ANNUAL REPORT 2016

2016 - 2020

Deliver high quality paediatric health 1 care to our community in partnership with the Cambodian Government.

Become a centre of excellence for education and research within 2 .

Develop strong and sustainable teamwork at a hospital, communi- 3 ty and national level.

Become a sustainable and replicable 4 model of healthcare in Cambodia.

The Angkor Hospital for Children’s five year Strategic Plan (2016 - 2020) was developed to ensure our vision, mission and values are reflected in all unit operating plans and daily activities and highlights our commitment to being a centre of excellence for paediatric treat- ment, education and prevention in www.angkorhospital.org Cambodia. [email protected] +855 (0)63 963 409 ANNUAL REPORT 2016

2016 - 2020

Deliver high quality paediatric health 1 care to our community in partnership with the Cambodian Government.

Become a centre of excellence for education and research within 2 Cambodia.

Develop strong and sustainable teamwork at a hospital, communi- 3 ty and national level.

Become a sustainable and replicable 4 model of healthcare in Cambodia.

The Angkor Hospital for Children’s five year Strategic Plan (2016 - 2020) was developed to ensure our vision, mission and values are reflected in all unit operating plans and daily activities and highlights our commitment to being a centre of excellence for paediatric treat- ment, education and prevention in www.angkorhospital.org Cambodia. [email protected] +855 (0)63 963 409 MAJOR AND MINOR OPERATIONS 11 153 FREE MEDICAL TREATMENTS

Mission 179 699 Improve healthcare for all of Cambodia’s children. EYE CONSULTATION 15 408 VISITS TO HOMECARE PATIENTS Vision Values 2 411 DENTAL TREATMENTS All Cambodian children to have + Compassion BLOOD TESTS 68 840 Dear Friends and Supporters, Dear Friends, + Quality Care access to quality compassionate I welcome you to the Angkor Hospital for Children 2016 Another year has passed, and with it there is satisfaction medical care wherever they + Expertise 100 241 Annual Report. at the vast number of lives we have touched, yet always a live and whatever their ability + Integrity It has been a productive year for Angkor Hospital for wish to keep evolving and improve upon what we do. Children, all due to the enduring commitment of our I hope you take pleasure in reading about our accom- to pay. staff, volunteers, supporters and friends. On behalf of the plishments in 2016, the dedication of our staff and the children and families of Cambodia, I would like to ex- bravery and resilience of the children and families we Treatment press my sincere gratitude. Together we provided almost have supported. 180,000 treatments, admitted 7,660 patients and ad- We continue to uphold our commitment to continual CONTINUING MEDICAL AND NURSING EDUCATION vanced many of our high-impact programs and services. improvement at AHC and one of the foremost initiatives SESSIONS FOR AHC NURSES AND DOCTORS This report will showcase the many ways Angkor Hospital undertaken in 2016 was to implement a hospital-wide for Children is making a real difference and continuing Organisational Quality Assurance (OQA) programme. The Education 120 our mission to improve healthcare for all of Cambodia’s aim of which is to review our quality control procedures IMPACT children. and ensure a coordinated approach to the delivery of high GOVERNMENT NURSING STUDENTS TRAINED A particular highlight for 2016 has been the inception of quality care. In the latter half of 2016, AHC management our Global Child Health Programme, which utilises the established key performance indicators (KPIs) for each Prevention 400+ data and research generated at Angkor Hospital for Chil- department, which we will commence reporting against in GOVERNMENT HEALTH WORKERS TRAINED AT AHC dren to ultimately strengthen Cambodian health systems the year ahead. This will allow us to monitor and evaluate Quality and influence global child health policy. In collaboration how effectively we are delivering our services and identify Team with our local and international partners, we have been areas for improvement. Healthcare 100 able to investigate a number of critical issues in global Our vision remains to provide all Cambodian children with IN-SERVICE TRAININGS FOR HEALTH CENTER STAFF child health, including antibiotic resistance, infectious access to quality, compassionate medical care wherever attendants and neonatal mortality. These are major health they live and regardless of their ability to pay. On behalf of 201 issues that not only adversely affect the children of Cam- the hospital, I’d like to say thank you to our staff, doctors, EDUCATION SESSIONS bodia, but children and health providers worldwide. nurses, volunteers and supporters who breathed life into IN COMMUNITY Additionally, throughout 2016 Angkor Hospital for Chil- this vision, assisting more than 500 children and their beneficiaries dren has continued to build its reputation as a centre of families receive quality health care each day. None of this excellence for education in paediatric healthcare. As well would be possible without you. 664 HAND HYGIENE SURVEILLANCE as providing education and training opportunities for our We are determined to continue our vital work in 2017 and EDUCATIONAL SCREENING AND compliance own staff, we have hosted a number of international beyond, and with your ongoing support we can. THEATRE SESSIONS volunteers and continue to train medical and nursing 84% students, junior doctors and government health workers beneficiaries Sustain from across Cambodia. Sincerely, 16 976 The driving ideology of Angkor Hospital for Children Ngoun Chanpheaktra, M.D, DCH, DTMH ability SOCIAL WORK COUNSELLING SESSIONS continues to be the provision of high quality treatment, Hospital Director, SCHOOL EYE SCREENING education and prevention services. The year ahead Member of Executive Committee promises many positive developments in each of these 3 573 areas; and I hope you will continue to support us and play 14 990 an important part in helping us reach our goals. As a nonprofit hospital, we are entirely grateful for all Centre of those who have supported Angkor Hospital for Children. We have made every effort to be accurate in this listing. Excellence Very best wishes, Should you find any omissions or errors, please do not Claudia Turner, MB BS, PhD, FRCPCH hesitate to contact the Development Department: Chief Executive Officer, +855 (0)63 963 409 ext. 7035 Member of Executive Committee [email protected] 6 2016 IN NUMBERS What a fruitful year 2016 has been for Angkor Hospital for Children

The past twelve months has been met with renewed vigor and the entire 8 TREATMENT team at AHC has not only provided quality and compassionate care to almost 90,000 children, but have focused efforts on developing one of Cambodia’s leading paediatric hospitals into a much broader healthcare 18 EDUCATION operation. This is, in part, being achieved through the ongoing professional development of our own medical staff and those from other medical institu- tions and universities; and conduct of community education and prevention 24 PREVENTION activities to reduce the number of children who get sick in the first place. Many practical necessities were also achieved throughout the year; some of the hospital buildings received much-needed new roofs to ensure our 32 FUNDRAISING patients and staff stay safe and dry. Outdoor covers were installed to pro- vide shelter from sun and rain, and we developed a thorough waste manage- ment policy including the installation of new, modern incinerators to minimize effects on the environment. A safety and security policy was developed, 34 GOVERNANCE which included imperative fire-prevention, fire-fighting and evacuation procedures training.

