquidated 0 0 Fiscal Year 2001 Obligations 0 0 Expenditures 0 0 Through September 30, 2001 Obligations 0 0 Expenditures 0 0 Unliquidated 0 0 Prior Year Unobligated Funds Obligations 0 0 Planned Fiscal Year 2002 NOA Obligations 15,000 7,000 Total Planned Fiscal Year 2002 Obligations 15,000 7,000 Proposed Fiscal Year 2003 NOA Obligations 0 0 22,500 Future Obligations 0 0 0 Est. Total Cost 15,000 7,000 22,500
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Last Updated on: May 29, 2002 |
