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Draft Cambodian National Environmental Health Action Plan (CAM-NEHAP) 2007-2010 Environmental Health Forum Bangkok, Thailand 8-9 August 2007.

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Presentation on theme: "Draft Cambodian National Environmental Health Action Plan (CAM-NEHAP) 2007-2010 Environmental Health Forum Bangkok, Thailand 8-9 August 2007."— Presentation transcript:

1 Draft Cambodian National Environmental Health Action Plan (CAM-NEHAP) Environmental Health Forum Bangkok, Thailand 8-9 August 2007

2 Outline 1.Structure of Cambodian Health System, MOH, Preventive Medicine Department 2.Brief/Extract of CAM-NEHAP 3.MOU between MOH & MOE 4.Process of Preparing CAM-NEHAP 5.HIA Process 6.Future Actions

3 1. Structure of Cambodian Health System/ Central Provincial Level (Operational Districts, Referral Hospitals) District Level (Health Centers, Health Posts)

4 1. Structure of MOH/: (Organizational Chart) NCHADS, NCHP, NCM, NCTB, NBB, NCTM, NCDLC, NCMC, NIPH, National Hospitals(8), UHS, NNS, RNS, Institute Pasteur

5 1. Structure of PMD (Organizational Chart)

6 2. Extract of CAM-NEHAP Charpter1. Introduction Charpter2. Environmental Health Assessment Charpter3. Institutional Framework Charpter4. Environmental Health Priority Actions Charpter5. Economic Development Sectors and their Contributions Contributions Charpter6. Implementation Strategies at All Levels References & Acronyms Annex 1. Organizational Structure of CAM-NEHAP Annex 2. TOR of Technical Panel on Health and Environment Annex 3. Ad-hoc members of the Technical Working Groups Annex 4. Environmental Health Country Profile of Cambodia

7 2. Extract of CAM-NEHAP C1. Introduction  Development Priorities  Scope and Purpose  Framework C2. Environmental Health Assessment Environment health conditions in Cambodia Sanitation: 86 % (rural) and 40 % (urban) do not have toilet facilities Sanitation: 86 % (rural) and 40 % (urban) do not have toilet facilities Alarming traffic death and injuries (>100 injured of RTA/day; 3 dead/day) Alarming traffic death and injuries (>100 injured of RTA/day; 3 dead/day) Safe drinking water: 70 % do not access to safe drinking water Safe drinking water: 70 % do not access to safe drinking water Air quality: 97% use biomass fuels for cooking or heating; 73% of roads Air quality: 97% use biomass fuels for cooking or heating; 73% of roads unpaved unpaved Solid wastes: littering, uncontrolled collection, lack of disposal facilities. Solid wastes: littering, uncontrolled collection, lack of disposal facilities. Toxic and hazardous wastes: increasing issues including health care wastes Toxic and hazardous wastes: increasing issues including health care wastes Indiscriminate waste water discharge from domestic and industrial sources Indiscriminate waste water discharge from domestic and industrial sources Poor housing and lack of housing Poor housing and lack of housing Overcrowding in factories, poor ventilation Overcrowding in factories, poor ventilation Workers’ exposed to heat, dust, smoke, noise, vibration in industry Workers’ exposed to heat, dust, smoke, noise, vibration in industry

8 2. Extract of CAM-NEHAP C3. Institutional Framework NEHAP secretariat NEHAP secretariat Technical Panel on Health and Environment (TPHE) Technical Panel on Health and Environment (TPHE) Technical Working Groups (TWGs) Technical Working Groups (TWGs) C4. Environmental Health Priority Actions 1.Water Supply and Water Quality 2.Hygiene and Sanitation 3.Solid Waste (Domestic & Hazardous) 4.Toxic chemicals and Hazardous Substances/Wastes 5.Air Quality and Air Pollutions (Indoor and Outdoor) 6.Disasters and Emergencies 7.Occupational Health 8.Climate and Eco-system Changes 9.Cross-Cutting Health and Environment Issues in Development 10.Environmental Health Country Profile of Cambodia

9 2. Extract of CAM-NEHAP C5. Economic Development Sectors and their Contributions Contributions 1.Tourism 2.Agriculture 3.Water Resources 4.Transportations 5.Industry 6.Energy

10 2. Extract of CAM-NEHAP C6. Implementation Strategies at All Levels 1.This NEHAP is a dynamic process that requires support from all levels 2.All parties from government, nongovernmental organizations (NGO), media, academics, individuals, the private sector, development or partner agencies, should actively share information and contribute their resources to the protection of the environment and health at the local, national, regional levels. 3.Priority should be given to preventive rather than curative approaches through the promotion of healthy behavior and cleaner, appropriate and cost-effective technologies, the adoption of environmental management systems and the promotion of sustainable production and consumption. 4.Public–private sector partnerships, such as investment in the provision of essential infrastructure, should be promoted to build on the strengths of each sector to more effectively deal with environmental health issues. 5.Environment-friendly technologies and products should be promoted while reduction, reuse and recycling of waste materials should be encouraged.

