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

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% 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% to 55%. 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 fourth in terms of routine immunization spending per surviving infant in 2014.

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.

SIF Program Inputs

  • January 2015: Nepali MOHP Legal Department Officer joins Cambodian MOH counterparts in Sabin-sponsored legislative peer exchange
  • July 2014: Cambodian counterparts join Nepali, Sri Lankan, Mongolian, Indonesian, and Vietnamese delegates in peer review workshop
  • October 2013: Senior Program Officer and Program Director organize GVAP briefing
  • August 2013: Cambodian counterparts attend Sabin-sponsored colloquium
  • May 2013: Senior Program Officer organizes legislative workshop
  • May 2013: Senior Program Officer organizes multi-institutional briefing
  • October 2012: Cambodian counterparts join Nepalese peers in financing & legislative peer exchange
  • July 2012: Senior Program Officer and the Cambodian National Assembly co-organize sub-regional parliamentary symposium
  • April 2012: Senior Program Officer and Program Director organize a parliamentary briefing
  • March 2012: MPs participate in Sabin-sponsored parliamentary symposium
  • March 2011: Cambodian counterparts attend Sabin-sponsored colloquium
  • March 2011: Senior Program Officer co-organizes continental parliamentary seminar
  • February 2011: Senior Program Officer organizes Cambodia's first provincial-level briefing
  • October 2010: Senior Program Officer and the Cambodian government co-organize parliamentary symposium
  • April 2010: Senior Program Officer and the Cambodian National Assembly co-organize a national briefing
  • February 2010: Senior Program Officer and UNICEF co-organize MP briefing
  • December 2008: Senior Program Officer and Program Director introduce SIF program to Cambodian government