LEGAL DOCUMENTS FOR PRIVATE PRACTICES IN HEALTH SECTOR IN CAMBODIA Dr. Rith Sour Sdey Vice Chief of Bureau of Regulation and Ethics Ministry of Health NATIONAL FORUM ON PUBLIC-PRIVATE PARTNERSHIP IN HEALTH Intercontinental Hotel 7th November, 2012

HOSPITAL SERVICES DEPARTMENT (HSD) Roles and Functions Policy, Strategy, Guidelines, SOPs, Regulation, Tools, Standard, Development and Dissemination. Workshop, Training, Monitoring, Supervision. Assessment of Health Care Facilities. Licensing of Private Medical Paramedical and Medical Aide Services. Collaboration with Health Partner, Committee, Working Group…etc.. LEGAL DOCUMENTS FOR PRIVATE PRACTICES IN HEALTH SECTOR IN CAMBODIA Dr. Rith Sour Sdey Vice Chief of Bureau of Regulation and Ethics, Ministry of Health 1 of 16

SIX OFFICES UNDER HSD Bureau of Hospital Services ( BHS ) Quality Assurance Office ( QAO ) Bureau of Medical Laboratory Services (BMLS) Bureau of Nursing and Midwifery Bureau of Mental Health Bureau of Regulation and Ethic LEGAL DOCUMENTS FOR PRIVATE PRACTICES IN HEALTH SECTOR IN CAMBODIA Dr. Rith Sour Sdey Vice Chief of Bureau of Regulation and Ethics, Ministry of Health 2 of 16

LEGAL DOCUMENTS FOR PRIVATE PRATICES IN HEALTH SECTOR Royal Kram No-1100/10 dated 03 November 2000 promulgating the Law on the management of Medical Paramedical and Medical Aide Private Services. Royal Decree No-0200/039 dated 01 February 2000 on the Establishment of Medical Council. Sub-Decree No-61 dated 28 August 2003 on Medical Code of Ethic. LEGAL DOCUMENTS FOR PRIVATE PRACTICES IN HEALTH SECTOR IN CAMBODIA Dr. Rith Sour Sdey Vice Chief of Bureau of Regulation and Ethics, Ministry of Health 3 of 16

LEGAL DOCUMENTS FOR PRIVATE PRATICES IN HEALTH SECTOR (Cont.) Sub-Decree No-94 dated 01 September 2002 on the Procedure and Conditions Authorizing Foreigners to Perform Private Medical Paramedical and Medical Aide Practices in Cambodia. Prakas No-034 dated 04 July 2011 on the Procedure and Conditions Set in to Request to Open or Close, Change or Relocate Private Medical Paramedical and Medical Aide Services. LEGAL DOCUMENTS FOR PRIVATE PRACTICES IN HEALTH SECTOR IN CAMBODIA Dr. Rith Sour Sdey Vice Chief of Bureau of Regulation and Ethics, Ministry of Health 4 of 16

LEGAL DOCUMENTS FOR PRIVATE PRATICES IN HEALTH SECTOR (Cont.) Decision No-33 dated 29 August 2005 on the Establishment of the Committee for Combating Counterfeit Drugs and Illegal Health Services to Reduce Poverty. 7. Prakas No-028 dated 23 August 2004 on the Advertisements with Professional Character for Private Medical Paramedical and Medical Aide Practices. LEGAL DOCUMENTS FOR PRIVATE PRACTICES IN HEALTH SECTOR IN CAMBODIA Dr. Rith Sour Sdey Vice Chief of Bureau of Regulation and Ethics, Ministry of Health 5 of 16

LEGAL DOCUMENTS FOR PRIVATE PRATICES IN HEALTH SECTOR (Cont.) Joint Prakas MoH and MoI No-007 and No-75 February 2006 on the Conditions for Advertisement of Modern Medicine, Traditional Medicine, Cosmetics, Feeding Products for Infants and Private Medical Paramedical and Medical Aide Services. Royal Kram No-1197/06 dated 12 November 1997 Promulgating the Law on Abortions. LEGAL DOCUMENTS FOR PRIVATE PRACTICES IN HEALTH SECTOR IN CAMBODIA Dr. Rith Sour Sdey Vice Chief of Bureau of Regulation and Ethics, Ministry of Health 6 of 16

LEGAL DOCUMENTS FOR PRIVATE PRATICES IN HEALTH SECTOR (Cont.) Prakas No-037 dated 30 August 2002 on the Directive for Implementation of the Law on Abortions. Directive No-051 dated 15 September 2009 on using the Logo for Ambulance. Directive No-029 dated 10 May 2012 on using the Logo and Brand Name for Private Medical Paramedical and Medical Aide Services. LEGAL DOCUMENTS FOR PRIVATE PRACTICES IN HEALTH SECTOR IN CAMBODIA Dr. Rith Sour Sdey Vice Chief of Bureau of Regulation and Ethics, Ministry of Health 7 of 16