11 2. Extract of CAM-NEHAP C6. Implementation Strategies at All Levels 6.The importance of a healthy lifestyle and personal hygiene should be promoted through effective risk communication, education and other interventions. 7.Risks and impacts on health should be made an integral part of the environmental impact assessment system. 8.More studies showing the links between the environment and health should be undertaken at both the national and regional levels as basis for policy and action. 9.Regulatory tools should be complemented with the use of economic instruments and social networks. 10.Existing information systems should be strengthened and output made more accessible and shared widely to feed into the evaluation process and health impact assessment.

12 3. MOU between MOH & MOE  Acknowledging the importance of ensuring the protection of human health and the environment towards the achievement of the Millennium Development Goals,  Conscious that improving environmental health and ensuring sustainable economic growth are key components of poverty reduction,  Realizing that the maintenance of health and well ‑ being depend on environmental quality and sustainable development,  Underlining the importance and cost ‑ effectiveness of giving priority to preventive action,  Conscious of the urgency to take immediate coordinated action involving all relevant government agencies, organizations from the private sector, civil society, academia and media,

13 3. MOU between MOH & MOE  Aware that solutions require interdisciplinary and cross ‑ sectoral interventions from environmental, health, development, planning and other fields,  MOH and MOE of Kingdom of Cambodia have agreed upon the principles, goals and objectives, actions and structures of NEHAP set forth therein as the basis for their joint commitment and call upon their international partners to support the implementation of this action plan in the areas of  water supply and water quality,  hygiene and sanitation,  solid waste (domestic and industrial),  toxic chemicals and hazardous wastes,  air quality and air pollution (indoor and outdoor),  disasters and emergencies, occupational health,  and climate and ecosystem changes  through providing knowledge management and technical support, progress reporting, coordination and advocacy, and resource mobilization.

14 4. Process of Preparing CAM-NEHAP Advocate the Preliminary National Forum on Health and Environment, Sunway Hotel, December 2005 Advocate the Preliminary National Forum on Health and Environment, Sunway Hotel, December 2005 Multi-stakeholders Workshop on Health and Environment, Sunway Hotel, May 2006 Multi-stakeholders Workshop on Health and Environment, Sunway Hotel, May 2006 National Consultative Workshop on Policy and Strategic Plan Formulation of Environmental Health Management, Himawari Hotel, December 2006 National Consultative Workshop on Policy and Strategic Plan Formulation of Environmental Health Management, Himawari Hotel, December 2006 Consultative Workshop on Environmental Health Development in Cambodia, Juliana Hotel, 12 February 2007 Consultative Workshop on Environmental Health Development in Cambodia, Juliana Hotel, 12 February 2007 Consultative Workshop on the Draft National Environmental Health Action Plan (NEHAP) of Cambodia, Phnom Penh Hotel, Phnom Penh, 3-4 April 2007 Consultative Workshop on the Draft National Environmental Health Action Plan (NEHAP) of Cambodia, Phnom Penh Hotel, Phnom Penh, 3-4 April 2007

15 5. Health Impact Assessment Process November 2005: National Workshop on HIA (Principle and Practice) November 2005: National Workshop on HIA (Principle and Practice) Half-day follow up meeting on 23 April of 2005 participants Half-day follow up meeting on 23 April of 2005 participants National Seminar on Policy Development for HIA April 2007 National Seminar on Policy Development for HIA April 2007 Development of HIA policy/sub-decree (2008) Development of HIA policy/sub-decree (2008) Merge HIA and CAM-NEHAP Merge HIA and CAM-NEHAP

16 6. Future Actions  Formulate and legitimate the thematic working groups on Environment and Health (TWGEH)  Clarity TOR of each TWG-EH  Convince each State to contribute and commit to EH strategic plan  Assist each State and TWG-EH to provide the harmful effects of Environment on health to the people.  Update, sharing knowledge, information, and prevention measures among respective State.

17 Selected Pictures of CAM-NEHAP Process

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