kingdom of cambodia nation religion king q1...kingdom of cambodia nation religion king quarterly...

KINGDOM OF CAMBODIA

NATION RELIGION KING

QUARTERLY PROGRESS REPORT

JANUARY – FEBRUARY - MARCH 2004

HIV/AIDS & STI PREVENTION AND CARE PROGRAMME

MINISTRY OF HEALTH NATIONAL CENTER FOR HIV/AIDS, DERMATOLOGY AND STD

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EXECUTIVE SUMMARY

For the first quarter of the year 2004, the overall disbursement of DFID, funds were 47.1 % in support of implementation of the provincial and national activities. I - ACTIVITIES AT THE PROVINCIAL LEVEL 64% of the first quarter budget approvals were spent to support the implementation of activities in the 19 Provinces funded by DFID. IEC, 100% CUP and Outreach Activities was strengthened in the 19 provinces. Management and coordination structures were strengthened with 19 PPUs created through MoUs and functioning. The implementation of continuum of care for PLWHAs were extended to other provinces. STI services were improved. Project implementation in four ADB-funded provinces (SVR, PRV, BTB and KHK) and 1 CDC-GAP funded province are going well as planned. 84% of quarterly budget approvals were spent to support their activities in these four provinces. II - NATIONAL ACTIVITIES To strengthen the implementation of programme at both levels, a set of national activities were implemented at NCHADS. These are including the following: IEC, BCC AND 100% CONDOM USE PROGRAMME Eight different types of IEC material consist of leaflets, posters and booklets are in the process of printing. 12 pieces of billboards were set up in Phnom Penh, Kandal, Takao, Kampong Speu and Kampong Cham. To be effective in development of IEC material, BCC Unit of NCHADS conducted the workshop on identify of IEC need with provinces (KRT, SHV, KCM, KPT, KDL), IEC action, RHAC, CHEMS and NCHADS units. To re-enforce the implementation of outreach programme, five co-ordinations meetings were conducted in Kg.Speu, Kg.Cham, Pailin, Battembang and Bathey Mean Chey to share experience and lessons learned on the implementation of the programme.

STI CASE MANAGEMENT To ensure to the good implementation of STD activities, STD officers conducted monthly meetings on STI with TWG, revised STI management guideline for general population, developed and piloted the quality control system for lab in three clinics in Battambang, Banteay Mean Chey and Koh Kong Provinces.

Sources: MRE Unit/NCHADS 1st Quarterly Report, 2004

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Staff of the STD Unit were sent to facilitate and supervise the In-service training on STD case management for SWs at STD Clinics from 6 different OD in provinces such as BMC, OMC and PNP. This training were supported by CDC-GAP except KCM province supported by GFATM/PAO. CONTINUUM OF CARE FOR PLWHA Technical Assistance on implementation of HBC was provided to Takeo, Phnom Penh, and SVR provinces through the workshop by the AIDS Care Unit staff. AIDS Care officers went to Koh Kong to provide the TA on basic HIV/AIDS and UP workshop. Orientation on CoC with launching in the CoC committee at Sampove Loun, Battambang province assisted by two AIDS Care Unit's officers. CAPACITY BUILDING OF NCHADS STAFF To build up the capacity of its staff in English language, NCHADS sent 21 of its staff to continued English training classes held at ACE. PROGRAMME PLANNING, MANAGEMENT AND COORDINATION TB coordinated with the stakeholders to prepare the 4th Round GFATM proposal for the Continuum of Care. 16 desktop computers, 16 UPS and 12 printers were supplied to facilitate the implementation of the DFID programme at the national and provincial level. Copies of the quarterly reports were produced for submission to DFID, UNDP, NAA, MoH, provinces and others agencies. To strengthen the management of programme activities at the provincial level, the NCHADS Acounting, Adminstation and Technical Bureau Staff conducted supervision visits to the provinces.

PHNOM PENH, MAY 20, 2004 PHNOM PENH, MAY 17, 2004 SEE AND APPROVED PREPARED BY

--------------------------------------------- ---------------------------------

DR. MEAN CHHI VUN DR. LIM YI DIRECTOR OF NCHADS CHIEF OF MRE UNIT


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TABLE OF CONTENTS

PAGE

1. NATIONAL ACTIVITIES

1.1. TECHNICAL BUREAU.......................................................................... 1

1.1.1. PLANNING AND RESOURCE MOBILIZATION UNIT................... 1

1.1.2. MONITORING, REPORTING AND EVALUATION UNIT.............. 1

1.2. NCHADS TECHNICAL UNITS........................................................... 3

1.2.1. BCC UNIT................................................................................. 3

1.2.2. STD UNIT.................................................................................. 3

1.2.3. AIDS CARE UNIT..................................................................... 4

1.2.4. SURVEILLANCE UNIT................................................................ 6

1.2.5. RESEARCH UNIT....................................................................... 7

1.3. NATIONAL STD CLINIC........................................................... 7

2. PROVINCIAL ACTIVITIES

1. KOH KONG.................................................................................. 11

2. BATTAMBANG............................................................................. 13

3. PREY VENG.................................................................................. 15

4. SVAY RINEG................................................................................ 18

5. KRATIE........................................................................................ 21

6. STUNG TRENG............................................................................. 24

7. KAMPONG CHHANAING............................................................. 25

8. SIEM REAP.................................................................................... 28

9. KAMPONG SPEU........................................................................... 31

10. KEP............................................................................................ 31

11. ODDOR MEAN CHEY.................................................................. 32


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12. RATTANAKIRI............................................................................. 33

13. MODULKIRI................................................................................. 34

14. PHNOM PENH............................................................................. 35

15. KAMPONG THOM....................................................................... 36

16. KAMPOT...................................................................................... 38

17. PAILIN......................................................................................... 39

18. PURSAT....................................................................................... 41

19. KANDAL...................................................................................... 43

20. PREH VIHEAR............................................................................. 45

21. TAKOE......................................................................................... 46

22. SIHANOUK VILLE........................................................................ 47

23. KAMPONG CHAM........................................................................ 49

24. BANTEAY MEAN CHEY............................................................... 51

3. ANNEXES

PROVINCES

3.1. PROVINCE EXPENDITURE FOR Q1-04, DFID............................... 54

3.2. PROVINCE EXPENDITURE FOR Q1-04, GFATM.......................... 55

3.3. PROVINCE EXPENDITURE FOR Q1-04, CDC............................... 56

NCHADS

SUMMARY OF NCHADS ACTIVITIES Q1-04, ....................................... 58


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NATIONAL CENTER FOR HIV/AIDS DERMATOLOGY AND STDS

ACTIVITIES PROGRESS REPORT

JANUARY TO MARCH 2004

1. NATIONAL ACTIVITIES 1.1. TECHNICAL BUREAU

1.1.1. PLANNING AND RESOURCE MOBILIZATION UNIT

i Planning Activities

Planning officers prepared an integrated annual and 1st quarter work plan for NCHADS and 24 provinces that incorporated activities and funding from all sources for year 2004.

Planning Unit coordinated with all NCHADS units to set the targets for implementation of HIV/AIDS activities for 2004.

Planning officers prepared MoU for 19 provinces supported by DFID project, except four ADB provinces and 1 CDC province.

Coordinated 4th Round GFATM proposal for the CoC.

ii Training-Workshop Activities 21 NCHADS officers were enrolled in 1st term of English training course

at ACE, Phnom Penh.

iii Meeting Activities Planning and Monitoring unit coordinated with all NCHADS units to

review and update the Strategic Plan 2003-2007 (included drafting the revised sections of the strategic plan, TWG meeting for all program areas and components to review these drafts, final consensus workshop with all stakeholders to endorse it).

iv Administration Cost

Maintenance of the office equipment, purchasing office supplies 16 DELL Desktops Computers, 12 HP LaserJet 1300 Printers and 16 UPS

1600 VA SUNPAC Power Backup was bought and supported for project implementation.

1.1.2. MONITORING, REPORTING AND EVALUATION UNIT

DATA MANAGEMENT AND REPORTING


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o MRE officers finalized National and Provincial Activities Progress Report for Quarter IV and Annual for year 2003, and distributed to MoH, NAA and donors. These reports also provided the feedback and lessons learn to NCHADS managers and provinces.

o MRE officers compiled units and provinces report for the 1st quarter report 2004.

