YouthAIDS
AIDSMark



PSI/Cambodia


Program
Focus:
HIV/AIDS, malaria, reproductive health, child survival

Target
Regions:
Nationwide

Target
Population:

 
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.

2006 Estimated Health Impact:

Episodes of malaria averted: 198,000 (explained)

Unintended pregnancies averted: 231,000 (explained)


Products and Services:





 

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


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.

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)


Year Program Began: 1993

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.

HIV/AIDS

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.

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.

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.

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

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.

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

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.

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.

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

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.

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.

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

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.

 


Mosquito nets are made available to people in rural Cambodia, even if it requires delivery on foot.

Mosquito nets are made available to people in rural Cambodia, even if it requires delivery on foot.

Publications

• 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

 

Research


• Men with Sweethearts TRaC Report (PDF 195K)

• Karaoke Women TRaC Report (PDF 185K)


Videos


• Orasel KIT commercial (Quicktime 10.1MB)

Windows Media Video 17.3MB
Excerpt from PSI/ Cambodia's soap opera "Punishment of Love"



Contact Info

• Klahan (trusted couples) www.klahan.com

 

 

 
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