Maternal, newborn, child and adolescent health

Scaling up child survival interventions in Cambodia

The cost of national programme resource needs: final report, 19 June 2007

Collins, David; Lewis, Elizabeth; Stenberg, Karin; Basic Support for Institutionalizing Child Survival Project; World Health Organization; USAID

Publication details

Number of pages: 150
Publication date: 2007
Languages: English



Child mortality is high in Cambodia, with 60 000 children under five dying every year. The Cambodia Child Survival Strategy (CCSS) outlines the approach to reducing child mortality in Cambodia, to achieve MDG4, by reaching universal coverage of a set of essential evidence-based, cost-effective interventions.

Under the CCSS, twelve "scorecard interventions" have been chosen to assess progress towards improving child survival: early initiation of breastfeeding; exclusive breastfeeding; complementary feeding; Vitamin A supplementation; measles and tetanus toxoid immunization; insecticide-treated bed nets; malaria treatment; dengue vector control; oral rehydration therapy; antibiotics for pneumonia; and skilled birth attendance.

CAH supported a study that developed cost estimates for scaling up the scorecard interventions and related activities. Based on the action plans developed by national programmes for the CCSS, at least US$80 million will need to be invested 2007-2010 to achieve the target coverage levels.

The cost estimates are a major input for determining resource needs and financing gaps for child survival, and can be used for advocacy and resource mobilization, and to develop a strategy for financing the implementation of the scorecard interventions to improve child survival.

This report provides an overview of the cost estimates and the methodology used to derive them. The report was prepared in collaboration with the United States Agency for International Development (USAID) through the Basic Support for Institutionalizing Child Survival (BASICS) Project, under the stewardship of the Ministry of Health of Cambodia.