STRENGTHENING MONITORING, REPORTING AND EVALUATION SYSTEM o MRE officers collaborate with Head of technical bureau and others

NCHADS technical officers in development of M&R Guideline for all units and provinces to be use during the supervision trips.

TRAINING-WORKSHOP-MEETING ACTIVITIES

o MRE Unit conducted two, 4 days workshop on strengthening Monitoring

and Reporting with 30 participants from Units of NCHADS and 24 provinces. These workshop consisted of (i) concept of monitoring and evaluation, (ii) how to record the output, (iii) gaps and challenges of monitoring and reporting and (iv) introduce pilot database system for NCHADS monitoring and reporting to be use as pilot 3 to 6 months and then NCHADS will take this lesson learn to develop the national database system.

o MRE unit conducted the technical meetings bi-weekly with all units and chaired by Director of NCHADS. The objectives of the meeting consist of (i) general issues and solving problem, (ii) sharing information from the units, (iii) follow up from previous meeting, and (iv) any others business.

o Head of MRE unit participated in M&E meeting to finalize the TOR of MECC at NAA office.

o Head of MRE unit participated with GFATM M&E workshop conducted by PR/MoH at Intercontinental Hotel.

o Head of MRE unit participate with GFATM 4th round proposal for CoC components at NCHAD meeting room.

o Head of MRE unit to attend the HIV/AIDS consultation workshop for East and South-East Asia, Bangkok, Thailand. The contents of this workshop focus on three-core area of UNFPA strategic such as (i) gender issues and pregnant women (ii) prevent HIV/AIDS among youth, and (iii) 100% condom use program.

MONITORING AND SUPERVISION o One staff of MRE unit joined as a Team in supervision trips with Planning Unit and Finance unit to monitor the Project Implementation in Pailin, Prey veng, Koh Kong, Kandal, Phnom Penh, Banteay Mean Chey, Svay Rieng, Prey Veng, and Battambang province.


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1.2. TECHNICAL UNITS 1.2.1. Behavior Change and Communication Unit PRODUCTION OF MATERIAL

o Eight different types of IEC material consist of leaflets, posters and

booklets are in the process of printing. o 12 pieces of 3 different types of billboards were installed in

1. Phnom Penh Chroy Changva area

2. Kandal Kean Svay along the national road No 1 and Phnom Attarous along the national road No.5, Kandal Stung area along the national road No. 2 Boat crossing of Prek Aon Chanh and Svay Att

Villages along the national road No. 6 A, 3. Takao

Along the national road No. 2 at Ang Tasom and Bekus

4. Kampong Speu At the corner of national road No. 4 and Ampai

Phnom and Kirirum Resorts 5. Kampong Cham

Cheung Prey area And Tbong Khmom area

TRAINING-WORKSHOP-MEETING

o One-2 days training to identify IEC need for 24 participants from KRT,

SHV, KCM, KPT, KDL, IEC action, RHAC, CHEMS and NCHADS units. o BCC unit conducted five co-ordinations meetings for Outreach and per

education activities held in Kg.Speu, Kg.Cham, Pailin, Battembang and Bathey Mean Chey.

MONITORING AND SUPERVISION o The supervision visits on Peer Education and outreach activities, and 100% CUP were carried out by BCC officers in PNP & KDL, TKV, KPT & KEP, KSP & SHV and KCM & KRT, Seim Reap, Ordor Mean Chey, Kampong Thom, PreasVihea, Stoeung Treng and Ratanakiry.

1.2.2. STD UNIT


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i. Prepare the guideline and training material

STD officers conducted STI meeting monthly with TWG. The STD officers revised STI management guideline for general

population. The STD officers collaborated with TB to identify drug and reagents

needed for STD clinic. Developed and piloted the quality control system for lab in three clinics

at in Battambang, Banteay Mean Chey and Koh Kong Provinces. Revised the Medical history Card for printing and distributed. Distributed computers, printers and others accessories to 8 clinics in 5

provinces (Phnom Penh, Pailin, Takeo, Pursat and Kampong Cham Provinces).

ii. Training-Workshop

STD officers facilitated in the training on providing STD care for FSW at Kandal and Pailin city, Siem Reap provinces.

During this quarter, staff of the STD Unit was sent to facilitate and supervise the In-service training on STD case management for SWs in STD clinics including 6 OD from different provinces such as BMC, OMC and PNP supported by CDC-GAP except KCM province supported by GFATM/PAO.

iii. Monitoring and Supervision

Supervision visits to STD Clinics in PNP, KDL, KCM, KRT, TKV, KPT, KSP, SHV, PRV, RTK, STR, SRP and OMC.

1.2.3. AIDS CARE UNIT

i Training-Workshop Activities

Three AIDS Care officers participated in 2-days workshop on identify of IEC need at NCHADS Training Room.

One staff facilitated the workshop on home based care in TKO province.

One staff facilitated the workshop on home based care in Svay Rieng province.

Three staffs facilitated the workshop on home based care in Phnom Penh.

Three staffs of AIDS Care Unit attended the workshop on planning in Phnom Penh.

Two AIDS Care officers went to facilitate the workshop on basic HIV/AIDS and UP done to 20 health care workers in Koh Kong province.


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A workshop on the use of HBC guidelines done to 13 HBC staffs and one staff facilitated

One 5-days training counseling course conducted in Q1-2004 and 4 staffs facilitate the meeting.

Orientation on CoC with launching in the CoC committee done at Sampove Loun, Battambang province and facilitated by two AIDS Care Unit's officers.

AIDS Care officers coordinated with planning officers to conduct the workshop on revision of strategies 2003-2007 and sharing experiences at NIPH-PNH.

ii Meeting Activities

Two meetings conducted at NCHADS meeting room with

involved HFBC partners and two staffs involved. Two meetings conducted at NCHADS with involved VCCT

partners and two-three staffs involved. The VCCT inauguration ceremony done at Moung Roeussey BTB

and 2 staffs of AIDS care unit joint A VCCT sub-committee meeting carried out by AIDS Care Unit

at NCHADS Three meetings on the review of VCCT strategic planning for

2004-2007 conducted at NCHADS meeting room. Three meetings with NGO partners on preparation of

coordinated proposal for fourth GFATM conducted. A steering committee for health facility based care (HFBC)

planned to conduct monthly meeting. A network of home community based care (HCBC) established in

Battambang province by KHANA in collaboration with NCHADS and one staff facilitated.

AIDS Care officers prepared drafted quarterly work-plan and submitted.

TB/HIV meeting was supported by CENAT and WHO.

iii Supplies VCCT officers prepared the specification for lab equipments,

consumables, reagents were submitted to the procurement officers.

iv Monitoring and Supervision

Two AIDS Care staffs carried out supervision for Moung Ressey

OD, Battambang province.


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Two AIDS Care staffs carried out supervision for BMC & PST provinces.

Three staffs of AIDS Care Unit carried out integrated supervision for VCCT and HFBC in Pursat province.

Two staffs of AIDS Care Unit carried out integrated supervision for HBC Sihaknouk Ville.

Two staffs carried out supervision visit for HBC in Prey Veng province.

One staff carried out supervisory visit to Kratie and Stung Treng province.

1.2.4. SURVEILLANCE UNIT

i Training-Workshop Activities

Two surveillances officers attended the workshop on MAAP project baseline. Surveillance officer participated in the workshop on conceptualization of IEC

material for HIV/AIDS. Surveillance officer participated in the training workshop on international

rapid assessment, response and evaluation. Surveillance officers conducted workshop on dissemination of BSS VI

result at Sunway Hotel. 24 provinces and others partnerships were participated with this workshop.

ii Meeting Activities

Head of Surveillance unit went to join the surveillance conference at Ethiopia. Head of surveillance unit conducted the meeting on STI prevalence study

with NCHADS-US-CDC and FHI. Head of surveillance unit participated with the health facility assessment

meeting at NIPH. Head of surveillance unit met with FHI discussing on BSSV, BSSIV and

HSS2002 report. Surveillance officers participated with the meeting on clinical trial by using

tenofovir with DCSW. Surveillance officers have coordinated in development of STI prevalence

study protocol.

iii Surveillance Activities

Surveillance officers prepared to finalize the BSS report 2003. IT officer has prepared to establish the NCHADS website. Surveillance officer take part in data collection and entry for MAAP

project baseline.


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Surveillance officers prepared the HSS1999-2002 specimens for quality control.

