MAPPING THE RESPONSE:
Protecting, Caring for and Suppor ting Or phans and Vulnerable Children in Cambodia
Report prepared by Carole Williams and Sang Saroeun for Save the Children Australia and the National Multi-Sectoral Orphans and Vulnerable Children Task Force
May 2007
TABLE OF CONTENTS
Disclaimer .................................................................................................................................................... 2 Acknowledgements..................................................................................................................................... 2 Acronyms ..................................................................................................................................................... 3 1 – Background and Objectives of the Mapping................................................................................... 6 2 – Methodology......................................................................................................................................... 7 2.1 Data Collection and Analysis ...................................................................................................... 7 2.2 Limitations of the Mapping ........................................................................................................ 7 3 – The Response........................................................................................................................................ 8 3.1 GOVERNMENT RESPONSE ................................................................................................. 8 3.2 DEVELOPMENT PARTNERS RESPONSE...................................................................... 15 3.3 CIVIL SOCIETY RESPONSE ............................................................................................... 17 3.3.1 OVC Impact Mitigation .................................................................................................. 17 3.3.2 Essential Services ............................................................................................................. 19 3.3.2.1 General Healthcare and HIV and AIDS Care .................................................. 19 3.3.2.2 Education................................................................................................................ 20 3.3.3 Shelter/AlternativeCare................................................................................................... 21 3.3.4 Children in Need of Special Protection........................................................................ 23 4 Gaps, Challenges and Opportunities .................................................................................................. 24 4.1
Geographic ............................................................................................................................... 24
4.2
Programmatic........................................................................................................................... 25
APPENDIX 1:
Agencies providing care and support to OVC by province ........................ 26
APPENDIX 2:
Examples of OVC Impact Mitigation programmes .................................... 42
APPENDIX 3:
Maps of Commune Coverage of OVC Impact Mitigation by Province... 46
APPENDIX 4:
Agencies providing support to educational activities................................... 70
APPENDIX 5:
Residential Care Centres in Cambodia ........................................................... 71
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Disclaimer The development and printing of this report were supported by The Global Fund for HIV and AIDS, Tuberculosis and Malaria (GFATMR5) through Save the Children Australia. The author’s views expressed in this publication do not necessarily reflect the views of The Global Fund for HIV and AIDS, Tuberculosis and Malaria (GFATM) or Save the Children Australia.
Acknowledgements Profound thanks are expressed to all organisations and individuals involved in providing information for the mapping; in particular representatives from the Ministry of Social Affairs, Veterans and Youth Rehabilitation (MoSVY), National AIDS Authority (NAA), Save the Children Australia, UNICEF, National Multi-Sectoral OVC Task Force, Ministry of Education Youth and Sport (MOEYS), Ministry of Women’s Affairs (MoWA), Ministry of Cults and Religion (MoCR), Ministry of Planning (MoP), Ministry of Rural Development (MoRD), Ministry of Justice (MoJ), Ministry of National Defence (MoND), Ministry of Health (MoH), World Vision Cambodia, CARE International, Family Health International, Cambodian Red Cross, HIV/AIDS Coordinating Committee, KHANA, Catholic Relief Services, Maryknoll, and the consultancy team preparing the Situation and Response Analysis for OVC who willingly committed their time and knowledge. It is hoped that the information in this report will provide clear information on the support currently being provided and also the gaps and challenges. That this information will enable key players to identify the services and areas that can be replicated and scaled up to strive for greater coverage of support for orphans, vulnerable children and their primary care givers across the whole of Cambodia.
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Acronyms AFD AIDS ANC ARV ART AS AusAID BFD BWAP CARE CBO CCASVA CDA CDRCP CFDS CHEC CHED CHO CLA CNCC COHD CORE COSECAM CPR CRC CRC CRS CSCN CSDA DAC DFID DSAVY FAP FHI FLI GFATM HACC HAI HBC HIV HOPE IDA ILDO ILO-IPEC IMCI INGO IOM KBA
Association of Farmer Development Acquired Immune Deficiency Syndrome Ante-Natal Care Antiretrovirals Antiretroviral Therapy Akpiwat S’trey Australian Agency for International Development Buddhism for Development Battambang Womens AIDS Project Cooperation for Assistance and Relief Everywhere – CARE Cambodia Community Based Organisation Cambodia Children Against Starvation and Violence Community Development Action Cambodian Development and Relief Centre for the Poor Cambodia Family Development Services Cambodia HIV/AIDS Education and Care Cambodian Health Education Development Cambodia Hope Organisation Children and Love Association Cambodian National Council for Children Cambodia Organisation for Human Rights and Development CORE organisation NGO Coalition to Address Sexual Exploitation of Children in Cambodia Community Poverty Reduction Convention on the Rights of the Child Cambodian Red Cross Catholic Relief Services Cambodia Save Children Network Cambodian Social-Economic Development and Democracy Association Disability Action Council UK Department for International Development Department of Social Affairs, Veterans and Youth Rehabilitation Friend’s Association Pioneer Family Health International – Impact Cambodia Farmer Livelihood Improvement Global Fund to fight HIV and AIDS, Tuberculosis and Malaria HIV/AIDS Coordinating Committee HelpAge International Home Based Care Human Immuno-deficiency Virus Hope Cambodia Indradevi Association Islamic Local Development Organisation International Labor Organisation – International Program on Elimination of Child Labor Integrated Management of Childhood Illnesses International Non-Governmental Organisation International Organisation of Migration Khmer Buddhist Association Page 3
KHANA KHEN KNKS KOSHER KRDA KT KWCD KWWA KYA LICADHO LNGO MoCR MODE MoEYS MoFA MoH MoI MoJ MoLVT MoSVY MoT MoU MoWA NAA NAPA NAS NCHADS
Khmer HIV/AIDS NGO Alliance Kien Kes Health Education Network Komar Ney Kdey Sangkheum Key of Social Health Education Road Khmer Rural Development Association Kaksekor Thmey Khmer Women’s Cooperation for Development Khmer Women’s Welfare Association Khmer Youth Association Cambodian League for the Promotion and Defence of Human Rights Local Non Government Organisation Ministry of Cults and Religion Minority Organisation Development Economy Ministry of Education Youth and Sport Ministry of Foreign Affairs Ministry of Health Ministry of Interior Ministry of Justice Ministry of Labour and Vocational Training Ministry of Social Affairs, Veterans and Youth Rehabilitation Ministry of Tourism Memorandum of Understanding Ministry of Women’s Affairs National AIDS Authority National Prosperity Association Nak Akphivath Sahakhum National Center for HIV and AIDS, Dermatology and Sexually Transmitted Infections NGO Non Government Organisations NHCC New Humanity for Cambodian Children NIPH National Institute for Public Health NPC-Wat Norea Norea Peaceful Children’s Home – Wat Norea NYEMO NYEMO Cambodia OEB Operation Enfants Battambang OI Opportunistic Infections OVC Orphans and Vulnerable Children PACT Private Agencies Acting Together PAO Provincial AIDS Office PAS Provincial AIDS Secretariat PC Partners in Compassion PLHA People living with HIV and AIDS PPN+ PLHA Provincial Network PSAD Phnom Srey Association for Development PTEA Pour Thom Elderly Association PK Ponleu Koma PLHA People Living with HIV/AIDS PMTCT Prevention of Mother to Child Transmission RACHANA RACHANA organisation RADE Rural Association for the Development of the Economy RCEDO Rural Community Environment Development Organisation REDA Rural Economic Development Association
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RGC SCA SCC SCN SEADO SFODA SHCH SIT SOP TASK UNAIDS UNICEF USAID VCCT WFP WHO WOMEN WOSO WVC
Royal Government of Cambodia Save the Children Australia Salvation Centre Cambodia Save the Children Norway Social Environment Agricultural Development Organisation Sacrifice Family & Orphan Child Development Association Sihanouk Hospital Center of Hope Save Incapacity Teenager Standard Operating Procedure TASK Cambodia Joint United Nations Program on HIV/AIDS United Nations Children’s Fund United States Agency for International Development Voluntary Confidential Counseling and Testing World Food Program World Health Organisation Women Organisation for Modern Economy and Nursing Women Service Organisation World Vision Cambodia
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1 – Background and Objectives of the Mapping Children on the Brink (2004)1 estimates that a total of 670,000 children (9% of all children in Cambodia) were orphans in 2003. A total of 95,000 children were estimated to be double orphans. There are no reliable estimates regarding the proportion of orphans that can be attributed to HIV and AIDS. Nevertheless, due to the maturity of the epidemic, the increasing death toll of people with AIDS suggests that the number as well as proportion of orphans from HIV and AIDS is rising. The national consultation process that led to the development of the road map towards Universal Access by 2010 has clearly recognised the fact that impact mitigation and particularly support to orphans and vulnerable children is one of the 'unfinished agendas' for the country and therefore is a top priority in the HIV and AIDS response. Although several good small scale or topic-focused studies have been conducted by Ministry of Social Affairs, Veterans and Youth Vocational Training (MOSVY) and civil society, Cambodia does not currently have a national situation and response analysis of OVC that could be used for advocacy, policy and strategy development, stakeholders' coordination and collaboration, and program design. Also, accurate national estimates of the orphan population size do not currently exist. Furthermore, programs for orphans have been fragmented so far, hence the need for a common vision, strategy and action plan. During the preparation for the country proposal for OVC/Impact Mitigation to the Global Fund for round 5, and following the participation in the process of developing the “Impact Mitigation National Strategic Plan”, the National AIDS Authority (NAA) requested Save the Children Australia (SCA) to take a role in the co-ordination of care and support for OVC. As NAA has tasked the MOSVY with the co-ordination of the Impact Mitigation project, and as part of the tasks of the National Secretariat OVC Task Force2, SCA was requested to carry out the proposed mapping activity in collaboration with UNICEF/MOSVY conducting National Situational Analysis (NSA) and Estimates of OVC number and demographics3. The objectives of this activity are; 1. Document for distribution to all stakeholders, the services being provided to OVC in Cambodia by conducting a mapping of and review the institutional and civil society response for care and support of OVC. 2. Analyze geographical coverage and identify geographical and programmatic gaps and priority areas, based on the NSA and mapping data The project was conducted as a collaborative process, led by the Ministry of Social Affairs, Veterans and Youth Rehabilitation (MOSVY) and the OVC Task Force, with UNICEF, Save the Children Australia, the National AIDS Authority and all key stakeholders.
1
UNAIDS, UNICEF, USAID, July 2004 The OVC Task Force was established by Prakas #384 MOSAVY, signed by Mr Ith Sam Heng on 10th July 2006 to strengthen the rights of OVC to survival, development, protection and participation. The NOVCTF consists of Government partners from MOSAVY, NCHADS, NAA, MOCR, MOWA, MOLVT, MOEYS and external development partners including UN agencies, DFID and non government organizations (Save the Children Australia, KHANA, and World Vision). 3 Undertaken by UNICEF HIV/AIDS Unit using the Cambodian Demographic Health Survey 2006 2
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2 – Methodology 2.1 Data Collection and Analysis A literature review/desk review was conducted to identify OVC Service Providers. The literature review included Cooperation Committee for Cambodia (CCC), HIV and AIDS Coordinating Committee (HACC) directories, Save the Children Australia/World Vision Cambodia “Directory of Organisations working on the prevention of child sexual exploitation in Cambodia”, Child Protection Info database – UNICEF, organisations annual reports, workshop reports, relevant internet websites and other sources. Consultation and interviews with key informants from key ministries and NGOs were conducted including a reference group meeting with Global Fund Round 5 Sub-recipients – Impact Mitigation to gather further information and clarification on services provided and coverage. Participation in the Focus Group Discussions with OVC service providers produced further insight into the services provided by civil society organisations and government. Data collected during formal and informal discussions with key players including OVC Task Force members, UNICEF and MoSVY staff and other civil society service providers was also utilised in the mapping. Data collected and compiled from the literature review, interviews, discussions and focus groups was registered into matrices, identifying the type of services, geographic coverage and contact information. From this, maps were developed to highlight coverage throughout Cambodia. A Reference Group meeting of all five Global Fund Sub-Recipients was held to validate mapping of collaborative efforts of Global Fund Round 5 Sub-recipients, ensuring good coverage and avoidance of duplication of efforts. The mapping was verified through a 2-day National Validation Workshop held on 26-27 April 2007 by key stakeholders. Findings are presented in the following manner: 1. 2.
A report summarizing services and coverage by government, development partners and civil society Graphic presentation of OVC Services and coverage through: - Maps showing geographic distribution of interventions. - A matrix catalogs the activities of organisations at the provincial levels
2.2 Limitations of the Mapping The mapping exercise was mainly a desk review as described in the above methodology. The information is only as good as that which is available, accessible and up-to-date for an accurate picture at a particular point in time. Some of the factors that may have affected this mapping include the following; - The lack of centrally based OVC Services database with government or NGO, databases source often had a different focus, for example the HACC database covered HIV and AIDS activities, but had no specific focus on OVC. - Many of the directories used were collated over a year ago, therefore some of the details of programmes may not be current and in many cases there was considerable information of Page 7
programmes for International agencies but less detail for local and community based organisations. - Due to the Commune Elections and Khmer New Year it was not always possible to interview the key persons within Ministries who held the most knowledge on their work with OVC. As some Ministries were not yet members of the NOVCTF they were unable to provide information on their support to OVC. Much information was held in hard copy only, taking time to disaggregate and often the information from the local level did not reach central level due to time and financial constraints. The timing of the mapping exercise meant that many NGOs and Ministries had not finalised annual reports and were unable to provide the information before formal publication. - There was often found to be inconsistent data as it was cross-referenced and it was not always possible to check back to the original data. - Geographical coverage – many agencies reported by different facilities or geographic areas such as health center coverage, operational district, Pagoda, village, administrative district, again this took time to disaggregate to the lowest common denominator and map. - Spelling of commune names both in English and Khmer – lack of consistency making it difficult and timely to identify areas of work.4 There is no clear definition of the minimum package of care and support of OVC, therefore for this mapping exercise, agencies that are providing services to OVC5 as defined in the Policy on Alternative Care were included in this mapping. Programme implementation can be impacted by funding and other issues, therefore this mapping should be taken as a snapshot of what was being implemented at the time.
3 – The Response 3.1 GOVERNMENT RESPONSE
National Multi-Sectoral Orphans and Vulnerable Children Task Force The National Multi-Sectoral Orphans and Vulnerable Task Force was established by Prakas in July 2006 to strengthen the implementation of the four foundation rights of children; right to survival, development, protection and participation. The Ministry of Social Affairs, Veterans and Youth Rehabilitation (MoSVY) lead the Task Force, with facilitation support from the National AIDS Authority (NAA), with membership from Government Ministries, United Nations and NGOs. The Task Force has developed the draft national framework for care and support of orphans and vulnerable children and is responsible for the development of a Situation and
4 For official provincial, district commune names in Khmer and English refer to website http://www.nis.gov.kh/areaname/area_name.htm In response to the needs of consistent area names of province, district, commune and village in Cambodia, the Department of Demographic Statistics, Census, and Survey, National Institute of Statistics has agreed with the responsible Ministries (Ministry of Land Management, Urban Planning and Construction, and Ministry of Interior) on the area names and to post it on this web site for public use. Area names update will be reflected on this web site whenever available. 5
Orphans, Abandoned children, Children infected or affected by HIV/AIDS, Abused children whether sexually, physically or emotionally, Street children, Children in conflict with the law, Children victims of exploitation whether sexually or any forms of harmful labour, Children with disabilities, Children addicted to drugs, Children whose basic physical needs are not being met.
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Response Analysis for OVC and this mapping to aid the development of a costed National Action Plan and Standard Operating Procedures which will be developed mid-2007.
Cambodian National Council for Children This institution was established in 1995 as a coordinating entity to protect the rights of all children. While it has four inter ministerial Sub-Committees and developed the Cambodia Fit for Children Policy and the National Plan of Action Against Trafficking and Sexual Exploitation of Children 2000-2004, this Council needs to be strengthened and fully resourced6 in order for it to function.
