Cambodia Nutrition Project April 2019- June 2024 Overview Beneficiaries and Cambodia has made steady and significant progress on key maternal and child health and Location nutrition outcomes. With strong commitment and a willingness to innovate in service delivery, the country achieved most of its health-related Millennium Development Goals, including those for maternal and child mortality. However, disparities continue to put human capital formation at risk, particularly for rural and poor populations. Neonatal mortality has not declined proportionately as a share of under-five deaths, and maternal and child undernutrition remains high. In 2014, about one in three children under-five was stunted (low height-for-age) and one in ten was wasted (low weight-for-height). Maternal undernutrition is also common. Poor health and nutrition during pregnancy contributes to the burden of infants born with low birth weight, child undernutrition, and maternal and neonatal mortality. Accelerating progress on maternal and child health and nutrition outcomes in Cambodia will require: optimal health, nutrition, and hygiene behaviors, including breastfeeding and complementary feeding; improved accessibility and quality of health and nutrition services; better access to and affordability of nutritious diets; improved use of safe water supply and sanitation; and enhanced support for child care and stimulation, especially for working mothers. Through optimal early childhood health and nutrition, all Cambodian children will benefit from a smart, healthy start to fulfill their potential to learn, innovate, and earn. With focused investments, Annually, up to 41,000 infants, 200,000 the Royal Government of Cambodia will scale up its priorities and achieve sustainable improvements children under five and 427,000 women in nutrition, neonatal survival, and routine immunization in seven provinces with lagging of reproductive age in Ratanak Kiri, outcomes. Mondul Kiri, Kratie, Stung Treng, Preah Vihear, Kampong Chhnang, and Koh Kong provinces.a Key Statistics Maternal Mortality rate 2000: 437 per 100,000 live births 2014: 170 per 100,000 live births Neonatal mortality rate 2000: 37 per 1,000 live births 2014: 18 per 1,000 live births About the Project Under-five mortality rate 2000: 83 per 1,000 live births The Cambodia Nutrition Project aims to improve utilization and quality of priority maternal 2014: 35 per 1,000 live births and child health and nutrition services in the first 1000 days of life. It will do so by: Under-five Stunting Strengthening the delivery of priority health services by leveraging the Health Equity 1. Fund (HEF), National Quality Enhancement Monitoring Program, and Service Delivery 2000: 50% 2014: 32% Grants (SDG) to improve the supply-side availability, accessibility, affordability, and quality of priority health, nutrition, and immunization services in facilities and through Under-five Wasting integrated outreach. 2000: 17% 2014: 10% 2. Stimulating demand and accountability at the community level through performance-based financing to the sub-national authorities in the seven priority provinces to: (a) promote Early Initiation of Breastfeeding maternal and child health, nutrition, and social services; (b) increase utilization of 2014: 63% health facilities and Health Equity Funds; and (c) mobilize communities. Appropriate Complementary Feeding Ensuring an effective and sustainable response by financing (a) results-based support 3. to Ministry of Health departments and programs, (b) development and delivery of 2010: 24% 2014: 30% modernized social and behavior change communication campaigns, (c) comprehensive monitoring, evaluation, and adaptive learning and (d) project management. Source: Cambodia Demographic and Health Surveys The Ministry of Health and the National Committee for Sub-National Democratic Development Secretariat are leading the implementation with support of the local authorities in the seven priority provinces. Financiers (US$) Royal Government of Cambodia: $12 million World Bank: $15 million The Global Financing Facility for Women, Children and Adolescents: $10 million Australian Government: $5 million Supported by German Development Bank (KfW): $9 million H-EQIP Multi-Donor Trust Fund: $2 million