1.2.5. Research Unit

i Meeting Activities

13 meeting for NCHADS HIV prevention study and 5 meeting for Roche project.

Research officer conducted the Community Forum on NCHADS HIV prevention study.

Research unit conducted the CAG meeting to provide input on inform consent of NCHADS HIV prevention study.

Research unit coordinated in construction of HIV/AIDS clinic.

ii Research Activities To develop TOR of 3 sub-research steering committee (Clinical,

Epidemiological and Social behavior). Research officer presented the NCHADS HIV prevention study at HACC. To develop annual workplan for NCHADS HIV prevention study and sent

out to UNSW and NCSF. Research officer joined the study tour on HIV vaccine trial and microbicide in

Thailand. To prepare the invitation letter and sent to stakeholders for participating in

community forum of NCHADS HIV prevention study. Research unit recruited 8 staff for NCHADS HIV prevention study.

1.3. NATIONAL STD CLINIC

1. CONSULTATION AND TREATMENT

Disease

Dermatology STD Surgery HIV Cases follow up

Month Male Female Male Female Male Female Male Female

January 1472 1422 71 79 11 6 16 7

February 1121 1225 82 137 5 2 9 4

March 1446 1742 71 72 2 4 8 3


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2. LABORATORY A. Serology

Test RPR TPPA HBs-Ag HBs-Ab HCV-Ab HIV-Ab

Month Total + Total + Total + Total + Total + Total +

January 144 4 18 5 56 4 55 12 55 4 183 28

February 182 4 17 6 67 3 68 12 66 6 222 29

March 199 4 10 3 53 7 51 10 53 3 234 32

B. Bacteriology

Method Gram Stain Gen-Probe Wet mount

Months GNID PMNs >30 Yeast # of test Gonorrhe

a

Chlamydia

Trachomatis

# of test Trichomonas # of test

January 18 12 29 78 3 2 67 0 51

February 8 2 47 103 1 0 67 1 80

March 11 23 22 283 4 0 95 1 67

3. VCCT

Pretest Counseling Testing Posttest

Counseling Male Female

Male Female # of test HIV + % # of test HIV + %

Male Female

January 151 119 130 26 20% 98 30 31% 99 80 February 236 201 209 37 18% 178 26 15% 178 159 March 143 108 143 41 29% 108 27 25% 133 93


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HIV Prevalence among male and female VCCT clients

(January to March 2004)

20%

31%

18%

15%

29%

25%

0%

5%

10%

15%

20%

25%

30%

35%

January February March

Male Female

4. MOBILE STD CLINIC

Every month, two officers of National STD Clinic collaborated with PSF formulating as Mobile STD Clinic Team. This team has been working with female sex workers in target area in Phnom Penh. Female sex workers are easy access to get consultation and treatment with this mobile team. 5. TRAINING-WORKSHOP-MEETING ACTIVITIES

i. Meeting National STD Clinic officer participated in development on HIV/AIDS Care

Training Manual, January 2004. National STD Clinic officer joined the strategic plan 2003-2004 on VCCT

component at NCHADS.

ii. Training


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National STD Clinic two officers went to Dalas, Texas, for joining the first part of clinical and laboratory training in January 2004.

iii. Workshop

National STD Clinic two officers went to Bangkok, Thailand, for joining the PCR

workshop (Polymerase Chan Reaction) in January 2004. National STD Clinic officer went to Singapore attending the workshop on

Dermatology Update 2004. National STD Clinic conducted the workshop on strengthening laboratory

technique for National STD Clinic laboratory officers and provinces included Koh Kong, Sihaknouk Ville and Prey Veng.

National STD Clinic conducted the workshop on strengthening the treatment of dermatology for National STD Clinic laboratory officers and provinces included Koh Kong, Sihaknouk Ville and Prey Veng.

Two officers from National STD Clinic went to attend the workshop on leprosy at National Center for Anti-Tuberculosis.

National STD Clinic officer went to attend the workshop on care and support for HIV/AIDS and TB patients at National Center for Anti-Tuberculosis.

National STD Clinic officer participated in the workshop on HIV/AIDS knowledge, behavior and practice survey.

6. MONITORING AND SUPERVISION National STD Clinic Officer went to Kampong Chhnang and Pursat Provinces for supervision visit on HIV laboratory testing.


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2. PROVINCIAL ACTIVITIES

1. KOH KONG

1. IEC: - Broadcasting of HIV/AIDS information through local cable TV,

by 8 different spots that covered in Smach Mean Chey and Mondul Seima district. ( 15 sessions /day)

- Daily broadcasting of HIV/AIDS information through speedboat from Koh Kong - Sihanouk Ville with at least carrying 80 passengers.

2. Outreach:

- Outreach visits to Commercial Sex Service, fishermen, taxi drivers, Motodup, speedboat drivers in Smach Mean Chey and Sre Ambel.

Date SWs Fisherman Moto-taxi & Taxi driver

January 322 220 180

February 322 220 180

March 322 220 180

- Two-3day Refresher training of 25 DSW and IDSW Peer

educators. - Monthly meeting for 10 POT - Two 1-day meeting of 25 DSWs PE and IDSWs PE in Mondul

Seima and Smach meanchey. - One 3-day supervision trip on outreach activities by one POT

staff to Sre Ambel OD. - Two-1day meeting of 35 brothels and entertainment Owner in

Smach meanchey and Sre Ambel. - One-1day Technical coordination meeting with 15 participants

from POT, CUMEC, CUWG and local authority.

3. 100% Condom Use Programme: - Weekly meeting of 2 CUWGs in Sre Ambel and Smach Mean Chey. - One-2day supervision of 2 CUMEC members to CUWG in Sre

Ambel.


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4. STI Care: - One-3day field practice for 10 STD clinic staff from 2 STD clinics

in SAB and SMC. - Supervision of STD services to 7 HCs in OD Sre Ambel, and OD

Smach Meanchey by OD coordinators and one-3day supervision to STD clinic in SAB by PAO in charge of STD.

- One-1day coordination meeting for 10 participants from 2 ODs, 2 STD clinics, PAO, and PHD.

- Attended the STI intensive training at National STI clinic, in Phnom Penh.

- Facilitated on STD training at OD Sre Ambel, supported by CARE.

- Attended the training course on Drugs management at OD Smach Meanchey, supported by CARE.

5. UP:

- One-3day training on basic information on HIV/AIDS and UP for 20 participants from RH and HCs.

6. VCCT:

- One-3day field practice for 4 VCCT staff at National STD clinic, in Phnom Penh.

- One VCCT staff attended the meeting on sharing experience on counseling in Battambang supported by CARE.

- One-3day mission to NCHADS to receive the VCCT reagents by one VCCT staff, funded by CARE.

7. IC: - Two-1day meeting of IC network with 10 participants.

8. CoC: - One-1day meeting for CoC committee with 25 participants. - Attended the consensus workshop on Strategic Plan 2004-2007

for Care component and CoC exchange experience at NIPH, in Phnom Penh.

9. Planning and Coordination:

- One-3day Planning Workshop for year 2005, with 40 participants from PHD, PAO, OD, POT, CUMEC, CUWG, and NGOs.

- Support for English and Computer training for 5 PAO/PPU officers.


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Other Activities: - Attended the workshop on Health Facility Assessment in

Sihanouk Ville, URC funded. - Attended the Planning workshop for URC, URC funded. - Attended the workshop on Condom Use and Reproductive

Health Survey at NCHP. - Attended the Dissemination workshop on BSS round VI at

Sunway Hotel. - Attended the workshop on HIV/AIDS education, organized by

NAA.

2. BATTAMBANG

1. Outreach:

- Outreach visits every month to 95 entertainment establishments. No of Places No of SWs

01/04 95 605 02/04 94 612 03/04 95 604

- Three 1-day meeting for 10 POT - Two 1-day meeting of DSWs PE and IDSWs PE. - One 1-day meeting of Owner brothels.

2. 100% CUP :

- Weekly meeting of 6 CUWG members. - Monthly meeting of 5 CUMEC members. - Supply of 16,000 condoms for outreach visits, STD clinic and VCT.

3. STI Care: Monthly STD Caseload, STD clinic in Battambang in 2003

Date Male (A) Female (B)

DSW IDSW Total=A+B

01/04 17 109 121 14 123

02/04 25 109 121 20 134

03/04 26 100 136 26 126


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4. Home Based Care:

The HBC teams members identified and provision of care and counseling to 130 patients every month.

