Year 1:

A) Project Partnership results:

1. Advisory Board’s Secretariat has adopted a set of written internal regulations and divided tasks and responsibilities among its members.

2. Advisory Board members have been nominated by the partners.

3. Pre-Identification is carried out by NGO according to MoPlanning rules and Equity Cards have been distributed.

4. Base-line study conducted by CAS.

5. Pre ID data have been analysed and subsidy was decided in terms of level and beneficiaries.

6. Project Inception meeting of Partnership in Banteay Meanchey has been held.

7. Presentation on the result of the base-line study to the Advisory Board.

8. An initial special Insurance Benefit Package is designed.

9. Field visit to Ang Roka by Advisory Board members was done.

10. A proposal to expand the project scope to include high blood pressure is presented to the Advisory Board.

 

B) Project Implementation results.

a)    The Pre Identified Poor purchase subsidized health insurance.

b)    One peer educator established in each of 5 health center coverage areas with routine assessments.

c)    Contracts are made with ODO and the pharmacy and the Referral Hospital.

d)    250 people with diabetes detected and insured by CAAFW.

e)    Specialized medical consultations given to the detected diabetes patients.

f)     Revolving Drug Fund is functioning. 

Year 2:

A) Project Partnership results:

11. Qualitative and quantitative survey of beneficiaries and non beneficiaries

12. The implementers present a “projection” to the Advisory Board of the future, based on extrapolation of project activities.

13. Analysis of last evaluation study results followed by workshop with full Advisory Board in Banteay Meanchey province, resulting in recommendations;

14. Elements of the project activities are incorporated into the Operational District and into the Provincial Annual Operational Plan of Banteay Meanchey and its budget plan.

 

B) Project Implementation results           

g)    Continuation of health insurance coverage for subsidized Pre Identified Poor.

h)   One peer educator established in each 10 health center coverage areas

i)     One Diabetes Program Manager selected among the Peer Educators is appointed and agreed by OD as Diabetes Program Manager, the network responsible.

j)     500 people with diabetes detected and insured by CAAFW

k)    High blood pressure detection started in selected Health Center coverage areas with creation of self-managing high blood pressure groups in each village;

l)     Specialized medical consultations given to the detected diabetes and high blood pressure patients.

m)  Randomized samples show that two-thirds of DM patients, registered more than 6 months as member of the Peer Education network, are self recording progress, they have an HbA1c of <7.5%, improved Blood Pressure, improved Bodyweight, improved knowledge and understanding, report to spend less on their health than before, and report improved quality of life.

n)   Project assessment 2 and 3 (with at least 6 months interval) are carried out in each health center coverage area (of the 10) where there is trained peer educator and sufficient DM patients registered for more than 3 months. 

Year 3:

A)  Project Partnership results:

15. Analysis of evaluation study results followed by workshop with full Advisory Board in Banteay Meanchey province, resulting in recommendations with regards to preparations of scale up to other OD’s in Banteay Meanchey and other OD’s in Cambodia.

16. Elements of the project activities were incorporated into the relevant Operational District and Provincial Annual Operational Plans.

17. Report on  the Post-intervention study conducted by CAS.
     

B)  End of Project Implementation results         

o)    Continued health insurance coverage for subsidized Pre Identified Poor.

p)    One peer educator established in 10 health center coverage areas, forming a functional empowered network representing 1500 chronic patients (500 DM and 1000 HBP).

q)    Chronic patients entitled to special benefits and insured by CAAFW.

r)     High blood pressure activity is underway in all health center coverage areas.

s)    Specialized medical consultations given to the detected patients according to medical “needs” and covered by social health insurance.

t)     Project assessments (with at least 6 months interval) are carried out in all health center coverage areas where there is a peer educator and sufficient diabetes patients and high blood pressure patients registered more than 3 months in the program.

u)   Revolving Drug Fund is providing access to good quality prescription drugs for Diabetes and High blood pressure which is affordable for all patients who are registered as insured, and if necessary with partial subsidy for level 1 Poor and level 2 Poor.

v)    Randomized samples show that two-thirds of DM patients, registered more than 6 months as member of the Peer Education network, are self recording progress, they have an HbA1c of <7.5%, improved Blood Pressure, improved Bodyweight, improved knowledge and understanding, report to spend less on their health than before, and report improved quality of life.

w)   Randomized samples show that two-thirds of High Blood Pressure patients, registered more than 6 months as member of the Peer Education network, are self recording, have improved blood pressure, improved body weight, and improved knowledge and understanding.