Ministry of Social Affairs Veterans and Youth Rehabilitation Through the Ministry of Social Affairs, Veterans and Youth Rehabilitation, Cambodia has made progress in developing a regulatory framework for alternative care for children without primary caregivers, or Orphans and Vulnerable Children (OVC). With the support of UNICEF, MoSVY has established the Alternative Care Advisory Committee, which has 4 Working Groups covering Guidelines; Minimum standards; De-Institutionalization and Monitoring and Evaluation. MoSVY developed and finalised the Policy on Alternative Care NÂş 616 in 2006 and four sets of minimum standards of alternative care have also been developed for residential care, community and family-based care, group home care and pagoda or/and other faith-based care. Minimum standards for residential care include the monitoring of orphanages once per year. MoSVY has recently revised the monitoring forms (including collection of data on HIV/AIDS affected children) and have developed monitoring guidelines and a national database on alternative care has been made operational. MoSVY is also in the process of developing Minimum Standards of care for the children in the communities and the creation of a dedicated monitoring bureau. Workshops were held in Phnom Penh, Kampot, Kratie and Battambang to disseminate the Policy on Alternative Care and the Minimum Standards of care for children in orphanages. Cambodia has recently acceded to the Hague Convention on Child Protection and cooperation in respect of Inter-country adoption and is in the process of finalizing the Draft Law on InterCountry Adoption. In collaboration with UNICEF, MoSVY has piloted a Child Protection Network (CPN) in Prey Veng and Svay Rieng Provinces. The Child Protection Network is a community-based, multidisciplinary approach to child protection with a strong focus on child rights and child participation. The main actors are the Department of Social Affairs Veterans and Youth Rehabilitation (DoSVY), and other community stakeholders including children themselves, commune councils, teachers, health-workers, police and monks also participate. The main components of the network are: -
prevention of abuse and exploitation through community awareness-raising, carried out by DoSVY social workers and village social helpers;
-
peer education7 by village child representatives, elected by children in each village;
6 Children and HIV and AIDS in Cambodia; Background Report, Regional Consultation on Children and HIV and AIDS, Hanoi, Vietnam, March 2006 7 8 Peer Education training courses on the four basic child rights were conducted in 2006 with 794 children throughout Prey Veng and Svay Rieng participating – MoSVY Annual Report 2006
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identification of children at risk and children in need of special protection taking action, by referring children to services and providing assistance through a village social fund8.
The CPN has two levels of coordination meetings, at commune and provincial level, in which children and local authorities participate. The CPN is currently operating in selected communes in 6 districts in two provinces, Svay Rieng and Prey Veng.
Ministry of Cults and Religion In May 2002 the Government of Cambodia approved a National Policy on the Religious Response to HIV and AIDS. The policy, the first of its kind in the world, specifically adjures religious leaders (Buddhist, Christian and Moslem) to play a role in HIV and AIDS, through educating themselves and their communities on HIV and AIDS; reducing discrimination against people with HIV; improving access to care and support for HIV positive children and adults, maintaining a multi-sectoral approach throughout9. The policy was developed by the Ministry of Cults and Religion in conjunction with the country’s most senior monks. UNICEF signed a Memorandum of Understanding with the government to support policy implementation. In collaboration with UNICEF, Partners in Compassion and Salvation Center Cambodia, the Buddhist Leadership Initiative has been established. The Buddhist Leadership Initiative is a program designed to mobilise Buddhist monks, nuns and lay teachers to lead community-level HIV and AIDS care and prevention, with a view to increasing access to care and acceptance of people living with HIV and AIDS as well as building HIV resilience in communities. This initiative is currently being implemented in 11 provinces10 in Cambodia, reaching 365 communes. In their communities, they encourage self-help groups for HIV-positive people, visit affected families at home and provide education about the disease. Where possible the monks facilitate and ensure that the OVC receive access to medical care, education, clothing, school items and, where necessary, food. UNICEF provides financial support to the provincial department of Cult and Religious Affairs. The monks receive training from UNICEF.11. The Ministry of Cults and Religion has also developed national guidelines for Pagodas to address the needs of orphans and vulnerable children. Several NGOs have recognised the central role played by pagodas in the community and have been involved in working with buddhist monks in the communities to provide support to OVC and their families. NGOs who have been working with buddhist monks include Wat Norea Peaceful Children Home (NPC) in Battambang province, Salvation Center Cambodia (SCC) in Phnom Penh and Battambang province, Partners in Compassion (PC) in Takeo province, Save the Children Australia in Prey Veng, Takeo, Siem Reap and Phnom Penh, Khana, Buddhism for Development, Family Health International, Care, and the Nuns Association.
Ministry of Education Youth & Sport (MoEYS) In 2000, MoEYS developed the Education Strategic Plan (ESP), Education Support Sector 237 children in Prey Veng and 105 children in Svay Rieng Province received support and services as well as special protection in 2006 – MoSVY Annual Report 2006 9 The Buddhist Leadership Initiative, UNICEF, August 2003 10 Pursat, Kampong Thom, Prey Veng, Kampong Chhnang, Kampong Speu, Kampot, Kampong Cham, Takeo, Sihanoukville, Stung Treng, Phnom Penh 11 http://www.united-internet-for-unicef-stiftung.de/kambodscha.html 8
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Project and ‘Education for All’ to provide education to children faced with difficulties. In striving for the Education For All goal and in terms of the Declaration of the Southeast Asian Ministers of Education in 2004, Cambodia agreed to promote and develop its schools throughout the country to become Child Friendly Schools (CFS) (see Section 3.3.2 Essential Services/Education for more details). The Ministry of Education Youth and Sports’s Life Skills Policy developed in 2005 addresses life-skills for both in and out of school children and young people. As of 2007 life-skills activities are being implemented in fourteen provinces. General and pre-vocational skills that include HIV and AIDS education are also taught as part of the Basic Education Curriculum. A pre-service training to equip teachers with skills to teach HIV and AIDS initiated in 2005 now covers 18 teacher-training colleges. HIV and AIDS is now integrated in pre-service training for all teachers (and literacy trainers). Recently, MoEYS and UNICEF drafted an Educational Policy for Disabled Children, which will be finalised mid-2007. The Ministry’s Special Education Office has conducted campaigns and educated teachers on strategies to teach disabled children in 15 provinces12: This has been possible with support from agencies including UNICEF, Veterans International, Cambodia Trust, National Centre for Disabled Persons, Handicap International-Belgium, Disability Development Services Pursat, Voluntary Services Overseas and Handicap International-France.
Ministry of Health Child Friendly Health Systems
Recognising its responsibility to provide all communities with increased access and services to public health facilities, the Royal Government of Cambodia is promoting a healthier population through the development of the Health Sector Strategic Plan, increased health sector budget and expenditure, improved the coordination of services and new healthcare policies, strategies and guidelines. The integration of specific HIV strategies, improving programme quality, effective community referral systems and the development of health equity funds will better protect the poor thereby directly benefiting all children13.
Ministry of Health/National AIDS Authority (NAA) Established in 1999 to broaden the Government’s response to HIV and AIDS, the NAA developed the National Strategic Plan for a Comprehensive and Multi-Sectoral Response to HIV and AIDS for 2006-2010. The NSP II provides measurable benchmarks for key strategies including strategies for HIV prevention among young people, and impact mitigation (OVC) which are aligned to the Cambodia Millenium Development Goals. More recently a National Consultation paved the way towards Universal Access by 2010. Issues related to children have been well articulated in the document and include the necessity to scale-up targeted interventions for high-risk populations including IDU/ATS users, and prevention in institutional settings like orphanages. The Universal Access Indicators and Targets that focus on OVC include; -
Percentage of households with OVC that receive minimum package of care (Target
12 9 provinces (Svay Rieng, Prey Veng, Sihanouk Ville, Kampong Speur, Kampong Thom, Pursat, Siem Reap, Banteay Meanchey and Battambang) have received both the campaign and education on how to teach disabled children and another 6 provinces (Kampot, Stung Treng, Oddor Meanchey, Ratanak Kiri, Mondol Kiri and Koh Kong) have received the campaign only. 13 Children and HIV and AIDS in Cambodia; Background Report, Regional Consultation on Children and HIV and AIDS, Hanoi, Vietnam, March 2006
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2008 – 30%; 2010 – 50%) Percentage of communes with at least one organisation providing care and support to households with OVC (Target 2008 – 50%; 2010 – 100%)14
National AIDS Authority (NAA) is developing a comprehensive National Monitoring and Evaluation system to assess and report progress made towards the achievement of objectives of the response to HIV/AIDS. The system will include Monitoring and Evaluation of multisectoral and civil society efforts.
Ministry of Health/National Center for HIV and AIDS, Dermatology and STIs (NCHADS) With leadership from the National Center for HIV/AIDS, Dermatology and Sexually Transmitted Diseases (NCHADS), Cambodia has rapidly scaled-up health facility based OI and ART services in the public sector. By 2006, 20,131 individuals were receiving ART including 1,787 children, however there were 4,869 in need of ART but were not yet receiving (including 1,213 children). By the end of 2006 the number of Voluntary Confidential Counseling and Testing (VCCT) sites had scaled up to 150 and there are currently nineteen functioning pediatric AIDS care sites (see Figure 1), where children receive prophylaxis and treatment of opportunistic infections (OIs) as well as antiretroviral therapy. The number of home-based care teams providing services to people living with HIV and AIDS, including orphans and vulnerable children, has been scaled up from 52 teams in 2001 to 292 teams in 18 provinces and Phnom Penh at the end of 200615. NCHADS has established a strong routine data collection system in the form of quarterly reports from service delivery sites (VCCT sites, STI clinics, OI/ ART sites) and on home based care.
14
UNITED NATIONS HIV/AIDS Joint Support Programme 2006-2010; Proceedings - Civil Society PreConsultation on Universal Access - Cambodia’s Road Map to the National Response to HIV/AIDS, HACC, 23 November 2006 15 NCHADS Pediatric Symposium, Dr Mean Chhi Vun, Opening Address – Update on CoC including Pediatric AIDS Care, 5 Feb 2007
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Figure 1
Ministry of Health/Prevention of Mother to Child Transmission facilities A third of all new HIV infections occur in children, mostly through mother to child transmission16. CD4 testing for children is conducted at Pasteur Institute in Phnom Penh and at NIPH. At sites that provide pediatric care, the proportion of children still alive and on ART after 12 months was 93.2%, similar to that found in other countries17 Currently, less than 5 percent of Cambodia’s HIV positive pregnant women have accessed shortcourse antiretroviral prophylaxis to prevent mother-to-child transmission; and in 2005, 14 percent of all pregnant women received education on HIV and AIDS through mother classes. In December 2006 Cambodia had 60 facilities in 21 provinces that provide PMTCT services, including 39 at referral hospital level. A total of 39 ODs had at least one health facility providing PMTCT services. In 2003 it was estimated that 2.1% of pregnant women were infected with HIV, with provincial differences ranging from 0.6 to 3.5 %. With 461,000 estimated live births per year, it is estimated that about 9,700 pregnant women are HIV-infected, that 20-30% of them are eligible for ART and that without any intervention, annually about 3,000 babies may be infected with HIV from their mothers. Despite government efforts to scale up the services, in 2006 only 29,677 (6.4%) of the total annual number of pregnant women had an HIV test result and only 323 (3.3%) of HIV-infected 16 17
NCHADS Pediatric Symposium, Dr Sok Panha, HIV testing for Children, Slide # 12 5 Feb 2007 Annual Report 2006, Ministry of Health, NCHADS
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pregnant women received a complete course of ARV prophylaxis to reduce MTCT. Although the coverage of PMTCT services has increased from 24 sites (32,760 women seen for a first visit at ANC) in 2005 to 60 sites (48,010 women seen for a first visit at ANC) by the end of 2006, it is still insufficient.18
Ministry of Interior By the end of June 2006, 10.7 million Cambodians have been issued with their birth certificates. This represents coverage of approximately 84% of the population as a result of the National Mobile Civil Registration Project. This was carried out by the Ministry of Interior (MoI), with support from Plan International in Cambodia, UNICEF and the Asian Development Bank. More than 13,000 officials from the country’s 1621 Commune/Sangkat Councils were trained in the registration process. 185 districts were fully mobilised. Plan’s staff and United Nations Volunteers (UNVs) held hundreds of community meetings around the country to sensitise people about the benefits of civil registration. The MoI established 24 Provincial Committees and a national committee which are being supported by Plan International in Cambodia. Plan International in Cambodia and UNICEF also supported the MoI in organising the first National Workshop on Birth Registration and collaborated in creating educational materials. In collaboration with UNICEF, IOM and World Vision, the Ministry continues to support the national plan on human anti-trafficking and against the sexual exploitation of children. MoI also promotes the implementation of the MoU between Thailand and Cambodia to eliminate the trafficking of women and children.
Ministry of Justice Although the Ministry of Justice does not have a specific mandate to work with OVC, the Ministry has developed Justice for Minors which is currently in draft form.
Ministry of Labour and Vocational Training The Ministry of Labour and Vocational Training (MoLVT) created the Child Labour Unit to monitor the conditions of working children in Cambodia. The Royal Government of Cambodia has ratified Convention 182 on the Worst Forms of Child Labour and Convention 138 setting out the Minimum Age for Employment which was developed by MoLVT in conjunction with International Labour Organisation/IPEC.
Ministry of Rural Development Through funding from UNICEF this Ministry has implemented Volunteer Youth to fight against HIV and AIDS in seven communes in Kampong Speu and two communes in Kampong Chhnang. Selected youth were trained in several courses including HIV and AIDS, STIs, counseling for VCCT, sexual reproductive health, life skills, which is then taken back to the community to share the information and establish community support through donation boxes for families affected by HIV and AIDS.
Ministry of Tourism The Ministry of Tourism has a Memorandum of Understanding with Friends-International (FI) 18
Annual Report 2006, NCHADS, Ministry of Health
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to support the ChildSafe programme (reduce child sex tourisim) that FI have developed including the training of motodops, tuk tuk drivers, hotels on ChildSafe activities in Phnom Penh, Siem Reap and Sihanoukville. The Ministry also has a working relationship with ECPAT and are working on a ChildSafe tourism project with the International Labour Organisation in Phnom Penh, Siem Reap and Sihanoukville.