5. VCCT:

a. VCCT activities in Battambang town:

Date No of Male clients

No of Female clients

Total

HIV (-)

HIV (+)

HIV (-)

HIV (+)

January*

225 48 190 42 415

February

144 24 107 31 251

March

137 46 135 32 272

* Total number of clients who came in 3 VCCTs (Battambang, Mong and Sampeuv Loun) in January 2004. b. VCCT activities in Mong OD:



Total

HIV (-)

HIV (+)

HIV (-)

HIV (+)

January February 21 4 36 8 57 March 38 8 81 12 119

c. VCCT activities in Sampouv Loun OD:



Total

HIV (-)

HIV (+)

HIV (-)

HIV (+)

January February 17 2 22 5 39 March 19 5 45 10 64


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3. Prey Veng

1. Outreach:

- Update mapping the sex services. - Annual Orientation Training for POT, with 9 participants. - Monthly Outreach visits to Direct and Indirect Sex Workers in 3

districts such as Mebon, Neak Loeung, Kampong Leav (56 places).

- One 1-day meeting with 58 brothels and entertainment Owners

from Kampong Leav, Neak Loeung and Mebon district. - One 1-day meeting with 125 Direct and Indirect sex workers PE - Monthly meeting for 13 POT. - 3 Supervision trips from PAO to OD for selected peer for PE

and outreach activities in OD Preah Sdech, Measang and Prey Veng.

2. 100% Condom Use Programme:

- Weekly meeting of 12 members of CUWGs from Kampong Leav, Mebon, and Neak Loeung.

- Monthly meeting of 14 CUMEC/CUWG - Supply of 15,000 condoms for 2 STD clinics, VCCT and outreach

activities.

3. STI Care: - Supervisions to OD Preah Sdach, OD Kampong Trabek,

Mesang, Kamchay Mear, and Neak Loeung. - Provision of mobile STD services to DSWs and IDSWs in

Mebon. - One-1day coordination meeting with 10 participants from STD

clinic, OD, PAO, and PHD. - Coverage of SWs in Kampong Leav STD clinic

Date No of SWs register by CUWG

No of SWs attended in STD clinic

Coverage

January 73 52 71% February 66 57 86% March NA NA %


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Coverage of SWs in Neak Loeung STD clinic



Coverage

January 77 58 75% February 77 65 84% March NA NA %

4. Support Group:

No of Patients that Care by support Group in this Quarter in HCs:

HC Kampong

Leav

HC Popeuss

HC Prey Kandieng

HC Prek Ksay B

HC Prek Neak

Loeung

HC Peam Ror

January 27 18 14 12 11 9 February 16 11 21 36 25 13 March

5. CoC:

- Monthly meeting of CoC committee in Prey veng and Neak Loeung.

- Refresher Training of OI in for Referral Hospital staff, with 30 participants from Prey Veng and Neak Loeung.

- Monthly meeting of Technical Working group, in Prey Veng and Neak Loeung.

- Monthly meeting of MMM in Kampong Leave and Neak Loeung.

- Two-5day Training on Home Based Care for HBC team, with 50 participants.

- Support for transportation fee for 17 patients to VCCT. - Supervision trips on HBC activities.

6. VCCT:


22

56

17

57

15

64

24

76

16

57

17

53

14

0

10

20

30

40

50

60

70

80

January Feb March

Monthly STD caseload in Kampong Leave (PVG) VCCT

Male clients Male (+) Female clients Female (+)

7. Planning and Coordination: - Support for training in English and computer to PAOs and PPU

staff. - Monthly supply for administrative and communication cost - Monthly supply for stationary - One 3- day missions of PPU accountant to NCHADS.


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4. SVAY RIENG

1. IEC: - Broadcasting of HIV/AIDS information (Spot and Stories:

Senanicha and Tornkam Sneha) through local cable TV: 16 sessions/month.

2. Outreach:

- Outreach visits and peer education to 20 entertainment establishments (5 brothels, 6 entertainments, 2 Beer companies, and 3 Massages) in Svay Rieng town, to 8 entertainment establishments (6 brothels, 2 entertainments) in Bavet commune and, Motodup, and taxi drivers in Svay Rieng town, Svay Chrum, Svay Tep, and Chantrea.

Date SWs PM

January 108 0 February 129 0 March 103 61

- Two 1-day meeting of 28 DSWs and IDSWs peer educators (24

PE/12 places in Svay Rieng, and 8 PE/8 places in Bavet). - One-1day Annual Orientation workshop for 12 participants

from PAO, POT, OD. - One-5day training on BCC for 4 OD staff from OD Svay Rieng,

and OD Chipou. - Two-2day Refresher training on HIV/AIDS/STI for 28 SWs PE

from Svay Rieng town, and Bavit commune. - One-2day Refresher training on HIV/AIDS/STI for 16 PM PE

from Svay Rieng town, and 7 districts. - Two-1day meeting of 16 PM peer educators from provincial

town and 7 districts. - One 1-day meeting of brothels and entertainment Owners from

Svay Rieng town and Bavet. - Monthly meeting for 8 POT members.

3. 100% Condom Use Programme: - Weekly meeting of 8 members of CUWGs from Svay Rieng

town, and Bavet. - Monthly meeting of 9 participants from CUMEC members,

CUWG and STD clinic. - Administrative cost for CUWG/CUMEC. - Supplied of 9000 condoms for outreach activities, STD clinic.


24

- 2 supervision trips on 100% Condom Use activities in Svay Rieng town and Bavit commune by PAO.

4. STI Care:

- Supervisions visits to 25 HCs in 3 ODs (Svay Rieng, Romeas Hek, and Chipou) by OD coordinators on STD Management.

- 3 supervisions trips of PAO to 3 ODs on STD Management. - Provision of mobile STD services to Bavet. - Coverage of STD clinic



Coverage

January NA NA NA February 27 22 81% March 29 22 76%

5. IC:

- Monthly meeting of IC Sub-working group in Romeas Hek RH. - Two supervision trips on IC in Svay Rieng and Romeas Hek RH

by one PAO staff.

6. CoC: - One 1-day meeting of clinician network with 8 participants. - One-5day study visit and exchange experience on CoC in Mong

Russey RH for 10 participants from 2 ODs ( Svay Rieng and Romeas Hek).

- Monthly meeting of CoC committee, with 10 participants.

7. VCCT: - Supervision on VCCT activities in VCCT Romeas Hek, and

Svaay Rieng. - Monthly VCCT caseload in VCCT Svay Rieng



Total

HIV (-) HIV (+) HIV (-) HIV (+) January 65 2 105 8 180 February 54 4 75 11 144 March 68 10 71 9 158


25

- Monthly VCCT caseload in VCCT Romeas Hek



Total

HIV (-) HIV (+) HIV (-) HIV (+) January 6 1 5 1 13 February 8 2 3 1 14 March 14 1 8 0 23


- One-3day Annual Planning workshop for year 2005, with 29 participants from PHD, PAO, POT, OD, RH, MMM, VCCT and NGOs.

- Monthly supply for communication cost - Monthly supply for stationary - One 2- day missions of PPU accountant, and one-2days of PAO

to NCHADS.

5. KRATIE

1. IEC: - IEC materials: distributed the IEC materials such as leaflets,

posters, stickers to NGOs who are working on HIV/AIDS in province.

- Broadcasting of HIV/AIDS information through Coffee Video in provincial town 2times/day: 60 sessions/month (started from February and March).

- Broadcasting of HIV/AIDS information through Radio in Provincial town, Sambo district, Prek Prasab, and Snuol district, support by URC.

2. Outreach and Peer Education Programme:

- One Orientation workshop on outreach and Peer Education for 9 POTs

- 3 Outreach visits and peer education to 55 entertainment establishments in provincial town and 12 places in Snuol district.


26

117

120

122

114

115

116

117

118

119

120

121

122

Jan Feb March

Monthly outreach visit to DSWs and IDSWs

No Of SWs - Three-1day meeting for 10 participants, 6 from POT members, 3

from STD clinic and 1 from VCCT.

3. 100% Condom Use Programme: - Weekly meeting of 5 participants, 4 from CUWG members, and 1 from STD clinic. - Monthly meeting of 10 participants, 5 from CUMEC members, 4 from CUWG, and 1 from PAO. - Supply of 25 boxes of condoms to STD Clinic and outreach activities.

