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PSI/Cambodia
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Program
Focus: |
HIV/AIDS, malaria, reproductive
health,
child survival |
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Target
Regions: |
Nationwide |
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Target
Population:
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People engaging in high-risk
behavior including commercial sex workers and their partners
and men who have sex with men; women of child-bearing age; caretakers
of children aged five years and under; forest workers in malaria-endemic
areas; adults and children living in malaria-endemic areas. |
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| 2006 Estimated Health Impact: |
Episodes of malaria averted: 198,000
(explained)
Unintended pregnancies averted: 231,000
(explained)
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Products and Services:
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Malanet long-lasting insecticide-treated
net since 2006
Malatab insecticide treatment kit since 2006
Orasel KIT diarrhea treatment kit since March
2006
Progestin-Only Pill (POP) contraceptive since 2005
Intra-uterine Device (IUD) contraceptive since 2005
Voluntary Counseling and Testing (VCT) since 2004
Stop-Z pre-packaged STI treatment since 2004
OK condom since 2004
Number One Plus water-based lubricant since 2003
Malarine malaria prepackaged combination treatment
since 2003
Malacheck malaria rapid diagnosis test kit
since 2003
United Health Network (UHN) of non-governmental organizations
since 2002
Sun Quality Health (SQH) network of private sector
clinics since 2002
OK injectable contraceptive since 2002
OK Pill oral contraceptive since
1997
Number One male condoms since 1994
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Local
Collaboration: |
The National AIDS Authority,
the National Center for HIV/AIDS, Dermatology and STDs, the National
Maternal and Child Health Center, the National Malaria Center,
and dozens of other international
and local NGOs. |
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Current
Donors: |
British Department for International Development (DFID)
The Federal Republic of Germany through
KfW Entwicklungsbank (the German development bank)
The Global Fund To Fight AIDS, Tuberculosis and Malaria
United Nations Population Fund (UNFPA)
U.S. Agency for International Development (USAID)
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| Year Program Began: |
1993 |
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Project Activities and Highlights
In 2002, PSI/Cambodia launched the United Health Network (UHN)
of local and international NGOs. PSI/Cambodia trains NGOs in social
marketing and selling techniques so that needed products and information
can be disseminated at the community level. 36 NGOs were part of UHN
at the end of 2006.
Also in 2002, PSI/Cambodia created the Sun Quality Health (SQH)
network of private sector clinics. Initially focused on providing quality
and
affordable birth spacing counseling, SQH is expanding to include other
services, including sexually transmitted infection (STI) management
and voluntary counseling and testing (VCT) for HIV/AIDS. At the end
of 2006, SQH numbered 126 service delivery points in five provinces
and Phnom Penh.
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HIV/AIDS
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| • |
Social Marketing
To respond to the growing AIDS epidemic in Cambodia, PSI/Cambodia
launched Number One condoms in late 1994. In 2003,
a water-based lubricant,
Number One Plus, was launched targeting
mainly sex workers and men who have sex with men. In 2004, PSI/Cambodia
launched a pilot project for a prepackaged STI treatment, STOP-Z,
through selected SQH providers, licensed
pharmacies and NGO partners in Phnom Penh. Also launched was
a VCT
program in SQH clinics to provide quality
counseling and testing. This network was expanded
to four new sites in 2005. |
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Branded and Unbranded Communication
The program's social marketing strategy relies on the national
dissemination of branded messages using mass media, including
television, radio, newspapers, point-of-sale materials, and
special events such as comedy shows and music concerts. Communications
activities include radio and TV soap operas and mobile video
units to deliver messages in areas underserved by mass media.
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| • |
Support Royal Government of Cambodia’s 100% Condom Use Program
PSI/Cambodia is a strong partner in the Royal Government
of Cambodia’s 100% Condom Use Program. The program hosted edutainment
concerts with performances by local celebrities to encourage
100% condom use in brothels. Based on PSI's 2005 MAP survey,
brothel coverage by Number One condoms is over 95% in
Phnom Penh.
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| • |
Klahan (Be brave)
In 2005, the HIV/AIDS program was bolstered by a ground-breaking communication
campaign entitled “Klahan” aimed at reversing the trend of rising HIV/AIDS
infections among trusting couples. Springing from research, this multi-pronged
campaign helps people better gauge their personal risk and builds social
support for using condoms outside of commercial sex situations. The integrated
campaign's main components include television and radio commercials,
new interactive mobile video units and a focused website containing
a personal risk assessment questionnaire and risk reduction strategies.
In addition, UHN members were trained on the campaign’s messages, and
they will receive follow-up support in 2007 to help them integrate these
messages into their own outreach activities.
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Malaria
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| • |
Malaria Prevention
In 2006, PSI/Cambodia launched Malanet long-lasting
insecticide-treated nets and Malatab insecticide treatment
kit, targeting in particular communities living 1-2km of forests
in malaria-endemic
provinces.
Targeted surveys using TRaC (TRacking Results Continuously)
methodology will enable determinants of use of a treated net
to be identified so as to inform the development of future marketing
and communication strategies.
