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Public Private Partnerships in the Healthcare and Tourism Sectors in Cambodia

IMG_143201 October 2018

EuroCham Cambodia, on behalf of GIZ “Support to the Initiative for ASEAN Integration (IAI)”, organized two workshops on Public Private Partnerships (PPP) in the healthcare sector on 28th September 2018, and in tourism sector on 01st October 2018, Phnom Penh, aiming to address how to enhance the investment environment and promotion strategies in the health and tourism sectors where public and private sectors can better collaborate. …

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Public Private Partnerships in the Healthcare and Tourism Sectors in Cambodia

IMG_143201 October 2018

EuroCham Cambodia, on behalf of GIZ “Support to the Initiative for ASEAN Integration (IAI)”, organized two workshops on Public Private Partnerships (PPP) in the healthcare sector on 28th September 2018, and in tourism sector on 01st October 2018, Phnom Penh, aiming to address how to enhance the investment environment and promotion strategies in the health and tourism sectors where public and private sectors can better collaborate.

Government officials from Ministry of Economic and Finance (MEF), Ministry of Health (MoH), Ministry of Tourism (MoT), business representatives, and experts from GIZ, B. Braun Melsungen AG, DFDL, and Partner at Sarin & Associates, participated in the workshops to share experiences and exchange information on PPP, and investment climate of Cambodia.

Each workshop was divided into 4 sessions followed by panel discussion: (1) Investment trends in the healthcare and/ tourism sector; (2) PPP legal framework in Cambodia; (3) PPP potential in the Cambodian healthcare and/ tourism sector; (4) Example of a successful PPP in the healthcare and/ tourism sector, and Panel Discussion: How to Promote PPP in the Healthcare and/ Tourism Sector?

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According to the presentation of H.E. Mr. Sam VONGSY, Head of Central PPP Unit at MEF, “PPP is a contract (often long-term) between a government entity and a private entity for providing a public asset or service in which:

  • the private party bears significant risk and management responsibility;
  • the private party’s remuneration is often linked to performance, with a strong overview by the public sector; and
  • in return the government allows the private party to collect revenues from revenue-based payment, availability-based payment or hybrid payment.

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Participants received valuable information and practical example on successful cases of PPP from the key speakers. A new PPP law is currently being drafted and expected to be released by mid of 2019, followed by Standard Operating Procedures (SOPs) to provide detailed guidelines on implementing PPP projects.

As a result from the workshops, the Government entity encourages investors to examine the Public Investment Program 2016-2018, and the Tourism Sector Development Plan to identify potential projects in which the MoH and the MoT would require investment, and propose whether they could be achieved through a PPP. It is important that there is a clear mechanism or strategy paper on PPP in healthcare and tourism sectors once the law on PPP is adopted. Private sector is encouraged to actively participate in providing inputs to Ministries starting from the PPP project identification stage to project implementation stage. On the other hand from private sector’s perspective, the formalizing a public-private forum will increase the opportunities for the public and private sectors to work together, improve the regulatory environment and lead to increased opportunities. Experts also suggested that development partners should get involved in PPP development in Cambodia through the Ministry of Economy and Finance, and line Ministries.

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ASEAN-German Cooperation Project “Support to the Initiative for ASEAN Integration (IAI)” supports implementing ASEAN agreements including Trade in Services……… The project operates in Cambodia, Lao PDR, Myanmar and Viet Nam until November 2018.

For more information, please contact GIZ IAI Advisor Ms. Dalin Seng (dalin.seng@giz.de)

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Prospects for E-learning as one of approaches for CPD for healthcare workers in Cambodia

Focus Group Discussion in Phnom Penh (Photo by Mr. Ly Chanvathanak)

Focus Group Discussion in Phnom Penh
(Photo by Mr. Ly Chanvathanak)

04 October 2018

Under the new “law on regulation of health practitioners”, promulgated by the Cambodian Ministry of Health in December 2016, which aims to protect the health and safety of members of the public, by providing mechanisms to ensure that all health practitioners are qualified, competent and fit to safely practice their profession. The Cambodian Councils of nurses (CCN) and Cambodian Midwives Councils (CMC) are responsible for …

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Prospects for E-learning as one of approaches for CPD for healthcare workers in Cambodia

Focus Group Discussion in Phnom Penh (Photo by Mr. Ly Chanvathanak)

Focus Group Discussion in Phnom Penh
(Photo by Mr. Ly Chanvathanak)

04 October 2018

Under the new “law on regulation of health practitioners”, promulgated by the Cambodian Ministry of Health in December 2016, which aims to protect the health and safety of members of the public, by providing mechanisms to ensure that all health practitioners are qualified, competent and fit to safely practice their profession. The Cambodian Councils of nurses (CCN) and Cambodian Midwives Councils (CMC) are responsible for the implementation of the law and for establishment of the system for licensing/re-licensing health professionals. The councils introduced the concepts of CPD (Continuous Professional Development) as the requirement for initial licensing and re-licensing of healthcare professionals.