4. STI Care: - One-10days Training on STD Case Management for WS for 2

participants from HC Snuol , OD Chhlong. - 2 1-day Supervision visits of STD clinc staff to OD Chhlong and

OD Kratie. - 3-1day supervision trips from OD to 30 HCs in OD Kratie, and

OD Chhlong. - Data entry of STD cases - Monthly office supply for STD clinic


27

19

74

26

10

56

33

10

3837

0

10

20

30

40

50

60

70

80

Jan Feb March

Monthly STD casload in STD clinic

Male clients Female clients No Of SWs

119

11

75

7

36

4

0

20

40

60

80

100

120

Jan Feb March

Monthly VCCT caseload in Q15. VCCT:

Total clients HIV (+)6. Planning and Coordination: - One-3day Planning Workshop for year 2005, with 28

participants, from PHD/Technical Bureau, OD Kratie, OD Chhlong, Outreach Team, and PAO.

- One-1day Coordination meeting with 29 participants, from PHD, OD Kratie, OD Chhlong, VCCT, STD clinic, and PAO.

- Monthly supply for communication cost, administrative cost and stationary.

- Support for English and Computer training of 7 staff (3 PAO staff, 2 STD clinic staff, and 2 VCCT staff).

- Mission to NCHADS


28

Other activities: - Attended the meeting on HIV/AIDS network with other

institutional and NGOs who are working on HIV/AIDS Prevention and Care, support by URC.

- Attended the workshop on Presentation of Health Facility Assessment result in Sihanouk Ville, supported by URC, HSSC, and USAID.

- Attended the workshop on Planning Workshop for FHI partners in Kratie province, supported by FHI.

- Attended the Workshop on Disseminate the BSS round IV result at Sunway Hotel, in Phnom Penh, supported by CDC.

- Attended the Workshop on HIV/AIDS in Communities at NIPH, Phnom Penh.

6. STUNG TRENG

1. IEC: - Broadcasting of HIV/AIDS information through local cable TV

(2 times/day, and in 12 days/month).

2. Outreach: - Monthly outreach visits to 22 brothels by 4 POT members; 66

DSWs were reached in provincial town. - Monthly meeting for 4 POT.


- Weekly meeting of 6 members of CUWGs. - Monthly meeting of 4 CUMEC members and 2 persons from

CUWG. - Supply of 9,000 Condoms for STD clinic and Outreach activities

every month.

4. STI Care: - Supervision on STD management from OD to HC Thala, HC

Chamkar Leu, and Siem Pang by 2 staff.


29

5. VCCT:

Date Male clients Male HIV (+) Female clients Female HIV (+)

January 16 3 14 1

February 10 0 7 1

March 14 1 15 2


- One- 1day coordination meeting with 10 participants from PHD, PAO, POT, CUWG, and STD clinic.

- Monthly supply for communication cost and Administrative cost.

- Monthly supply for stationary - Support for English training of 4 PAO staff, and Computer

training for 2 PAO staff.

7. KAMPONG CHHNAING

1. IEC:

- Broadcasting of HIV/AIDS information through local TV, and Radio in provincial town.

- In collaboration with LWF, conducted one-3day workshop on Strengthening to DAC with 20 participants in Tekphos district.

- Distributed the IEC materials: Condom: 2448 Condoms Leaflet: 483 Poster: 50 STI booklet: 161

2. Outreach:

- Update Quarterly mapping - Outreach visits and peer education every month to 25

entertainment establishments, and 148 SWs were reached. - Two-1day Peer meeting with 45 DSWs and IDSWs that support

by FHI/Impact. - One-1 day meeting with 35 brothels and Sex establishment

entertainments owners. - Monthly meeting for 9 participants, 8 POT members and 1 PAO.


30

DSWs IDSWs District Brothels SWs Places DSWs

Kampong Chnaing 15 64 26 56

Roleabear 4 9 5 2

Kampong Tralach 2 10 0 0

Baribo 4 15 2 3

3. 100% Condom Use Programme: - Weekly meeting of 10 participants, 8 from CUWG, 1 from OD,

and 1 from PAO. - Increase of SWs to STD clinic 119% (No of SWs: 72p, No of SWs

attended in STD clinic: 87p)

4. STI Care: - 2 supervision trips from PAO to OD by 2 PAO staff - 13 supervision trips from OD to 19 HCs.

5. HBC: - 3 Supervision trips on HBC activities. - Attended the meeting on establish the HBC team with World

Vision. - HBC activities Date Total AIDS Patients Dead

January 123 13

February 121 03

March 127 04

6. VCCT:

Date

Total clients HIV (+)

January 119 17 February 80 15

March 105 18


31

7. Planning and Coordination: - One-3day Planning workshop for year 2005 - One-1day coordination meeting with 8 participants from PAO

staff, OD Coordinators. - Three-2day mission trip to NCHADS by PAO, PPU, and

Accountant. - Support for English (6p) and Computer training (1p) for PAO

staff.

Other activities: - One-3day Refresher training on strengthening capacity of POT,

CUWG, and STD clinic for 17 participants, support by CESVI. - Facilitated in workshop on Peer Education, with 23 participants

that support by LWF, Tek Phos district. - In collaboration with LWF, conducted one-3 day training

workshop on strengthening capacity of DAOs in Samaki Meanchey, with 20 participants.

- In collaboration with LWF, conducted one-3 day training workshop on HIV/AIDS information for Monk and Achar with 26 participants in Samaki Meanchey district.

- PAS Quarterly meeting, with 40 participants, 21p from PAS, 6p from OD, 1p from PHD, 1p from RH, 1p from CUWG, and 9p from NGOs, supported by World Vision.

- One-3day Regional meeting of PAS in Sihanouk Ville, organized by NAA.

- Attended the Dissemination Workshop on BSS round VI at Sunway Hotel, Phnom Penh.


32

8. SIEM REAP

1. IEC: - Broadcasting of HIV/AIDS information through local cable TV

(34 sessions/month: 2times/day, in 17days/month) and Radio FM 100.5 Mz in province (20 sessions/month: 2times/day, 10days/month).

- Distributed the leaflets, posters to brothels, entertainment and to communities.

2. Outreach:

- Update mapping - Outreach visits and peer education every month to 25 brothels,

and entertainment establishments (9 Beer companies, 14 Karaoke and Massages) by 8 POT members.

- Two 1-day meeting of PEs (32 DSWs and 35 IDSWs) with POT, STD clinic, Authorities, and others NGO who are working on HIV/AIDS prevention; supported by FHI/Impact Cambodia.

- Two 1day meeting of 49 brothel and entertainment owners with POT, CUWG, CUMEC, STD clinic, Authorities, and NGOs; supported by FHI/Impact Cambodia.

- Monthly meeting for 13 participants, from 8 POTs, PAO. - 3 supervision trips on outreach and Peer activities in 6 places.


- Weekly meeting of 7 members of CUWGs. - Monthly of CUMEC with 15 participants from CUMEC

members, CUWG, STD clinic, and POT. - Supervision of 100% CUP. - Supply of 15,000 condoms for STD clinic, outreach activities,

and VCCT. - Conducted the concert on Promotion of Condom Use in Siem

Reap town.

4. STI Care: - One-3day Refresher training on STD case management for SWs,

for 6 STD clinic staff. - Supervision on STD activities from PAO to 3 OD (OD Siem

Reap, Sot Nikum, and Kralanh). - Coverage of STD clinic


33



Coverage

January 205 200 97%

February 206 199 96%

March 211 207 98%

5. CoC:

- In collaborate with MSF Belgium, ESTHER Siem Reap RH and Sot Nikum RH, provided OI treatment and ARV to 48 new patients among 563 patients who got ARV drug.

- Three-1day meeting of MMM with 55 PLWHA. - Monthly meeting of CoC Committee; with 22 participants in

Siem Reap RH. - Supervision visit to OD Sot Nikum on CoC activities. - One-5day training on Social support to PLWHA, supported by

ESTER. - One-4day workshop on Network of PLWHA in Siem Reap,

organized by KHANA.

6. HBC: - BFD and CARITAS identified and provided care and support to

398 PLWHA and orphans by HIV/AIDS in Thmar Puok and Siem Reap district.

7. VCCT:

- VCCT in Mondul I HC:

Date

Male clients Female clients Total HIV (+)

January

95 124 219 70

February

87 110 197 77

March

117 133 250 84

- VCCT in Sot Nikum RH:


34

Date Clients HIV (+) January NA NA February NA NA March 54 8

- Supervision to VCCT in Sot Nikum and Kralanh Referral

Hospital.

