One Stop Shop Clinical Services (OSSCS)
Country of Operation
- Marie Stopes International Cambodia (MSI-C)Not-for-profit
SummaryOne Stop Shop Clinical Services (OSSCS) is a comprehensive screening service for sexual and reproductive health problems. This project has been initiated and implemented by Marie Stopes International Cambodia (MSI-C) in Phnom Penh and 6 other provinces since 2009.
In Cambodia, a large share of health care service utilization occurs at for-profit private facilities. Most service provisions, mainly those delivered by pharmacies and drug stores, respond to what clients need or complain about. Almost all patients intend to address the problems that disturb them the most while other health issues with less consequence are often ignored. Sexual and reproductive health problems often appear in mixed forms so health issues are often not properly addressed. Thus, it is ideal to conduct a comprehensive check for sexual and reproductive health issues in one clinic visit.
Key program components
MSI-C staff delivers 6 main sexual and reproductive health services to consumers. These services include women’s health check-up, antenatal and post natal care (ANC and PNC), family planning (FP), safe abortions (SA), voluntary confidentiality counseling testing (VCCT) and men having sex with men (MSM) care services.
OSSCS has a screening room that is specially equipped and staffed to conduct screening processes for sexual and reproductive health issues. At the first clinic visit, clients are required to go through a screening room before they are referred to special units that deliver the appropriate services to them. When a patient is identified with a specific problem, clinic staff provides them with a clear explanation on the treatment options available to them. However, decision on when and where to accept health services is made by the client.
The women’s health check-up is an example of OSSCS that comprises of auxiliary services such as urine testing to confirm pregnancy, vaginal smear examination for cancer, and blood testing for hepatitis B and HIV/AIDS, while the provision of other services including ANC/PNC, FP, SA, VCCT and MSM follow MOH guidelines and protocols.
Provision of quality services to poor clients is also another facet of the OSSCS project. Health Equity Fund (HEF) schemes are ideal financing schemes that assist the poor in accessing quality health care services. However, HEF schemes only contract with public facilities to deliver care to scheme beneficiaries (the poor), and provide no recourse for those who seek health care within the private sector. At the places where HEF schemes are not implemented, OSSCS staff delivers service at prices the poor can afford. In the areas under the coverage of HEF, OSSCS staff makes a contract with HEF operators to deliver care to the poor.
When seeking care at OSSCS, the poor are entitled to access all available sexual and reproductive services free of charge by presenting the identity card issued by HEF operators to OSSCS staff. At the end of each month, HEF scheme operators disburse all service fees used by the poor to OSSCS staff.