36 COST ANALYSIS We participated widely in community events in Siem Reap and across Cam- bodia; and have started plans to upgrade the AHC Visitor Centre, so that it can be utilized more effectively as the hospital’s public face in 2016 – we want even more people to know about the important work that is being 38 FRIENDS & FAMILIES accomplished!

At a strategic level, we introduced our Global Child Health programme which utilises and analyzes the vast amount of data generated at AHC, to look at how it applies to global child health issues. We continued to implement our 5-year Strategic Plan to ensure our mission and values are reflected in all of our operations. Maintaining our vision for all of Cambodia’s children to have access to quality medical care, wherever they live and whatever their ability to pay, relies in large part to our dedicated supporters. On behalf of AHC I extend my gratitude to all who have contributed to this vision.

I thank you for your continued support.

Robert Gazzi Board Chairman 2016 in numbers INTENSIVE CARE PATIENTS 867

EMERGENCY ROOM PATIENTS 21 832 TOTAL PATIENT TREATMENTS SATELLITE CLINIC EMERGENCY ROOM PATIENTS 179 646 960 What a fruitful year 2016 has been SOCIAL WORK EMOTIONALfor Angkor Hospital for Children COUNSELING SESSIONS INPATIENT DEPARTMENT The past twelve months has been met with renewed vigor and the entire INCLUDING LOW ACUITY UNIT 3 573 team at AHC has not only provided quality and compassionate care to MAJOR NEW CANCER almost 90,000 children, but have focused efforts on developing one of 4 729 PATIENTS TREATED Cambodia’s leading paediatric hospitals into a much broader healthcare operation. This is, in part, being achieved through the ongoing professional SATELLITE CLINIC 1 685 development of ourLABORATORY own medical TESTS staff and those from other medical institu- INPATIENT DEPARTMENT VISITS 54 tions and universities; and conduct of community education and prevention activities to reduce 100the number 214 of children who get sick in the first place. 1 610 Many practical necessities were also achieved throughout the year; some of the hospital buildings received much-needed new roofs to ensure our NEONATES TREATED patients and staff stay safe and dry. Outdoor covers were installed to pro- vide shelter from sun and rain, and we developed a thorough waste manage- ment policy including the installation of new, modern incinerators to minimize 452 effects on the environment. A safety and security policy was developed, OUTPATIENT DEPARTMENT VISITS which included imperative fire-prevention, fire-fighting and evacuation procedures training.

127 900 We participated widely in community events in Siem Reap and across Cam- bodia; and have started plans to upgrade the AHC Visitor Centre, so that it SATELLITE CLINIC can be utilized more effectively as the hospital’s public face in 2016 – we OUTPATIENT DEPARTMENT VISITS want even more people to know about the important work that is being accomplished! 26 780 PHYSIOTHERAPY PATIENTS At a strategic level, we introduced our Global Child Health programme which 3 437 utilises and analyzes the vast amount of data generated at AHC, to look at how it applies to global child health issues. We continued to implement our 5-year Strategic Plan to ensure our mission and values are reflected in all of our operations. Maintaining our vision for all of Cambodia’s children to have access to quality medical care, wherever they live and whatever their ability to pay, relies in large part to our dedicated supporters. On behalf of AHC X-RAY AND ULTRASOUNDS I extend my gratitude to all who have contributed to this vision. EYE CLINIC CONSULTATION 12 413 I thank you for your continued support. DENTAL PATIENTS HOMECARE PATIENTS (ON-SITE AND OUTREACH) 15 408 Robert Gazzi 1 857 14Board Chairman520 Treatment

What a fruitful year 2016 has been for Angkor Hospital for Children

The past twelve months has been met with renewed vigor and the entire team at AHC has not only provided quality and compassionate care to almost 90,000 children, but have focused efforts on developing one of Cambodia’s leading paediatric hospitals into a much broader healthcare operation. This is, in part, being achieved through the ongoing professional development of our own medical staff and those from other medical institu- tions and universities; and conduct of community education and prevention activities to reduce the number of children who get sick in the first place.

Many practical necessities were also achieved throughout the year; some of the hospital buildings received much-needed new roofs to ensure our patients and staff stay safe and dry. Outdoor covers were installed to pro- vide shelter from sun and rain, and we developed a thorough waste manage- ment policy including the installation of new, modern incinerators to minimize effects on the environment. A safety and security policy was developed, which included imperative fire-prevention, fire-fighting and evacuation procedures training.

We participated widely in community events in Siem Reap and across Cam- bodia; and have started plans to upgrade the AHC Visitor Centre, so that it can be utilized more effectively as the hospital’s public face in 2016 – we want even more people to know about the important work that is being accomplished!

At a strategic level, we introduced our Global Child Health programme which utilises and analyzes the vast amount of data generated at AHC, to look at how it applies to global child health issues. We continued to implement our 5-year Strategic Plan to ensure our mission and values are reflected in all of our operations. Maintaining our vision for all of Cambodia’s children to have access to quality medical care, wherever they live and whatever their ability to pay, relies in large part to our dedicated supporters. On behalf of AHC I extend my gratitude to all who have contributed to this vision.

I thank you for your continued support.

Robert Gazzi Board Chairman TOTAL TREATMENTS IN 2016 179 646 PATIENTS TREATED 3 603

