1. Session 6 –
The health facilities and operational districts master lists for Cambodia
Sokna Sek – MOH/DPHI
Leng Ing – MOH/DPHI
Sat Chab – MOH/DPHI
Steeve Ebener – HGLC
Izay Pantanilla – HGLC

2. Master lists core to public health in Cambodia
4 main geographic objects
Administrative divisions (Provinces, Districts, communes)
Villages
Ministry of Interior
Health facilities
Operational Districts
A master list is needed for each of these objects
Ministry of Health 2

3. Master lists core to public health in Cambodia 3

4. The health facilities master list for Cambodia
Session 6 –
The health facilities master list for Cambodia
Sokna Sek – MOH/DPHI
Leng Ing – MOH/DPHI
Sat Chap – MOH/DPHI
Steeve Ebener – HGLC
Izay Pantanilla – HGLC

5. Health facilities master list content
What is an health facility?
Few examples of definition:
Medline Plus: Places that provide health care. They include hospitals, clinics, outpatient care centers, and specialized care centers, such as birthing centers and psychiatric care centers.
Health authority Abu Dhabi: Standalone building with inpatient services for 24 hours use or longer by patients in the treatment of diseases, injuries, deformities, abnormal physical or mental status, maternity cases, nurseries and dispensaries.
Free dictionary: Building where medicine is practiced.
DOH Philippines: A building or physical structure providing health care.
Wikipedia: in general, any location at which medicine is practiced regularly.
Importance of the geography (location, place,..)
Need to clarify few terms (health care, medicine,…)

6. Health facilities master list content
What is an health facility?
Additional definition:
Health services (WHO): Health services include all services dealing with the diagnosis and treatment of disease, or the promotion, maintenance and restoration of health. They include personal and non-personal health services.
Health care (Wikipedia): Diagnosis, treatment, and prevention of disease, illness, injury, and other physical and mental impairments in human beings
Medicine (Collins English Dictionary): the science of preventing, diagnosing, alleviating, or curing disease
Infrastructures included in the master list depend on the definition
Pharmacies and mobile clinics would not be included here for example
The definition used by the MOH in Cambodia:
“A building or permanent physical structure where health care is being provided”

7. Health facilities master list content
The signature domain (2007)1
Good practice would be to have
only one coding scheme
Actually needs to be captured for each field together with the source
Direct link with the administrative divisions registry
Core fields allowing to uniquely identify, define, locate and contact each facility
Looked at these elements in relation to the current content of the health facility master list 1

8. Health facilities master list content
Uniquely identifying each facility
Rules to choose an appropriate coding scheme
1. Ensure for the code schemes to be meaningless, meaning not to embed codes or other semantic meaning that could change through time in an identifier (e.g., admin division code, health facility type, etc.).
Tororo hospital: UGA993001
Do not include other “objects” in your coding scheme
Capture these “objects” as separated fields in your master list

9. Health facilities master list content
Uniquely identifying each facility
Rules to choose an appropriate coding scheme
2. Use a sequence as short as possible but taking into account the number of changes that could take place over the coming decades (function of the current number of health facilities observed in the country)
Avoid long codes
3. Using a check digit, such as the luhn algorithm (e.g., ) or a specific set of characters at the beginning of the sequence (e.g. “HF”) to avoid the problems linked to having a “0” in front of it
The “0” disappears in some software starting with excel
4. Having the ID generated sequentially. (e.g., , , ,... or HF00001, HF00002, HF0003,...)
5. The code remains the same from the opening until the closing of the facility and this even if its name, type (upgrade) or location changes (practice not always followed right now

10. Health facilities master list content
Uniquely identifying each facility
Coding scheme currently used in Cambodia
Province OD
Health facility 09 01 10
090110
The administrative division or OD in which the facility is located can change. Two options when there is a change
Change the code: Loose the continuity in the database (seen in the current list and has created duplicates)
Keep the code: Loose the code meaning
The « 0 » in front can fall depending on the software you use (e.g. excel)

11. Health facilities master list content
Uniquely identifying each facility
New coding scheme to be implemented in the master list
HF000001
Main advantages of this scheme:
Meaningless . Any information to change through time is stored in the master list
Avoid the problem of the “0” in front of the sequence and allow for the sequence to remain the same across software
Allows for the platform serving as common geo-registry to automatically generate the code (by incrementation)
Short enough to avoid data entry mistakes while allowing for enough facilities to be created over more than 600 years
Allows the use of the code beyond the health sector

