Cambodia – FY 2010 Approved Funding by Program Area, Agency and Funding Source*

Date: 2011 Description: FY 2010 Approved Funding by Program Area, Agency and Funding Source © PEPFAR

*Only appropriations from the GHCS (State) fund account are notified by the Global AIDS Coordinator.

Cambodia is one of the best-documented and most compelling success stories in the global fight against HIV/AIDS. From 1998 to 2006, HIV prevalence declined from 2% to 0.9%. More recently, the Royal Government of Cambodia (RGC) has expanded greatly access to care and treatment for PLWHA. To date, more than 90% of individuals in need are receiving antiretroviral treatment.

Prevention activities are a high priority for the PEPFAR Cambodia Program. The increase of HCT at ANC sites is expected to improve testing rates among pregnant women and successful follow-up and treatment of those testing positive. A USG-supported demonstration project of PITC of pregnant women in three operational districts showed that tests were performed accurately by midwives, and acceptance rates were high among patients and partners. Successful implementation of antenatal PITC in labor and delivery rooms by non-laboratory personnel in FY 2010 will inform HCT policy on same-day test result provision for other populations.

The National Blood Transfusion Center has policies in place to ensure blood safety; however, appropriate clinical use of blood is not being monitored, and donors with transfusion transmissible infections are not being notified, counseled, or referred. PEPFAR will commit additional funding to blood safety activities in FY 2010, and plans to use the funding to enhance blood safety monitoring and quality assurance.

PEPFAR also supports the care and treatment services of the RGC. Until recently, diagnosis of HIV in children could not be reliably determined until 18 months of age. This delay in diagnosis of infants known to be exposed, and the relative ineffectiveness of the PMTCT program in identifying the majority of HIV-exposed infants resulted in very few HIV-infected children under two years of age receiving care and treatment at Pediatric AIDS Clinics in Cambodia. In FY 2010, PEPFAR will fund measures to assure infant follow-up of 80% of exposed infants identified during ANC in seven operational districts in three provinces

PEPFAR will support referrals between services such as home based care, in-patient care, and peer support groups. PEPFAR will also strengthen the capacity of the Cambodian National TB Program to reliably and rapidly to diagnose tuberculosis in people with HIV and prevent the spread of MDR-TB. Staff will be trained in this advanced technique at both the provincial and the national levels. More rapid detection of infectious cases of TB will help reduce the TB burden in Cambodia.

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