PATIENTS SEEN BY A CLINICIAN

127 900 EMERGENCY MINOR ROOM 21 832 SURGERIES 9468 AVERAGE A DAY 447 INTENSIVE MAJOR CARE UNIT 867 SURGERIES 1 685 PEAK SEASON 800 Outpatient Inpatient Emergency Room Surgical Department Department & Intensive Care Unit The Outpatient Department (OPD) is the first stop for every The Inpatient Department (IPD) provides around-the- The Emergency Room/Intensive Care Unit (ER/ICU) pro- Angkor Hospital for Children’s Surgical Unit consists of a patient. On arrival, all patients receive a triage assessment clock care to children from all areas of the hospital, vides prompt assessment, resuscitation, , inten- smaller minor and larger major operating theatres, with to determine the nature and severity of their illness or including pre and post-operative patients and those that sive care and stabilisation of injured or critically ill chil- three senior surgeons performing the bulk of the proce- injury. Urgent cases are admitted to the Emergency Room have been discharged from the Emergency room or the dren, 24-hours per day, 365 days per year. The most dures. The surgery unit enables families who would other- (ER) for immediate treatment and all non-emergency Intensive Care Unit (ER/ICU) for further observation. commonly seen emergencies are severe respiratory in- wise have to pay for potentially very expensive, life-sav- patients are registered to meet with a clinician or directed The multidisciplinary IPD treats a variety of conditions fections, dog bites, sepsis, asthma, viral infections and ing surgeries to access quality surgery services for their to a specialist unit within the hospital. and is where care is given to children with serious ill- injuries stemming from motor accidents. children without the stresses of the financial burden. The OPD is the busiest department and sees an average nesses or who are being treated for an extended period, As many patients are already gravely ill due to delayed There were 1685 major surgeries and 9468 minor surger- of 500 patients per day, up to 800 in peak seasons. The such as those receiving chemotherapy. It also contains an arrival, our committed team of doctors and nurses are all ies performed during 2016, including basic general sur- OPD was particularly busy during August 2016 to accom- isolation ward for patients with communicable . trained in Advanced Paediatric Life Support and adminis- gery and orthopaedics, urology, plastics (skin grafts and modate a seasonal outbreak of dengue fever, and re- Common diagnoses in 2016 included acute respiratory tration of central line procedures. The fully equipped unit contracture release), thoracic surgery, hepatobiliary sur- mained busy throughout the end of the year responding tract infections, pneumonia, bronchitis, gastroenteritis, provides vital services to children who might otherwise gery and neonatal surgery. to a high number of respiratory cases. sepsis and dengue fever. not survive. Our hardworking surgeons manage their heavy workloads Thanks to a number of policy changes implemented to Despite the challenges of operating within a busy, maxi- In 2016 the ER/ICU staff attended compulsory short in very limited space and the facilities are in need of an increase efficiency within the OPD, patient flow was mum-capacity department, the hard-working and dedi- courses, including training on crisis management and update to ensure proper space for procedures, patient re- greatly improved and 127,900 patients were seen by a cated IPD staff continue to provide support to caregivers effective team communication. Additionally, the ER/ICU covery and to ensure infection prevention control. A com- clinician in 2016. The most common diagnoses were and educate them in basic bedside care. The IPD also provided educational opportunities and training for visit- plete overhaul of the facilities is being planned and we will respiratory infections, diarrhoea, dengue fever and provides training to additional government healthcare ing nurses, medical interns and physicians from through- be actively fundraising for this in the near future. . workers, nurses and medical residents to further strength- out Cambodia. Multiple information sessions were conducted in the OPD en paediatric care across Cambodia. The goal of the ER/ICU is to provide high-quality care in waiting area to prevent subsequent hospital visits and in- Throughout 2016 there were opportunities for IPD staff an efficient and compassionate manner. AHC is constant- crease health literacy among children and caregivers. to further their knowledge and skills thanks to AHC’s ly working to evaluate and improve the care provided, and Topics covered included nutrition, hygiene, typhoid and commitment to Continuing Medical Education and our dedication to the advancement of our doctors’ skills protection against insect-borne diseases. Continuing Nursing Education, enabling them to better through continuing professional development demon- assess patient needs and provide the best care possible. strates our commitment to meeting this goal.

10 11 AHC Lowering Neonatal Mortality Rates

TOTAL 441 437 ADMISSIONS 418 DEATHS 335

245 251

NEONATES TREATED

452 25.7% What a fruitful year 2016 has been 15.5% 14.9% 10.8% 6.6% 4.8% for Angkor Hospital for Children 63 39 50 45 29 21 YEAR 2011 2012 2013 2014 2015 2016 The past twelve months has been met with renewed vigor and the entire team at AHC has not only provided quality and compassionate care to Neonatal Unit Improving the care and survival rates for neonates is almost 90,000 children, but have focused efforts on developing one of a priority for Angkor Hospital for Children. Cambodia Neonatal care is vital in Cambodia, a country where neo- Cambodia’s leading paediatric hospitals into a much broader healthcare has one of the highest infant mortality rates in the re- natal mortality rates remain high due to complications at operation. This is, in part, being achieved through the ongoing professional gion. An estimated 49% of all childhood (< 5 years) birth in addition to a lack of postpartum care. AHC’s Neo- development of our own medical staff and those from other medical institu- deaths occur within the neonatal period, or the first 28 natal Unit is working to prevent these tragic deaths by tions and universities; and conduct of community education and prevention days of life. Serious infections and complications providing high-quality treatment and ongoing support for activities to reduce the number of children who get sick in the first place. during or immediately after birth are among the lead- babies and their families. ing causes of neonatal mortality, yet the vast majority Many babies admitted to the Neonatal Intensive Care Unit Many practical necessities were also achieved throughout the year; some of of these deaths are preventable with proper maternal (NICU) are premature, have a low birth weight or have a the hospital buildings received much-needed new roofs to ensure our and newborn care. medical condition that requires specialist care. The most patients and staff stay safe and dry. Outdoor covers were installed to pro- Angkor Hospital for Children’s Neonatal Unit is working common diagnoses are neonatal sepsis, pneumonia vide shelter from sun and rain, and we developed a thorough waste manage- to solve these challenges in neonatal health. The stand- and neonatal jaundice, in addition to facial and oral mal- ment policy including the installation of new, modern incinerators to minimize alone ward is one of the only of its kind in Cambodia formations. effects on the environment. A safety and security policy was developed, and consists of the Neonatal Intensive Care Unit (NICU) While their babies are undergoing treatment, new moth- which included imperative fire-prevention, fire-fighting and evacuation for critical care and the Special Care Baby Unit (SCBU) ers receive additional support and education on issues procedures training. for ongoing treatment. Having a separate unit with spe- such as good hygiene practices, disease prevention and cialised equipment safeguards our smallest patients effective breast-feeding. AHC also contributes to improv- We participated widely in community events in Siem Reap and across Cam- from the ailments being treated in other wards, and en- ing the quality of neonatal health services nationwide, by bodia; and have started plans to upgrade the AHC Visitor Centre, so that it sures they have a much greater chance of a fast and full providing crucial training for medical interns and student can be utilized more effectively as the hospital’s public face in 2016 – we recovery. nurses. want even more people to know about the important work that is being This year AHC identified all neonatal admissions from accomplished! 2011 to 2016 in the hospital database. All neonatal deaths were also identified, and these deaths were At a strategic level, we introduced our Global Child Health programme which crosschecked with two study databases and records utilises and analyzes the vast amount of data generated at AHC, to look at generated from death reviews. The data revealed a how it applies to global child health issues. We continued to implement our considerable yearly decline in the incidence rate of 5-year Strategic Plan to ensure our mission and values are reflected in all of mortality, from 25.7% of admissions in 2011 to just our operations. Maintaining our vision for all of Cambodia’s children to have 4.8% of admissions in 2016. That is a reduction of access to quality medical care, wherever they live and whatever their ability around 27% in each year relative to the previous year, to pay, relies in large part to our dedicated supporters. On behalf of AHC over the full 6-year period, and 80% reduction overall. I extend my gratitude to all who have contributed to this vision. As these remarkable results demonstrate, AHC’s Neonatal Unit is having a substantial impact on the I thank you for your continued support. reduction of neonatal morbidity and mortality for pa- tients admitted to the hospital. The data and research generated through the Neonatal Unit, together with Robert Gazzi our dedication to promoting good practice to caregiv- Board Chairman ers and educating medical practitioners on neonatal care, will ensure we can continue to reduce neonatal mortality rates in Cambodia and save more new lives in the years ahead.

