Health

Save the Children is the world’s leading independent organization for children. We work in over 120 countries. 

It is our ambition that no child under the age of five dies from preventable causes and every child has equitable opportunity to grow and develop.  

HEALTHY CAMBODIAN MOTHERS AND CHILDREN

One in every 28 Cambodian children dies before their first birthday, and one in every 35 does not survive to their fifth birthday. Stunting affects 32% of children under five years old, 10% are wasted and 23% are underweight, a clear indication of malnutrition. Exclusive breastfeeding rates and immunisation coverage have decreased during the last four years, highlighting persistent inequalities and the need for interventions. 

Our Health and Nutrition programme aims to increase access to, and quality of, primary health care and nutrition services to the most marginalised communities, with a focus on pregnant women, mothers and children under five years old.  

PROGRAMME GOAL

Our goal is to decrease maternal, newborn and child mortality through improved quality, access and utilisation of reproductive, maternal and neonatal health services; and to address the complex, multi-faceted causes of chronic malnutrition.   

OBJECTIVES

Help reduce preventable maternal and newborn deaths (up to 28 days old).

Apply key Royal Government of Cambodia policies including the Fast Track Initiative Road Map for Reducing Maternal and Newborn Mortality in Kratie and Stung Treng, and CARD’s National Strategy for Food Security and Nutrition for integrated nutrition in Battambang, Pursat and Siem Reap.

Improve the nutritional status and wellbeing of pregnant women and children under two years old in

Battambang, Siem Reap and Pursat.

Accelerate stunting reduction by focusing on the core factors of chronic malnutrition in Cambodia.

ACHIEVEMENTS

In 2016, our Health and Nutrition programme reached an estimated 366,165 women, children and families.

• 5,000 children and more than 15,000 women accessed and utilised Reproductive, Maternal, Newborn, and Child Health (RMNCH) services at health facilities.

• More than 6,500 children under the age of two and over 500 women of reproductive age were reached through stunting prevention activities.

• Nearly 9,000 pregnant women and caregivers of children under two enrolled in our Conditional Cash Transfer (CCT) programme, and over 3,000 beneficiaries received their first payments using easy to access mobile technology.

• 28 health centres were fully equipped with vital water, sanitation and hygiene facilities and solar panels to provide electricity through the night.

• 260 health personnel were trained on immediate newborn care and infection control. 

MATERNAL AND NEWBORN HEALTH – PARTNERING TO SAVE LIVES

Partnering to Save Lives (PSL) aims to save the lives of women and newborn children in Cambodia by improving quality, access and utilisation of reproductive, maternal and neonatal health (RMNH) services through a partnership approach in line with the objectives of the Ministry of Health’s revised Fast Track Initiative Roadmap for Reducing Maternal and Newborn Mortality 2016 to 2020. Targeting the vulnerable populations of Stung Treng and Kratie, Save the Children and our partners work with Provincial Health Departments and Operational Districts to improve the quality delivery of health services. The project includes health infrastructure refurbishment, including the construction of facilities for mothers to stay in before and after child birth, and renovation and installation of fit-for-purpose water and electricity systems. We support midwifery clinical training and professional supervision, and help to strengthen community demand for quality health services by improving referral systems, removing financial barriers, and promoting positive and lasting behaviour change within communities. PSL is a consortium of agencies including CARE, Marie Stopes International Cambodia and Save the Children, that works in partnership with the Cambodian Ministry of Health and the Australian Government’s Department of Foreign Affairs and Trade (DFAT).  

MATERNAL AND NEWBORN NUTRITION – NOURISH PROJECT

NOURISH is a five year integrated nutrition project funded by USAID and the U.S. Presidential Feed the Future Initiative. NOURISH assists the Royal Government of Cambodia in accelerating stunting reduction by focusing on key determinants of chronic malnutrition in Cambodia, including poor access to diverse and quality food, inadequate feeding and child care practices and unsanitary environments. By 2019, NOURISH is expected to have reached women, children and families in 555 underserved rural villages across Battambang, Pursat, and Siem Reap provinces. 

This project addresses the complex, multifaceted causes of chronic malnutrition in Cambodia through an integrated approach that includes health, agriculture, and Water, Sanitation and Hygiene (WASH). The project targets women and children during the first 1,000 days—from conception until the child reaches two years old. Led by Save the Children, NOURISH is implemented in close collaboration with the Cambodian government, two international NGOs—The Manoff Group and SNV—and three local NGOs—Operations Enfants du Cambodge, Partners in Compassion and Wathnakpheap. This project specifically aims to improve community delivery platforms to support improved nutrition; create demand for health, WASH, and agriculture practices, services, and products; expand the supply of health, agriculture and WASH products using the private sector; and enhance the capacity of government and civil society in integrated nutrition. 

PARTNERS 

CARE, Council for Agriculture and Rural Development, Food Security and Nutrition Working Group, Marie Stopes International Cambodia, Media One, Ministry of Health, National Maternal and Child Health Centre, National Nutrition Working Group, Operations Enfants du Cambodge, Partners in Compassion, Provincial Health Departments of Kratie and Stung Treng, Provincial Technical Working Groups on Health, Reproductive, Maternal, Newborn and Child Health (RMNCH) Task Force, SNV, The Manoff Group, UNFPA, UNICEF, Wathnakpheap. 

DONORS 

Australian Department of Foreign Affairs and Trade through Save the Children Australia, United States Agency for International Development (USAID) through Save the Children US.