1. TB Control in PHC network and Partners Coordination in Cambodia
Second Stop TB Partners’Forum
New Delhi
24/03/04 Dr. Mao Tan Eang
Director
National Center for TB and Leprosy Control
(CENAT)

2. I. Burden of TB in Cambodia
TB is a priority disease of MoH
High burden country among 22 in the world
High incidence and prevalence
- Incidence rate of Sm+ TB (BK+) : 242/100,000 pop.
- Incidence rate of all forms : 549/100,000 pop.
Death rate : 107/100,000 pop. HIV among TB patients: also high:12 % in 2003
TB cases: still in increasing trend in the coming years

3. II. Goals and Objectives of NTP
To improve health by reducing morbidity and mortality due to TB, contributing to poverty reduction in Cambodia
By 2005:
- TB services at all (Minimum Package of Activities) MPA Health Centers
- Case detection rate of smear + cases: 70%
- Cure rate of smear + cases: > 85 %
By 2015 MDG:
- Reduce prevalence and death by 65-70%

4. III.Health System/ PHC After the reform Before the reform(1995)
New Health System: 3 Levels: Central, Province,Operational District (OD)
Based on population & geography : Health Coverage Plan 73 ODs
Planned Facilities:
- Central MoH, Centers and Institutions
Nat. Hosp.(TB Center,3 TB units)
- 24 Prov.Referral Hosp.(24TB units)
- 45 Dist. Referral Hosp. (45TB units)
Health Centers(73TB units& 706 HC with DOTS services)
Before the reform(1995)
4 Levels: Central, Province, Disrict & Commune
Based on administrative criteria
Facilities:
- Central MoH, Centers and
Institutions
Nat. Hosp.
Prov. Hosp.
Dist. Hosp.
Commune clinics

5. IV. Major Achievements of NTP
DOTS Expansion within the PHC system(145 TB units HCs)
Policies & Strategies for TB Control
Strategic Plan for TB Control
TB Multi-Drug Resistance Survey
TB Prevalence Survey
TB/HIV Service
Inter-agency Coordination Committee for TB Control (ICC)
Case detection rate : ~60 % in 2003
Cure rate : 89 %

6. V.Involvement of Partners/NGOs
Advocacy: policy disemination
Establishment and functioning of ICC
About 100 NGOsIOs working for health sector
After ICC, more partners coming in for TB control, now around 15 partners/NGOs

7. Thank You Very Much