12 TOTAL EYE CLINIC CONSULTATIONS 15 408 DENTAL SERVICES PROVIDED NUMBER OF BLOOD TESTS SCHOOL SCREENINGS VISITS TO HOMECARE 68 840 100 214 PATIENTS 2 411 14 990 Dental Unit Laboratory HIV / Homecare Eye Clinic Knowledge and application of effective oral hygiene prac- The Angkor Hospital for Children’s laboratory provides For many Cambodians, financial and sociocultural barri- Blindness remains a major public health concern despite tices in Cambodia remains poor and access to affordable haematology, serology and biochemistry services to in- ers can make access to health services a significant chal- the fact that over 90% of blindness and vision impairment paediatric dental care is limited, particularly for families in form the decisions of our clinicians and ensure detailed lenge. The HIV / Homecare Unit (HHU) was established to in Cambodia is preventable. Vision impairment can pro- rural areas. Cambodian children have some of the highest analysis for our patients. All laboratory services are per- facilitate easier access to treatment and to meet the foundly impact a child’s learning ability, ultimately affect- rates of tooth decay in the world and tooth extractions are formed with strict adherence to international standards needs of children living with HIV and other chronic condi- ing their entire life. Leading causes of blindness are cata- common. and protocols and our rigorous quality control measures tions. racts, corneal scarring, trauma, glaucoma and refractive Left untreated, childhood tooth decay can lead to ensure precise, comprehensive and meaningful data for Almost half of all HHU patients are HIV positive, with the error, all of which can be successfully treated or corrected severe health complications later in life and put patients optimal patient care. remainder suffering mental or physical impairments, con- with surgery. at risk of serious illness. In response, AHC takes a holistic AHC also has a diagnostic microbiology lab that analyses genital disorders or other serious illnesses. The HHU sup- Many caregivers can’t afford treatment; they lack access approach that combines in-house dental treatment with specimens to provide reliable identification of bacteria. ports patients by providing in-home care for children that to treatment or simply don’t know that it’s available to outreach education programmes, which aim to promote This facilitates the accurate diagnosis and treatment of have difficulty traveling to AHC, counselling for children them. AHC’s Eye Clinic aims to address this through com- preventative oral health measures among children and children with infections. In partnership with the Cambodia and families living with chronic illness and munity outreach programmes that educate caregivers on caregivers. Oxford Medical Research Unit (COMRU), the AHC micro- disability, plus follow-up assessments and treatment for the importance of eye care and empowers them to seek As a result of these prevention activities, in 2016 the num- biology lab conducts infectious disease research that fo- discharged patients. It is the largest facility outside of timely treatment. ber of tooth extractions decreased and the number of cuses on the major causes of morbidity and mortality in to provide Antiretroviral Treatment (ART) Angkor Hospital for Children’s Eye Clinic is dedicated to teeth fillings increased, which suggests the outreach pro- Cambodian children. The data generated by the microbi- to HIV positive children. providing comprehensive paediatric eye care. It conducts grammes are successfully educating caregivers on the ology lab is then used to inform health professionals both A key component of their work is providing health educa- major and minor surgeries, offers an eye cancer care pro- importance of accessing timely quality dental services. within AHC and throughout Cambodia. tion to caregivers and ensuring adherence to treatment gramme and it is also the only place in Cambodia that In 2016 the AHC laboratory saw a welcome increase in plans. They have developed an effective peer education conducts cataract surgery on neonates born with con- the number of blood donors to the on-site blood bank program that supports children and families living with genital cataracts. (which relies upon public donations), meaning more HIV, and they actively work within the community to com- Patient consultations have increased in 2016, which sug- CHILDREN AND FAMILIES EDUCATED life-saving blood transfusions for children in need. bat discrimination and reduce stigma associated with the gests the community outreach is working effectively and condition. the demand for quality eye care is increasing. Maintaining During 2016 the HHU developed specific tools and refer- such programmes is essential to ensure that more chil- 25 558 ral checklists to ensure parents and health care providers dren have the opportunity to reach their full potential. ON SITE AND IN OUTREACH EDUCATION SESSIONS are educated on reproductive health, sexually transmitted infections and Antiretroviral Treatment (ART). They were also recognised by the Ministry of Labour and Vocational Training for efforts to implement HIV/AIDS responses in the workplace.

