Key Reforms
No.
Decision/Reform
Description/Activities
Status
Reference
1
Legislation
a. New law on Regulation of health practitioners: after the Roka HIV outbreak coupled with the mounting pressure for the ASEAN integration by the end of 2015, MoH and the five health profession Councils drafted a law on the Regulation of health practitioners that includes medical doctors, dentists, midwives, nurses and pharmacists. This law is designed to strengthen the system of health profession regulation and thereby ensure the safety of patients and the quality of health professionals in the public and private health care systems in Cambodia.


b. Law on Control of Alcohol: the law was developed to control the sale and consumption of alcohol by establishing a drinking age and limiting alcohol accessibility and alcohol advertisements.

c. Tobacco law: the law contains 13 chapters and 49 articles intended to educate and reduce tobacco use.
New law passed by the Royal Government of Cambodia and signed by the King - 19 November, 2016

(2 laws - b & c yet to be approved by National Assembly)
USAID ASSIST Project, 4 January 2017


Phnom Penh Post, 10 July 2015

Phnom Penh Post, 9 April 2015
2
Strengthening the quality of the health profession graduate
a. National exit examinations conducted annually have been progressively implemented since 2013 firstly for degree and then associate degree graduates of all five health professions from both private and public universities

.
b. MoH launched the Health Workforce Development Plan titled " Managing a competent health workforce for improved service delivery"on 9/10 March 2016 at the 37th National Health Congress on Health Achievements in 2015 and Goal for 2016. Strategic Objective 4 focuses on
Improve the quality of education and training to meet the skill and development needs of the workforce in a changing demographic and epidemiological environment" and Strategic Objective 5 focuses on “Strengthen health workforce regulation and management to ensure quality of service delivery.”

c. MoH recently called for a meeting with all the private institutions providing health profession education to discuss strengthening the quality of health education (entry and exit exams, curriculum, internship)

d. MoH is working with the Ministry of Education,Youth and Sport (MoEYS) to develop a Joint Prakas on Conditions and Minimum Standards for Training Institutions and Programmes in Health.
This new Joint Prakas is designed to help improve the quality of both public and private training institutions and their delivery of quality education programmes in health disciplines.
Ongoing (exit exams implemented since 2013)

HDWP Completed
Strategic Objectives 4 & 5 Ongoing

Ongoing
Meeting with MoH (Dr. Or Vandine), 04 September 2015

HDWP 2016-20 launched at 37th National Health Congress on 9/10 March 2016

USAID ASSIST Project, 4 January 2017
3
Promoting decentralization
MoH provides authorization on some functions to sub-national level (Operational District). Provincial Health Department is now responsible for developing its own development plan including budget planning. The Deputy Provincial Health Director and lower levels could be appointed by provincial governor and provincial council committee. Several functions (maintaining health centres [hygiene, electricity, water, etc.]; [ii] providing motivation and support to community health mechanisms; [iii] motivating health centre staff; [iv] promoting community health service outreach and 24-hr standby services; [v] sponsoring periodic technical support diagnosis and regular backstopping from doctors; [vi] strengthening M&E and control mechanisms) and $US 150,000 had been transferred to 5 districts in Pursat and Battambang by the end of 2014.
Ongoing (several functions transfer piloted in 5 districts)
Meeting with MoH (Dr. Or Vandine), 04 September 2015
4
Health System Governance
a. MoH (as of May 2015) provides comprehensive access to public health services through the Health Equity Fund covering 100 per cent of poor population estimated at 3.2 million. In addition to medical services, the HEF also provides direct support for transportation and caretaker food allowances.
b. The annual budget is transferred from the central office to health centres in the provinces through a banking system
c. A national web-based Patient Management and Registration System (PMRS) has been established to provide unique National Health Identifiers (NHID) to all patients registered in 40/93 hospitals for all patients. All 93 hospitals use the PMRS for registration of the poor under the Health Equity Fund. Approx. 700,000 unique patients registered to date.
d. Five health professional councils have been established by Royal Decree. They are for Medical Practitioners (2000), Dentists (2005), Midwives (2006) Nurses (2007) and Pharmacists (2010). Under the existing law, it is mandatory for health professionals to be registered and pay an annual fee to their respective council. It provides a mechanism for the setting and monitoring of professional codes and standards of care provided by registered health professionals to patients.
Completed

Completed (banking system created)
In Progress

Completed and Ongoing
Meeting with MoH (Dr. Or Vandine), 04 September 2015
Meeting with URC (Christophe Grundmann and Tapley Jordanwood), 17 August 2015
USAID ASSIST Project 21 November 2016