8. Planning and Coordination: - Weekly meeting of PAO staff, and STD clinic staff. - Monthly meeting with PAO staff, DAOs, OD Coordinators and

other NGOs who are working on HIV/AIDS. - Three mission trips to NCHADS by PAO manger, and

Accountant. - One-day Quarterly Meeting with partner who are working on

HIV/AIDS in Siem Reap, with 37 participants. - One-3day Planning Workshop for year 2005, with 35

participants from 3 ODs, PAO, PHD, RH, and NGOs. - One-5day Study tour to exchange experience on HIV/AIDS/STI

programme management in Koh Kong province. - Attended in Workshop on Strategic Planning for HIV/AIDS

and STI Prevention and Care for 2004-2007 in NIPH, Phnom Penh.

- One-3day Regional meeting of PAS in Sihanouk Ville, organized by NAA.

- Attended the Dissemination Workshop on BSS round VI at Sunway Hotel, Phnom Penh.


35

9. Kampong Speu

1. Outreach: - Outreach visits to 119 DSWs and IDSWs at brothels and

entertainment stablishments. - Update mapping the entertainment establishments; with 44

places, and 159 SWs. - Monthly meeting of POT members.

2. 100% Condom Use Programme: - Weekly meeting of 8 members of CUWGs.

3. STI Care: - Two 3-days In-service training course on STD Syndromic

Management for HCs staff with 21 participants from HCs and OD.

- Supervision on STD managements from PAO to OD.

4. Planning and Coordination: - Two mission trips of PAO and Accountant to NCHADS.

10. KEP

1. IEC: - Broadcasting of HIV/AIDS/STI information through TV cafe

video.

2. Outreach to community: - 2 staff provided education on Basic of HIV/AIDS; 134 people

were reached (5 times). - One-1day Peer Meeting, with 60 participants.

3. STI Care: - 1 Supervisions visits of PAO staff to 2 HCs and RH on STD

Management.

4. Planning and Coordination: - 2 mission trips to NCHADS, by Accountant, and 1 by PAO. - Monthly supply for Communication cost. - Monthly supply for stationary -


36

11. ODDOR MEAN CHEY

1. IEC: - Broadcasting of HIV/AIDS information through local cable TV:

20 sessions: 2times/day, 10days/month.

2. Outreach: - Quarterly mapping of sex entertainment establishments - Monthly outreach visits to 29 brothels in Samrong, Osmach, and

Anlong Veng; with 146 SWs were reached. - Monthly meeting of 8 POT members.

3. 100% CUP: - Monthly meeting of 7 CUMEC members - Weekly meeting of CUWG members - Supplied of 25 boxes of condom to 29 brothels.

4. STI Care: - One-5days Training course on STD Syndromic case

Management for 5 OD supervisors in Banteay Meaanchey. - 7 supervision trips on STD in 7 HCs by 1 supervisor.

5. Planning and Coordination: - One-3day annual Planning workshop for year 2005; with 29

participants from PHD, PAO, OD and NGOs. - Monthly Coordination meeting with 15 participants from PAO,

PHD, OD, and NGOs. - 2 mission trips by PAO and 3 trips by Accountant to NCHADS,

and two trips to SRP by Accountant.


37

12. Rattanakiri


12 sessions/5 weeks.

2. Outreach to community: - Update mapping for outreach activities - One 1-day Meeting on Annual Orientation with 20 participants

from POT, PAO, CUMEC, CUWG, local authorities, brothels owners.

- Outreach visit to 10 brothels; 37 SWs were reached. - One-2day training of Peer Educators on Basic on HIV/AIDS to 8

PEs. - One 1-day meeting of 8 peer educators. - Monthly meeting of 5 POT members.

3. 100% CUP: - Weekly meetings of 4 CUWG members. - Monthly meeting of 6 CUMEC members. - Condom supply of 6000 condoms for outreach activities, and

STD clinic.

4. STI Care: - 14 supervision trips from OD to 7 HCs on STD management.

5. Planning and Coordination: - Monthly supply for stationary - Three 2-days missions of PPU accountant and two-2day for

PAO to NCHADS. - Support for English Training for 3 PAO staff.


38

13. Mondul Kiri

1. IEC: - Distributed the IEC materials to VCCT, NGOs.

leaflets : 1000 posters : 200 STI booklets : 100

2. Outreach:

- Update mapping of sex services in Sen Monorum, Keo Seima, and Memang district, with 42 DSWs.

- Monthly outreach visit to DSWs in Sen Monorum, Keo Seima, and Memang district.

- Monthly POT meeting.

3. STD: - Supervision on STI management in 6 HCs ( Sen monorum,

Oraing, Keo Seima, Memang, Koh Nhek, and Pechda HC).

4. Planning and coordination: - Support 2 staff to attend Computer course - Three -3day missions of PPU accountant and one-3day for PAO

to NCHADS.


39

14. PHNOM PENH

1. Outreach to community:

- One-3day Refresher training on HIV/AIDS/STI for POT with 20 participants.

- Supervision on outreach and Peer Education activities. - Monthly meeting of POT members.

2. 100% CUP: - Weekly meeting of CUWG members with 30 participants. - Monthly meeting of CUMEC members with 26 participants. - Condom supply to outreach activities.

3. STD:

- Supervision on STD management to 16 HCs.

4. Planning and Coordination: - Monthly supply for Communication cost. - Monthly supply for stationary - Support for English and Computer training.


40

15. KAMPONG THOM

1. IEC: - Broadcasting of HIV/AIDS information (7 spots) through local

cable TV: 20 sessions, 2times/day, 10days/month and through locale Radio: : 20 sessions, 2times/day, 10days/month.

2. Outreach:

- Update quarterly mapping: District No of

brothels No of

entertainment No of DSWs

No of IDSWs

Total of SWs

Stung Sen 13 31 34 177 211

Baray 15 5 23 12 35

Stong 4 5 7 25 32

- Outreach visits and peer education to SWs:

Date No of places No of SWs

January 74 278

February 73 275

March 70 282

- One-1day meeting of 59 PEs DSWs and IDSWs in Stung Sen and

Baray district with POT, STD clinic, Authorities. - One-1day meeting of 53 brothels and entertainments owners in

Stung Sen and Baray district. - Monthly meeting for 10 POT members.

3. 100% Condom Use Programme: - Weekly meeting of 8 members of CUWGs in Stung Seng district

and 4 members in Baray district. - Monthly meeting of 9 members of CUMEC.

4. STI Care: - Supervision on STD to 34 Health Centers in 2 ODs.


41

5. VCCT:

Date Total clients HIV (+) %

January 121 10 8.26

February 86 15 17.44

March 110 20 18.18


- Monthly meeting with 11 PAO staff. - Monthly supply for stationary - Three- 2day missions of PPU accountant, and two-2day of PAO

to NCHADS. - Support for English and Computer training. - One-1day Coordination meeting with partners who are working

on HIV/AIDS with 23 participants. - One-3days Study tour on 100% Condom Use Programme in

Sihanouk Ville of 2 CUMEC and 6 CUWG.

Other activities: - One-2 days training on HIV/AIDS information for DAC, with

25 participants in Prasat Baling district. - In collaboration with NCHADS, NMCHC, UNICEF, conducted

the Need Assessment for PMTCT. - Attended the Study visit on PMTCT in Svay Rieng province.


42

16. KAMPOT

1. IEC: - Broadcasting of HIV/AIDS information (5 spot by local cable

TV, and 2 spot by local Radio FM 93.25 MHz: 60 sessions/month.

2. Outreach:

- Annual mapping of sex establishment - One-3day Refresher training for 8 POT and 2 STD clinic staff. - Outreach visits and peer education every month to 24

entertainment establishments (13 brothels, 5 Beer companies, 6 Karaoke) by 8 POT members.

- Two 1-day meeting of 36 PEs with POT, STD clinic, Authorities, and others NGO who are working on HIV/AIDS prevention; supported by FHI/Impact Cambodia.

- One 1-day meeting of 34 brothel and entertainment owners with POT, CUWG, CUMEC, STD clinic, Authorities, and NGOs; supported by FHI/Impact Cambodia.

- Monthly meeting for 8 POTs.