Ministry of Women’s Affairs The Ministry of Women’s Affairs (MoWA) developed the Women, the Girl Child and STI/HIV/AIDS Policy, which was adopted in 2003. The Ministry’s project Promote Social Ethics and Values of Khmer Family operates with PAP funding, involves training in life skills. The project is implemented in six provinces, Prey Veng, Mondolkiri, Takeo, Banteay Meanchey, Oddor Meanchey, Kampong Thom, although does not have complete coverage due to budget constraints. The Ministry is also promoting women and girl’s education in collaboration with MoEYS, funded by ADB. This project is implemented where there are centres for students to stay, including Siem Reap, Kampong Thom and Kratie. MoWA is responsible for seeking women and girls who give up their study and then advocate for them to stay in the centre and study. In collaboration with UNICEF, Ministry of Interior, Ministry of Education Youth and Sport, and Ministry of Health, The Ministry of Women’s Affairs supports the Seth Koma project which educates parents of children aged 3 to 6 years about the benefits of sending their children to kindergarten school. (early childhood education/ECE) Seth Koma is implemented in 6 provinces, Stung Treng, Svay Rieng Prey Veng, Oddar Meanchey, Kampong Speu and Kampong Thom. MoWA role is facilitating the project area and promoting the project. 3.2 DEVELOPMENT PARTNERS RESPONSE Australian Agency for International Development (AusAID) AuSAID is currently supporting 2 programmes in support of children; Mobilising Communities for Child Protection (NGOs Cooperation Agreements)19and A Child-Safe Cambodia (NGOs Cooperation Agreements)20. Mobilising Communities for Child Protection 2006-2010 is in partnership with World Vision Australia, World Vision Cambodia, Child Wise, committed to the project. This project aims to reduce sexual exploitation and abuse of vulnerable children in communities in Cambodia. The purpose is to support families and communities in protecting young people and children against sexual exploitation and abuse. A Child-Safe Cambodia 2006-2010 is in partnership with Save the Children Australia is committed to the project which provides support for Child-Safe Cambodia a network aimed at protecting the rights of children against sexual abuse in Cambodia. Department for International Development (DFID) DFID is co-financing the Health Sector Support Project (HSSP) with the Asian Development Bank (ADB) and the World Bank alongside the United Nations Population Fund (UNFPA) and the World Health Organization (WHO). DFID's contribution is from 2003 to 2007. The Project supports the implementation of the Government's Health Sector Strategic Plan, which aims to strengthen health sector development to increase access to quality health services especially for 19http://www.ausaid.gov.au/country/cbrief.cfm?DCon=1061_5593_8716_8236_8498&CountryID=34&Region=E
astAsia
20
http://www.ausaid.gov.au/country/cbrief.cfm?DCon=1061_5593_8716_8236_8498&CountryID=34&Region=Ea stAsia
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mothers and children. Project components include: increasing the availability of essential health care services, support for equity funds to help the poor access health care and support to the Ministry of Health to plan, manage, finance and monitor progress in the sector. DFID is currently supporting a 5-year programme, 'Strengthening Cambodia's Response to HIV and AIDS'. The programme aims to promote a cohesive effort led by the government to stem the epidemic and to mitigate its impact through the Ministries of Health and of Education, Youth and Sport and to the National AIDS Authority as well as to the BBC World Service Trust for a mass media campaign; Global Fund to fight HIV and AIDS, Tuberculosis and Malaria (GFATM) The Global Fund is providing funding for OVC Impact Mitigation following the successful proposal to Round 5. Sub-recipients include Cambodian Red Cross, CARE, Family Health International, KHANA and Save the Children Australia (see Appendix 2 for examples of OVC Impact Mitigation). The funding commenced October 2006 and is supporting the scaling up of OVC Impact Mitigation programmes in 16 provinces. United Nations HIV/AIDS Joint Support Programme (UNAIDS) Guided by the NSP II Strategies for OVC Impact Mitigation, UNAIDS Secretariat coordinates the universal access work of UN agencies and liaison with government agencies. World Food Programme (WFP) are the lead UN agency for supporting home based care by providing households of people living with HIV and OVC with monthly household food rations. (Not including Global Fund round 5 OVC families.) To reduce food insecurity and vulnerability, WFP are providing school feeding programmes, take home rations for school girls and nutrition supplements for malnourished children and mothers. UNICEF is the lead UN agency to support the implementation of a comprehensive situation and response analysis on orphans and vulnerable children, for disseminating Alternative Care policy and OVC guidelines nationwide and providing care and support to families and children infected and affected by HIV and AIDS through Family/Community Based Care programmes. United Nations Children’s Fund (UNICEF) UNICEF has a two-pronged Intervention Strategy; at the National level – policy and legal frameworks, advocacy and capacity building and at the Provincial level – intensive support to selected priority provinces for improvement and innovation. UNICEF has made a commitment specifically for HIV/AIDS Care and Prevention. The current UNICEF programmes are as follows; • • • • •
The Seth Koma Program The Child Survival Programme The Expanded Basic Education Programme The Child Protection Programme The HIV/AIDS Prevention and Care Programme
United States Agency for International Development (USAID) USAID-funded initiatives have included child survival, health and nutrition. This has included supporting projects providing children between the ages of 6 and 59 months with Vitamin A to
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prevent blindness and strengthen their immune systems against common childhood diseases. Funding has also supported increased immunization rates for children between the ages of 12 and 24 months. USAID assistance is also helping to reduce the impact of iodine deficiency through using iodized salt. USAID has also provided funding for organisations providing support to OVC infected and affected by HIV and AIDS, through home based care initiatives and direct care and support of OVC. USAID has been supporting the National AIDS Authority to implement the Law on the Prevention and Control of HIV/AIDS. 3.3 CIVIL SOCIETY RESPONSE The mapping exercise identified over 400 agencies with projects that are providing protection, care and support of orphans and vulnerable children. The following highlights some of these programmes. All agencies that were identified in the mapping are listed in Appendix 1, by province of work and type of the support given. 3.3.1 OVC Impact Mitigation Many organisations are providing support to OVC directly or indirectly through their programs, such as home-based care to PLHA, community development, specific focus groups, for example street children, children affected by drug abuse, trafficking or sexual abuse and children with disabilities. The following mapping for OVC Impact Mitigation includes only those organisations that have an OVC focused program in the community that is providing comprehensive services that include; •
• •
Strengthening the capacity of families to support OVC – Food security and nutrition, income security through Income Generation Activities, psychosocial support and Succession Planning (including identifying kinship, foster care) Access to Essential Services – Education, HIV and AIDS services, healthcare Mobilising and supporting community-based responses - Anti-stigma and discrimination, OVC support groups, child clubs/play groups
The strategies above have been utilised by the organisations providing comprehensive OVC Impact Mitigation and have been taken from the International Framework for the Protection, Care and Support of Orphans and Vulnerable Children living in a world with HIV and AIDS 21 . Some organisations have developed OVC ‘stand alone’ projects but others have incorporated support to OVC within their existing work, including organisations providing home-based care support for PLHA. For examples of OVC Impact Mitigation programmes see Appendix 2. Figure 2 shows the geographical coverage of comprehensive OVC Impact Mitigation activities as described above. The actual communes covered by comprehensive OVC Impact Mitigation programmes are shown in map format by province in Appendix 3. Through the mapping exercise it was found that across Cambodia, 711 communes had at least one organisation that was providing the type of care and support to OVC listed above. This constitutes 44% of the 1621 communes in Cambodia. The Universal Access Indicator for Cambodia for 2008 is 50% and for 2010 is 100%, showing a need for scaling up existing activities to underserved communes.
21
UNAIDS/UNICEF July 2004
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Figure 2
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3.3.2 Essential Services 3.3.2.1 General Healthcare and HIV and AIDS Care Described below are some of the strategies and services being used to improve child health and paediatric HIV and AIDS care.
Kantha Bopha Hospitals
In the four hospitals, Kantha Bopha I, Kantha Bopha II and Kantha Bopha IV in Phnom Penh and Jayavarman VII in Siem Reap Angkor, each year 75,000 children are hospitalized (the average length of hospitalisation is 5 days), 800,000 ill children receive treatment in the outpatients department, 400,000 healthy children get vaccinated, 16,000 surgical operations are performed, 12,000 births in the maternity (designed to prevent mother-to-child AIDS and TB transmission) and daily 3,000 families receive health care education. All medical services are free of charge.
Integrated Management of Childhood Illnesses (IMCI)
The Integrated Management of Childhood Illnesses project promotes key family practices to improve health seeking behaviour among parents and community members at the early stages of a child’s illness. Other activities include MCH and support for HIV testing and PMTCT. The project has been initiated in Kampong Cham by Save the Children Australia (SCA) in partnership with Plan International, as SCA was contracted by the Ministry of Health to manage the health services in the province. Other activities address health centres capacity to properly diagnose children, while communicating clearly the illness and prognosis to their care givers.
HIV and AIDS
In addition to organisations referring children to VCCT and HIV and AIDS treatment and providing support in the community through home-based care and other supports, the following are some examples of civil society support to HIV and AIDS services. Maryknoll Cambodia was one of the first organisations to become involved in Pediatric AIDS Care and collaborated with the National Pediatric Hospital in Phnom Penh to establish the first Pediatric AIDS Care site in 2003. Maryknoll through its Seedling of Hope project treats and cares for children infected by HIV in group homes or with their family in Phnom Penh and Kandal. Chey Chum Neas Hospital, Provincial Hospital in Takhmao, Kandal province has several health services available, including a Pediatric Department. NCHADS supports the hospital and partners include New Hope for Cambodian Children (NHCC), MAGNA and UNICEF. NHCC and MAGNA support the Pediatric Department by providing doctors and counselors who also work with the NGO field workers. Between March-December 2006, the department tested 426 children for HIV (78 were positive) and by the end of January 2007, 181 children were being treated for OIs and 102 were provided with ARVs22. The Maddox Chivan Children's Center opened in Phnom Penh in February 2006. The centre provides a program of multidisciplinary care for Cambodian children infected and affected by 22 Presentation from Dr. Kong Mealin, , Mr. John Tucker, Mrs. Pork Many, Dr. Vin Samnang, Mrs. Pork Many, Dr. Vin Samnang at the National Pediatric Conference, February 2007
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HIV and AIDS. The Centre provides medical treatments for AIDS affected and infected children, educational support from preschool through to 6th grade, counseling (through art therapy, peer groups, life skills workshops), sports activities, various training programs for skills in for example English, computer and vocational skills, and provision of a daily nutritious lunch. A special focus of the Centre is on the particularly vulnerable ages of preschool and the teenage years, which has very specific needs in terms of counseling, health, and education. .
3.3.2.2 Education Net enrolment in Cambodia reached 82.6% for the academic year 2005-06, which fell short of its target 23 . The Education Management Information System (EMIS) shows that there are about 180,000 geographically ‘hard to reach’ primary school age children (60% of who are girls) who have no access to primary education. Less than half of all Cambodian children complete primary and the net enrolment for secondary school age children are among the lowest in the region. Child orphans are less likely to attend school, with attendance rates of 76.10% for boys and 78.2% for girls24.
“..get all children into class by the age of six...” The morning meal at Trapaing Chhouk is the result of a partnership between UNICEF and the World Food Programme. It’s also a key component of the Child Friendly School initiative, which aims to get all children into class by the age of six and improve the quality of education nationwide. A child-friendly school actively identifies excluded children, gets them enrolled in school and acts in the interests of the 'whole' child – including his or her health, nutrition and overall well-being. Beyond simply increasing enrolment numbers, UNICEF hopes improved schools will provide new opportunities for Cambodia’s next generation. In a country where fewer than 20 per cent of girls are enrolled in secondary school, achieving these goals is a daunting task that requires cooperation from many organizations. Ref: http://www.ungei.org/infobycountry/cambodia_879.html
Through the Education Strategic Plan 2006-2010, MoEYS outlined targets to expand the coverage of Child Friendly Schools to 70% of the primary schools in the country with support from the Swedish International Development Cooperation Agency (Sida), UNICEF, Save the Children Norway (SCN) and Kampuchean Action for Primary Education (KAPE) as illustrated in Figure 3. The strategies are to create school environments that nurture the well-being of every child but also to seek out children excluded from school due to HIV and AIDS, poverty, disability, ethnicity or gender.
23 24
Annual Report 2005-06, Ministry of Education Youth and Sport (MoEYS) CDHS 2005, Table 19.2 School Attendance by Survivorship of Parents, Page 259
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Figure 3
World Education’s OPTIONS programme collaborates with community networks to identify children who are at risk, and provides these children with support in formal and non-formal (NFE) education programs appropriate to their individual needs. The programme assists children who have been trafficked or exploited by offering them the support of educational programs while they are in rehabilitation centers and/or after they have been re-integrated in their home communities. The programme has also provided in-kind scholarship support for formal education (for more than 10,000 children, including OVC); Life skills curriculum development and training to learn about the challenges of migration and the dangers of trafficking and labor exploitation, as well as other modules (reproductive health, HIV & AIDS, sustainable agriculture, nutrition, etc; Non-formal education and livelihood development program for older adolescents; School re-entry support for out of school children; Counseling/mentoring support in schools and Girls’ support groups. World Education does not directly implement, but provides capacity building, technical assistance and monitoring working in collaboration with the staff of MoEYS, MoSVY, MoWA, and MoLVT as well as the existing child protection networks at the district, province and national level, OPTIONS develops and carries out training programs for government staff25. 3.3.3
Shelter/Alternative Care
According to the Convention on the Rights of the Child (CRC), the Royal Government of Cambodia developed the Policy on Alternative Care to ensure that children without a family, 25
World Education presentation to the National Validation Workshop – 26-27 April 2007
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home receive alternative care. Under this policy, the following principles were issued; • family care and community care are the best option for alternative care • institutional care should be a last resort and a temporary solution • Ministry of Social Affairs, Veterans and Youth Rehabilitation (MoSVY) is the competent institution responsible for leading and implementing this policy • where institutional care cannot be avoided, minimum standards and guidelines for residential care shall be implemented, monitored and evaluated in accordance with the overriding principles of the CRC; best interests of the child, non-discrimination, right to survival, development and protection and participation by the child in his/her own development • NGOs which provide alternative care services shall request permission from and sign agreements with MoSVY During the mapping exercise, using the MoSVY List of Long-term Alternative Care, Alternative Care Report 2006 and a survey conducted by Holt International, it was found that there were at least 247 centres, 20 of which are Government run orphanages and the remaining centres are NGO/privately run as illustrated in Figure 4 and listed in Appendix 5. It was found that the majority had an MOU with MoSVY, however some did not. There is also a move towards providing kinship care, foster care and placement of children within communities from which they originate or family type homes such as group homes. International Organisation for Migration (IOM) recently held a workshop bringing together agencies providing temporary and permanent shelter to children to discuss the benefits of this type of shelter compared to institutional care. Figure 4
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3.3.4
Children in Need of Special Protection
Many NGOs specialise in the areas supporting children in need of special protection, this includes anti-trafficking, children in conflict with the law, children facing violence, exploitation and abuse. All agencies providing support to children in need of special protection are listed in Appendix 1 by province, with a brief description of their activities. As they are too numerous to mention, the following highlights some of the work that is currently supporting orphans or vulnerable children. Street Children According to Mith Samlanh between 10,000 and 20,000 children live or work on the streets of Phnom Penh. In tourist areas such as Siem Reap and Sihanoukville, agencies are working with street children to provide protection and support their reintegration to family, school and society. Mith Samlanh have since 1994 provided holistic support from outreach teams promoting safe migration, developing life plans with the children to health and educational support and vocational training and placement into public schools, with their family or jobs. Other agencies providing this support across the country to street children are listed in Appendix 1. Drugs In 2004 Cambodia had 5,002 drug users which increased to 6,876 in 200526, with the estimated real number of drug users being as much as 5 or 10 times higher, the vulnerability to and risk for HIV of children is high, especially those injecting drugs. The RGC has responded by establishing the National Authority to Combat Drugs, the Anti-Drug Departments and the Provincial AntiDrug Structure throughout Cambodia as well as passing the Law on Drug Control. Children need prevention strategies, information about the potential impact of drug use and access to resources and rehabilitation. There are currently a few organisations providing support including Mith Samlanh, Friends-International, Korsang, and other organisations working with youth that incorporate drug use prevention education, UNODC, MoSVY, NACD. However most of these interventions are concentrated in Phnom Penh, although training provided by FriendsInternational and Mith Samlanh to both government and NGO partners has increased the coverage to the provinces, in particular Battambang, Kratie, Sihanoukville and Siem Reap. The programmes by the NGOs focus on harm reduction and Mith Samlanh has an MOU with the government to provide needle exchange. Disability Many NGOs are providing Community Based Rehabilitation (CBR), based on the philosophy of rehabilitating people with disabilities in their own communities rather than specialised settings, as formalised by WHO in the 1980’s. Some of the main players providing CBR include Handicap International-Belgium, Handicap International-France in Battambang, Action on Disability and Development in Kampong Chhnang, Caritas in Kampong Speu and Kampot, Jesuit Services concentrating on physical disabilities and ear problems, Disability Development Services Pursat, National Centre for Disabled People (Kampong Speu and Phnom Penh), Cambodia Trust (Sihanoukville), Servants to the Asian Poor (Phnom Penh). The Cambodian Association for Development Farmer and the Poor focuses on children with disabilities in Kratie. The Order of Malta (CIOMAL) supports the National Leprosy Programme, with a rehabilitation centre in Kien Klang, Phnom Penh and community based support. Several NGOs give support to mine victims including Norweigan People’s Aid, Cambodia Trust, Veteran’s International. In support 26
National Authority to Combat Drugs (NACD), 2005
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of education for the disabled, Krousar Thmey runs schools for the blind, as do the Marist Mission of Australia/Lavella School for the Blind. Several organisations are involved in support of Inclusive Education for children with disabilities (as listed under Section 3.1 Ministry of Education, Youth and Sport). As with many other focussed groups it is seen as important that the issue of disability be mainstreamed into community development activities to address the gaps27. Exploitation, Abuse and Violence The Directory of Organisations working on the Prevention of Child Sexual Exploitation in Cambodia28listed over 80 organisations working in the field from prevention, prosecution and law enforcement, to protection and victim support, policy, advocacy and research. NGOs, UN and government bodies are working in all provinces but with high concentration in Phnom Penh and in Poipet (one of the main transit areas for trafficked persons and migration). There are many programmes working on prevention, identifying at-risk children, community education, practical solutions to keep families together and also programmes that support child victims of trafficking, exploitation, violence. Appendix 1 lists organisations that are providing these services.
