This report concerns the second additional financing for the Second Health Sector Support Program for Cambodia that will improve access to, and utilization of effective, efficient and quality health services to the population.
... See More + The project aims to acheive this by (a) strengthening primary health care and essential referral services, (b) strengthening health financing and social protection mechanisms for the poor; and (c) strengthening human resources and institutional capacity on the Ministry of Health. This report includes updates of the 2008 environment management plan as part of preparation for the second additional financing to reflect the lessons learned during safeguards implementation of the oroginal project development objective and the first additional financing. The second additional financing will not finance civil works and concerns four project components: component A will strengthen health service delivery; component B will improve health financing; component C will strengthen human resources; and component D will strengthen health system stewardship functions. No additional funding is available for components C and D. Continued financing of health equity funds and service delivery grants is consistent with the program's development objective. As with the original project and the first additional financing, the second additional financing is expected to have a positive impact on the lives of peoples throughout Cambodia, particularly the poorest, by improving their access to and utilization of effective and efficient health services. The second additional financing will not affect any natural habitats, forests, or cultural resources. No new safeguard policies will be triggered by the second additional financing.
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This report concerns the second additional financing for the Second Health Sector Support Program for Cambodia that will improve access to, and utilization of effective, efficient and quality health services to the population.
... See More + The project aims to achieve this by (a) strengthening primary health care and essential referral services, (b) strengthening health financing and social protection mechanisms for the poor; and (c) strengthening human resources and institutional capacity on the Ministry of Health. Since no new activities will be introduced under the second additional financing, the nature and scale of impact that may occur on indigenous peoples are expected to be similar to those under the original project and the first additional financing, and the IP communities will continue to benefit from this additional financing. The social assessment undertaken during the preparation of the second additional financing ascertained continued broad community support of indigenous peoples communities to the Second Health Sector Support Program. It also showed that despite the achievements made during the original project and the first additional financing, ethnic minorities still face challenges in accessing quality health care services and tend to be vulnerable to poor health. These challenges include: 1) poor access to health care services; 2) costs are unaffordable; 3) limited ethnic minority participation in health management structure and planning process; 4) health workers are not from local communities; and 5) limited community health education and awareness raising activities. The second additional financing will not finance civil works and concerns four project components: component A will strengthen health service delivery; component B will improve health financing; component C will strengthen human resources; and component D will strengthen health system stewardship functions. No additional funding is available for components C and D. Continued financing of health equity funds and service delivery grants is consistent with the program's development objective. As with the original project and the first additional financing, the second additional financing is expected to have a positive impact on the lives of peoples throughout Cambodia, particularly the poorest, by improving their access to and utilization of effective and efficient health services. The second additional financing will not affect any natural habitats, forests, or cultural resources. No new safeguard policies will be triggered by the second additional financing.
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The objective of the Second Health Sector Support Program Additional Financing is to support the Royal Government of Cambodias Health Strategic Plan to improve access to, and utilization of effective, efficient and quality health services to improve the health status of the Cambodian population by (a) strengthening primary health care and essential referral services, (b) strengthening health financing and social protection mechanisms for the poor, and (c) strengthening human resources and institutional capacity in the Ministry of Health.
... See More + The following negative resettlement impacts may occur: loss of agricultural land, loss of productive assets, temporary loss of land, loss of structures and loss of other assets. Mitigating measures include: replacement of assets, compensation for loss, delay in project activities in regard to seasonal harvesting, and restoration of assets.
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The objective of the Early Childhood Development Education for Floating Villages Project for Cambodia is to improve access to quality Early Childhood Care and Development (ECCD) services through community and home-based programs for 0 to 5-year-olds, particularly for those from disadvantaged background, in the targeted areas.
... See More + Negative impacts include: dust, air quality, water quality, waste management, asbestos management, and loss of ecology. Mitigation measures include: suppress dust during pneumatic drilling by ongoing water spraying and/or installing dust screen enclosures at site; during operations the engine covers of generators, air compressors and other powered mechanical equipment should be closed, and equipment placed as far away from residential areas as possible; mineral construction wastes will be separated from general refuse, organic, liquid and chemical wastes by on-site sorting and stored in appropriate containers; if the building is a designated historic structure, very close to such a structure, or located in a designated historic district, notify and obtain approval/permits from local authorities and relevant Ministries and address all construction activities in line with local and national legislation; and temporarily storage on site of all hazardous or toxic substances will be in safe containers labeled with details of composition, properties and handling information.
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The objective of the Early Childhood Development Education for Floating Villages Project for Cambodia is to improve access to quality Early Childhood Care and Development (ECCD) services through community and home-based programs for 0 to 5-year-olds, particularly for those from disadvantaged background, in the targeted areas.
... See More + Negative impacts include: dust, air quality, water quality, waste management, asbestos management, and loss of ecology. Mitigation measures include: suppress dust during pneumatic drilling by ongoing water spraying and/or installing dust screen enclosures at site; during operations the engine covers of generators, air compressors and other powered mechanical equipment should be closed, and equipment placed as far away from residential areas as possible; mineral construction wastes will be separated from general refuse, organic, liquid and chemical wastes by on-site sorting and stored in appropriate containers; if the building is a designated historic structure, very close to such a structure, or located in a designated historic district, notify and obtain approval/permits from local authorities and relevant Ministries and address all construction activities in line with local and national legislation; and temporarily storage on site of all hazardous or toxic substances will be in safe containers labeled with details of composition, properties and handling information.
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Over the seven years from 2004 through 2011, Cambodian economic growth was tremendous, ranking amid the best in the world. Moreover, household consumption increased by nearly 40 percent.
... See More + And this growth was pro-poor, not only reducing inequality, but also proportionally boosting poor people's consumption further and faster than that of the non-poor. As a result, the poverty rate dropped from 52.2 to 20.5 percent, surpassing all expectations. However, the majority of these people escaped poverty only slightly: they remain highly vulnerable, even to small shocks, which could quickly bring them back into poverty. The main drivers of poverty reduction were better prices of rice for farmers, better wages for agricultural workers, increases in salary jobs for the urban labor force, and better income for non-agricultural businesses for rural households. Improvements in health and education, as well as government investment in infrastructure, provided a favorable environment for the poor, allowing many of them to pull themselves out of poverty. Looking forward, some of these drivers of poverty reduction are likely to stall. Coupled with increased vulnerability, the present conditions create new challenges for the Royal Government of Cambodia. Furthermore, most of the improvements in Cambodia originated at very low values, thus leaving much work to better the well-being of many Cambodian households. Outstanding gains have been achieved, but it will take focus and further actions to maintain Cambodia's future growth. Most poverty in Cambodia is found in the countryside: about 90 percent of Cambodia's poor live in rural areas. To generate the maximum impact, government policies should concentrate on the productivity of the rural poor's major assets: their labor and their land.
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