By Tim Conway, World Health Organisation
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Additional info for Current Issues in Sector-wide Approaches for Health Development: Cambodia Case Study
6 Information systems for sectorwide monitoring Health outcome information in Cambodia has improved rapidly in recent years. Much of this information is supplied by the National Institute of Public Health (NIPH), supported by GTZ and ADB. The MoH has developed a set of national indicators required in order to monitor health sector performance36. These include indicators for financial resourcing, access and utilisation, quality of services, and health outcomes. The next stage will be to progress from identifying the kind of indicators needed to developing systems to supply these indicators.
27 Current Issues in Sector-wide Approaches for Health Development Cambodia Case Study • there has been a decline in the long-standing coordination mechanisms. These problems need to be resolved before significant progress can be made towards a SWAp • while the Health Sector Reform Working Group has a mechanism for the 'national execution' of donor funds, which works well and with which donors are reportedly happy, the problems with CMAC must be borne in mind when attempting to address donor concerns about pooled funds under RGC management • institutional civil society is under developed, making consultation for programme design and implementation potentially difficult • donor contributions to the sector are off-budget and there is no link at sector level between programme and expenditure plans • capturing the contribution of the private sector within a plan for national provision will be essential, given the very high proportion of health expenditure it commands • some donors favour a sub-national approach to sector reform in preference to a national approach.
In 1996 members voted to employ an Executive Director and small support staff. " MediCam is clear about the need for a more meaningful form of coordination and co-operation between MoH, donors and NGOs - not just information exchange, but an effort to deal with a health sector comprised of unconnected activities. It can be an effective intermediary, bringing villagelevel NGO perspectives upon the progress of reforms into policy debate in a coherent manner. It is also surprisingly neutral, being often quite critical of unruly NGO behaviour.