柬埔寨-世界卫生组织2024-2028年国家合作战略

Cambodia–WHOCountry Cooperation Strategy 2024–2028 Contents Abbreviations...................................................................................................ivForeword...........................................................................................................vExecutive summary.........................................................................................viiSituation analysis - Moving towards graduation fromleast-developed-country status........................................................................1Demographic, socioeconomic, political and development situation............1Achievements and challenges in health.......................................................2Partnership landscape and WHO’s leadership in health..............................7Strategic Agenda – WHO collaboration in and with Cambodia to promote,provide and protect health................................................................................9Strategic Agenda: Development process and overview................................9Strategic Priority 1. Advance UHC through quality integrated systemsand services reoriented toward PHC..........................................................13Strategic Priority 2. Improve the health of individuals, families andcommunities through action within and beyond the health sector............16Strategic Priority 3. Strengthen health security systems toincrease public health emergency preparedness,response and resilience..............................................................................19Cross-cutting enablers: Working across common functions to improvethe efficiency of services.............................................................................22Implementing the Strategic Agenda – Working as one WHO with theRoyal Government of Cambodia within and beyond the health sector............25Monitoring and evaluating the Strategic Agenda - Focus on impact atthe country level..............................................................................................29References......................................................................................................32Annex. CCS alignment with national priorities and the United NationsSustainable Development Cooperation Framework (UNSDCF)......................37 Abbreviations AMRantimicrobial resistanceAPSED IIIAsia Pacific Strategy for Emerging Diseases and PublicHealth EmergenciesASEANAssociation of Southeast Asian NationsCCScountry cooperation strategyC4HCommunication for HealthGDPgross domestic productGPW14WHO Fourteenth General Programme of WorkIHR (2005)International Health Regulations (2005)LMIClower-middle-income countryMOHministry of healthNCDnoncommunicable diseaseNGOnongovernmental organizationPHCprimary health careRGCRoyal Government of CambodiaSDGSustainable Development GoalTBtuberculosisUHCuniversal health coverageUNSDCFUnited Nations Sustainable Development Cooperation FrameworkVPDvaccine-preventable diseaseWASHwater, sanitation and hygieneWHOWorld Health Organization Foreword The Ministry of Health of the Kingdom of Cambodia and the World Health Organization (WHO)are pleased to present the Cambodia–WHO Country Cooperation Strategy 2024–2028, whichoutlines our shared vision and collaborative efforts to enhance the health and well-being ofthe Cambodian people over the next five years. Over the past decade, Cambodia has maderemarkable strides in improving health outcomes, driven by strong government leadership,dedicated health professionals and the resilience of its communities. Neonatal and under-5mortality rates more than halved between 2014 and 2022, immunization rates remain high,and there has been significant progress on the prevention and control – and the eventualelimination – of critical communicable diseases. The number of reported malaria cases islower than ever, and it has been six years since the last malaria death was recorded. The country’s health system has been expanded and strengthened, especially during theRoyal Government of Cambodia’s effective response to the COVID-19 pandemic. Still, thejourney towards universal health coverage and sustainable development continues to presentchallenges. The quality of public health services and access to services without sufferingfinancial hardship remain a concern. The risk of public health emergencies is ever present,including those due to emerging and re-emerging infectious diseases, along with public healthrisks related to climate change and natural disasters. The rapid increase of noncommunicablediseases will be further exacerbated by an ageing population. This Country Cooperation Strategy (CCS) emphasizes strengthening health systems, enhancinghealth security and promoting health equity. It contributes to the realization of thePentagonalStrategy – Phase 1: Growth, Employment, Equity, Efficiency and Sustainability: Building theFoundation Towards Realizing the Cambodia Vision 2050, which highlights