LEGAL DOCUMENTS FOR PRIVATE PRATICES IN HEALTH SECTOR (Cont.) Prakas No-0211 dated 30 Mars 2011 on the Roles and Responsibilities of Control Agent for Paramedical, Food, Cosmetics and Private Medical Paramedical and Medical Aide Services Circular No-034/08 dated 14 November 2008 on the Roles and Scope of Private Clinic in using Ambulance in Emergency. LEGAL DOCUMENTS FOR PRIVATE PRACTICES IN HEALTH SECTOR IN CAMBODIA Dr. Rith Sour Sdey Vice Chief of Bureau of Regulation and Ethics, Ministry of Health 8 of 16

Out-Patient Department CATEGORIES OF PRIVATE MEDICAL, PARAMEDICAL AND MEDICAL AIDE SERVICES (Cont.) Out-Patient Department -Pregnancy Consultation Cabinet -Ophtalmology Consultation Cabinet -Nursing Care Cabinet -Ear-Nose-Throat Consultation Cabinet -Physiotherapy Cabinet -Dermatology Consultation Cabinet -Medical Consultation Cabinet -Mental Health Consultation Cabinet -Dental Consultation Cabinet -Hospital Representative Cabinet LEGAL DOCUMENTS FOR PRIVATE PRACTICES IN HEALTH SECTOR IN CAMBODIA Dr. Rith Sour Sdey Vice Chief of Bureau of Regulation and Ethics, Ministry of Health 9 of 16

CATEGORIES OF PRIVATE MEDICAL, PARAMEDICAL AND MEDICAL AIDE SERVICES (Cont.) Inpatient Department -Private Hospital -Dermatology Clinid -Polyclinic -Ear-Nose-Throat Clinic -Clinic -Maternity -Pediatric Clinic -Medical Laboratory -Mental Health Clinic -Other Medical, Paramedical--Ophtalmology Clinic Medical Aide Practices LEGAL DOCUMENTS FOR PRIVATE PRACTICES IN HEALTH SECTOR IN CAMBODIA Dr. Rith Sour Sdey Vice Chief of Bureau of Regulation and Ethics, Ministry of Health 10 of 16

# OF PRIVATE HEALTH CARE FACILITIES IN 2011 Consultative Cabinet = 4401 Clinic = 110 Polyclinic = 41 Private Hospital = 3 LEGAL DOCUMENTS FOR PRIVATE PRACTICES IN HEALTH SECTOR IN CAMBODIA Dr. Rith Sour Sdey Vice Chief of Bureau of Regulation and Ethics, Ministry of Health 11 of 16

HSD SUCCESS IN PROMOTING PS ARTICIPATION Uniform Standard for PP Practice Collaboration with : Committee for Combating Counterfeit Drugs and Illegal Health Services to Reduce Poverty, Military Police, Infantry E-70 ¬kgBltUc g-70¦ LEGAL DOCUMENTS FOR PRIVATE PRACTICES IN HEALTH SECTOR IN CAMBODIA Dr. Rith Sour Sdey Vice Chief of Bureau of Regulation and Ethics, Ministry of Health 12 of 16

KEY CHALLENGE, IMPACTS ON HEALTH Great number of Non Professional Dental Services, Illegal Foreign Clinic hide under the Form of Consultation Cabinet, Illegal and Unethical Emergency Care providde by Private Ambulance Team to pick up Traumatic Patient in Traffic Accident, Illegal and Unethical Advertisement in TV, Radio and News Papers… on Medical, Paramedical and Medical Aide Services. LEGAL DOCUMENTS FOR PRIVATE PRACTICES IN HEALTH SECTOR IN CAMBODIA Dr. Rith Sour Sdey Vice Chief of Bureau of Regulation and Ethics, Ministry of Health 13 of 16

RECOMMENDATION TO ADDRESS THE CHALLENGES Municipal/PHD to Strengthen the Responsibilities on Monitoring to ensure the Suppression of the Illegal and Unfair Foreigner Practice in the Consultation Cabinet, MOI to Collaborate and Support to Combat Illegal Advertisement, Traffic Police to Collaborate with Public Hospital Ambulance by Calling #119, Development Partner to Pay Attention on Collaboration and Support for Counter-Advertisement Measures by Spot VIDEO… in TV… LEGAL DOCUMENTS FOR PRIVATE PRACTICES IN HEALTH SECTOR IN CAMBODIA Dr. Rith Sour Sdey Vice Chief of Bureau of Regulation and Ethics, Ministry of Health 14 of 16

CONCLUSION Manager, Health Care Providers have to be Conscientious on the Values of : Law, Regulations, Technique, Code of Ethics. LEGAL DOCUMENTS FOR PRIVATE PRACTICES IN HEALTH SECTOR IN CAMBODIA Dr. Rith Sour Sdey Vice Chief of Bureau of Regulation and Ethics, Ministry of Health 15 of 16

THANK YOU! LEGAL DOCUMENTS FOR PRIVATE PRACTICES IN HEALTH SECTOR IN CAMBODIA Dr. Rith Sour Sdey Vice Chief of Bureau of Regulation and Ethics, Ministry of Health 16 of