Health System Strengthening

RACHA, at its heart, is a Capacity Building program. It works to strengthen the capacity of the Ministry of Health at the health center, district, provincial, and national levels.

Maternal and Newborn Health

The maternal mortality ratio in Cambodia has greatly improved from 472 maternal deaths per 100,000 births in 2005 to 206 per 100,000 live births in 2010 and dropped further to 170 per 100,000 live births in 2014 (CDHS). RACHA funded by USAID works closely with the Ministry of Health at all levels especially to the grass-root level to contribute to reduce these deaths, and has succeeded in lowering the rates over the past several years.


In Cambodia, child health is a serious issue. In 2005 the under-5 mortality rate was 83 deaths per 1,000 births. This rate has reduced to 54 deaths per 1,000 births in 2010 and 35 deaths per 1,000 births in 2014 (CDHS). Child health is one of RACHA's core focus areas and has been since the organization's founding in 1996.


Malaria is one of the first leading causes of hospitalized death in Cambodia annually, and about 5% of population is at risk.


The Reproductive and Child Health Alliance (RACHA) through the Empowering Communities for Health (ECH) project, funded by the United States Agency for International Development (USAID), organized the inception workshop on " The Initiation of the ECH Project " on December 3, 2015 at Mean Sok Hotel in Kampong Speu province.

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On August 26th 2014, RACHA's Executive Director Theary Chan participated in a two day World Health Organization (WHO) consultation in New York City, in collaboration with Micro-nutrient Initiative and the Sackler Institute for Nutrition Science on the "Fortification of Condiments and Seasonings with Vitamins and Minerals in Public Health." Here, Ms. Chan shared RACHA's experience in developing iron-fortified fish sauce and soy sauce in Cambodia and the challenges it faced from piloting its efficacy study to its continuing countrywide scale up.

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