12. Health facilities master list content
Uniquely identifying each facility
All the other information are stored in the master list and past values are kept in the system
2017
2010
2005
+ can create « geo-tags » on the fly directly from the master list. For example:
Province OD
Health facility
Not a unique ID, just an information! 01
HF000001
0101HF000001

13. Health facilities master list content
Uniquely identifying each facility
Official Health Facility Name
Good practice:
in English and in Khmer
Include the name of the facility in full
Include the health facility type to avoid names duplicates
Might have to adjust the name in Khmer to capture the type
Capture past facility names

14. Health facilities master list content
Define each facility
Health facility type
Type of the health facility based on the official classification used in the country
Currently available for public health facilities managed by the MOH
Needs to be completed for the private and the other governmental health facilities (MOI, MOND)

15. Health facilities master list content
Define each facility
Ownership or managing authority
Major classification: Government, Private
The master list only includes governmental health facilities managed by the MOH for the moment
Sub-classification to be defined for both
Government: MOH, MOI, MOND
Private: Single Proprietorship; Partnership; Corporation; Corporation; Cooperative; Foundation; Religious; Non-government Organization

16. Health facilities master list content
Locate each facility
Address
Street number and name (when it applies)
Eventually the zip code if useful
Location in the administrative structure
Official code and name of the Province, District and Commune in which the health facility is located as per the NDCC gazetteer
Ideally, official code and name of the village in which the health facility is located
Information to be completed for a significant number of health facilities
+ The administrative structure of the country also evolve through time
Requires for an official master list of administrative divisions and villages that is regularly updated

17. Health facilities master list content
Locate each facility
Geographic coordinates
Latitude and longitude of the health facility expressed in decimal degrees together with the indication of the source, method and accuracy level attached to the coordinates (a separate field for each information)
Longitude: ###.#####
Latitude ##.#####
Example for Myanmar
Accuracy of the geographic coordinates currently in the master list is unknown and remains to be improved
Reason for the session and exercise in day 1

18. Health facilities master list content
Contact each facility
Information needed to contact the health facility through different media including but not limited to the full name and position of the health facility head as well as the phone numbers (mobile, landline) and address (to be captured in separated fields).
Information to be completed in the master list
Other important information to capture
Health facility opening date
Health facility closing date (when applicable)
Operational status (active, inactive) …
Information to be completed in the master list
The PHDs have an important role to play to establish and regularly update the master list

19. Health facilities master list content
Data dictionary
Defines what is recognized as the official source for each of the field
Attaches a source and time stamp (start validity date) to each field for quality and monitoring
50 fields currently in the data dictionary

20. The operational districts master list for Cambodia
Session 6 –
The operational districts master list for Cambodia
Sokna Sek – MOH/DPHI
Leng Ing – MOH/DPHI
Sat Chap – MOH/DPHI
Steeve Ebener – HGLC
Izay Pantanilla – HGLC

21. Operational districts master list
Origin and history
System established in 1995 By the MOH as part of the Health Coverage Plan to organize and deliver government health services
The number of OD has been growing rapidly since then..
1995 …
2010
2014
2015
2016
2017
~60 76 80 81 93
99-100
Unfortunately the MOH did not keep track of the changes that occurred since 1995

22. Operational districts master list
Content
Start validity date
Simpler content than the content of the health facility master list.
OD: operation district different from administration district, it’s cover 1 or 2 admin district and cover pop. From to pop.
Province code
and name
OD code
and name

23. Operational districts master list content
Uniquely identifying each operational district
Coding scheme currently used in Cambodia
Province
Operational
district 01
0101
Issues linked to the current scheme
The « 0 » in front can fall depending on the software you use (e.g. excel)
The use of « 25 » for the National hospital => conflict with the 25th Province

24. Operational districts master list content
Uniquely identifying each operational district
New proposed coding scheme
Object type
Province
Operational
district OD 01
OD0101
Main advantages of this scheme:
Same ones as those listed for the proposed new health facility coding scheme (meaningless, “0”, short enough, use beyond the health sector
Issue being addressed as part of the HIS geo-enabling process

25. Operational districts master list content
Building the historic changes
Exercise later today