MDG Data at Sub-national Level: MDG Data at Sub-national Level: The Experiences of Cambodia The Experiences of Cambodia

Bangkok, Thailand, 14-16 January 2009

MDG Monitoring Workshop

Lay ChhanLay ChhanNational Institute of Statistics (NIS)Cambodia

MDG Monitoring Workshop, 14-16 Jan 2009, BKK, Tahiland

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OutlineOutline

Background Objective Key Data Sources for MDG

Monitoring Challenges

MDG Monitoring Workshop, 14-16 Jan 2009, BKK, Tahiland

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BackgroundBackground

Cambodia adapted global MDGs in September 2000 and localized in 2003 with a comprehensive consultation have been made through “National Poverty Forum”, including public sector, private sector, civil society and other international organizations

CMDGs sets a clear target base periodic of every five year 2005 and 2015. In addition to 48 global indicators, over 100 CMDG indicators are included

Sub-national and gender-based coverage have been identifies for MDG monitoring

MDG Monitoring Workshop, 14-16 Jan 2009, BKK, Tahiland

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ObjectiveObjective

Identify specific target population to allow for policy decision-making and programming

Allow government and development partners to identify budget allocation and package programs

Encourage local base civil society organizations engagement and development

MDG Monitoring Workshop, 14-16 Jan 2009, BKK, Tahiland

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Administrative recordsAdministrative records Health Information System (HIS) Education Management Information

System (EMIS) Commune Database System (CDBS) etc.

CensusCensus Population Census

• 1998• 2008

Key data sources for MDG at sub-Key data sources for MDG at sub-national level (1)national level (1)

MDG Monitoring Workshop, 14-16 Jan 2009, BKK, Tahiland

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National sample surveys Cambodia Socio-Economic Survey (CSES) Cambodia Demographic and Health Survey

(CDHS) Cambodia Inter-Censal Population Survey

(CIPS) Labor Force Survey of Cambodia (LFS)

Ad hoc surveys HIV Sentinel Surveillance (HSS) Behavioral Sentinel Surveillance (BSS) STI Sentinel Surveillance (SSS)

Key data sources for MDG at sub-Key data sources for MDG at sub-national level (2)national level (2)

Example 1: HIS (MCH, TB, Malaria)Example 1: HIS (MCH, TB, Malaria)

Provincial Level Provincial Level Provincial Level Provincial Level

Data availabilityData availability- Immunization register- Birth spacing register- Delivery register- Laboratory register- Hospitalization register- TB survey- etc.

MOH/DPHIMOH/DPHI(HIS)(HIS)

Provincial Provincial Health Health DepartmentDepartment

Operational Operational District OfficeDistrict Office

Referral Referral HospitalHospital

Health Health CenterCenter

Health Health PostPost

District Level District Level District Level District Level

National Level National Level National Level National Level

Data availabilityData availability- Immunization register- Birth spacing register- Delivery register- Laboratory register- Hospitalization register- TB survey- etc.

MDG Monitoring Workshop, 14-16 Jan 2009, BKK, Tahiland

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Data items collected through the school census Primary Secondary Tertiary/technical and vocational training

Administrative units classification included School mapping School cluster Province District

Area classification Urban Rural Remote

Gender and age group Disadvantage group

Disabled students Migrant family/pro-poor family Orphan

Example 2: EMIS (Primary and Example 2: EMIS (Primary and secondary enrollment ) secondary enrollment )

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Example 3: Commune Database Example 3: Commune Database SystemSystem

Commune database system Nationwide coverage, totally 1,621 communes Contains basic socio-economic data collected

at village level, for example:• Data on birth, infant mortality and death;• Family planning, maternal and child health; • Water and sanitation;• Labor force and employment; and• Other related basic information for most MDG

indicators Database is managed by Provincial

Department of Planning and Statistics

MDG Monitoring Workshop, 14-16 Jan 2009, BKK, Tahiland

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CSES was conducted since 1993/94 by National Institute of Statistics, which is a large scale sample survey with a regular basis of every five year

CSES (a light scale survey) is conducted annually from 2007

CSES contains a lot of data for most MDG indicators and allows the represent of data by provinces and regions and population sub-groups: Ecological zone/group of provinces (Plain, Tonle Sap

lake, Coastal and Mountain and Forest ) Type of area (Phnom Penh, Urban and Rural) Provinces/municipalities Socio-economic groups (gender, ethnicity, income

groups, etc.)

Example 4: Cambodia Socio-Example 4: Cambodia Socio-Economic Survey (CSES)Economic Survey (CSES)

MDG Monitoring Workshop, 14-16 Jan 2009, BKK, Tahiland

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Within this system, the National Center for HIV/AIDS, Dermatology and STDs (NCHADS) play a leading role in conducting of three surveys that are repeated on a regular basis (HSS, BSS and SSS) to monitor HIV/AIDS in Cambodia:

Data such as HIV prevalence, condom use and access to prevention programs were grouping as follow: Sector (urban/rural) Gender and age group At most risk population groups (MSM, IDU and direct

and indirect female sex workers ) At risk population groups (Military, Police and Motor-

taxi drivers) Pregnant women attending ANC

Example 5: National Surveillance Example 5: National Surveillance System (HIV/AIDS & STDs)System (HIV/AIDS & STDs)

MDG Monitoring Workshop, 14-16 Jan 2009, BKK, Tahiland

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Key challengesKey challenges

Lack of data for most indicators at sub-national level

Lack of capability/statistical literacy at local level, even as the sufficient of facilities

Limitation of quality control of data at sub-national level (data timeliness and data availability)

Lack of donors support/project-base local statistical units

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Thank you very much for your Thank you very much for your attention!attention!