PATIENTS ON ANTIRETROVIRAL 415

14 15 INPATIENT DEPARTMENT 1 610 AMBULANCE TRANSFERS OUTPATIENT DEPARTMENT 28 954 204

TOTAL TREATMENTS

EMERGENCY ROOM VISITS 3 437 SOCIAL WORK EMOTIONAL 960 COUNSELING SESSIONS 3 573 Satellite Clinic Physiotherapy Social Work Unit Angkor Hospital for Children’s Sa- Critically ill or injured patients are stab- closely with the Sotnikum Referral The Physiotherapy Unit offers comprehensive rehabilita- At Angkor Hospital for Children we recognise that hospi- tellite Clinic (SC) is an innovative lised and safely transferred to AHC’s Hospital staff to increase their knowl- tive services to help patients optimise mobility and func- talisation can be an extremely stressful experience. Our partnership between AHC and the Intensive Care Unit, via the clinic’s edge and skills and offer ongoing tion after illness or injury. Our staff work with pre and on-site Social Work unit plays a critical role in helping pa- government-run Sotnikum Referral ambulance transfer service. In 2016 the professional support. post-operative patients to address problems with move- tients and families cope with diagnosis and address the Hospital (SRH), which is approxi- number of patients treated at the Satel- As the Satellite Clinic’s reputation ment, dysfunction and pain arising from musculoskeletal impacts of illness and treatment. They work across all de- mately 35km outside of Siem Reap. lite Clinic increased across all depart- grows, caregivers are coming earlier to disorders, neurological conditions, respiratory infections, partments of the hospital and provide ongoing emotional For Cambodians living in rural areas, ments, as did the number of ambulance seek treatment. Each year the percent- chronic disability or traumatic injury. support, follow-up and counselling services to facilitate access to quality healthcare can be transfers, attesting to the growing need age of women choosing to give birth at Drawing upon their extensive knowledge of human ana- patient and family adaptation and wellbeing. limited, particularly for specialist ser- for specialised and critical services the Sotnikum Referral Hospital contin- tomy and physiology, our physiotherapists conduct Our highly skilled team offers support for children and vices. By partnering with the Sotni- within the regional community. ues to increase, as parents take com- detailed patient assessments and create individualised families living with acute or chronic illness, they provide kum Referral Hospital the AHC Satel- In accordance with AHC’s commit- fort in the knowledge that the Satellite treatment plans. Caregivers are also educated in the ne- child protection interventions in cases of child abuse or lite Clinic enables those living in this ment to education and prevention, the Clinic can provide high quality care cessary at-home exercises to assist in their child’s recov- abandonment, and work with families who wish to re- rural district to benefit from quality Satellite Clinic works with regional should there be any complications. ery. move their child from hospital against medical advice. paediatric and neonatal care. health centres to strengthen their ser- In 2016, AHC welcomed two international physiothera- Between July and December 2016, the Social Work unit Functioning as the paediatric ward of vices and improve the safety and time- pists who helped our staff develop their practice and fur- worked on 40 cases of children Leaving Against Medical the Sotnikum Referral Hospital, the liness of transfers to the Sotnikum ther their knowledge and skills. Due to a shortage of phy- Advice (LAMA). In 85% of these cases, our team was able Satellite Clinic consists of an Outpa- Referral Hospital. AHC specialist staff siotherapy training in Cambodia, AHC also hosted to convince the caregiver that their child must remain at tient Department, Inpatient Depart- and social workers also travel out to 14 students from the Technical School for Medical Care AHC – a 10% improvement on the previous year. ment, Emergency and Neonatal Unit. Sotnikum when required, and work for 6 weeks in October and November. In 2016 two members of the Social Work team travelled to The team treated a total of 3,437 patients in 2016 inclu- Singapore to attend a one-week training program on Pae- ding a child with congenital muscular torticollis, a condi- diatric Social Work with Oncology Patients. Another team tion in which an infant’s neck muscle is tight and short- member completed the ‘Boys First’ training offered by ened. Early treatment is critical to ensure full movement of First Step Cambodia, which covers strategies and the head and neck and to avoid surgery. Our physiothera- approaches for working with male victims of sexual abuse. pists worked with the parents to teach them how to safely stretch their baby’s neck several times a day, which result- ed in over 90% of function being successfully restored.

SPECIAL CARE TOTAL PATIENTS BABY UNIT PATIENTS TREATED 356 31 880

16 17 Education CME CNE

CONTINUING MEDICAL 74 EDUCATION SESSIONS

DOCTORS 80 CONTINUING NURSING 46 EDUCATION SESSIONS

115 NURSES

GOVERNMENT GOVERNMENT UNIVERSITY NURSING SOCIAL WORK MEDICAL 423 STUDENTS 2 STUDENTS 94 STUDENTS GOVERNMENT GOVERMENT PHYSIOTHERAPY HEALTH RESIDENCY 13 STUDENTS 100 WORKERS 47 PLACEMENTS

2016 was a busy year for our Education Department. conferences. Such activities foster confidence and intel- Over 400 government nursing students, 13 government lectual sustainability amongst our staff and ensure they Improving the standards physiotherapy students and 2 government social work remain knowledgeable of international developments, students received training at AHC as clinical internships. ultimately improving patient care. 94 medical students from the University of Health Sciences The AHC Paediatric Medical Residency Programme and International University received medical intern train- was revised this year. This 3-year teaching programme of paedriatic healthcare ing. Additionally, AHC provided training to 100 health prepares the future doctors of Cambodia to practice workers from health centers, national and provincial paediatric care safely, ethically and competently. The hospitals on topics such as basic neonatal care, surgical clinical training entails rotating through the hospital in- Angkor Hospital for Children is dedicated to providing high-quality specialised intensive care, emergency paediatric care, nutrition and and outpatient departments, emergency, intensive care infection prevention and control. unit, neonatal unit and Satellite Clinic. paediatric education to Cambodia’s healthcare professionals and improving the Equally, the education and professional development of A procedure log and regular formative work-based standard of paedi atric healthcare for all Cambodia’s children. AHC staff remained a priority in 2016. 74 Continuing assessments were introduced in 2016, including case- Medical Education (CME) sessions were conducted, based discussions, procedure assessment and evalua- with over 2077 attendances. 46 Continuing Nursing tion of case presentations. This was the most competitive Education (CNE) sessions were conducted, with 1529 year to date, with 15 students taking the 3-hour written attendances. and clinical exam. The student awarded 1st place, AHC staff also participated in a number of Continuing Dr. Meas Vorlark, is now continuing her medical educa- Professional Development (CPD) activities, such as tion at AHC, working in the emergency and intensive care clinical governance and research, national professio- unit. nal association meetings and overseas training and