4 Gaps, Challenges and Opportunities While is should be acknowledged that much has been achieved by government, development partners and civil society, it is important to note that there still are gaps and challenges in the protection, care and support for orphans and vulnerable children. 4.1 Geographic For OVC Impact Mitigation, it is shown through the illustrative map Figure 2 the gaps in service coverage, particularly for the northern and north eastern provinces of the country. As can be seen from Appendix 1 and the maps in the report, the provinces of Odtar Meanchey, Preah Vihear, Steung Treng, Ratanak Kiri and Mondul Kiri have projects and programmes providing health, education support and community development activities that will have some impact on OVC, however there was not found to be any OVC-focussed impact mitigation to ensure this support and this needs to be addressed. Other provinces that had less than 30% commune coverage are also significantly below Cambodia’s targets for Universal Access and rapid scale up in the areas for Sihanoukville, Kampong Speu, Kandal, Kampong Cham, Kratie and Kampong Thom is necessary to reach this target. For the communes where organisational support has been identified it does not necessarily mean that all villages and all OVC receive support. In some cases of new projects, the support was only being provided in one village, with intentions to expand further in future. Coverage therefore needs to be expanded into new areas not already supported and within existing areas of work that do not have 100% village coverage, ensuring as wide a coverage as possible is provided.
27 28
Disability Research, World Vision Cambodia, 2004 Save the Children Australia, World Vision Cambodia, AusAID, 2006
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4.2 Programmatic Findings from the mapping and during workshops held for the Situation and Response Analysis for OVC, there is consensus that ‘more of everything’ is needed. However, given funding constraints, priorities will have to be made. Some issues to take into account include;
Models of Good Practice
The mapping exercise identified many projects supporting orphans and vulnerable children, however this mapping was only concerned with the identification of support and not the quality. It is important for the development of projects and future scaling up that projects and programmes are evaluated, impacts recognised and models of good practiced showcased and used for replication.
Cooperation and Coordination
Overlap and lack of knowledge of the work of other NGOs and government ministries showed that there was still a lack of collaboration and coordination. Findings from interviews and discussions during the mapping exercise showed that registration/MOU with government ministries for organisations/projects working with OVC are not consistent. MOUs are held with various Ministries/government departments including the Ministry of Social Affairs, Ministry of Education, Ministry of Health, Ministry of Rural Development, Ministry of Foreign Affairs and Ministry of Interior and corresponding coordination at the local level therefore can often be with various district level Ministry bodies, depending on central level registration. As coordination both at the central and local level is fragmented it is likely that this can cause • • •
overlaps in coverage and support OVC in need being overlooked unclear picture of support at the local and national level
This needs to be addressed early to avoid the problems stated above from continuing. Such coordination would necessitate monitoring, data collection, and coordination focal points in the provinces and (if resources are available) at district level. Improved communication between all the key players from donors to government to NGO and CBO is needed to effectively harmonise the support for orphans and vulnerable children in future. The opportunity for Cambodia is the establishment of the National Multi-Sectoral OVC Task Force which must take the lead in ensuring that this happens.
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5 Appendices APPENDIX 1: Agencies providing care and support to OVC by province Name of Agency
Acronym
Programme Areas
Banteay Meanchey Province Cambodian Children and Handicap Development Organisation
CCHDO
Cambodian Christian Healthcare Fellowship Cambodian Family Development Services Cambodian Hope Organisation Cambodian Human Rights and Development Association Cambodian League for the Promotion and Defence of Human Rights Cambodian Social-Economic Development and Democracy Association
CCHF CFDS CHO
Cambodian Women's Crisis Center
CWCC
CARE Cambodia Christian and Missionary Alliance CORE Cambodia Dhammayietra Don Bosco Foundation for Cambodia
CARE CAMA CORE DYMB Don Bosco
Enfants du Mekong
EdM
Family Health International/Impact Cambodia
FHI
Handicap International - Belgium
HIB
Helen Keller International Jesuit Service Cambodia Khmer Buddhist Association Khmer HIV/AIDS National Alliance Khmer Youth Association
HKI JS KBA KHANA KYA
Krousar Thmey
Krousar Thmey
Legal Aid of Cambodia Mennonite Central Committee Ponleu Koma
LAC MCC PK
Pteas Tuk Dong
PTD
Room to Read Cambodia
RtR
Rural Community and Environment Development Organisation Social Environment Agricultural Development Organisation The Asia Foundation Transcultural Psychosocial Organisation Voluntary Services Overseas
ADHOC LICADHO CSDA
ILO-IPEC supported Thai border project vocational training, education rehabilitation to child victims of trafficking Counter trafficking project Referral to treatment, IGA, PLWHA self help group Support to victims of trafficking Children in conflict with the law, human rights and abuse cases, domestic violence etc Children in conflict with the law, human rights and abuse cases, domestic violence etc OVC Impact Mitigation Social service support to children that have been sexually exploited, shelter OVC Impact Mitigation Home care project, community health OVC Impact Mitigation Referral to treatment, IGA, PLWHA self help group Technical skills training School scholarships, day centres and accommodation for students OVC Impact Mitigation Physical & social rehabilitation for childen with disabilities Improving Vitamin A status Education, hostel care OVC Impact Mitigation OVC Impact Mitigation OVC Impact Mitigation Outreach, temporary centres, reintegration, protection centres/family homes, schools for deaf and blind children, cultural & artistic training, campaign against trafficking and prostititution Legal assistance Health partnerships OVC impact mitigation Protection/victim support, Prevention/vulnerability reduction Access to education for under privileged, libraries and girls scholarships
RCEDO
OVC Impact Mitigation
SEADO
OVC Impact Mitigation
TAF TPO VSO
Prosecution, prevention, protection, safe migration Psychosocial support for traumatised children Technical assistance to projects
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Wathanakpheap
Wathanakph eap
Community based child development program
World Education Cambodia
WE/C
OPTIONS: Combatting child trafficking and exploitation
Battambang Province
CMDC
Buddhist way of healing children affected/infected by AIDS, self-reliance building (support to Hope of Children) Equity fund, counselling, TB, VCCT, health education OVC Impact Mitigation Community organising, women's rights, advocacy OVC Impact Mitigation OVC impact Mitigation Counter trafficking project Centre against Trafficking Children in conflict with the law, human rights and abuse cases, domestic violence etc Children in conflict with the law, human rights and abuse cases, domestic violence etc Support to victims of exploitation
CWPD
Vocational training literacy income generation
Action Aid International Cambodia
AAI
Action for Health
AFH
Aphiwat S'trey Banteay Srei Battambang Women's AIDS Project Buddhism for Development Cambodian Christian Healthcare Fellowship Cambodian Defenders Project Cambodian Human Rights and Development Association Cambodian League for the Promotion and Defence of Human Rights Cambodian Migration Development Committee Cambodian Women for Peace and Development
AS BWAP BFD CCHF CDP ADHOC LICADHO
CARITAS CAMBODIA
CARITAS
Catholic Relief Services
CRS
Welfare programme, vocational training, health, child mental health, HBC Support to PLHA families and OVC, referral to treatment
Centro Italiano Aiuti all'Infanzia/Italian Association for Aid to Children Community Development Action Don Bosco Foundation for Cambodia
CIAI
Access to education, street to school
CDA Don Bosco
Enfants du Mekong
EdM
Enfants Refugies du Monde
ERM
Family Health International/Impact Cambodia
FHI
Handicap International France
HIF
HelpAge International Islamic Local Development Organisation Jesuit Service Cambodia Khmer HIV/AIDS National Alliance Khmer Rural Development Association Kien Kes Health Education Network Kokkyo Naki Kodomotachi - Children without Borders of Japan
HAI ILDO JS KHANA KRDA KHEN
Komar Rik Reay
KMR
Krousar Thmey
Krousar Thmey
Legal Aid of Cambodia
LAC
OVC Impact Mitigation Technical skills training School scholarships, day centres and accommodation for students Educational and psychosocial program for vulnerable children OVC Impact Mitigation Rehabilitation centre, social service, inclusive education OVC Impact Mitigation OVC Impact Mitigation Education, hostel care OVC Impact Mitigation OVC Impact Mitigation OVC Impact Mitigation House for Youth Project, support for trafficked children, Battambang prison activity Reception, education, reintegration, alternative care, outreach, agriculture for street children and trafficked children aged 5-18 Outreach, temporary centres, reintegration, protection centres/family homes, schools for deaf and blind children, cultural & artistic training, campaign against trafficking and prostititution In need of legal assistance
KnK
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Lutheran World Federation/Department for World Service Meatophum Komar (Homeland)
LWF
Operation Enfants Battambang Protection of Juvenile Justice
MPK NPC-Wat Norea OEB PJJ
Pteas Tuk Dong
PTD
Room to Read Cambodia
RtR
Saboras Organisation
Saboras
Salvation Centre Cambodia The Asia Foundation Transcultural Psychosocial Organisation Voluntary Services Overseas World Vision Cambodia Kampong Cham Province
SCC TAF TPO VSO WVC
Action for Health
AFH
Action on Disability and Development
ADD
Agir pour les Femmes en Situation Precaire
AFESIP
Association for Aid and Relief Japan Cambodian Center for the Protection of Children's Rights
AAR-Japan
Cambodian Child Development
CCD
Cambodian Defenders Project Cambodian Human Rights and Development Association Cambodian League for the Promotion and Defence of Human Rights
CDP
Norea Peaceful Childrens Home - Wat Norea
CCPCR
ADHOC LICADHO
CARITAS CAMBODIA
CARITAS
Concern WorldWide Cambodia CRM/Inner Change Don Bosco Foundation for Cambodia
CONCERN
Enfants du Mekong
EdM
Family Health International/Impact Cambodia
FHI
Handicap International France
HIF
Helen Keller International
HKI
Japan Team of Young Human Power
JHP
Kasekor Thmey KHEMERA Khmer HIV/AIDS National Alliance
KT Khemera KHANA
Krousar Thmey
Krousar Thmey
Don Bosco
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Abused children, babies & pre-school children, sick children, girls at risk, orphans, sexually exploited, undernourished/malnourised children OVC Impact Mitigation OVC Impact Mitigation OVC support Children in need of legal assistance Protection/victim support, Prevention/vulnerability reduction Access to education for under privileged, libraries and girls scholarships Vocational training, life skills education - at risk of trafficking OVC Impact Mitigation Prosecution, prevention, protection, safe migration Psychosocial support to traumatised children Technical assistance to Inclusive education projects OVC Impact Mitigation Equity fund, counselling, TB, VCCT, health education Support for children with disabilities Rehabilitation for victims of sexual abuse and exploitation Support for children with disabilities Children involved with drugs, street children, victims of domestic violence, sexual exploitation HIV and AIDS education for children and youth in and out of school Centre against Trafficking Children in conflict with the law, human rights and abuse cases, domestic violence etc Children in conflict with the law, human rights and abuse cases, domestic violence etc Welfare programme, vocational training, health, child mental health, HBC Livelihoods, capacity building of CBOs Shelter and rehabilitation for victims of exploitation Technical skills training school scholarships, day centres and accommodation for students OVC Impact Mitigation Rehabilitation centre, social service, inclusive education Improving Vitamin A status Orphanage PP, educational support - construction, music, painting OVC Impact Mitigation OVC Impact Mitigation OVC Impact Mitigation Outreach, temporary centres, reintegration, protection centres/family homes, schools for deaf and blind children, cultural & artistic training, campaign against trafficking and prostititution
Legal Aid of Cambodia
LAC
Legal Support for children and women
LSCW
Nak Akpivat Sahakum
MITH SAMLANH NAS
PACT Cambodia
PACT
Phnom Srey Association for Development
PSAD
Plan International
PLAN
Room to Read Cambodia
RtR
Save the Children Australia
SCA
Save the Children Norway - Cambodia Office
SCN-CO
Mith Samlanh
In need of legal assistance Legal aid to those affected by trafficking, awareness of legal rights Holistic support to street children for their sustainable social reintegration OVC Impact Mitigation Access to services for OVC/IEC/children support committee/children gathering days OVC Impact Mitigation Birth registration, Child Participation and Protection, Girls scholarship, Livelihood, Education, Child health, Access to education for under privileged, libraries and girls scholarships OVC Impact Mitigation, Child Protection, vocational training, children in prison support, child rights training, health Basic education project/Combat trafficking in community, rescue, rehabilitate abused/exploited children/childrens magazine Maternal & child health - health & nutrition/HIV and AIDS
Services for the Health in Asian and African Regions Soutie a l'Initiative Privee Pour l'Aide a la Reconstruction The Asia Foundation Voluntary Services Overseas
SIPAR
Combatting illiteracy, Non Formal Education
TAF VSO
Vulnerable Children Assistance Organisation
VCAO
World Education Cambodia/KAPE
WE/C
World Relief Cambodia-Hope Project
WRC
Prosecution, prevention, protection, safe migration Technical assistance to Inclusive Education projects Prevention of child labour, training of domestic workers OPTIONS: Combatting child trafficking and exploitation; Educational support for children in underserved populations Health & school promotion, HIV awareness and home care
Kampong Chhnang Province Action on Disability and Development Association for Aid and Relief Japan
ADD AAR-Japan
Cambodia Trust Rehabilitation Project
CT
Cambodian Human Rights and Development Association Cambodian League for the Promotion and Defence of Human Rights
SHARE
ADHOC LICADHO
Cambodian Youth Development
CYD
Caring for Young Khmer Community Poverty Reduction Concern WorldWide Cambodia
CYK CPR CONCERN
Coopreazione e Sviluppo
CESVI
Foundation for International Development/Relief Helen Keller International International Relief and Development Khmer HIV/AIDS National Alliance Legal Aid of Cambodia
Children with disabilities Children with disabilities Supporting disabled children into mainstream education Children in conflict with the law, human rights and abuse cases, domestic violence etc Children in conflict with the law, human rights and abuse cases, domestic violence etc HIV and AIDS education to youth in and out of school Community based childcare and education OVC Impact Mitigation Livelihoods, capacity building CBOs Cambodia Child Survival Initative - health and nutrition
FIDR
Pediatric surgery, community development
HKI IRD KHANA LAC
Improving Vitamin A status School feeding program OVC Impact Mitigation In need of legal assistance
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Lutheran World Federation/Department for World Service
LWF
New Humanity
NH
Room to Read Cambodia
RtR
Save the Children Norway - Cambodia Office
SCN-CO
The Fred Hollows Foundation World Vision Cambodia Kampong Speu Province Action on Disability and Development Assistance to Poor Children's Agency Association Angkor-Belgique Association for Aid and Relief Japan Association of Medical Doctors of Asia Cambodian Center for the Protection of Children's Rights Cambodian Human Rights and Development Association Cambodian League for the Promotion and Defence of Human Rights Children Support Foundation Christian Care for Cambodia Don Bosco Foundation for Cambodia Enfants et Developpement/Save the Children France International Relief and Development