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| • |
Malaria Diagnosis & Treatment
In 2003, PSI/Cambodia took on the
social marketing of Malarine pre-packaged
malaria treatment and Malacheck malaria diagnosis. The
combination of early diagnosis with effective treatment is the
best strategy for saving lives. PSI/Cambodia educates Cambodians
about malaria through programming in its Mobile Video Units,
edutainment events and the mass media. In collaboration with
Provincial Health Departments and NGO partners, PSI/Cambodia
has facilitated training of private providers in 24 provinces
through the country.
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Reproductive Health
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| • |
Family Planning
In 1997,
PSI/Cambodia launched OK Pill oral contraceptives and in 2002,
OK Injection. Today, OK Pill is sold in over 2,000 pharmacies
and drug stores and OK Injection is widely available in clinical pharmacies.
PSI/Cambodia
has trained thousands of pharmacists and health providers to improve their
knowledge of reproductive health issues and hormonal contraceptives. Though
positioned as a family planning product, OK Condom (introduced
in 2004) is aimed at decreasing
HIV transmission among sweetheart and married couples.
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| • |
Behavior Change Communications
To reinforce
the image of quality and effectiveness of OK Family family planning
products,
in 2005,
PSI/Cambodia
publicized
these
products to inform women about potential side-effects and instill
brand confidence through mass media and mobile video shows.
Products were publicized on billboards,
light boxes, magazine
ads and branded trolleys and baskets in Phnom Penh supermarkets.
Based on formative research, PSI/Cambodia will
develop a behavior change campaign aimed at correcting some of
the misconceptions that act as barriers to initiating or continuing
family planning.
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| • |
Interpersonal Communications
In 2006, PSI launched
its Medical Detailing Program. Based on established private
sector
practices,
medical detailing involves medical representatives regularly
visiting healthcare providers to raise awareness of PSI’s products
and address any concerns or misconceptions about their use. To
further spread knowledge and share best practices, representatives
stage round-table discussions for health providers, organize
training for graduating nursing students and speak
to delegates at annual industry conferences. Through these
activities communication becomes continuous and trust in PSI’s
products is developed.
The first two medical representatives will be joined by three
more in 2007 through the support of KfW.
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Child Survival
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Orasel KIT Treating Diarrhea
In March 2006, PSI/Cambodia launched a diarrhea treatment kit
containing two sachets of WHO-approved
oral rehydration salts branded as Orasel® and one course
of zinc treatment to treat dehydration
and diarrhea among children under the age of five. The product
is being piloted in two provinces.
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| • |
Partnerships
PSI/Cambodia is working with NGO partners to distribute
Orasel KIT through pharmacies, drug stores and village shops
as well as training health providers, shop owners, pharmacists
and health support groups on the product and on general diarrhea
management. Over 33,000 packs
of Orasel KIT have been sold in almost 150 outlets.
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| • |
Behavior Change Communications
To create demand
among the caretakers of young children through a better understanding
of
diarrhea
and
awareness of Orasel KIT,
PSI/Cambodia is using a variety of communication methods, including
a TV and radio commercial, mobile video shows, a karaoke song
recording and other promotional materials.
PSI/Cambodia emphasizes the importance of safe drinking
water, hand washing and other elements of proper diarrhea management
with oral rehydration therapy.
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Future Plans
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| • |
In October 2006, PSI and the Ministry of Health formally agreed
to the implementation of a three-year, $4 million private sector
reproductive health development project funded by KfW. By expanding
access to contraceptive methods, the project will aid Cambodia
in reaching its Millennium Development Goals on maternal and child
health. The agreement will allow PSI to add 40 new franchised service
delivery points, conduct medical detailing with 550 health providers,
and secure commodities for its OK Pill program nationwide. |
| • |
In September 2006, PSI signed a Memorandum of
Agreement with the Ministry of Health/Office of Principal Recipient
that will enable the nationwide scale-up of
STOP-Z pre-packaged STI treatment and the continued supply
of Number One Plus lubricant.
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Mosquito nets are made available to people in rural Cambodia, even if it requires delivery on foot.
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Publications
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• Research Brief: Informed Decisions
• PDF 796KB
USAID Report: Social Marketing Zinc to Improve Diarrhea Treatment Practices
• PDF 1.79MB
PSI/Cambodia's 2006 Annual Report
• PDF 1MB
PSI/Cambodia's 2005 Annual Report
• PDF 2MB
PSI/Cambodia Strategic Plan
• PDF 12.5MB
PSI/Cambodia Annual Report 2004
• PDF 287K
Reaching Vulnerable Girls and Women through a Balanced and Targeted
Approach
• PDF 365K
Declining HIV Gives Hope in Cambodia: Targeted Condom Promotion
Credited for Fall in Prevalence
• PDF 178K
In Haiti and Cambodia, Prevention Programs Offer Hope
• Ancient Art of Puppetry
Tells Modern Tale of AIDS in Cambodia
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| Research |
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• Men with Sweethearts TRaC Report (PDF
195K)
• Karaoke Women TRaC Report (PDF
185K)
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| Videos |
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