20 21 ANNUAL REPORT 2016 www.angkorhospital.org NEW! in 2016

North Europe America 73 7 33

Asia 29 Hospital OQA Participants at a 2016 Science Cafe session Activity Data Committee Science Café QUALITY 21 In 2016 Angkor Hospital for Chil- dren and COMRU launched an in- HEALTH South1 Africa novative community initiative called the Science Café, which brings to- CARE gether medical professionals, patient families and community members to discuss common healthcare issues in a relaxed and informal setting. The sessions are funded by the Well- Key ORIGIN OF VOLUNTEERS come Trust through the Cambodia Ox- Performance IN ANGKOR CHILDREN HOSPITAL, 2016 ford Medical Research Unit (COMRU), which operates out of Angkor Hospital Indictors Dr. Areej Hassan Paediatric Endocrinologist at for Children. During each session, Boston Children’s Hospital, uSA a predominantly visual and oral presen- tation is given by one of AHC’s medical The goal of the OQA Programme is to establish a hospital-wide, coordinated approach towards quality specialists while participants are able to assurance Quality, in the context of AHC, refers to our ability to provide safe, timely, effcient, effective and ask questions openly. equitable care with consideration of our patients and staff. The aim of the Science Café is to bridge the gap between healthcare pro- fessionals and the wider community Organisational Quality Volunteer Contributions and provide community members ac- cess to preventative healthcare knowl- Skilled volunteers bring a wealth of invaluable to the programme, as en- that did not include the correct an- edge, regardless of age, education or in- Assurance Programme knowledge and skills to our medical docrinology is a highly specialised swer: a leech in the vaginal canal. A come. All materials used during the Throughout 2016 Angkor Hospital Safety; Timeliness of care; Efficiency; and non-medical staff, which they subject. Many endocrine conditions very unexpected exam finding! presentation are designed with this in for Children implemented a number Effectiveness; Equity; Patient focused might not otherwise have access to are not common in Cambodia, so to I also learnt a huge amount about in- mind; to ensure non-literate audience of new development initiatives. One care and Staff development (collective- in Cambodia. have a teacher with practical experi- fectious diseases, such as dengue fe- members can fully participate. The ses- key initiative undertaken was a review ly known as STEEPS). Dr. Areej Hassan is a paediatric ence to draw upon was of great ben- ver, tuberculosis, HIV, and melioidosis. sions are also designed to build com- of our quality control procedures, in In order to measure performance and endocrinologist at Boston Children’s efit to the AHC residents. At my own institution we have so munity members confidence in ques- order to identify areas critical to our effectiveness in these areas, manage- Hospital in the . Paedi- Likewise, Dr. Hassan found the expe- many sub-specialists in each field, we tioning and participating in their child’s success as a provider of high quality ment worked with each department to atric endocrinology is a medical sub- rience of teaching at AHC equally as tend to only see a very narrow spec- healthcare – something that not all of paediatric care. establish a database of key performance specialty that deals with disorders of rewarding: trum of patients. I rarely get to see the our caregivers may realise they have Following this review an Organisa- indicators (KPIs). The hospital will of- the endocrine glands, such as growth “I feel like I have learned so much wide array of medical cases that can the right to do. tional Quality Assurance (OQA) Pro- ficially begin reporting against these and puberty disorders, diabetes and and became a better doctor after present to a general paediatric ward. Topics covered by the Science Café gramme was implemented across all KPIs in 2017. Hospital Activity Data other conditions related to hormones spending time at Angkor Hospital for I have so many positive memories initiative have included childhood can- medical and non-medical departments. will be utilised to highlight any areas and the glands that produce them. Children… the residents and the fac- from time spent at AHC and I feel in- cers, antibiotic use and pneumonia; and The goal of the OQA Programme is to for improvement, and an OQA Commit- Dr. Hassan first came to AHC in 2005 ulty taught me a great deal! One of credibly lucky that I have had so many have proved very popular. The sessions establish a hospital-wide, coordinated tee has been established to address any on a month-long paediatric residen- my best (and most humbling) learning opportunities to come back.” highlight AHC’s commitment to pro- approach towards quality assurance. problems as they arise and develop cy. She returned again in 2010, 2013 experiences at AHC was a young ad- viding not only medical services, but Quality, in the context of AHC, refers to strategies to improve. and most recently in 2016 to teach olescent girl presenting with heavy ensuring caregivers are informed well our ability to provide safe, timely, eff- the endocrinology module of the AHC menstrual bleeding. This is an area enough to recognize signs and symp- cient, effective and equitable care with Paediatric Medical Residency Pro- that I specialise in at home, so I had a toms of illness and to become more consideration of our patients and staff. Discover more online: gramme. Having Dr. Hassan has been very detailed differential diagnosis active agents in their child’s health. The key areas of focus identified were: www.angkorhospital.org

22 Prevention PUBLIC SERVICE ANNOUNCMENTS & THEATRE EDUCATION SESSIONS WITH 16 976 64 BENEFICIARIES

IN-SERVICE TRAININGS WITH 201 BENEFICIARIES 39 TOTAL COMMUNITY BENEFICIARIES REACHED HEALTH CENTRE 187746 TRAININGS AT AHC WITH 5 36 BENEFICIARIES IMMUNISATION SESSIONS WITH 938 BENEFICIARIES FIRST AID TRAININGS 64 4 WITH 69 BENEFICIARIES

NUTRITION EDUCATION SESSIONS WITH 27 664 BENEFICIARIES BASIC HEALTH TRAININGS 2 FOR VHSG WITH 31 BENEFICIARIES

COMMUNITY HEALTH VILLAGE & SCHOOL HEALTH DEVELOPMENT EDUCATION The Community Health Development Project works with The Village and School Health Education Project aims to local authorities in Sotnikum operational health district improve access to healthcare knowledge at the commu- (Siem Reap Province) to conduct training needs assess- nity level. The project provides health and first aid training ments with Health Centres. These assessments identify for the Village Health Support Group (VHSG), as well as areas where education is lacking, and provide guidance directly with community members. The team conducts on the training activities required for Health Centre work- public service announcement screenings and theatre ed- AHC deeply involved in the Health ers and village stakeholders. ucation sessions to engage children on topics such as – 2 Health Centre and village training needs oral health, disease prevention and hand hygiene. assessments conducted. – 2 Basic Health trainings for Village Health Support of the Community – 2 health influencers assessments conducted, Group (VHSG) with 31 beneficiaries. with 10 village stakeholders. – 4 first aid training for VHSG with 69 beneficiaries. – Areas of training identified: – 64 PSA screenings and theatre education Eye and dental care, nutrition and hygiene. sessions with 16,976 beneficiaries. Community outreach and education is an effective means Our Community Health Action and En- for addressing Cambodia’s various health challenges, gagement Department (CHAED) works particularly preventable illnesses and infectious diseases. together with local health centres, com- Our outreach activities provide an opportunity to reach communities outside AHC’s immediate catchment area, HEALTH CENTRE NUTRITION EDUCATION munity leaders and village health sup- and empower caregivers with the requisite knowledge and skills to improve their child’s wellbeing. SUPPORT AND SUPPORT port groups to improve the quality of Our Community Health Action and Engagement Depart- health services provided and to pro- ment is comprised of two units: the Health Systems The Health Centre Support Project aims to improve the The Nutrition Education and Support Project assesses Strengthening Project (HSSP) and the Capacity Building quality of public healthcare available in rural Cambodia. the general health of children in the district to identify mote disease prevention and good and Health Education Project (CBHEP). This includes Health Centre Management Council train- those suffering from malnutrition, or in need of urgent health practices. The HSSP is an on-going project in cooperation with the ing, on-the-job training of Health Centre staff, plus small- medical care. The team conducts health checks and dis- Cambodian Ministry of Health, Physicians Council and scale repairs of equipment and infrastructure. Additional- tributes food care packages to families in need of imme- Cambodian Council of Nurses. Its goal is to develop and ly, AHC clinical staff support Health Centre workers in diate aid. The project also provides nutrition education implement national healthcare policies, such as physician their outreach services, such as immunisation sessions. sessions to caregivers and to school teachers. clinical practice guidelines and a nursing code of ethics. – 39 in-service trainings with 201 beneficiaries. – 27 nutrition education sessions with 664 beneficiaries. The CBHEP is comprised of four complementary out- – 5 Health Centre trainings at AHC with 36 beneficiaries. – 4 food supply packages for 13 beneficiaries. reach activities: – 64 immunisation sessions with 938 beneficiaries. – 25 nutrition follow-ups for 76 severely malnourished children