FHF WVC ADD APCA AAB AAR-Japan AMDA CCPCR ADHOC LICADHO CSF CCFC Don Bosco E&D IRD
Japan Team of Young Human Power
JHP
Khmer HIV/AIDS National Alliance
KHANA
Krousar Thmey
Krousar Thmey
Legal Aid of Cambodia
LAC
Legal Support for children and women
LSCW
Lutheran World Federation/Department for World Service
LWF
Mith Samlanh National Prosperity Association Street Children Assistance & Development Program/Christian Children's fund of GB The Asia Foundation Women Service Organisation World Vision Cambodia Kampong Thom Province
MITH SAMLANH NAPA SCADP/CC FGB TAF WOSO WVC
Action for Health
AFH
Association Angkor-Belgique
AAB
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Support to abused children, babies & pre-school children, sick children, girls at risk, orphans, sexually exploited, undernourished/malnourised children Basic and non-formal education, health education Access to education for under privileged, libraries and girls scholarships Basic education project /Combat trafficking in community, rescue, rehabilitate abused/exploited children/childrens magazine Eye care OVC Impact Mitigation Children with disabilities Kindergartens, literacy schools, and IGA Support poor children to school, orphanages Children with disabilities Health and nutrition Children involved with drugs, street children, victims of domestic violence, sexual exploitation Children in conflict with the law, human rights and abuse cases, domestic violence etc Children in conflict with the law, human rights and abuse cases, domestic violence etc Orphanage, vocational training Technical skills training Child protection education, networking village & commune level, primary healthcare education School feeding program Orphanage PP, educational support - construction, music, painting OVC Impact Mitigation Outreach, temporary centres, reintegration, protection centres/family homes, schools for deaf and blind children, cultural & artistic training, campaign against trafficking and prostititution In need of legal assistance Legal aid to those affected by trafficking, awareness of legal rights Support to abused children, babies & pre-school children, sick children, girls at risk, orphans, sexually exploited, undernourished/malnourised children Drug rehabilitation OVC Impact Mitigation Interim housing, social awareness raising, mental counseling, day care centre, non-formal education Prosecution, prevention, protection, safe migration OVC Impact Mitigation OVC Impact Mitigation Equity fund, counselling, TB, VCCT, health education Support poor children to school, orphanages
Association for Aid and Relief Japan Buddhism for Development Cambodian Defenders Project Cambodian Human Rights and Development Association Cambodian League for the Promotion and Defence of Human Rights CARITAS CAMBODIA
CARITAS
Church World Service Don Bosco Foundation for Cambodia
CWS Don Bosco
Enfants du Mekong
EdM
Hagar Project Handicap International Khmer HIV/AIDS National Alliance Legal Aid of Cambodia Minority Organisation for Development of Economy
HAGAR HIB KHANA LAC
Children with disabilities OVC impact Mitigation Centre against Trafficking Children in conflict with the law, human rights and abuse cases, domestic violence etc Children in conflict with the law, human rights and abuse cases, domestic violence etc Welfare programme, vocational training, health, HBC Community development, food security & health Technical skills training School scholarships, day centres and accommodation for students Foster home program, after care Disability - physical & social rehabilitation OVC Impact Mitigation In need of legal assistance
MODE
OVC Impact Mitigation
PACT Cambodia
PACT
Provincial Positive Network
PPN+
Room to Read Cambodia
RtR
The Fred Hollows Foundation Transcultural Psychosocial Organisation Women's Media Centre for Cambodia
FHF TPO WMC
World Relief Cambodia-Hope Project
WRC
World Vision Cambodia Kampot Province Action on Disability and Development Association for Aid and Relief Japan
WVC
Cambodia Trust Rehabilitation Project
CT
Cambodian Center for the Protection of Children's Rights Cambodian Defenders Project Cambodian Development and Relief Center for the Poor Cambodian Human Rights and Development Association Cambodian League for the Promotion and Defence of Human Rights Cambodian Red Cross Centro Italiano Aiuti all'Infanzia/Italian Association for Aid to Children Don Bosco Foundation for Cambodia
AAR-Japan BFD CDP ADHOC LICADHO
ADD AAR-Japan
Access to services for OVC/IEC/children support committee/children gathering days Support to PLHA and OVC Access to education for under privileged, libraries and girls scholarships Eye care Psychosocial support to traumatised children Media on human trafficking, awareness Health & school promotion, HIV awareness and home care OVC Impact Mitigation
CDP
Children with disabilities Children with disabilities Supporting disabled children into mainstream education Children involved with drugs, street children, victims of domestic violence, sexual exploitation Centre against Trafficking
CDRCP
OVC Impact Mitigation
CCPCR
CRC
Children in conflict with the law, human rights and abuse cases, domestic violence etc Children in conflict with the law, human rights and abuse cases, domestic violence etc OVC Impact Mitigation
CIAI
Access to education, street to school
Don Bosco
Technical skills training School scholarships, day centres and accommodation for students Rural health projects, health rights poor people Improving Vitamin A status School feeding program OVC Impact Mitigation
ADHOC LICADHO
Enfants du Mekong
EdM
Health Unlimited Helen Keller International International Relief and Development Khmer HIV/AIDS National Alliance
HU HKI IRD KHANA
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Khmer Women's Cooperation for Development Khmer Women's Voice Centre Legal Aid of Cambodia
KWCD KWVC LAC
Legal Support for children and women
LSCW
PACT Cambodia
PACT
Voluntary Services Overseas Kandal Province Action on Disability and Development Asian Outreach Cambodia Association for Aid and Relief Japan
VSO ADD AOC AAR-Japan
Cambodian Child Development
CCD
OVC Impact Mitigation Media project - womens issues In need of legal assistance Legal aid to those affected by trafficking, awareness of legal rights Access to services for OVC/IEC/children support committee/children gathering days Technical assistance to Inclusive Education projects
Cambodian Human Rights and Development Association Caring for Young Khmer
CYK
CARITAS CAMBODIA
CARITAS
Centre for Child Mental Health Clinic Centro Italiano Aiuti all'Infanzia/Italian Association for Aid to Children
CCMHC
Children with disabilities Health education and development Children with disabilities HIV and AIDS education to children and youth in and out of school Children in conflict with the law, human rights and abuse cases, domestic violence etc Community based childcare and education Welfare programme, vocational training, health, child mental health, HBC Care and treatment for child mental health
CIAI
Access to education, street to school
Child Rights Foundation
CRF
Child rights, Sexual exploitation prevention training in schools, child monitoring participation
Children Support Foundation Don Bosco Foundation for Cambodia
CSF Don Bosco
Enfants du Mekong
EdM
Every Child Cambodia Hagar Project
HAGAR
Health Care centre for Children
HCC
Helen Keller International Indradevi Association International Relief and Development Jesuit Service Cambodia Khmer Children Center Organisation Khmer Community Baptist Church Khmer HIV/AIDS National Alliance Khmer Women's Voice Centre
HKI IDA IRD JS KCCOKCB C KHANA KWVC
Krousar Thmey
Krousar Thmey
Legal Aid of Cambodia
LAC
Legal Support for children and women
LSCW
Les Enfant D'Angkor
EDA
Marist Mission Australia/Lavalla School
MMA
Maryknoll Cambodia New Hope for Cambodian Children
Maryknoll NHCC
PACT Cambodia
PACT
ADHOC
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Technical skills training school scholarships, day centres and accommodation for students Child welfare/rights through SCADP Foster home program, after care Community watch networks prevent child exploitation, awareness raising direct assistance Improving Vitamin A status OVC Impact Mitigation School feeding program Education, hostel care School sponsorship, vocational training program OVC Impact Mitigation Media project - womens issues Outreach, temporary centres, reintegration, protection centres/family homes, schools for deaf and blind children, cultural & artistic training, campaign against trafficking and prostititution In need of legal assistance Legal aid to those affected by trafficking, awareness of legal rights Orphanages, sponsor child education School for children with disabilities, supporting children with disabilities into public school OVC Impact Mitigation OVC Impact Mitigation Access to services for OVC/IEC/children support committee/children gathering days
Provincial Positive Network Save Incapacity Teenager
PPN+ SIT
Save the Children Australia
SCA
Street Children Assistance & Development Program/Christian Children's fund of GB Women's Federation for World Peace
SCADP/CC FGB WFWP
World Relief Cambodia-Hope Project
WRC
World Vision Cambodia Kep Municipality Legal Aid of Cambodia Les Enfant D'Angkor Koh Kong Province Cambodian Defenders Project Cambodian Human Rights and Development Association Cambodian League for the Promotion and Defence of Human Rights CARE International in Cambodia (Cooperative for Assistance and Relief Everywhere)
WVC
Support to PLHA and OVC OVC Impact Mitigation OVC Impact Mitigation, Child Protection, Child rights training Interim housing, social awareness raising, mental counseling, day care centre, non-formal education Orphanage support Health & school promotion, HIV awareness and home care OVC Impact Mitigation
LAC EDA
In need of legal assistance Support to orphanages, sponsor child education
CDP
Centre against Trafficking Children in conflict with the law, human rights and abuse cases, domestic violence etc Children in conflict with the law, human rights and abuse cases, domestic violence etc
ADHOC LICADHO CARE
Health Care centre for Children
HCC
Helen Keller International Legal Aid of Cambodia
HKI LAC
Legal Support for children and women
LSCW
Street Children Assistance & Development Program/Christian Children's fund of GB The Asia Foundation Kratie Province
SCADP/CC FGB TAF
Action for Health
AFH
Cambodian Defenders Project Cambodian Human Rights and Development Association Helen Keller International Khmer HIV/AIDS National Alliance Kratie Women's Welfare Association Legal Aid of Cambodia
CDP HKI KHANA KWWA LAC
Save the Children Australia
SCA
ADHOC
OVC Impact Mitigation Community watch networks prevent child exploitation, awareness raising direct assistance Improving Vitamin A status Legal assistance Legal aid to those affected by trafficking, awareness of legal rights Interim housing, social awareness raising, mental counseling, day care centre, non-formal education Prosecution, prevention, protection, safe migration Equity fund, counselling, TB, VCCT, health education Centre against Trafficking Children in conflict with the law, human rights and abuse cases, domestic violence Improving Vitamin A status OVC Impact Mitigation OVC Impact Mitigation Legal assistance OVC Impact Mitigation, Child Protection, vocational training, children in prison support, child rights training, health
Soutie a l'Initiative Privee Pour l'Aide a la Reconstruction The Asia Foundation Veteran's International
SIPAR
Combatting illiteracy, Non formal education
TAF VI
World Education Cambodia
WE/C
Prosecution, prevention, protection, safe migration Disability and rehabilitation Educational support for children in underserved populations
Mondul Kiri Province Cambodian Human Rights and Development Association Caring for Young Khmer
ADHOC CYK
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Children in conflict with the law, human rights and abuse cases, domestic violence Community based childcare and education
International Cooperation Cambodia (HOSEA)
ICC
Legal Aid of Cambodia
LAC
World Education Cambodia
WE/C
Odtar Meanchey Province Australians Caring for Refugees Cambodian Development and Relief Center for the Poor Cambodian Human Rights and Development Association
Training (helping orphanages by support education and advice) Legal assistance Educational support for children in underserved populations
AUSTCARE
Access to education
CDRCP
Support for PLHA and OVC
Enfants du Mekong
EdM
Legal Aid of Cambodia Malteser International ZOA Refugee Care netherlands Pailin Municipality Battambang Women's AIDS Project Cambodian Development and Relief Center for the Poor Cambodian Human Rights and Development Association Centro Italiano Aiuti all'Infanzia/Italian Association for Aid to Children
LAC MHD ZOA
Children in conflict with the law, human rights and abuse cases, domestic violence School scholarships, day centres and accommodation for students Legal assistance Health care, school feeding, School feeding program
BWAP
OVC Impact Mitigation
CDRCP
OVC Impact Mitigation
ADHOC
Children in conflict with the law, human rights and abuse cases, domestic violence etc
CIAI
Access to education, street to school
Enfants du Mekong
EdM
Family Health International/Impact Cambodia Helen Keller International Khmer HIV/AIDS National Alliance Legal Aid of Cambodia Meatophum Komar (Homeland) Medicine Sans Frontieres Belgium Phnom Penh Municipality
FHI HKI KHANA LAC MPK MSF-B
Action Pour Les Enfants
APLE
Agir pour les Femmes en Situation Precaire Association for Aid and Relief Japan Association International Pour le Development, le Tousism et la Sante Association of Medical Doctors of Asia
AFESIP AAR-Japan
Monitoring child abuse suspects, lobby and advocacy Support to victims of sexual abuse and exploitation Children with disabilities
AIDeTOUS
Advocacy campaigns - child sex tourism
AMDA
Bar Association of the Kingdom of Cambodia
BAKR
Cambodia Trust Rehabilitation Project
CT
CCF
Health and nutrition Children in conflict with the law, victims of abuse, exploitation, trafficking, violence, street children Supporting disabled children into mainstream education Children involved with drugs, street children, victims of domestic violence, sexual exploitation Centre based support for street children
CCASVA
OVC Impact Mitigation
CDP
Centre against Trafficking Centre based support for children affected by AIDS; treatment, education and care Children in conflict with the law, human rights and abuse cases, domestic violence etc
Cambodian Center for the Protection of Children's Rights Cambodian Childrens Fund Cambodian Children Against Starvation and Violence Association Cambodian Defenders Project Cambodian Health Committee/Maddox Chivan Centre Cambodian Human Rights and Development Association
ADHOC
CCPCR
CHC ADHOC
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School scholarships, day centres and accommodation for students OVC Impact Mitigation Improving Vitamin A status OVC Impact Mitigation Legal assistance OVC Impact Mitigation Treatment and care for PLHA and OVC
Cambodian League for the Promotion and Defence of Human Rights Cambodian Women for Peace and Development Cambodian Women's Development Agency Cambodia's Children at Risk New Life Church
NLF
CamboKids Caring for Young Khmer Centro Italiano Aiuti all'Infanzia/Italian Association for Aid to Children Children Support Foundation Christian Care for Cambodia Coordination of Action Research on AIDS and Mobility Don Bosco Foundation for Cambodia Enfants du Mekong Enfants et Developpement/Save the Children France Every Child Cambodia Family Health International/Impact Cambodia Foundation for International Development/Relief
LICADHO
Children in conflict with the law, human rights and abuse cases, domestic violence etc
CWPD
Vocational training, literacy, income generation
CWDA
CYK
Trafficking prevention education Sponsorship, sponsors for orphans for food and school supplies Psychosocial program; Developing educational games Community based childcare and education
CIAI
Access to education, street to school
CSF CCFC
Orphanage, vocational training
CARAM Don Bosco
FHI
Technical skills training School scholarships, day centres and accommodation for students Child protection education, networking village & commune level, primary healthcare education Child welfare/rights through SCADP OVC Impact Mitigation
FIDR
Pediatric surgery, community development
EdM E&D
Friends International
FI
Hagar Project
HAGAR
Handicap International France
HIF
Health Care centre for Children
HCC
Helen Keller International
HKI
Home of Family (same as House of Family???)
