Care and Support for People with HIV/AIDS

 

Phnom Penh, Battambang and Banteay Meanchey

 

 

Pollie Bith

Chan Kanha

Hean Sokhom

Nguon Sokunthea

Judith Zweers

 

 

 

 

 

 

 

Center for Advanced Study

Phnom Penh, Kingdom of Cambodia

March 2000

TABLE OF CONTENTS

 

 

 

List of Acronyms..................................................................................................................... iii

Executive Summary................................................................................................................. v

1.   Introduction........................................................................................................................ 1

1.1  HIV/AIDS in Cambodia.................................................................................................................................... 1

1.2  A need for care and support............................................................................................................................. 1

1.3  Research Objectives......................................................................................................................................... 2

1.4  Research Methodology and Design................................................................................................................ 2

1.5. Research Limitations....................................................................................................................................... 3

2.   Statistical information on HIV/AIDS in Cambodia.......................................................... 5

3.   Response from the government........................................................................................ 6

3.1  1993 – National AIDS Committee and National AIDS Plan (NAP)............................................................ 6

3.2  1997 – Review of the National Response and National Strategic Plan 1998-2000................................... 6

3.4  1998 – NCHADS.............................................................................................................................................. 9

3.5  1999 – National AIDS Authority.................................................................................................................. 10

4.   The Provincial Response................................................................................................. 10

5.   Bilateral and Multi-lateral support................................................................................. 11

5.1   Bilateral Support............................................................................................................................................ 11

5.2  Multilateral support........................................................................................................................................ 12

6.   Programs and Facilities in Phnom Penh......................................................................... 13

6.1   Sentinel Surveillance Data............................................................................................................................ 13

6.2  Safety Blood Donation................................................................................................................................... 13

6.3  Blood Testing.................................................................................................................................................. 15

6.3.1 Pasteur Institute...................................................................................................................................... 15

6.3.2 National testing centers......................................................................................................................... 15

6.3.3 Private testing......................................................................................................................................... 16

6.4  Counseling and Social Work......................................................................................................................... 16

6.5  Prevention of Mother to Child Transmission, and children with AIDS..................................................... 17

6.6  Home Based Care........................................................................................................................................... 18

6.7  Other forms of community involvement...................................................................................................... 20

6.7.1 AIDS Support Groups............................................................................................................................. 20

6.7.2 monks and nuns, and traditional healers............................................................................................ 20

6.8 Hospital Care................................................................................................................................................... 21

6.8.1 Sihanouk Hospital.................................................................................................................................. 21

6.8.2 Calmette Hospital................................................................................................................................... 22

6.8.3 Center of Hope........................................................................................................................................ 23

6.8.4 Other Hospitals....................................................................................................................................... 24

6.9  Hostels and Hospices..................................................................................................................................... 24

7.  Battambang....................................................................................................................... 25

7.2  Provincial structure........................................................................................................................................ 26

7.3  Blood transfusion, blood testing and counseling......................................................................................... 26

7.4  Hospital care................................................................................................................................................... 27

7.5  Home Based Care........................................................................................................................................... 28

7.6  Monks and nuns.............................................................................................................................................. 29

8.  Banteay Meanchey........................................................................................................... 30

8.1  Sentinel Surveillance Data............................................................................................................................. 31

8.2  The Provincial structure: cooperation with Thailand?................................................................................. 31

8.3  International NGOs........................................................................................................................................ 32

8.4  Local NGOs.................................................................................................................................................... 33

8.5  Hospital care................................................................................................................................................... 33

9.  Conclusions and Recommendations................................................................................. 35

9.1  Phnom Penh.................................................................................................................................................... 35

9.2  Battambang...................................................................................................................................................... 36

9.3  Banteay Meanchey.......................................................................................................................................... 36

9.4  In general......................................................................................................................................................... 37

9.5  Recommendations.......................................................................................................................................... 37

 

10.    Bibliography…………………………………………………………………………………………  39

11.   Annex 1..………………………………………………………………………………………………… 41

12.   Annex 2………………………………………………………………………………………………….. 44

12.   Annex 3………………………………………………………………………………………………….. 45

 

                   



List of Acronyms

 

AIDS                           - Acquired Immune Deficiency Syndrome

BWAP                         - Battambang Women’s AIDS Project

CAAFW                      - Cambodia Association for Assistance to Families and Widows

CAS                            - Center for Advanced Study

CFDS                          - Cambodia Families Development Services

COERR                       - Catholic Office for Emergency Relief and  Refugees

CRS                             - Catholic Relief Services

CUHCA                       - Cambodia Urban Health Care Association

CWDA                        - Cambodian Women’s Development Organization

DAS                            - District AIDS Secretariat

DoH                            - Department of Health

EU                               - European Union

FAC                            - French Cooperation

FHI/IMPACT             - Family Health International/Implementing AIDS Prevention and Care Project

HACC                         - HIV/AIDS Coordinating Committee

HNI                             - Health Net International       

HSS                             - HIV Sentinel Surveillance

ICRC                           - International Committee of the Red Cross

IDA                             - Indradevi Associations

IEC                              - Information, Education, Communication                              

IDP                              - In-Patient Department

JICA                            - Japan International Cooperation Agency

KBA                            - Khmer Buddhist Association 

KHANA                      - Khmer HIV/AIDS NGO Alliance

KRDA                         - Khmer Rural Development Association                  

MDM                          - Medecins du Monde

MoH                            - Ministry of Health

MoSALVY                  - Ministry of Social Affairs, Labor, Vocational Training and Youth

                                       Rehabilitation                      

MSF                            - Medecins Sans Frontieres

MSF-HBS                   - Medecins Sans Frontieres – Holland, Belgium, Switzerland

MSI                             - Maria Stope International

NAA                            - National AIDS Authority

NAC                            - National AIDS Committee

NAP                            - National AIDS Plan
NBTC                          - National Blood Transfusion Center

NCHADS                    - National Center for HIV/AIDS, Dermatology and STD

NGO                            - Non Governmental Organization

OEB                            - Operation Enfants Battambang

OPD                            - Out-Patient Department

PAC                            - Provincial AIDS Committee

PAO                            - Provincial AIDS Office

PAS                             - Provincial AIDS Secretariat

PMTCT                       - Prevention of Mother to Child Transmission

PSF                             - Pharmaciens Sans Frontieres

PSI                              - Population Service International                  

QSA                            - Quaker Services Australia

RHAC                         - Reproductive Health Association of Cambodia

SEADO                       - Social Environment Agriculture Development Organization

SCC                             - Salvation Center Cambodia

SERVANTS                - SERVANTS to Asia’s Urban Poor - Cambodia

SSC                             - Social Services Cambodia

STD                             - Sexually Transmitted Disease

SUPF                           - Squatter and Urban Poor Association

TB                               - Tuberculoses

TPO                             - Transcultural Psychosocial Organization

UNV                            - United Nations Volunteer

VDC                            - Village Development Committee

WOMEN                     - Women Organization for Economy and Nursing

WVI                             - World Vision International