12 Child Survival Score Card
Country of Operation
- Cambodian Ministry of HealthGovernment
Target income level
- Bottom 20%
- Lower-middle income (20-40%)
- Middle-income (40-60%)
- Higher middle-income (60-80%)
- High-income (80-100%)
Summary12 Child Survival Score Card is a new intervention that was initiated and implemented by the Cambodian government through the Ministry of Health to effectively reduce under-5 child mortality and morbidity.
Many programs and interventions have been developed by the government, in collaboration with non-government organizations, to respond to child health conditions. On a small scale, almost all of these innovations have proven to effectively impact child health; however, problems are usually encountered when interventions are scaled up nationwide. For example, the National Health Program contains comprehensive components that can effectively impact child health if those components are exhaustively applied to reach all children in Cambodia. Unfortunately because of a shortage of resources, the comprehensive components can only reach a few children, resulting in a lowered influence in the improvement of child health nationwide.
Key program components
12 Score Cards seeks to fix the dilemma above by implementing fewer components while also creating wider access for children throughout the country. The Cambodian Ministry of Health in collaboration with development partners thoroughly reviewed and selected only 12 potential components from different national programs and interventions to implement. These 12 components include: Early initiation of Breastfeeding, Exclusive Breastfeeding, Complementary Feeding, Vitamin A supplementation, Measles Vaccines, Tetanus Toxoids, Insecticide Treated Nets, Vector Controls, Oral Rehydration Therapy (ORT), Antibiotics for Pneumonia, Malaria Treatment, and Skilled Birth Attendance.
The Child Survival Coordination and Management Structure (CSCMS) was then established; a government organization composed of high-level officers from all departments, centres, and programmes which would focus on implementing child health interventions. Relevant stakeholders from development partner agencies and NGOs involved in child health are also invited to be members of CSCMS.
At the national level, the CSCMS plays a role in engaging and facilitating relevant programs and development partners to allocate enough financial and human resources to implement the 12 Score Cards. Besides ensuring the security of resources, this committee also facilitates strengthening on technical implementation, by overseeing and monitoring the correct application of relevant guidelines, protocols and strategies.
The committee also coordinates to make sure smooth and effective implementation of the 12 Score Cards occurs at the provincial and district levels. At this level, attention is primarily paid towards facilitating capacity building, mainly on the job training, and engaging locale non-government organizations to participate in the implementation of this initiative.
The idea of developing 12 Score Card or Child Survival Strategy started from 2000 when the Cambodia Demography and Health Survey (CDHS) 2000 released revealing persistently high early child mortality rates. Several consultative meetings and workshops were organized to gather comprehensive inputs from different relevant state and non-state stakeholders, with the 12 Score Cards finalized in 2006.