HOF
Hope Worldwide Cambodia Indradevi Association International Justice Mission International Relief and Development Japan Cambodia Interactive Association
HOPE IDA IJM IRD JCIA
Japan Team of Young Human Power
JHP
Jesuit Service Cambodia Key of Social Health Education Road KHEMERA Khmer HIV/AIDS National Alliance Khmer Women's Voice Centre Kokkyo Naki Kodomotachi - Children without Borders of Japan
JS KOSHER KHMERA KHANA KWVC KnK
Krousar Thmey
Krousar Thmey
Legal Aid of Cambodia
LAC
Legal Support for children and women
LSCW
Page 35
ChildSafe program, Poverty alleviation and drugs harm reduction, training to LNGOs Foster home program, after care Rehabilitation centre, social service, inclusive education Community watch networks prevent child exploitation, awareness raising direct assistance Improving Vitamin A status ARV/OI, accommodation, food, access to school, psychological support & counseling OVC Impact Mitigation OVC Impact Mitigation Monitoring and investigation child abuse cases School feeding program Vocational training for disabled Orphanage PP, educational support - construction, music, painting Education, hostel care OVC Impact Mitigation OVC Impact Mitigation OVC Impact Mitigation Media project - womens issues House for Youth Project, support for trafficked children, Battambang prison activity Outreach, temporary centres, reintegration, protection centres/family homes, schools for deaf and blind children, cultural & artistic training, campaign against trafficking and prostititution In need of legal assistance legal aid to those affected by trafficking, awareness of legal rights
Les Enfant D'Angkor MAGNA-Children at Risk MARYKNOLL Medicin du Monde
EDA MAGNA MARYKNO LL MDM
Mercy Teams International (Cambodia) Mith Samlanh
MITH SAMLANH
NYEMO Cambodia
NYEMO
Pharmaciens Sans Frontieres Pour un Sourire d'Enfant Protection of Juvenile Justice
PSF PSE PJJ
Room to Read Cambodia
RtR
Saboras Organisation
Saboras
Sacrifice Family and Orphans Child Development
SFODA
Save the Children Australia
SCA
Save the Children Norway - Cambodia Office
SCN-CO
Shanti Volunteer Association Sihanouk Hospital Centre of Hope
SVA SHCH
Social Services Cambodia
SSC
Sovann Komar/Golden Children Street Children Assistance & Development Program/Christian Children's fund of GB TASK Cambodia
SCADP/CC FGB TASK
Tearfund
Tearfund
The Asia Foundation Transcultural Psychosocial Organisation Veteran's International Violence Against Women and Children of Cambodia Vithey Chivit Voluntary Services Overseas Vulnerable Children Assistance Organisation White Lotus/Sharing Life Ministry Women Organisation for Modern Economy and Nursing Women's Media Centre for Cambodia
TAF TPO VI
World Education Cambodia
WE/C
World Hope International
WHI
World Relief Cambodia-Hope Project
WRC
World Vision Cambodia
WVC
Orphanages, sponsor child education PMTCT Seedling of Hope, OVC Impact Mitigation HIV/AIDS care services and CoC Street kids outreach, drop in centre, counselling, social work, abuse intervention and prevention, community education, training and clinical supervision, community support Holistic support to street children for their sustainable social reintegration OVC Impact Mitigation; Mothers and children victims of trafficking, domestic violence Pharmacy provision of ARV/child health survival Education and training Children in need of legal assistance Access to education for under privileged, libraries and girls scholarships Vocational training, life skills education - at risk of trafficking OVC Impact Mitigation OVC Impact Mitigation, Child Protection, Child rights training Basic education project 6 provinces/Combat trafficking in community, rescue, rehabilitate abused/exploited children/childrens magazine Education in poor communities Treatment and care for PLHA and OVC Social mental health services, training on counseling and social work Residential /family-foster home/private schooling Interim housing, social awareness raising, mental counseling, day care centre, non-formal education OVC Impact Mitigation Resources, safe children karaoke research partnerships Prosecution, prevention, protection, safe migration Psychosocial support for traumatised children Disability and rehabilitation
VAWCC VC VSO VCAO White Lotus
OVC Impact Mitigation Technical assistance to projects Prevention of child labour girls at risk and sexually exploited children
WOMEN
OVC Impact Mitigation
WMC
media on human trafficking, awareness OPTIONS: Combatting child trafficking and exploitation Assessment center, short term care, counselling health & school promotion, HIV awareness and home care OVC Impact Mitigation
Page 36
Preah Vihear Province Cambodian Human Rights and Development Association
ADHOC
children in conflict with the law, human rights and abuse cases, domestic violence etc school scholarships, day centres and accommodation for students child welfare/rights through SCADP disability - physical & social rehabilitation rural health projects, health rights poor people In need of legal assistance access to education for under privileged, libraries and girls scholarships Basic education project 6 provinces/Combat trafficking in community, rescue, rehabilitate abused/exploited children/childrens magazine Interim housing, social awareness raising, mental counseling, day care centre, non-formal education
Enfants du Mekong
EdM
Every Child Cambodia Handicap International - Belgium Health Unlimited Legal Aid of Cambodia
HIB HU LAC
Room to Read Cambodia
RtR
Save the Children Norway - Cambodia Office
SCN-CO
Street Children Assistance & Development Program/Christian Children's fund of GB Prey Veng Province
SCADP/CC FGB
Action for Health
AFH
Action on Disability and Development Association for Aid and Relief Japan Cambodian Children Against Starvation and Violence Association Cambodian Human Rights and Development Association Cambodian Red Cross Cambodian Women for Peace and Development Catholic Relief Services Chet Thor Children and Love Association Christian Care for Cambodia Damnak Teuk Neak Leung Don Bosco Foundation for Cambodia Every Child Cambodia
ADD AAR-Japan
Equity fund, counselling, TB, VCCT, health education Children with disabilities children with disabilities
CCASVA
OVC Impact Mitigation
CRC
children in conflict with the law, human rights and abuse cases, domestic violence etc OVC Impact Mitigation
CWPD
Vocational training literacy income generation
CRS CT CLA CCFC DTNL Don Bosco
OVC Impact Mitigation OVC Impact Mitigation OVC Impact Mitigation Orphanage, vocational training
ADHOC
Health Care centre for Children
HCC
Khmer HIV/AIDS National Alliance
KHANA
Krousar Thmey
Krousar Thmey
Legal Aid of Cambodia
LAC
Legal Support for children and women
LSCW
PACT Cambodia
PACT
Protection of Juvenile Justice Rural Association for Development of Economy Save the Children Australia Soutie a l'Initiative Privee Pour l'Aide a la Reconstruction Street Children Assistance & Development
PJJ
Technical skills training child welfare/rights through SCADP Community watch networks prevent child exploitation, awareness raising direct assistance OVC Impact Mitigation Outreach, temporary centres, reintegration, protection centres/family homes, schools for deaf and blind children, cultural & artistic training, campaign against trafficking and prostititution In need of legal assistance legal aid to those affected by trafficking, awareness of legal rights access to services for OVC/IEC/children support committee/children gathering days Children in need of legal assistance
RADE
OVC Impact Mitigation
SCA
OVC Impact Mitigation
SIPAR
combatting illiteracy, NFE
SCADP/CC
Interim housing, social awareness raising, mental
Page 37
Program/Christian Children's fund of GB The Asia Foundation The Fred Hollows Foundation Veteran's International Violence Against Women and Children of Cambodia Women Organisation for Modern Economy and Nursing
FGB TAF FHF VI
WOMEN
OVC Impact Mitigation
World Education Cambodia
WE/C
OPTIONS: Combatting child trafficking and exploitation
COHD
OVC Impact Mitigation
CDP CFDS
CSCN
Centre against Trafficking OVC Impact Mitigation children in conflict with the law, human rights and abuse cases, domestic violence etc children in conflict with the law, human rights and abuse cases, domestic violence etc OVC Impact Mitigation
CARE
OVC Impact Mitigation
CONCERN HKI HIDA KHANA
Livelihoods, capacity building CBOs Improving Vitamin A status primary school remote area OVC Impact Mitigation Outreach, temporary centres, reintegration, protection centres/family homes, schools for deaf and blind children, cultural & artistic training, campaign against trafficking and prostititution community based protection network anti trafficking In need of legal assistance OVC Impact Mitigation OVC impact mitigation access to education for under privileged, libraries and girls scholarships Basic education project 6 provinces/Combat trafficking in community, rescue, rehabilitate abused/exploited children/childrens magazine Traumatised children
Pursat Province Cambodia Organization for Human Right and Development Cambodian Defenders Project Cambodian Family Development Services Cambodian Human Rights and Development Association Cambodian League for the Promotion and Defence of Human Rights Cambodian Save Children Network CARE International in Cambodia (Cooperative for Assistance and Relief Everywhere) Concern WorldWide Cambodia Helen Keller International Hope International Development Agency Khmer HIV/AIDS National Alliance
VAWCC
ADHOC LICADHO
Krousar Thmey
Krousar Thmey
Kumar Ney Kdey Sangkeum Legal Aid of Cambodia Partner in Compassion Ponleu Koma
KNKS LAC PC PK
Room to Read Cambodia
RtR
Save the Children Norway - Cambodia Office
SCN-CO
Transcultural Psychosocial Organisation
TPO Wathanakph eap
Wathanakpheap
counseling, day care centre, non-formal education Prosecution, prevention, protection, safe migration eye care disability and rehabilitation
community based child development program
Ratanak Kiri Province
Cambodian Human Rights and Development Association Health Unlimited
HU
International Cooperation Cambodia (HOSEA)
ICC
Legal Aid of Cambodia Siem Reap Province Agir pour les Femmes en Situation Precaire American Red Cross
LAC
Equity fund, counselling, TB, VCCT, health education children in conflict with the law, human rights and abuse cases, domestic violence etc rural health projects, health rights poor people Training (helping orphanages by support education and advice) Legal assistance
AFESIP AMCROSS
victims of sexual abuse and exploitation integrated child health program
Action for Health
AFH ADHOC
Page 38
Association International Pour le Development, le Tousism et la Sante Australia Cambodia Foundation (Sunrise Childrens Village) Banteay Srei Buddhism for Development Cambodian Defenders Project Cambodian Human Rights and Development Association Cambodian League for the Promotion and Defence of Human Rights Cambodian Red Cross
CRC
Cambodian Women's Crisis Center
CWCC
CARITAS CAMBODIA
CARITAS
AIDeTOUS
Advocacy campaigns - child sex tourism
ACF
orphanage
BFD CDP ADHOC LICADHO
Community organising, women's rights, advocacy OVC Impact Mitigation Centre against Trafficking children in conflict with the law, human rights and abuse cases, domestic violence etc children in conflict with the law, human rights and abuse cases, domestic violence etc OVC impact Mitigation Social service support to children that have been sexually exploited, shelter welfare programme, vocational training, health, child mental health, HBC
Centro Italiano Aiuti all'Infanzia/Italian Association for Aid to Children Children Support Foundation Christian and Missionary Alliance Concern WorldWide Cambodia Friend's Association Pioneer
CSF CAMA CONCERN FAP
Friends International
FI
Handicap International Helen Keller International Jesuit Service Cambodia Khmer HIV/AIDS National Alliance
HIB HKI JS KHANA
Krousar Thmey
Krousar Thmey
Legal Aid of Cambodia Les Enfant D'Angkor Medicine Sans Frontieres Belgium
LAC EDA MSF-B
PACT Cambodia
PACT
Plan International
PLAN
Pour un Sourire d'Enfant Protection of Juvenile Justice Provincial Positive Network
PSE PJJ PPN+
Room to Read Cambodia
RtR
Salvation Centre Cambodia
SCC
OVC Impact Mitigation
Save the Children Australia
SCA
OVC Impact Mitigation
Save the Children Norway - Cambodia Office
SCN-CO
The Asia Foundation
TAF
Vulnerable Children Assistance Organisation
VCAO
CIAI
Page 39
Access to education, street to school Home care project, community health Livelihoods, capacity building CBOs OVC Impact Mitigation ChildSafe program, Poverty alleviation and drugs harm reduction, training to LNGOs disability - physical & social rehabilitation Improving Vitamin A status education, hostel care OVC Impact Mitigation Outreach, temporary centres, reintegration, protection centres/family homes, schools for deaf and blind children, cultural & artistic training, campaign against trafficking and prostititution In need of legal assistance orphanages, sponsor child education Clinics access to services for OVC/IEC/children support committee/children gathering days Birth registration, Child Participation and Protection, Girls scholarship, Livelihood, Education, Child health, Education and training Children in need of legal assistance Support to PLHA and OVC access to education for under privileged, libraries and girls scholarships
Basic education project 6 provinces/Combat trafficking in community, rescue, rehabilitate abused/exploited children/children magazine Prosecution, prevention, protection, safe migration Prevention of child labour, training of domestic workers
Sihanoukville Municipality Action Pour Les Enfants
APLE
Cambodia Trust Rehabilitation Project
CT
Cambodian Center for the Protection of Children's Rights Cambodian Defenders Project Cambodian Human Rights and Development Association Cambodian League for the Promotion and Defence of Human Rights Children Support Foundation Don Bosco Foundation for Cambodia International Justice Mission
CSF Don Bosco IJM
Japan Team of Young Human Power
JHP
Khmer HIV/AIDS National Alliance Khmer Women's Cooperation for Development
KHANA KWCD
Krousar Thmey
Krousar Thmey
Legal Aid of Cambodia
LAC
Mlop Tapang
MT
Pour un Sourire d'Enfant Village Focus International Stung Treng Province
PSE VFI
Action Aid International Cambodia
AAI
Cambodian Human Rights and Development Association Legal Aid of Cambodia Pharmaciens Sans Frontieres Youth with a Mission Cambodia Svay Rieng Province Association for Aid and Relief Japan Cambodian Human Rights and Development Association Cambodian League for the Promotion and Defence of Human Rights Cambodian Red Cross Catholic Relief Services
CCPCR CDP ADHOC LICADHO
ADHOC LAC PSF YWAM AAR-Japan
Monitoring child abuse suspects, lobby and advocacy Supporting disabled children into mainstream education Children involved with drugs, street children, victims of domestic violence, sexual exploitation Centre against Trafficking children in conflict with the law, human rights and abuse cases, domestic violence etc children in conflict with the law, human rights and abuse cases, domestic violence etc Technical skills training Monitoring and investigation child abuse cases Orphanage PP, educational support - construction, music, painting OVC Impact Mitigation OVC Impact Mitigation Outreach, temporary centres, reintegration, protection centres/family homes, schools for deaf and blind children, cultural & artistic training, campaign against trafficking and prostititution In need of legal assistance Holistic support to street children for their sustainable social reintegration Education and training Support to street children Buddhist way of healing children affected/infected by AIDS, self-reliance building children in conflict with the law, human rights and abuse cases, domestic violence etc In need of legal assistance pharmacy provision of ARV/child health survival Child protection, health, prison support
Church World Service
CWS
Don Bosco Foundation for Cambodia
Don Bosco
children with disabilities children in conflict with the law, human rights and abuse cases, domestic violence etc children in conflict with the law, human rights and abuse cases, domestic violence etc OVC Impact Mitigation OVC Impact Mitigation community development, food security & health prevention Technical skills training
FLI
FLI
OVC Impact Mitigation
Health Care centre for Children
HCC
Community watch networks prevent child exploitation, awareness raising direct assistance
International Relief and Development
IRD
School feeding program
Khmer HIV/AIDS National Alliance
KHANA
OVC Impact Mitigation
ADHOC LICADHO CRC CRS
Page 40
Krousar Thmey
Krousar Thmey
Legal Aid of Cambodia
LAC
PACT Cambodia
PACT
Pour Thom Elderly Association Rural Economic Development Association
PTEA REDA
Saboras Organisation
Saboras
Santi Sena The Asia Foundation Veteran's International Takeo Province
TAF VI
Action for Health
AFH
Action on Disability and Development Association Angkor-Belgique Association for Aid and Relief Japan Association of Farmer Development Cambodian Center for the Protection of Children's Rights Cambodian Human Rights and Development Association Centro Italiano Aiuti all'Infanzia/Italian Association for Aid to Children Children Support Foundation Christian Care for Cambodia Don Bosco Foundation for Cambodia Handicap International International Relief and Development
ADD AAB AAR-Japan AFD
CSF CCFC Don Bosco HIB IRD
Japan Team of Young Human Power
JHP
Krousar Thmey
Krousar Thmey
Legal Aid of Cambodia
LAC
Legal Support for children and women
LSCW
Les Enfant D'Angkor Medicine Sans Frontieres Belgium
EDA MSF-B
PACT Cambodia
PACT
CCPCR ADHOC CIAI
PAK-Cambodia Partner in Compassion RACHANA Save the Children Australia Vulnerable Children Assistance Organisation
PC SCA VCAO
