Cambodia is pursuing financial sustainability for its immunization services through legislation. The Sabin Sustainable Immunization Financing (SIF) Program began its efforts in Cambodia in December 2008.

Immunization Program Structure

Cambodia’s national immunization program (NIP) is located in the Health Directorate, Ministry of Health (MOH).

Cambodia’s Progress to Date

Government Spending on Immunization

Legislation for Sustainability

Expenditure Tracking

SIF Program Inputs

Government Spending on Immunization

Over the period 2006-2014, Cambodia’s Gross National Income rose from US$510 to $1010 per capita, a 98 percent increase. According to the WHO/UNICEF Joint Reporting Form (JRF), the Cambodian government spent $2 on routine immunization per surviving infant in 2008. By 2014, this figure had risen to $26, increasing thirteen-fold. From 2006-2014, the government share of total routine immunization expenditures increased from 17 percent to 55 percent. Though JRF financial reporting has been inconsistent since 2010, the data nevertheless suggest that Cambodia has progressed towards country ownership of its immunization program. Among SIF countries, Cambodia ranked 15th in terms of routine immunization spending per surviving infant in 2016.

Cambodia’s JRF Financial Feedback Report, 2006-2014.

Legislation for Sustainability

Chapter VI, Article 72 of Cambodia’s 1993 constitution states: "(1) The health of the people is to be guaranteed. The State gives full consideration to disease prevention and medical treatment. Poor citizens receive free medical consultation in public hospitals, infirmaries, and maternities."

The MOH established a Law Drafting Committee in February 2012. The Committee met with MPs as well as representatives from the NIP, MOH, and Ministry of Economy and Finance in October 2012 and March 2013.

During a legislative workshop in May 2013, Cambodian counterparts outlined a proposed immunization law.

In January 2014, the Health Minister established a new Legislative Working Committee to drive the drafting process.

In September 2014, the MOH shifted from drafting a law to drafting a ministerial sub-decree on immunization.

In January 2015, SIF sponsored a visit by a Nepali peer working on that country’s immunization bill to the Cambodian MOH.

In July 2015, the draft sub-decree was passed to the MOH Legal Department for further improvements.

Expenditure Tracking

SIF provides a tool for analyzing how efficiently recent immunization budgets have been executed. In March 2012, Sabin Senior Program Officer and MOH counterparts used the SIF tool to analyze 2010-2012 National Immunization Program budgets. Reporting errors were detected and rectified.

SIF Program Inputs

  • March 2011, July 2012, July 2014, May 2016: Cambodian counterparts join Nepali, Sri Lankan, Mongolian, Indonesian, and Vietnamese delegates in peer review workshops
  • January 2015: SIF sponsored a visit by a Nepali peer working on that country’s immunization bill to the Cambodian MOH to discuss the new sub-decree.
  • October 2014: Sabin Senior Program Officer, SIF Program Director and MOH counterparts organize GVAP briefing
  • May 2013: Sabin Senior Program Officer organizes national legislative workshop
  • October 2012: Cambodian counterparts join Nepalese peers in financing & legislative peer exchange
  • February, April, October 2010, April 2012: Sabin Senior Program Officer and SIF Program Director organize parliamentary briefings
  • February 2011: Sabin Senior Program Officer, government and National Assembly counterparts organize Cambodia's first provincial-level briefing on immunization financing
  • December 2008: Sabin Senior Program Officer and SIF Program Director introduce SIF program to Cambodian government

Last Updated July 11, 2016