Center for Health Market Innovations (CHMI)

Programs

RHAC Clinics

last updated Oct 4, 2011

Overview

Implementing organization: 
Reproductive Health Association of Cambodia
Implementation Partner(s): 
PSI, PSF, Chethor, Phnom Srey
Legal Status: 
Year Launched: 
1996
Stage: 
Existing/expansion stage
Income Level of Target Population: 
All income levels

Funding

Primary Source of Funding: 
Donor
Additional Source(s) of Funding: 
Out-of-pocket payments
Funders: 

Scale

Personnel Employed: 
100<
Summary: 

With the financial support from USAID, RHAC clinics were established and run by local non-profit organization named Reproductive Health Association of Cambodia (RHAC) since 1996 to specifically improve sexual and reproductive health of Cambodian people. At beginning, a RHAC clinic was open to serve people in Phnom Penh and then the clinic has grown to 18 clinics in eight provinces and one city.

Program goals/rationale: 

Sexual and reproductive health is one of other public health concerns in Cambodia. While quality of health service delivery is not convincing enough to bring people to use public services, there is growing number of qualified and unqualified private clinics to respond to the demand for health. However, these care services do not guarantee the affordability for all people, mainly those are poor and vulnerable who generally face financial barriers to access the services. The initiation of RHAC clinics aims at promoting the accessibility, availability, affordability and quality of sexual and reproductive services to people in reproductive age, mainly those are poor and vulnerable.

Key program components: 

RHAC clinics provide some specific services including family planning, antenatal and post-natal care, post-abortion care, early diagnosis and treatment of cervical carcinoma, voluntary and confidential counselling and testing, diagnosis and treatment of sexual transmitted diseases/reproductive tract infection and prevention from mother to child transmission.

RHAC establishes a group of Training of Trainers (TOT) who are trained by local and external experts on sexual and reproductive health. TOT roll out their training courses to clinic staff based on their respective skills and knowledge that they need to provide service at the clinics. TOT also organize training courses for other health partners such as Population International Services, UNFPA, Partner for Development, Adventist Development Relief Agency and Reproductive and Child Health Alliance if they need skills and knowledge from RHAC.

With financial support from donors, RHAC clinics deliver services at subsidized prices to clients. In addition to subsidization, RHAC uses its own tools and skills to identify poor patients in community through its community network and/or at clinic while patients come to seek their treatment. The identified poor patient receive health care services with free of charge. Besides service provision, education on sexual and reproductive health is also conducted every morning at clinics, with separated waiting areas and examination rooms for female and male clients to create confidential and comfortable environment for the education session. To ensure the quality of health services delivered by each clinic, RHAC’s Internal Evaluator-Clinic Team organizes Continuous Quality Improvement activities every six months while External Evaluators conduct Quality of Care performances one time each year.

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