We are a leading NGO providing quality family planning and sexual and reproductive health services in Cambodia. Our work is tailored to address the high unmet needs in the areas of family planning, reproductive tract infections among women and men, safe delivery and capacity to manage emergency obstetric care situations, child health, including child nutrition; tuberculosis, HIV/AIDS, and  water and sanitation.   

  Our Achievements in the last three years 2009-2011:

 Interventions                                                                            Total 

·        Clients our clinics served:                                                           1,031,430

·        Rural poor receiving support for free care services:                         311,063

·        Rural pregnant women receiving free delivery at Health Facilities:    80,164

·        Number of unwanted pregnancies prevented:                                 368,079

·        Persons receiving direct health education:                                     4,486,801

·        Public Health Facilities receiving technical support:                         475

Family Planning and Reproductive Health

            In 2010, through our work, we prevented 136,680 couples from unwanted pregnancy

RHAC respects the rights of individuals in their decisions concerning sexual and reproductive health, including when and how many children an individual or couple decide to have. By providing technical support to the Health Centres of the Ministry of Health, and through our network of non-profit clinics, we uphold access to and informed choice of family planning decisions through applying Community Based Distribution (CBD) of FP methods. We train volunteers, known as Village Health Support Groups (VHSGs), to promote FP and to provide Sexual and RH education at village level; referring people requiring treatment to the appropriate health facilities.

RHAC implements family planning and reproductive health activities through a network of 13,402 volunteers, 276 Health Centres of the Ministry of Health, and 16 non-profit clinics. The non-profit clinics provide a full range of comprehensive services in regards to  sexual/reproductive health; primary health care (PHC); FP services including all methods of FP; cervical cancer screening (VIA and PAP Smear), including prevention using HPV vaccination; management of infertility, menopause, and sexual dysfunction; diagnosis and treatment of sexually transmitted diseases; antenatal and postnatal care; selected HIV/AIDS services such as Opportunistic Infection (OI) services; post abortion care; rape victim care and support services; pre-marital counseling and check up; and laboratory services , including cytology.

Maternal and Newborn Health

 Number of maternal & newborn health interventions

       Interventions                                                                  Total

·         Pregnant women receiving care from our clinics in 2010:    27,515

·         Government health facilities Improved Key Interventions

   on emergency obstetric care:                                         255

·         Community volunteers working to improve

   community-based birth preparedness:                       7,676                     

·         Deliveries carried out in these health facilities in 2010:     48,120

 There has been progress in reducing maternal and newborn mortality in Cambodia, but the maternal mortality ratio is still high, particularly among the rural people in remote areas. Although the child mortality rate has declined, there has been little progress in the newborn mortality rate. RHAC is a key partner of the Ministry of Health in working towards the reduction of maternal and newborn deaths. We work at both the national and field level; from policy development at the national level to implementation of the policies at the district and Health Centres.

We focus our interventions on the following activities:

RHAC implements maternal and newborn health care services through RHAC’s 16 Non-Profit clinics, and by providing assistance to 18 operational districts and 268 Health Centres of the Ministry of Health.

In Cambodia, and even more so in our coverage areas, an impressive increase has been seen in facility-based delivery over the past decade; rising from 14,957 in 2008 to 48,120 in 2010.

Child Health

 Number of childhood care interventions

      Interventions                                                                                         Total

·        Children Receiving Full Immunization in 2011:                               55,324

·        Children Receiving Vitamin A Supplements in 2011:                       304,011

·        Facilities Trained in Integrated

  Management of Childhood Illnesses:                                            158

There is evidence that selective public health interventions can protect children from morbidity and mortality. RHAC has been implementing numerous cost-effective interventions ranging from immunization, vitamin A supplementation, and water and sanitation to the treatment of diarrhea, the management of respiratory tract infections, breastfeeding and nutrition.

In partnership with the Ministry of Health, we have implemented a child health program in close collaboration with the Health Centres, local authorities and community volunteers. Through our support, 158 government Health Centres are better equipped to provide Facility Integrated Management of Childhood Illnesses; with 3,900 villages implementing the key elements of Community Integrated Management of Childhood Illness. Our efforts include the training of the Health Centres staff and the community volunteers with an upgrading of their planning and monitoring capacities. In cooperation with the Ministry of Health and other health partners, we not only produce Behaviour Change Communication materials, but also enable the Health Centre staff and the volunteers to use these materials in their daily work.

In 2011, we provided child health assistance in 15 ODs, 216 Health Centres, and 2,706 villages. Through joint efforts with our partners, 55,324 children received full immunizations, and 304,011 children received vitamin A.

HIV/AIDS

Number of HIV/AIDS interventions

       Interventions                                                               Total

·        STI clients treated in 2011                                               322,900

·        HIV affected clients tested in 2011:                                  101,764

·        HIV affected children receiving care and treatment:             808

Number of HIV/AIDS interventions by population groups

Interventions                                                                          Total

·         Entertainment workers receiving education and services:       9,275

·         Persons living with AIDS receiving care:                              2,149

·         Men Having Sex with Men receiving services:                       5800 

·         Construction workers receiving education and services:         6,635

·         Fishermen receiving education and services:                        9,852

The HIV/AIDS prevention and care program in Cambodia has been a success story. The epidemic has now become concentrated among certain vulnerable groups; such as entertainment workers, men who have sex with men, drug users, and high risk youths who frequent entertainment establishments, or gather among themselves in selected locations in their communities. Cambodia continues to ensure comprehensive services and care to those who are living with HIV/AIDS (PLHIV).

RHAC’s network of non-profit clinics provides comprehensive, high quality and friendly services to vulnerable groups. These services range from management of sexually transmitted diseases, HIV testing, and family planning, to linkage to social support services.

 RHAC’s outreach programs select and train peer educators, who themselves are volunteers from the relevant vulnerable groups, to provide education to their peers, in entertainment establishments, workplaces, or in those places frequented by the relevant groups.