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Outreach, temporary centres, reintegration, protection centres/family homes, schools for deaf and blind children, cultural & artistic training, campaign against trafficking and prostititution In need of legal assistance access to services for OVC/IEC/children support committee/children gathering days OVC Impact Mitigation OVC Impact Mitigation Vocational training, life skills education - at risk of trafficking OVC Impact Mitigation Prosecution, prevention, protection, safe migration disability and rehabilitation Equity fund, counselling, TB, VCCT, health education Children with disabilities support poor children to school, orphanages children with disabilities OVC Impact Mitigation Children involved with drugs, street children, victims of domestic violence, sexual exploitation children in conflict with the law, human rights and abuse cases, domestic violence etc Access to education, street to school Orphanage, vocational training Technical skills training disability - physical & social rehabilitation School feeding program Orphanage PP, educational support - construction, music, painting Outreach, temporary centres, reintegration, protection centres/family homes, schools for deaf and blind children, cultural & artistic training, campaign against trafficking and prostititution In need of legal assistance legal aid to those affected by trafficking, awareness of legal rights orphanages, sponsor child education Clinics access to services for OVC/IEC/children support committee/children gathering days Food and educational support and referral to services OVC Impact Mitigation OVC Impact Mitigation OVC Impact Mitigation, Child Protection Prevention of child labour
APPENDIX 2: Examples of OVC Impact Mitigation programmes Cambodian Red Cross (CRC) The CRC OVC project addresses the need for advocacy and leadership on anti-stigma and discrimination through sensitising teachers and community/religious leaders to the impact of HIV and AIDS related stigma and discrimination. Through commune level advocacy forums, members meet to identify and address cases of discrimination and vulnerability, and mobilise community resources in support of OVC and affected families. This strategy has been trialled successfully in Kampot province, where Advocacy Forums are mobilising resources to transport PLHA to Takeo province for OI/ARV treatment, and have successfully addressed numerous cases of discrimination within families and communities. Trained Red Cross and Positive volunteers conduct community education workshops to address stigma and discrimination in target villages. Red Cross establishes referral systems with continuum of care providers, including home care teams, hospitals and health centres, VCCT, TB screening and ARV/OI treatment providers and provides transport if needed to appropriate services to ensure that families and children are provided with treatment preparation and follow-up and also conduct Self-Care workshops for families and carers of children living with HIV and AIDS, and Positive Living workshops for children living with HIV and AIDS. Emergency food support for families is provided on a needs basis In addition, volunteers facilitate nutrition education and will start to support to families to develop home gardens and other income generation activities. Red Cross staff and volunteers will assist affected families with heritage and succession planning, and advocate on behalf of OVC to local authorities and legal channels in cases of loss of property and inheritance rights. In order to reduce their vulnerability, Red Cross facilitate informal life skills training for OVC to define their problems and needs, participate in decisions about their future care and learn about HIV and AIDS through life skills education and youth self-help groups. On a practical level volunteers will organise house repairs, mobilise community support for funerals, and support children who may be caring for sick parents or younger siblings. CRC's proposed OVC strategy is guided by the Convention on the Rights of the Child, UNICEF principles to guide programming for orphans and other children affected by HIV and AIDS, and by the principles and operational guidelines for programming of the International Federation of Red Cross and Red Crescent Societies. CARE Cambodia CARE through its support from The Global Fund will continue to support OVC via vocational trainings, succession planning for the children of seriously ill parents as well as socio-economic support, medical care, nursing care, counseling, and legal support for PLHA children. Succession planning remains a crucial element in the support of OVC and provides a link with PLHA and extended family members. This activity helps both OVC and their families grapple with difficult decisions regarding the future especially in cases where there are no family members left to care for children. Counseling, emotional support for OVC, and the placement of OVC at pagodas and orphanages where necessary will be ensured. For young children the therapeutic playgroups for OVC and non-OVC remain a vital link with the community as well as supporting the reduction of discrimination against children who have been orphaned due to HIV. For older adolescents that have become the de facto head of the family, CARE continues to facilitate
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crucial decisions such as their future planning and academic goals as well as vocational training for older youth.Utilizing lessons learned from previously successful pilots, CARE seeks to expand their vocational training package. Market research on the locally desired vocational trainings and income generation is undertaken. CARE’s extensive experience in mentoring and skills transfer with local partners and beneficiaries is used to increase the sustainability of the project. Catholic Relief Services (CRS) In Prey Veng and Svay Rieng, CRS and its partners use community structures and existing support networks to identify OVC who are the most vulnerable. Support is provided to OVC for basic needs and education, as well as in HIV and AIDS prevention and training caregivers to care for OVC. Community support initiatives such as OVC Community Case Workers are being identified to help care for and monitor the situation of OVC in communities. Caregivers are provided with initial training in how to care for OVC including the importance of access to education access to health, hygiene, HIV prevention, migration and agriculture. CRS also works with pagodas in Prey Veng that support OVC and they were provided with information, education, school materials and the monks were given initial training in OVC care and support, HIV and AIDS stigma and discrimination reduction. Some pagodas were supported to begin savings boxes and strengthen their planning committees to mobilize their communities to address the needs of PLHA and OVC. CRS participates in NAA and provincial level (PAS/PAO/PAC/PHD) meetings and planning sessions. CRS and partners collaborate with other NGOs for exchange visits and information sharing. Regular coordination at the province/district level also takes place to strengthen the CoC referral network and to prevent overlap of services. CRS and partners work closely with and provide support to community structures such as commune councils, village leaders, village health committees/volunteers, farmer groups and PLHA self-help groups to assess and meet the needs of OVC. Priority is placed on building the capacity of local NGO partners, supporting community-led initiatives for PLHA and OVC support and reinforcing already existing initiatives with technical support to improve quality and scale. CRS works with local and provincial Government health and HIV and AIDS authorities to implement the project along the national and provincial guidelines. CRS invites Government and local organizations to participate in training and activities in order to broaden the project’s reach. Family Health International (FHI) FHI’s Living with Hope programme is funded through The Global Fund, working in 4 provinces, Battambang, Kampong Cham, Pailin and Phnom Penh through 9 implementing agencies, supporting 6,000 OVC. The programme adopts a holistic and family based approach to supporting OVC. In addressing the needs of children the programme provides regular home visits, reintegration and follow up of orphans, Child Protection, Vocational Training, Play groups (3-12 years old) and Youth clubs (13-18 years old). To strengthen families to care for OVC the programme works to keep PLHAs alive longer, care for the whole family, support parenting clubs, provide basic food and material support and provide community education and HIV and AIDS awareness raising. To ensure access to health services the implementing agencies provide transport assistance and referrals to health services, link PLHA to health care facilities and provide follow up support through home based care. FHI also strengthen facility-based care through capacity building for health care staff, networking of staff, onsite mentoring and support: clinical and programmatic, strengthening referral systems and improving data management, using the national database. For sustainability FHI recognises that it is important to support what is already there (no parallel systems) and strengthen it further; support government Page 43
policies and allow government to take the lead, which helps to create more ownership; involve government counterparts in every aspect of programming from needs assessment through to monitoring and to involve target populations in delivering and promoting of services. Khmer HIV/AIDS Alliance (KHANA) KHANA’s partners carry out activities by continuing to support the existing Home Care Teams, which provide a range of support and activities for OVC and PLHA. The programmes support “OVC support teams” which are OVC focused sections of the home care team already in existence. These OVC support teams (OST) are composed of NGO staff and community volunteers including PLHA and have close links to the health centre. The teams provide practical care and support to OVC and their families in addition to organizing activities and structures to provide psycho-social care for OVC. Activities include: home visits, counseling, helping families with succession planning, organization of play activities for OVC (Happy Happy programme), supporting access to education or training, promoting involvement of faith based groups, promoting anti-stigma and discrimination and mobilizing community resources to support OVC. In addition, the programme provides psycho-social support for the positive parents of OVC by facilitating their access to PLHA self-help groups where issues related to positive and affected children are often discussed. This direct support to PLHA has been shown to have a positive impact on the lives of OVC and the households in which they live. Each OVC support team supports one self-help group. All the OVC support teams in one province are coordinated at provincial level by the Home care team network, which is staffed by a member of the Provincial AIDS Office. This programme maintains strong links to the Home care team network to ensure effective coverage in each Operational District. Maryknoll Cambodia – Seedling of Hope Child/youth support and development is a core goal of every Maryknoll Cambodia project. In response to the HIV and AIDS situation, Maryknoll started programmes for children infected and affected by HIV and AIDS. Maryknoll’s child-focussed programmes are Little Folks – Children impacted by AIDS and Little Sprouts – Children with AIDS. Little Folks provides support for children with a parent and orphans living with extended family and children living with foster families. Support provided includes education, food, transportation and extensive co-curricular programming. Little Sprouts provides support for children infected with HIV who are living with parents, a family member or in group homes. Support includes homecare, financial support for children living with family members. Group homes provide full care for orphans, including preschooling. ART is also provided. Medication is also provided for mothers and babies (PMTCT), in cooperation with hospitals and homecare is provided for one year. Save the Children Australia (SCA) Supported by funding from The Global Fund Round 5 and the Elton John AIDS Foundation, Save the Children Australia are supporting up to 5,500 OVC and carers affected by HIV and AIDS in Kampong Cham, Phnom Penh, Prey Veng, Siem Reap and Takeo. In order to implement this project effectively, SCA works at the local level through its partnership with Buddhist pagodas and self selected monk teams directly implement project activities in the communities. OVC are the focus of the program and as stated by the children what they want is “to remain in their families”. OVC families are supported. In turn SCA provides technical and financial input, mentoring, monitoring and management support to the monks/pagodas. Beneficiaries are identified by the monks through self referrals and the community networks and according to the developed criteria. The monks and the project staff visit OVC families regularly at their homes Page 44
to check on the welfare of the child (Monitor school attendance, food intake and nutrition, health conditions and child protection) and to be on the alert about any possible or actual incidences of child trafficking abuse or exploitation in the community. The program also advocates for the OVC and their families in the community, seeking to address any stigma or discrimination against them and for the OVC and their carers to have access to basic services including education, health and recreational activities. There is provision of education sessions on child rights and health and nutrition at the beneficiary meetings. Assessments of supported families are conducted to provide small grants to increase income generation. Food support is provided to the families plus extra nutritional support to those PLHA on ARV and all HIV+ children. Child clubs have been set up to hear the voice of the children; allowing children themselves to raise any issues related to their lives. Children are assisted to attend school and progress through school with particular attention to girls. This assistance is in the form of bags books, uniforms, and bikes where needed. The monks also provide community education to reduce discrimination, to reduce domestic violence, and provide HIV and AIDS awareness and prevention information. Strong collaboration with local authorities, health staff and other NGOs has been created to ensure children are protected and gain their rights.
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APPENDIX 3: Maps of Commune Coverage of OVC Impact Mitigation by Province
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APPENDIX 4: Agencies providing support to educational activities
MOEYS/NGO partners in education during 200629 Partner
UNICEF
Save the Children Norway KAPE Room to Read World Education SIPAR
SVA JHP CARE Cambodia ICC CCI UNESCO Voluntary Services Overseas (VSO) Handicap International Belgium Handicap International France DDSP UK Department for International Development Child Rights Foundation ESCUP
29
Area of support given Collaborated with the Ministry to produce materials for Child Friendly Schools, for 6 years old children in kindergarten, for emergency aid class, for bilingual languages, for teacher, principal and office staff training and develop Child Friendly School Program in 6 Provinces (Svay Rieng, Prey Veng, Kampong Thom, Kampong Speur, Steung Treng and Oddor Meanchey) as well as strengthening education along Khmer-Thai border in Kamreang district (Battambang), Sala Krao district (Pailin) and O Bey Chiorn commune (Banteay Meanchey) Collaborated to produce material for Child Friendly School Program, to train, to disseminate and startup Child Friendly School in 6 Provinces (Preah Vihear, Siem Reap, Pursat, Kampong Chhnang, Kampong Cham and Phnom Penh) as well as technique for emergency aid class program. Provided technical assistance in Oddar Meanchey province and some district in Kampong Cham. Organized and provided technical skill on library, material in Kampong Chhnang, Pursat, Battambang, Banteay Meanchey, Kampong Thom, Siem Reap, Preah Vihear and Phnom Penh and building library for above province Organized and provided technical assistance on life skill in Prey Veng. Provided technical assistance on library and materials and repair library in Prey Veng, Svay Rieng, Kampong Speur, Kratie, Kampong Chhnang, Kandal, Kampong Cham, Phnom Penh, Kampot Battambang, Pursat, Banteay Meanchey, Rattanakiri, Steung Trang, Pailin, Sihanouke Ville and Kampong Thom. Provided technical assistance on library and materials and repair library in Banteay Meanchey, Kampong Thom, Kampon Chhnang, Phnom Penh, Kandal, Takeo, Svay Rieng, Battambang, Pursat and Kampot Provided technical assistance on music and materials for Sihanouk Ville, Phnom Penh, Kandal, Kampong Speu, Kampong Cham and Takeo. Developed material for bilingual language class for Kring and Tompuon ethnics in Ratanakiri province. Developed material for bilingual language class for Phnong ethnic in Mondolkiri province. Provided scholarship for minority children in Mondolkiri province Provided fund for international visit on Inclusive Education Program. Provided technical skill for Inclusive Education Program in Koh Kong, Kampot, Mondolkiri, Ratanakiri, Banteay Meanchey and Battambang Supported Inclusive Education Program in Banteay Meanchey and Siem Reap. Supported Inclusive Education Program in Battambang. Supported Inclusive Education Program in Pursat. Provided financial support to mainstream HIV and AIDS education into primary school in Kampong Thom, Battambang and Pailin. Provided support for Koh Thom district (Kandal), Banteay Srey district (Siem Reap) and Dambae district (Kampong Cham) on Child Rights Training. Especially, in school education for children avoiding torture. Provided scholarship to students in primary school in Kratie, Kampong Cham and Mondolkiri province
Taken from the MoEYS Annual Report 2006
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APPENDIX 5: Residential Care Centres in Cambodia Residential Care in Cambodia No
Acronym
1
FCOP
2