26 27 27 EDUCATION SESSIONS WITH 664 BENEFICIARIES

Nutrition Project Helping Children Reach Their Full Potential

Equally, babies under the age of six months who are not The first 1,000 days of life are the most exclusively breastfed and young children aged from six critical period for a child’s nutrition. months to two years who are not given sufficient food are at greater risk of disease and infection, due to the body’s From the first day of pregnancy until inability to absorb sufficient nutrients. two years of age, if a child is nutritionally As part of the Capacity Building and Health Education Programme’s (CBHEP) Nutrition Project, AHC staff regu- deprived their mental and physical larly travel to remote and rural villages to assess the growth can be stunted for life. Stunted health of families and reduce the prevalence of malnutri- tion in pregnant women and children under five. Through growth can have devastating conse- health screenings at villages and health centres, they are quences and the damage caused is able to identify malnourished children and refer them to the AHC Satellite Clinic for treatment. They also distribute irreversible. food care packages to families in need of immediate aid. In collaboration with local authorities, health centers and Village Health Support Groups (VHSGs), the CBHEP’s Nutrition Project delivers health education sessions to in- crease the capacity of the local VHSGs and their commu- nities. Greater health awareness, improved communica- tion between communities and health facilities plus better access to quality healthcare will enable more of Cambo- dia’s children to have their best start in life.

28 INTERNATIONAL STRATEGIC COLLABORATIONS PARTNERS

The primary partner for the Global Child Health Pro- 1. Cambodia Oxford Medical Research Unit (COMRU) gramme is the Cambodia Oxford Medical Research 2. Institute for Glycomics Griffith University, Australia Unit (COMRU), a collaboration between AHC and the 3. Royal College of Paediatrics and Child Health, UK Mahidol Oxford Tropical Medicine Research Unit 4. Mahidol Oxford Tropical Medicine Research Unit, (MORU) that has been ongoing since 2006. Faculty of Tropical Medicine, These partners provide technical assistance both on- Mahidol University, Thailand site and remotely and allow us to contribute to the 5. Ethox Centre, Nuffield Department of Population global knowledge and literature on important child Health, University of Oxford, UK health issues and harness our collective potential to 6. University of Pittsburgh, USA save lives.

2016 Publications Responding to Critical High Prevalence of Antimicrobial- Molecular Characterization of South Asia as a Reservoir for the Global resistant Gram- negative Colonization Cryptosporidium Species and Giardia Spread of Ciprofloxacin-Resistant in Hospitalized Cambodian Infants. duodenalis from Symptomatic Shigella sonnei: www.ncbi.nlm.nih.gov/ Cambodian Children. A cross-Sectional Study. Global Child Health Issues pubmed/27124686 www.ncbi.nlm.nih.gov/ dx.doi.org/10.1371%2Fjournal. pubmed/27387755 pmed.1002055 A Retrospective Analysis of Melioidosis Angkor Hospital for Children is commit- Utilising data and research generated at AHC in 2016, the in Cambodian Children, 2009 – 2013. Clinical Evaluation of Dengue and An Extended Genotyping Framework Global Child Health Programme investigates a number of www.ncbi.nlm.nih.gov/ Identification of Risk Factors for Severe for Salmonella Enterica Serovar Typhi, ted to participating in comprehensive, critical child health issues, such as antibiotic resistance pubmed/27871233 Disease: Protocol the Cause of Human Typhoid. ethical, clinical research and contribut- and stewardship, paediatric infectious disease and the for a Multicentre Study in 8 Countries. www.ncbi.nlm.nih.gov/ reduction of neonatal morbidity and mortality. Evolutionary History of the Global www.ncbi.nlm.nih.gov/ pubmed/27703135 ing towards international knowledge in The data and knowledge generated at the AHC has the Emergence of the Escherichia pubmed/26968374 the field of child health. In collaboration potential to not only strengthen health systems in Cam- coli Epidemic Clone ST131. bodia, but also influence global child health policy and www.ncbi.nlm.nih.gov/ Molecular Surveillance Identifies with our strategic partners, our Global inform the development of diagnostics and new treat- pubmed/27006459 Multiple Transmissions of Typhoid Child Health Programme enables us to ments (including vaccines) that could directly affect the in West Africa. health and wellbeing of children throughout the world. The Molecular and Spatial Epidemiology www.ncbi.nlm.nih.gov/ do just that As Cambodia’s foremost paediatric health-care institu- of Typhoid Fever in Rural Cambodia. pubmed/27657909 tion, AHC is now in a position make an impact on a global www.ncbi.nlm.nih.gov/ level. pubmed/27331909 Lack of Utility of Nasopharyngeal Swabs for Diagnosis of Burkholderia Characterisation of Invasive pseudomallei Pneumonia Streptococcus pneumoniae in Paediatric Patients. Isolated from Cambodian Children www.ncbi.nlm.nih.gov/ between 2007 – 2012. pubmed/26874977 www.ncbi.nlm.nih.gov/ pubmed/27448096

30 31 THE INTERNATIONAL HALF MARATHON is our biggest local fundraiser each year and 2016 was no exception. AHC Fundraising had a combined team of more than 100 individuals involved in the Bike4Kids Charity Ride and the 3 km, 10 km and 21 km races. Over $143,000 was raised thanks to the generous support from our friends at Manulife – more than we’ve ever raised in a local around DURING BON PHKA fundraiser! PRAK (a Buddhist To read more about the event, visit: ceremony) in June 2016, www.angkorhospital.org/events/running- over $ 43,000 was raised for-ahc- everyone-arrives-to-the-final-line- by WAT BO PAGODA with-smile the World thanks to the generosity of the local Khmer community.

