1. Project title
Strengthening the Emergency Medical System in Provincial Cities of Cambodia
2. Country nameCambodia
3. Background
Because of recent increase of traffic accidents due to rapid motorization and that of heart andcerebra-vascular attacks due to life-style changes, needs of Cambodian people for strengthening
their emergency medical system have been increasing year by year. However, educational system for
emergency medicine from prehospital setting to in-hospital initial management in Cambodia has notbeen well developed and has not met the needs. International assistance in this field must benecessary to improve their situation. For over ten years, my colleagues and I have a lot ofexperiences about facilitations in emergency medical trainings and system developments in many,
low and middle income courtiers. Thus, we will be able to make a contribution to the improvement ofemergency medical system in Cambodia.

4. Objective
In the past project, we implemented training of trainers (TOT) for health care workers selected from provincial
hospitals in Sihanoukville and Siem Reap provinces last year, and established a system for human resource
development related to emergency care based on 2 regional cities and the capital city of Phnom Penh. The objectiveof the project of this fiscal year is to extend our EMS training program to Kampong Cham and Battanbang
provincial hospitals in collaboration with previously developed trainers in Cambodia.

5. Program outline
1. EMT-Basic training for health workers at Kampong Cham and Battanbang provincial hospitals.
2. TOT training and follow-up training for health workers in Sihanoukville and Siem Reap
provincial hospitals.
3. Achieve seamless emergency medical care from pre-hospital to in-hospital by investigatingcurrent status of each medical institution and provide advices for better practice.

6. Implementation structure
6-1. Japanese side
Center hospital of the National Center of Global Health and Medicine, Department of Emergency
Medicine and Critical Care.
Graduate School of EMS System, Research Insitute of Disaster and EMS, Kokusikan University.
Tsukuba University.
6-2. Counterpart country side

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Calmette Hospital
Khmer Soviet Friendship Hospital
Preah Kossamak Hospital
Siem Reap Provincial Referral Hospital
Preah Sihanouk Province Referral Hospital
Battambang Provincial Referral Hospital
Kampong Cham Provincial Hospital

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7. Indicator
Number of conducted on-site training on pre-hospital emergency care for 40 doctors(including 20 people in each city), including nurses.
Involvement in on-site training of 4 peviously develped instructors in Phnom Penh.
7-1. Output

Development eight instructors (four at each provincial hospital) for simulation
trainings for prehospital emergency care .
Providing of medical rally for evaluation seamless abilities from prehospital care topatient information transfer at a emergency department.

Faculty Development of four new leaders for emergemcy medical education atKampong Cham and Battanbang provincial hospitals

7-2. Outcome

Number of participants as instructors in on-site training (comparison with theprevious year's project).
Number of improved items as results of pre-post evaluation using the World HealthOrganization (WHO) matrix (Prehospital trauma care systems, WHO 2005) in EMS
system of tageted provicial cities and hospitals.
Providing quality improvement of seamless emergency care in Cambodia, not only
Phnom Penh but also provinces.

7-3. Impact

Providing trainings of human resources development for capabilities of high quality
emergency medical services that can meet promot needs through trained physicians.

8. Main activities
8-1. Training in 2019
1)
2)
3)
4)

Investigation and needs assessments of the couninuity outside the capital where trainings
will be intoroduced in June or July.(Kampong Cham, Battambang, Siem Reap,Sihanoukville)
Implementation of training courses by in Kampong Cham and Battambang city in Augustand November.
Implementation of training courses by in Siem Reap and Sihanoukville city in September
and November.
Holding of Medical Rally.(November at Phnom Penh)

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