ADIJK
3
FCOP
4
FCOP
5
FCOP
6
FCOP
7 8
EDM
9
FCOP
10
FRA
11
FCOP
12
FCOP
13 14
IDM
15
KTPSS
16
FCOP
17
CWCC
18 19 20 21 22
FCOP
23
FCOP
24
KMR
Facility's Full name Four Square Mission International Children of Promise Association of Technical Development for Cambodian Youth Four Square Mission International Children of Promise Four Square Mission International Children of Promise Four Square Mission International Children of Promise Four Square Mission International Children of Promise Orphans of New Hope Enfant De Mekong Four Square Mission International Children of Promise Children's Family Development Four Square Mission International Children of Promise Four Square Mission International Children of Promise Goutte D'eau World Orphanage Krousar Thmey Child Protection in Sisophon Four Square Mission International Children of Promise Cambodian Women Crisis Center Don Bosco Poipet Orphanage Center Hope of Cambodian Christian Children's Home Kruosar Thmey Child Poipet Street Children Lataste Education Center Four Square Mission International Children of Promise Four Square Mission International Children of Promise Komar Rikreay
25
Provincial Orphanage I
26
Provincial Orphanage II
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Commune/ District Bakong Commune, Malay District Kampong Svay Commune, Serey Sisophon District Kampong Svay Commune, Serey Sisophon District Malay Commune, Malay District
Province Banteay Meanchey Banteay Meanchey Banteay Meanchey Banteay Meanchey
Mongkol Borey District
Banteay Meanchey
Mongkol Borey District
Banteay Meanchey
Mongkol Borey District Oambil Commune, Serey Sisophon District Oambil Commune, Serey Sophon District Poipet Commune
Banteay Meanchey
Poipet Commune
Banteay Meanchey
Poipet Commune
Banteay Meanchey
Poipet Commune Preah Net Preah District Teuk Thlar Commune, Serey Sisophon District
Banteay Meanchey Banteay Meanchey
Tmor Pouk District
Banteay Meanchey
Banteay Meanchey Banteay Meanchey Banteay Meanchey
Banteay Meanchey
Banteay Meanchey Banteay Meanchey Banteay Meanchey Banteay Meanchey Banteay Meanchey Banon District Chamkar Samroang Commune Chamkar Samroang Commune Chamkar Samroang Commune Chamkar Samroang Commune
Battambang Battambang Battambang Battambang Battambang
27
FCOP
28
FCOP
29
FCOP
30
ICT
31 32 33 34
SOS-KDI
Four Square Mission International Children of Promise Four Square Mission International Children of Promise Four Square Mission International Children of Promise Islamic Culture Center Metakarona Org (Mercy) Phare Ponleu Silpak SOS Child Village Wat Daun Puk Child Center
35
NLM
New Life Mission
36
PFH
Peace Center II
37
FCOP
38
FCOP
39 40
MPK NPC
Four Square Mission International Children of Promise Four Square Mission International Children of Promise Meatophum Komar Norea Thibdey Peace Center
41
SOKOMA
Sovannphum Komar Center
42 43 44 45
47 48 49 50
52 53 54 55 56 57
KT KT GC VCAO
58 59 60
Battambang
Lvea Commune, Bavel District
Battambang
Moung Russey District
Battambang
Norea Commune, Sangke District Ochar Commune Ochar Commune Ochar Commune Ochar Commune O'Dambang Commune, Sangkae District O'Dambang Commune, Sangkae District Prek Preah Sdach Commune Prey Kpos Commune, Bavel District Ratanak Commune Sangkae Commune Somneas Commune, Aek Phnom District
ASPECA Borei Orphnage Battambang I Children of Love Knarch Romeas Children Without Borders of Japan Kien Kes Health Education Network New Life of Youth Asia Cambodia Christian Sofurs Dela Providence (JS) Sprout Knowledge Orphanage Vocational Skills Training Samrong Khnong Center
46
51
Kamreang Dist, BTB
FCOP
Krousar Thmay I Chamnik Islamic Orphanage Krousar Thmay II Global Care State Orphanage Vulnerable Child Assistance Org. AFESIP Four Square Mission International Children of Promise (Knar Sor) Center of Capacity Building and Hope Four Square Mission International Children of Promise
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Battambang Battambang Battambang Battambang Battambang Battambang Battambang Battambang Battambang Battambang Battambang Battambang Battambang Battambang Battambang Battambang Battambang Battambang Battambang Battambang Battambang
Beungkuk Village, Kampong Cham Krouchmar District Sambomeas Commune Vealvong Com Vealvong Commune Vealvong Commune
Kampong Cham Kampong Cham Kampong Cham Kampong Cham Kampong Cham Kampong Cham Kampong Cham Kampong Cham
Kampong Chhnang District
Kampong Chhnang
Kampong Tralach District
Kampong Chhnang
61
Kreang Lvea Orphanage
62
FCOP
63
FCOP
64
FCOP
65
Four Square Mission International Children of Promise Four Square Mission International Children of Promise Four Square Mission International Children of Promise Teukhot Islamic Orphanage
66 67 68 69
AFS
70
FGAC
71
Association of French Solidarity State Orphanage Viri Ya Dhama Cambodia Church (New Hope for Orphans) Full Good News All Over Cambodia State Orphanage Four Square Mission International Children of Promise
Krang Lvea Commune, Samaky Meanchey District
Kampong Chhnang
Paea Commune
Kampong Chhnang
Preykhmer Vil, Roleapaea District
Kampong Chhnang
Roleapaea District
Kampong Chhnang
Teukhot Com, Roleapaea District
Kampong Chhnang
Chbamon District
Kampong Chhnang Kampong Chhnang Kampong Chhnang Kampong Speu
Chbamon District
Kampong Speu
Chbamon District
Kampong Speu
Phnom Srouch District
Kampong Speu
72
FCOP
73
Our Home
Our Home
Phnom Srouch District
Kampong Speu
74
SOS
Phnom Srouch District
Kampong Speu
75
CADPP
Samroang Torng District
Kampong Speu
76
CCFC
SOS Child Village Cambodian Association for Development of Poor People Center Care for Cambodia Four Square Mission International Children of Promise Sun Light House Four Square Mission International Children of Promise Four Square Mission International Children of Promise Orphans Caring and Training Association
Samroang Torng District
Kampong Speu
Samroang Torng District
Kampong Speu
Samroang Torng District Svaykravann Commune, Chbamon District
Kampong Speu
77 78
ACI
79
FCOP
80
FCOP
81 82
Kampong Speu Kampong Speu Kampong Speu
State Orphanage
Acharleak Commune, Steung Sen District
Kampong Thom
83
SRBC LWFI
Church
Baray District
Kampong Thom
84
ICC FCOP
86
FCOP
87
FCOP
88
FCOP
89
SOLC
Baray District Chhouk Ksach Commune, Baray District Chhouk Ksach Commune, Baray District Chung Dong Com, Baray District Chung Dong Commune, Baray District Kampong Svay District
Kampong Thom
85
90
FCOP
International Care for Children Four Square Mission International Children of Promise Four Square Mission International Children of Promise Four Square Mission International Children of Promise Four Square Mission International Children of Promise Shelter of Love Four Square Mission International Children of Promise
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Krava Vill, Baray District
Kampong Thom Kampong Thom Kampong Thom Kampong Thom Kampong Thom Kampong Thom
91
FCOP
92
FCOP
93
FCOP
94
FCOP
95
FCOP
96
CCSO
97
FCOP
98
ASPECA
99
RSEAC
100
KCDI
101 102
FZH
103
FCOP
104
FZH
105
PFCHHI
106
UNACAS
107
Four Square Mission International Children of Promise Four Square Mission International Children of Promise Four Square Mission International Children of Promise Four Square Mission International Children of Promise Four Square Mission International Children of Promise Cambodian Child Saving Organization Four Square Mission International Children of Promise ASPECA Cambodian-Kuwait Islamic Culture Training Org Khmer Culture Development Institute Cambodian, French and Hungarian Alliance Center Foundation of Zaninhe Ho (Ly Baby) Four Square Mission International Children of Promise Foundation of Zaninhe Ho (Ly Baby) Peace Child Center I (Komar Santepheap I) Association for People without Support Hopeless People Saving Organisation
108
KT
Krousar Thmey
109
MMA
Marist Mission Australia/ Lavalla School
110
Cambodian Child Saving Org
111
HCC
Good Day Center
112
KT
Kporb Veng Krousar Thmey
113
Fund Allocation Org
114
COS
Children of Emanho El
115
FCOP
Four Square Mission International Children of Promise
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Leav Vill, Baray District
Kampong Thom
Prasat Commune Santok District
Kampong Thom
Santok District
Kampong Thom
Srayol Cheung Village, Steung Sen District Srayol Tbong Village, Steung Sen District Steung Sen District Trapaing Veng Village, Steung Sen District Kampong Bay District
Kampong Thom Kampong Thom Kampong Thom Kampong Thom Kampot
Kampong Bay District
Kampot
Kampong Bay District
Kampot
Bakou Commune, Kandal Steung District Bakou Commune, Kandal Steung District Bakou Commune, Kandal Steung District Beung Kyang Commune, Kandal Steung District Chheuteal Commune, Kean Svay District Kambol Commune, Angsnoul District Kambol Commune, Angsnoul District Kampong Samnanh Commune, Takmao District Kampong Samnanh Commune, Takmao District Kantok Commune, Angsnoul District Kien Svay District Kporb Veng Vil, Kampong Samnanh Commune, Takmao District Phumthom Commune, Kean Svay District Pich Commune, Angsnoul District Prek Dach Commune, Leuk Dek District
Kandal Kandal Kandal Kandal Kandal Kandal Kandal Kandal Kandal Kandal Kandal Kandal Kandal Kandal Kandal
116
KT
117
Prek Russey Krousar Thmey Punleu Komar Kampuchea Organization Foundation of Zaninhe Ho (Ly Baby)
118
FZH
119
ACF
Arunreah Children Foundation
120 121 122 123 124 125 126 127
HIS ROC HAGAR
His Child International Neang Ros Orphanage Hagar Foster Family State Orphanage Cambodian Children Association New Hope for Orphans Omriyas Center State Orphanage Four Square Mission International Children of Promise Four Square Mission International Children of Promise State Orphanage Four Square Mission International Children of Promise Khmer Federation for Christ International Four Square Mission International Children of Promise Four Square Mission International Children of Promise State Orphanage (Supported by ASPECA) Child and Poor Community Development Center Kehak Reangsey Center
CCA RIHS
128
FCOP
129
FCOP
130
EEA
131
FCOP
132
KFCI
133
FCOP
134
FCOP
135 136 137 138
ZCA
Zenin Children's Association
139
GSM
Good Shepherd Mission
140
ASPECA
ASPECA Chey Chom Neas
141
Missionaries of Charity
142
Poor People Development Org
143
CCASVA
Cambodian Children Against Starvation an Violence Association
144
Children's Future Light Center
145
Choam Chao Islamic Orphanage (Kuwait-Cambodia Orphanage)
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Prek Russey Commune, Takmao District Prek Russey Commune, Takmao District Prek Thmey Commune, Kean Svay District Rokar Kpos Commune, Saang District Takmao District Takmao District Sangkat Preythom Kampong Seila District Smach Meanchay District Smach Meanchay District
Kandal Kandal Kandal Kandal Kandal Kandal Kandal Kep Kep Koh Kong Koh Kong Koh Kong Kratie
Sen Monorom District
Mondolkiri
Sen Monorom District
Mondolkiri
Anlong Veng District
Otdar Meanchey
Anlong Veng District
Otdar Meanchey
Samroang District
Otdar Meanchey
Trapaing Prasat District
Otdar Meanchey Pailin
Phnom Penh Thmey
Phnom Penh
Prek Pra Sangkat Beung Kak II, Toul Kok Sangkat Beung Keng Kang I, Khan Chamkar Mon Sangkat Beung Keng Kang III, Khan Chamkar Mon Sangkat Beung Prolit, Khan 7 Makara Sangkat Beung Salang, Khan Toul Kok, PP Sangkat Beung Tompun, Khan Meanchey Sangkat Chomchao, Khan Dangkor Sangkat Chomchao, Khan Dangkor
Phnom Penh Phnom Penh Phnom Penh Phnom Penh Phnom Penh Phnom Penh Phnom Penh Phnom Penh Phnom Penh
146
Khmer-American Orphanage
147
WOV
Woman and Orphan Vocational Training Center
148
KKO
Kean Kleang Orphanage
149
SFODA
150
CCPSO
151
SOS
SOS Child Village
152
EAA
Asian Child Center (ASPECA)
153
ASPECA
ASPECA Beung Trabek
154
AOA
Asian Orphan Association
Sacrifice Family and Orphan Development Association Cambodian Child Protection and Saving Org
155
Child Nutrition Center
156
Kolab 4 Center
157
Hargar FHP
Hagar-Family Help Project (Toul Kok)
158
ASPECA
ASPECA Toul Sleng
159 160 161 162 163
Poor Person Rescue Center AFESIP AAA
164 165 166 167 168 169 170 171 172 173 174 175 176 177
HAGAR
New Child Association AFESIP Apsara Arts Association Cambodia Children's Fund Foursquare Children of Promise Chaom Chao Hagar Foster Home Hagar Shelter Home of Hope Center Jeannine's Children Association Krousar Thmey Temporary Shelter (Street Children) Krousar Thmey Temporary Shelter (Street Children) Kruosar Thmey Permanent Home Kuwait-Cambodia Orphanage Maryknoll Maryknoll House #3 Maryknoll House #4 Maryknoll House #5 Maryknoll House #6
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Sangkat Chomchao, Khan Dangkor Sangkat Chomchao, Khan Dangkor Sangkat Chroy Changva, Khan Russeykeo Sangkat Chroy Changva, Khan Russeykeo Sangkat Kakab, Khan Dangkor, PP Sangkat Phnom Penh Thmay, Khan Russeykeo Sangkat Phnom Penh Thmay, Khan Russeykeo, PP Sangkat Psa Deum Tkov, Khan Chamkar Mon Sangkat Samroang, Khan Dangkor Sangkat Sras Chak, Khan Daun Penh Sangkat Teuk Laak III, Khan Toul Kok Sangkat Toul Sangke, Khan Russeykeo Sangkat Tuol Svay Prey I, Khan Chamkar Mon Sankat Chba Ampov 2, Khan Mean Chey Sankat Psar Kandal 1
Phnom Penh Phnom Penh Phnom Penh Phnom Penh Phnom Penh Phnom Penh Phnom Penh Phnom Penh Phnom Penh Phnom Penh Phnom Penh Phnom Penh Phnom Penh Phnom Penh Phnom Penh Phnom Penh Phnom Penh Phnom Penh Phnom Penh Phnom Penh Phnom Penh Phnom Penh Phnom Penh Phnom Penh Phnom Penh Phnom Penh Phnom Penh Phnom Penh Phnom Penh Phnom Penh Phnom Penh Phnom Penh
178 179 180 181 182 183 184 185 186
LLC
187
SCADP
188 189 190 191
FCOP
192
FCOP
193
FCOP
194
FCOP
195 196 197 198 199
FCOP
200
G'E
201
FCOP
202
COPF
203
FCOP
204
State Orphanage
205
FCOP
206
FCOP
207 208
Maryknoll House #7 Maryknoll House #8 National Action Culture Association Neavear Thmey Center, World Vision New Hope for Orphans Our Home (Sakarach 1) Our Home (Sakarach 2) Save the Orphan, Old and Poor People Organization Sovannphum Komar Center Street Children Assistance and Development Programme Sure Destiny The Cambodian Center For the Protection of Child's Right Tompaing Snorng Russey Center, World Vision Four Square Mission International Children of Promise Four Square Mission International Children of Promise Four Square Mission International Children of Promise Four Square Mission International Children of Promise State Orphanage Foundation of Cambodian Orphans Foundation of Hope State Orphanage Four Square Mission International Children of Promise Goutte D'eau Four Square Mission International Children of Promise Center for Orphans and Poor Families (Havest) Four Square Mission International Children of Promise
Four Square Mission International Children of Promise Four Square Mission International Children of Promise Four Square Mission International Children of Promise Four Square Mission International Children of Promise
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Phnom Penh Phnom Penh Phnom Penh Phnom Penh Phnom Penh Phnom Penh Phnom Penh Phnom Penh Phnom Penh Phnom Penh Phnom Penh Phnom Penh Phnom Penh Chheanmuk Commune, Tbeng Meanchey District
Preah Vihear
Choam Ksan District
Preah Vihear
Panhal Commune, Tbeng Meanchey District
Preah Vihear
Roveang District
Preah Vihear
Tbeng Meanchey District
Preah Vihear
Kampong Leav District
Prey Veng
Kampong Leav District Kampong Leav District
Prey Veng Prey Veng
Kampong Trabek District
Prey Veng
Peam Ror District Preynhy Commune, Sampov Meas District Ptasprey Commune, Sampov Meas District Ptasprey Commune, Sampov Meas District Ptasprey Commune, Sampov Meas District Samroang Commune, Kravanh District Tnoat Chrum Commune, Krakor District
Prey Veng Pursat Pursat Pursat Pursat Pursat Pursat Ratanakiri Ratanakiri
209
FCOP
210
KT
211
FCOP
212
FCOP
213 214 215
KT SOS
216 217
FCOP
218 219 220 221
KT
222 223 224 225 226 227 228 229
FCOP
230
KT
231
KT
232
AOG
233
Four Square Mission International Children of Promise Kroursa Thmey Permanent Home 1 Four Square Mission International Children of Promise Four Square Mission International Children of Promise Krousar Thmey SOS Child Village Christian Church Children of Angkor (Angkor Children Association) Four Square Mission International Children of Promise Sunrise Orphanage (Former State Orphanage) Angkor Orphanage, Siem Reap Cambodian Women Crisis Center Kroursa Thmey Permanent Home 2 Kroursar Thmey Street Children Center New Life of Youth Asia Cambodia Christian Sangkheum Center for Children Snardei Khmer Sunrise Angkor Children Village Watt Preah Yesu Children's Home State Orphanage Four Square Mission International Children of Promise Krousar Thmay Permanent Home I Krousar Thmay Permanent Home II Orphanage (Assemblies of God) Association of Cambodian Orphans and Poor Children
234
Home for Orphans
235
Heritage Home
236 237
FCOP
238
FCOP
239 240
ASPECA
241
M'lop Tapang Helping Street Children Four Square Mission International Children of Promise Four Square Mission International Children of Promise Reda Orphanage ASPECA (Village Enfants D' Asie) Cambodian Center - Protectionof Child's Rights
Page 78
Chikreng District
Siem Reap
Kokchor Commune
Siem Reap
Kralanh District
Siem Reap
Pouk District
Siem Reap
Slorkram Commune Slorkram Commune Srornge Commune
Siem Reap Siem Reap Siem Reap
Svay Dangkom Commune
Siem Reap
Svay Dangkom Commune
Siem Reap
Svay Dangkom Commune
Siem Reap Siem Reap Siem Reap Siem Reap Siem Reap Siem Reap
Sangkat 3, Khan Mitpheap
Siem Reap Siem Reap Siem Reap Siem Reap Sihanoukville
Sangkat 4, Khan Mitpheap
Sihanoukville
Sangkat 4, Khan Mitpheap
Sihanoukville
Sangkat 4, Khan Mitpheap
Sihanoukville
Sangkat 4, Khan Mitpheap Village 2, Sankat 1, Khan Mithpheap Village 2, Sankat 3, Khan Mithpheap Village 3, Sankat 4, Khan Mithpheap
Sihanoukville Sihanoukville Sihanoukville Sihanoukville Sihanoukville
Sras Ruessei Commune
Stung Treng
Romduol District
Svay Rieng
Svay Chrom District
Svay Rieng Svay Rieng Svay Rieng
242 243 244 245
FCOP
246 247
FCOP
Career Resource Center State Orphanage Kampong Youl Islamic Orphanage Four Square Mission International Children of Promise Provincial Orphanage Four Square Mission International Children of Promise
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Borey Cholsar District
Svay Rieng Svay Rieng Takeo
Daun Keo District
Takeo
Daun Keo District
Takeo
Tramkak District
Takeo