3. 100% Condom Use Programme: - Monthly meeting of 7 CUMEC members and 3 CUWG. - Weekly meeting of 7 members of CUWGs. - Supplied of 10,000 to STD clinic, and outreach activities. - Supervision on CUWG activities.

4. STI Care: - One-10day training course on STD case management for SWs,

for 2 participants from HC nearby Sex services. - Supervision from PAO to OD on STD management to 32 HCs in

Kampot, Kampong Trach and Ankorchey OD. - Supervision from PAO to OD on STD management to 10 HCs in

OD.

5. CoC: - One-1day of CoC Committee meeting with 13 participants.

6. Planning and Coordination: - 2 mission trips to NCHADS by one accountant. -


43

17. PAILIN

1. IEC: - Broadcasting of HIV/AIDS information by local TV cable: 12

sessions/month, and Radio FM: 30 sessions/month on spot and stories such as Support to People Living with HIV/AIDS and Tornkam Sneha.

2. Outreach:

- Update mapping for sex services.

Date Brothel Karaoke Hotel Guest

house Massage Casino Total

No FW No FW No FW No FW No FW No FW No FW

02/04 15 140 9 49 2 12 3 3 2 3 2 300 33 507

03/04 16 156 12 73 2 15 3 3 2 3 2 300 37 550

*FW: Female Worker

- Outreach visits and peer education every month to 15 brothels and 13 entertainment establishments.

- Monthly outreach visit to SWs:

Date No of DSWs No of IDSWs

February 145p/15 places 67p/ 13 places

March 156p/16places 94p/ 16 places

- One 1-day meeting of PEs with POT, STD clinic, Authorities,

and others NGO who are working on HIV/AIDS prevention; supported by FHI/Impact Cambodia.

- One 1-day meeting of brothel and entertainment owners with POT, CUWG, CUMEC, STD clinic, Authorities, and NGOs; supported by FHI/Impact Cambodia.

- Monthly meeting of POTs with 8 participants, 6 from POT, 1 from PAO, and 1 from STD clinic.


- Weekly meeting of 8 members of CUWGs. - Supplied of condoms to STD clinic, 100% CUP and outreach activities.


44

- In collaboration with PSI, local authorities, other institution and NGOs organized the concert to promote the 100% Condom Use Programme in Provincial town.

4. STD:

- 3 staff attended the 5days-training course on STD management for OD Supervisor, in Banteay Meanchey.

- Quarterly coordination meeting with 8 participants from STD clinic, and PAO.

- Coverage of STD clinic



Coverage

January 116p 67p 57%

February 213p 75p 60%

March 129p 87p 67%

5. VCCT:

- VCCT in Pailin started from December 2003

Date

Male clients

Female clients

Total Male HIV (+)

Female HIV (+)

1st December 2003 to 31st March 2004

57 75 132 9

6. HBC:

- In collaboration with BWAP, HBC team identified and provided care and support to 79 chronic patients included 43 AIDS patients.


- One-3day Planning Workshop for year 2005, with 37 participants from PAO, PHD, other institution and NGOs.

- 1 mission trip to NCHADS by PAO, 3 trips by Accountant, and 3 trips to Battambang by Accountant.


45

18. PURSAT

1. IEC: - Broadcasting of HIV/AIDS information by local TVK 10: 12

sessions /month, and by Radio FM 98.5 MHz: 30 sessions/month.

2. Outreach:

- Outreach visits and peer education every month to brothels and entertainment establishments.

- Two 1-day meeting of DSWs and IDSWs PEs with POT, STD clinic, Authorities, and others NGO who are working on HIV/AIDS prevention; supported by FHI/Impact Cambodia.

- One 1-day meeting of brothel and entertainment owners with POT, supported by FHI/Impact Cambodia.

- Monthly meeting for POT members. - One-1day Coordination meeting with CUMEC, CUWG, POT,

STI, and PAO staff. - Supervision of outreach activities in Krakor, and Kravanh

district.

3. 100% Condom Use Programme: - Weekly meeting of CUWG members. - Supply of 50 boxes of condoms to STD clinic, outreach activities.

4. STI Care: - Supervision on STD management from Province to OD and

HCs.

5. CoC: - One-1day monthly meeting of Continuum of Care Committee. - One-1day monthly meeting of MMM. - Developed, published and distributed the Referral Network

book for CoC. - One supervision trip on CoC to ODs and HCs.

6. VCCT: - Broadcasting of VCCT information through local TVK, and

Radio. - One-1day Coordination meeting between PMTCT and VCCT.


46

Date Male clients Male HIV (+) Female clients Female HIV (+)

January 63 7 86 9

February 56 5 44 11

March 78 14 50 12

7. PMTCT:

- Among the 604 women attended the ANC; 604 women attended the mother’s class, and 161p got HIV testing, and 5 women got HIV (+).

Date No of

ANC No of Women attended mother’s class

No of Women got HIV testing

No of HIV (+) No of Women received Nevirapine

Jan 194 194 59 5 0

Feb 188 188 50 0 1

March 222 222 52 0 1


- One-3days Annual Planning workshop for year 2005. - 3 mission trips to NCHADS by PAO, and Accountant. - Monthly meeting of Provincial AIDS Network. - Support for English Training for 5 PAO staff.


47

19. KANDAL

1. Outreach: - Update mapping; 38 brothels, 55 entertainments. - Outreach visits and peer education every month to brothels and

entertainment establishments in Takmao, and Kien Svay district.

337

271

169

0

50

100

150

200

250

300

350

Jan Feb March

Monthly outreach visit to SWs in Takmao and Kien Svay district

No of SWs - Two-1day meeting of 33 DSWs and IDSWs PEs with POT, STD

clinic, supported by FHI/Impact Cambodia. - One-1day meeting of brothel and entertainment owners with 92

participants and POT, supported by FHI/Impact Cambodia. - Monthly meeting for POT members.

2. 100% Condom Use Programme: - Monthly meeting of CUMEC members. - Weekly meeting of CUWG members. - Supplied of 17 boxes of condom to STD clinic and outreach activities every month.


48

Coverage of SWs in Kbal Koh STD clinic

148

108

82

115

76

45

0

20

40

60

80

100

120

140

160

Jan Feb March

No of SWs register by CUWG No of SWs attended in STD clinic

3. STI Care:

- One-3days Refresher Training on STD case Management for SWs for 5 STD clinic staff.

- Supervision on STD management from Province to OD and HCs.

4. HBC:

- One-5 day training on HBC for HBC team with 13 participants from PAO, Ang Snuol, Kandal Stung, and Kien Svay district.

- Supervision to HBC team in Ang Snuol, Kandal Stung, and Kien Svay district.


- One-3day Annual Planning workshop for year 2005, with 21

participants from PAO, PHD, 8 ODs and 6 NGOs.


49

20. PREAH VIHEAR

1. IEC:

- Broadcasting of HIV/AIDS information by local Radio FM 99 MHz: 20 sessions/month, 2 times/day, and 10 days /month.

2. Outreach:

- Outreach visits and peer education every month to 15 brothels and entertainment establishments, and 56 SWs were reached.

- Update mapping of sex services. - One 1-day meeting of 23 DSWs and IDSWs PEs with POT. - One 1-day meeting of 27 brothel and entertainment owners with

POT. - Monthly meeting for POT members.

3. 100% Condom Use Programme: - Monthly meeting of 5 CUMEC members, 1 CUWG, 1 POT, and 1 STD. - Weekly meeting of 4 CUWG members.

4. STI Care: - Supervision on STD management from Province to OD and 6

HCs.

5. Planning and Coordination: - Monthly meeting with 5 PAO staff - Support for English and Computer training - Three-2day missions trips of PPU accountant, and one trips of

PAO to NCHADS.


50

21. TAKOE


20 sessions/month.

2. Outreach: - One-3day Annual Orientation workshop for POT with 13

participants. - Monthly outreach visits and peer education to 48 entertainment

establishments. - Update mapping of sex services in 3 ODs (Don Koe, Ang Roka,

Kirivong). - Monthly meeting for 10 POT members.

3. 100% Condom Use Programme: - Weekly meeting of CUWGs members. - Monthly meeting of CUMEC members (one meeting in Q4). - Supply 20,000 condoms to VCT, STD clinic, and Outreach

activities.