GIZ Social Health Protection Project and its Public Private Partnership in Health Project, “Improving Occupational Safety and Health of Healthcare Workers in Hospitals in Cambodia” support the CCN and CMC to improve the skills of nurses and midwives (and thus quality of healthcare) through the award of CPD credit points, as part of the re-licensing process for healthcare professionals. One of the areas that the CCN and CMC asked the projects to support is to develop innovative ideas in CPD policy development, including incorporation of e-learning alongside with face to face training to increase the reach of CPD requirements. While the idea of e-learning holds promise in general; however, the lack of experiences of these methods in Cambodian health sector, the potential acceptability of this form of training by Cambodian nurses and midwives is little known. Thus the projects support the study conducted jointly with CCN/CMC to assess whether e-learning in general is acceptable to Cambodian nurses and midwives and whether the specific e-learning materials (hand hygiene) developed by Aesculap Academy (AA) in English are suitable for use by Cambodian nurses and midwives.

The study is relied on information gathered during four focus group discussions using a 60 minutes hand hygiene video developed by AA to show (original in English with Khmer simultaneous translation by a Khmer translator and facilitator) to participants, then followed by focus group discussion using semi-structured questionnaires with 45 Cambodian nurses and midwives, from six national hospitals in Phnom Penh and two provincial and district hospitals in Kampot and Kampong Thom provinces, which provided different levels of complementary packages activities (national level, CPA3 and CPA 2). Total 45 individuals: 27 nurses (15 male, 12 females) and 18 midwives(all female) were identified based on their availability, their convenience, their involvement in routine clinical works and their willingness to participate in the study.

Focus Group Discussion in Kampong Thom (Photo by Mr. Ly Chanvathanak)

Focus Group Discussion in Kampong Thom
(Photo by Mr. Ly Chanvathanak)

The main findings showed e-learning method is a suitable and acceptable approach as one of the CPD tools in Cambodia for a re-licensing system. In general, e-learning provided much more benefits (with the same effectiveness as traditional methods) to health workers, compared to traditional face to face training, including saving time (for travel), saving cost (for food, accommodation and cost that are related to their absence from workplace) and convenience (they can select time, place and pace for their study). Some participants were willing to pay to participate in e-learning programs. However, there are some barriers identified such as their low level of English proficiency, lack of high speed internet access, low level of computer skills and internet technology skills, posed challenges to the roll out of this method. For the specific hand hygiene e-learning video developed by AA, there are some complaints on the 60 minute length which seems too long, while some other complaints of the Western style and culture of the instructor in the video as well as their low English proficiency.

In summary, participants showed great interest in the AA e-learning approach as a potential training tool for CPD in Cambodia. However, low levels of English proficiency, limited experience with internet technology and lack of high speed internet outside Phnom Penh were seen as possible barriers to the successful introduction of E-learning in health setting in Cambodia. At minimum, the e-learning materials should be dubbed or subtitled into Khmer to ensure they are well understood by Cambodian audience. It was also noted that having a local TOT trainer at participating hospitals to provide technical support would facilitate the implementation of an e-learning approach.

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Significant new investment in NCD prevention and control is opportunity to strengthen Cambodia’s public health system and build momentum for action

A woman has her blood sugar checked at a diabetes clinic in Phnom Penh.

A woman has her blood sugar checked at a diabetes clinic in Phnom Penh.

06 September 2018

We are at a crossroads in Cambodia: cancer, cardiovascular diseases, diabetes and chronic respiratory diseases, the so-called ‘noncommunicable diseases’ (NCDs) are already the largest cause of mortality, and the rate is rising. They cause 61.3 percent of deaths but receive the least funding and attention across the board. People living with NCDs are also hit financially: they spend ten times as much on healthcare as those without NCDs. Clearly, huge action is needed to …

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All activities are implemented by GIZ on behalf of the German Federal Ministry for Economic Cooperation and Development (BMZ).