Cambodia

Report of activities 2019

MAGNA has been working in Cambodia since 2002, when it started providing treatment and support to HIV-positive patients. It is one of the country’s largest aid providers in the fight against AIDS.

MAGNA is at present the main partner of the Ministry of Health and the national program for the fight against HIV/AIDS, as well as mentoring on chronic patients’ mental health. The therapies MAGNA introduced have now been rolled out throughout the country.

Apart from orphan care, we operate health programs in hospitals such as the national children’s hospital and district hospitals in Siem Reap, Battambang, Takeo and Kampong Cham provinces.

Our program has made possible comprehensive development of a process for preventing mother-child HIV transmission in 99.6 percent of all cases.

The situation in the country

Cambodia is one of southeast Asia’s poorest countries. Its population in 2019 was around 16.5 million. Official statistics record 13.5 percent of the population below the poverty line, with two thirds below poverty level in some agricultural areas. The situation is all the more serious as millions live barely above the determined poverty line. The country also has a large long-standing gap in health care levels and a disturbingly high incidence of infectious and chronic diseases. Health centres lack equipment, and health professionals often have insufficient education and limited possibilities to satisfy the health needs of those living in remote areas of the country.

The brutal Khmer Rouge regime over four years (1975-1979) murdered a quarter of the population, with death counts estimated at 1.5 to 3 million. The Vietnamese army defeated the Khmer Rouge in the late 1970s and early 80s, but Cambodia finally revived only late in the century. Still, poverty and hunger were pervasive. The HIV/AIDS epidemic struck Cambodia in the late 1990s, caused by soldiers sent in a UNTAC contingent. The result was hundreds of thousands of HIV/AIDS infections and tens of thousands of deaths.

HIV/AIDS

In recent years Cambodia has focused on expanding comprehensive HIV/AIDS treatment and providing medical assistance to poor people and vulnerable groups. The government’s aim is for ailing people to have better access to antiretroviral therapy, affording HIV-positive patients improved longevity and quality of life. Yet comprehensive observation of their ongoing health condition and psychosocial care remain insufficient. This has led to a high risk of virological failure.

The overall goal of MAGNA programmes is to decrease mortality and morbidity in paediatric patients, adolescents, and pregnant women living with HIV, through creating and implementing an integrated approach to treatment and care and psychosocial support programs. The activities improve paediatric inpatient and outpatient services for children living with HIV/AIDS, facilitating access to  medical assistance including antiretroviral therapy and testing, as well as preventing mother-child HIV transmission through a network of health facilities. The project further focuses on securing social care for PLHIV in transitional home settings and providing health educational activities for children and communities.

With the to better address psychosocial issues in the context of HIV, the program increases the community’s involvement in the treatment, care, and support of PLHIV and their families. The programs implemented in the country maximize retention and enhance the quality of care for patients, and minimize patient morbidity and mortality. This program integrates medical treatment, patient education, and emotional and social support in a comprehensive solution. To achieve this goal, the programme also works on strengthening links between health facilities and community-based care. This complex approach leads to improved efficacy and durability of antiretroviral therapy and optimized adherence to treatment to prevent virologic failure.

In all, it has been possible to help adolescent and paediatric HIV patients from selected hospital cohorts come to terms with typical developmental issues and learn to trust themselves thanks to improved knowledge on maintaining and managing treatment and reproductive health, including coping with SGBV.

Patients participated in 13,920 individual counselling sessions at three sites for children and adolescents (5,868 paediatric and 8,052 adolescent patients), and 6,742 medical consultations with 1,644 virus load tests.

68 support groups were hosted, to prepare transitioning from a children’s therapy program to one for adults. 38 physicians and counsellors underwent training in consulting on improved adherence to treatment.

MAGNA has been working in Cambodia  since 2002.

ACTIVITIES IN NUMBERS

3,295
CHILDREN IN HIV/AIDS PROGRAMS

21,339
OUT-PATIENT CONSULTATIONS

38
HEALTH WORKERS EDUCATED IN IMPROVING PATIENT ADHERENCE

FINANCES

In 2019 MAGNA expended € 152,508 in Cambodia on operating health programs and humanitarian assistance.

Every year your donations cover thousands of treatments and vaccinations.

How are your donations used
98%
medical projects

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