| General Information |
Project/Program |
Program |
| Project Name |
Global Fund-Supported Community Systems Strengthening Programs in Cambodia |
| Duration |
|
| Donor |
Global Fund |
| Implementiong Organization |
Global Fund |
| Sector and/or Subsector Classification |
Health |
| Region |
Cambodia |
| Financing |
US$353.3 million |
| Analytical Information |
Stakeholders |
Global fund; National Center for Tuberculosis and Leprosy Control; National Center for Parasitology, Entomology and Malaria Control; Health Center Management Committee |
| Cross-cutting Issue |
Environment |
|
| Gender |
|
| Impact Analysis |
CSS activities were responsible for increase in access to health care, In particular, home-based care teams for HIV/AIDS and malaria workers were valued because they provide treatment and support in the village and have the ability to follow up with patients regularly. In addition, HIV/AIDS diagnosis and treatment was easier than before because the program reduced the time for referral and no payment was required for treatment. |
| Effectiveness |
Ownership/Partnership |
Evaluation |
There are adequate level of collaboration at the lower between NGOs and local health authorities, and many OD official lauded this as an important contributor to program success. Participants cites the primary facilitating factor for the success of community-level programs as the partnership among community entities, with collaboration between NGOs, the OD, the health department, and health centers serving an important role in implmentation. |
| Rating |
4/5 |
| Policy Coherence/Harmonization |
Evaluation |
While the volunteer system is designed to include different categories of workers, on the ground findings illustrate that in mant communities they have overlapping responsibilities. For example, village chiefs were often also VHSG members and sometimes DOTS watchers. |
| Rating |
3/5 |
| Evaluation Framework |
Evaluation |
There are six core components which are critical for creating functional, effective community systems and enabling community organizations and individuals to fufill their role- in conjunction with national health and social welfare systems-of contributing to health outcomes, The six core components are enabling enviornments and advocacy; community networks, linkages, partnerships and coordianation, resources and capacity building, community activities and service delivery, organizational and leadership strengthening, monitoring and evaluation (M&E) and planing. |
| Rating |
4/5 |
| Alignment/Composition of Finance |
Evaluation |
The other main mechanism for health sector funding in Cambodia is the Health Sector Support Project (HSSP), a health sector-wie management approach adopted with donor agencies such as Asian Development Bank, UK Department for International Development (DFID), and the World Bank. |
| Rating |
2/5 |
| Other Remarks |
Overall, CSS programs play an important role in providing access to critical health services to the commuity in Cambodia. Interviewees consistently cited the benefits of incresed community involvement, including increased access to treatmet, earlier diagnoisis and treatment, increased sense of confidence in the health system. |
