So far, I've provided trainings for midwifery students, midwives, and doctors regarding BS in 41 operation districts across 9 different provinces in Cambodia. After the trainings, the trainees have shown a huge improvement regarding their technical skills especially counseling skills. On top of that, I also worked closely with private health care providers to ensure that BS commodities, which previously were only available in public health center,are accessible, affordable for poor women in the community in 230 private health care providers every day of week.As the representative of University Research Co.,Ltd,I managed to talk with chief provincial health department to integrate BS service in hospital,making it a lot easier for local women to seek emergency help regarding to birth control
Seeing a huge problem regarding maternal mortality,I decided to be physician at local NGO after my graduation, providing reproductive health services specially BS. As someone who has benefit greatly from BS, I find it very rewarding to help those women who were in the situation as I could have been sharing my own personal experiences,especially the tremendous benefits I've had from practicing effective FP has shown a great impression from them,earned a lot of their trust, misconception.
Back in 2012,BS commodities were only available to public health centers not hospitals. To overcome the problem,I advocated chief provincial health department to make sure the commodity would be available in the hospital too.It wasn't successful at first;I had to talk to them many times.Finally,by showing them the MoH's Prakas, I managed to get them to share the commodities to the hospitals as well. Then, I had to follow up regular to make sure that they continually support through the use HMIS.
Use of modern methods of contraception is still low in Cambodia,many women of reproductive age still use traditional methods of contraception.Abortion is the first 12 weeks of pregnancy is legal upon request, but many women do not know this and the procedure still has a strong social stigma. These disturbing trends can be addressed by promoting long term methods of contraception,which has a low rate of failure, is very cost effective.Advocate is necessary to ensure that BS are available both.
In the next 5 years, I'd like to continue my current position, maintaining the network of 230 private providers who provider quality BS services. I'd like to work with these providers to strengthen their capacity to initiate long term contraception, IUD insertion and other BS services on their own, and targeted women more carefully. This measures, coupled with the expanded availability of BS commodities can meaningfully reduce the maternal mortality rate in Cambodia.