4. STI Care: - Supervision on STD to Health Centers in 5 ODs.

5. VCCT: - Monthly VCCT caseload in Takoe VCCT



Total

HIV (-) HIV (+) HIV (-) HIV (+) January

43 4 56 3 106

February

57 5 27 9 98

March

- Monthly VCCT caseload in Takoe Referral Hospital


51



Total

HIV (-) HIV (+) HIV (-) HIV (+) January 71 28 65 26 190 February 58 19 50 37 164 March


- Monthly meeting of PAO staff. - One-3day Annual Planning workshop for year 2005. - Support for English training of 4 PAO staff. 22. SIHANOUK VILLE

1. IEC: - Broadcasting of HIV/AIDS information through local Radio.

2. Outreach: - Quarterly mapping.

352

38 36

6341

358

38 34

66

39

360

38 34

66

39

0

50

100

150

200

250

300

350

400

Jan Feb March

Monthly outreach visit to High risk group

SW Taxi driver Casino workers Port worker PM

- Monthly outreach visits to high-risk group such as DSWs, IDSWs, in entertainment establishments, taxi-drivers, Casino workers, Port workers, and PM.

- One 1-day meeting


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of Owners of 56 brothels and entertainment establishments, with 60 participants.

- Two-2day meeting of PEs (32 DSWs and 35 IDSWs) with POT, STD clinic, Authorities, with 395 participants.

- Monthly meeting for 10 POT members. - Community outreach:

3. 100% Condom Use Programme: - Weekly meeting of 18 CUWGs members. - Monthly meeting of 14 members of CUMEC. - Supplied of 5000 condoms to STD clinic, VCCT, and outreach

activities.

4. STI Care:

- One-3day Refresher Training on STD syndromic approach for HC staff, with 25 participants from 9 HCs, RH and PHD.

305

5

304

8

316

8

0

50

100

150

200

250

300

350

Jan Feb March

Monthly STD caseload

SW Male clients

- Supervision on STD management to 6 Health Centers and OD.

5. VCCT:

- Support for admin cost in VCCT

- VCCT activities

Date Total clients HIV (+)

January 36 22

February 105 39

March


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6. TB/HIV: - Workshop on TB/HIV care with 28 participants from RH, HC,

support by URC.

7. Planning and Coordination: - One-3day Annual Planning workshop for year 2005, with 35

participants from 9 HCs, RH, PAO, PHD, and NGOs. - Coordination meeting with 20 participants from PAC, PAS,

PAO, and NGOs who are working on HIV/AIDS/STD. - Three-2day mission trips to NCHADS by Accountant, and 2

trips by PAO. - Support for English and Computer training for 4 PAO staff.

23. KAMPONG CHAM

1. IEC: - Broadcasting of HIV/AIDS information through local TV cable

30 sessions/month, and local Radio FM 92.5 MHz: 45 sessions/month.

2. Outreach:

- Monthly Outreach visits and peer education to 50 entertainment establishments, and outreach visit to Motodup and Taxi drivers.

Date No of SWs No of Motodup No of Taxi drivers

February 50PE/50places 468p/30places 179p/10places

March 90PE/90 places 384p/30places 277p/ 10places

- One-3day training on Basic of HIV/AIDS/STD for POT, and OD

coordinators, with 17 participants from POT members, and 5 ODs.

- Update mapping No of Places No of Workers Brothel 32 131 Massage + Karaoke 14 89 Restaurants +Karaoke

12 80

Hotel+ Massage + Karaoke

2 57


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- Meeting of PEs with 34 participants from Peer os SWs, POT, STD

clinic, PAO, OD, that support by FHI/Impact (2 times /Quarter). - Quarterly meeting of 64 brothel Owners in provincial town. - One-1day supervision on outreach and peer education activities. - Monthly meeting for 10 POT members.

3. 100% Condom Use Programme: - Weekly meeting of 7 CUWGs members. - Monthly meeting of 6 members of CUMEC. - Supplied condoms to STD clinic and outreach activities.

4. STI Care: - One-5day training course on STD syndromic approach for OD

Supervisor with 26 participants from 10 ODs. - Supervision on STD from PHD to OD, and from OD to 10

Health Centers in 10 ODs. - Monthly STI caseload in STD clinic

Date Male clients

(A)

Female clients

(B)

Partner DSWs IDSWs Total A & B

January 11 33 10 128 6 44 February 18 17 9 133 12 35 March 20 43 15 121 9 63 Total 49 93 34 382 27 142 - Coverage of STD clinic



Coverage

January 112p 128p 114%

February 136p 133p 98%

March 123p 121p 98%

5. CoC:

- Developed, printed and distributed the Referral Directory to other institutions and NGOs who are working on HIV/AIDS Care.


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6. VCCT:

71

14

52

5

123

19

58

8

72

12

130

20

80

13

72

15

167

28

0

20

40

60

80

100

120

140

160

180

Jan Feb March

Male client Male (+) Female client Female (+) Total HIV(+)


- Quarterly Coordination meeting, with 30 participants from PHD, PAO, ODs and NGOs.

- 2 mission trips to NCHADS by PAO, and 2 missions by Accountant.

24. BANTEAY MEANCEY

1. Outreach and Peer Education programme:

- Monthly outreach visits and peer education to 50 brothels, and 295 DSWs were reached.

- Meeting of 65 PEs (DSWs and IDSWs) with POT, STD clinic, Authorities, that supported by FHI/Impact (2 times/Quarter).

- Quarterly meeting with 52 brothel owners, CUWG, POT, and commercial sex worker.

- Monthly meeting for 10 POT members.

Outreach to community: - Outreach to community on HIV/AIDS/STI in 3 communes; Poi

Pet, Preah Punlea, and Banteay Neang; with 1285 villagers were reached in January; 1259 villagers in February and 1596 villagers in March.


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- Monthly meeting of Community Peer Educators, with 88 participants; 29 p from Banteay Neang, 34p from Poi Pet, 25p from Preah Punlea, and 3p from PHD.


- Weekly meeting of 16 CUWGs members (in Sisophon, Ochrove, Thmar Puork, and Monkul Borey).

3. STI Care:

- One-5days Training course on STD syndromic approach for OD Supervisors, with 21 participants from 4 ODs.

- Monthly STD caseload in STD clinic:

Date # General Population # SWs

January 145 204

February 145 228

March 201 222

4. PMTCT:

- Renovation of PMTCT room in Poipet.

Date No of ANC

No of Women attended mother’s class

No of Women got HIV testing

No of HIV (+) No of Women received Nevirapine

Jan 382 323 122 6 3

Feb 509 373 149 11 2

March 438 244 156 10 4

5. TB/HIV: - Refer 105 TB patients for HIV testing at VCCT; with 11 cases

were found HIV (+). - One-1day Quarterly meeting on TB/HIV with 25 participants

from TB Unit, PAO, OD, counselors, and Lab technicians.


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6. IC:

- Supply OI drug for OI treatment. - Supply UP materials, for RH. - Supply food for AIDS patients. - Treatment and care the AIDS patients.

7. HBC: - Study tour on HBC in Koh Kong province by 8 HBC members. - Identified and provided Home Care kits to 36 PLWHA. - Support for refer to HC, RH, and VCCT.

8. MMM:

- PLWHA monthly meeting with 10 participants.

9. CoC: - Coordination meeting with PHD, NGOs to discuss how to

attract ARV to BMC. 10. VCCT:

- Quarterly counselors meeting, with 17 participants.

268

146

47 45

347

176

100

51

339

198

94

50

0

50

100

150

200

250

300

350

Jan Feb March

Number of clients attended in VCCT in Banteay Mean Chey

Serey Sophon Poi Pet Mongkulborey Thmar Puok

- Sharing for TB cases at TB Unit of 213 HIV (+) clients referred by VCCT staff; and 11 cases were found TB (+).


58

50

24 23

4

48

40

27

8

2426

19

5

0

5

10

15

20

25

30

35

40

45

50

Jan Feb March

Number of HIV (+) in Banteay Meanchey VCCT

Serey Sophon Poi Pet Mongkulborey Thmar Puok

11. Planning and Coordination: - Monthly meeting of PAO staff. - HACC monthly meeting with PHD, NGOs with 25 participants.

Monitoring, Reporting and Evaluation Unit

1. Lim Yi, M.D.; M.C.T.M. 2. Mok Sokuntheary, M.D. 3. Phlan Sowaddana, M.D. Email: [email protected]

- Support for English and computer training


mailto:[email protected]

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