In September 2016, the WORLD CHEF’S Hosted by Friends CHARITY GALA Without A Border, the DINNER was organised 17TH ANNUAL by Borei Angkor Resort FRIENDS OF FRIENDS and Spa in conjunction BANQUET was held in with the Cambodia New Jersey in October Chefs Association and raised over (CCA) and raised $12,000. $10,675.

In April 2016, the FUNDRAISING In April 2016 the COMMITTEE hosted Millenium Charity Team their second annual held a GALA DINNER FUNDRAISING DINNER AND AUCTION IN at Shore Restaurant and PHNOM PENH, raising raised an incredible over $13,500. $87,438.

In September 2016, young players from the Indochina Hosted by AHC Board Starfish Foundation travelled member, Lindsay to Siem Reap for a fun and Cooper, the FRIENDLY FOOTBALL SINGAPORE GOLF MATCH against the AHC Kids EVENT raised over Team, whilst the Ian THOMP- $32,000 for AHC’s Raise SON MEMORIAL FUND team the Roof campaign in from Singapore challenged the April 2016. AHC mens team. Their incredible efforts raised over $130,000 for AHC! Governance Organisational Structure EXECUTIVE COMMITTEE

Angkor Hospital for Children’s Exec- AHC Board of Directors utive Committee ensures all areas of the organisation have an equal voice while making operational decisions EXECUTIVE COMMITTEE Chief Executive Officer for the hospital. Dr. Claudia Turner Dr. Claudia Turner, appointed Chief Mr. Tep Navy became Chief Operat- Executive Officer in early 2015, has ing Officer in 2012 after working his been working at AHC with the Cam- way from general nursing staff to bodia Oxford Medical Research Unit Vice-Director of Nursing. Navy’s ex- Chief Operating Officer Chief Business Officer Hospital Director (COMRU) since 2012. Her clinical ex- perience as an AHC nurse combined Mr. Tep Navy Mr. Arjen Laan Dr. Nguon Chanpheaktra perience as a paediatrician, research with his deep understanding of the experience as a tropical neonatolo- Cambodian legal system and hospital gist and administrator in both Cambo- administration ensures AHC makes dia and in the Mae Sot region of Thai- comprehensive decisions in line with land are used for all practical medical Cambodia’s legal framework. Administration and administrative decisions.

Phnom Penh Dr. Ngoun Chanpheaktra, Hospital Mr. Arjen Laan joined AHC in August Finance Communications Medical Nursing Office Director, has been at AHC since we of 2015 as the Chief Business Officer. first opened our doors in 1999. Dr. He has worked in Cambodia since Pheaktra has worked as the Chief of 2013 and has more than a decade of Information Human Community Security Development Education the emergency and Intensive Care experience with Medicines Sans Technology Resources Health Action & Engagement Unit, Chief of Medicine and Deputy Frontiers (MSF) in both clinical nurs- Hospital Director. This hands-on ing and administrative positions. His Logistics Housekeeping medical and administrative experi- experience in corporate and non-prof- ence makes him a vital asset to the it sectors ensures smoother opera- Executive Committee. tional management while staying true Maintenance Purchasing to our mission.

AHC Ltd and AHC are independent, Angkor Hospital for Children Limited non-profit organisations incorporated in HONG KONG Hong Kong and Cambodia respectively. BOARD MEMBERS AHC Ltd. is an independent non-profit organization Angkor Hospital for Children is governed by a volunteer The Board of Directors oversees 3 specialised committees: The Board of Directors is responsible for overseeing AHC incorporated in Hong Kong Board of Directors, consisting of 12 members. strategy, managing strategic risk, and providing manage- The AHC Board of Directors is responsible for determin- Medical Education, rial leadership and accountability. The Executive Com- ing strategy and policy, as well as overseeing the hospital’s Ethics & Oversight Committee (MEEOC) mittee has delegated authority from the Board of Di- MEMORANDUM OF activities. At the end of 2016, Alistair Thompson departed rectors for the operational and performance management UNDERSTANDING from the Board and Dan Simmons became a member. Audit & Operational of all AHC activities. The Executive Committee is sup- Risk Committee (A&ORC) ported by hospital management in their respective areas. Board members: AHC has identified four organisational strategic priorities Angkor Hospital for Children Robert Gazzi Stuart Davy Remuneration to be achieved. The Board receives monthly reporting re- Kenro Izu Lisa Genasci Committee (RC) garding the medical, operational and financial perfor- CAMBODIA John Canan Prak mance of the hospital, which is used to monitor progress Ngoun Chanpheaktra Tep Navy against strategic priorities. AHC is an independent non-profit organization Lindsay William Cooper Dan Simmons Learn more about AHC’s Board of Directors online: To learn more about AHC’s governance, please visit: registred with the Ministry of Interior (MoI). Nick Day Shunmay Yeung www.angkorhospital.org/about-us/board-of-directors www.media.angkorhospital.org/governance

34 35 PERCENTAGE OF ANNUAL FUNDS USED FOR PATIENT CARE AND EDUCATION 89 % Cost Analysis

Administration Administration and Outpatient Eye, Dental, and Outpatient Eye, Dental, Fundraising Social Work, Fundraising Social Work, Income 6% Homecare and Income 6% Homecare and Generation 10% Physiotherapy Generation 10% Physiotherapy 1% 1% 10%

Hospital Hospital Operational Support Operational Support Inpatient 15% Inpatient 10% USES OF FUNDS

Medical Emergency Medical Emergency Ancillary and Intensive Ancillary and Intensive Care 7% Care 10%

Outreach Outreach 3% 3% Neonatal Neonatal 4% Education 4% Education Surgical Surgical 9% Satellite Ward and 9% Satellite Ward and Clinic Operating Clinic Operating Theatre 7% Theatre 8% Statement of Activities SOURCES OF FUNDS Angkor Hospital for Children produces Individuals annual financial statements in accor- Individuals dance with Hong Kong Financial Re- 19% porting Standards and these are audit- Government Government ed by Baker Tilly Hong Kong. Financial 7% statements for the year ended 31st De- 7% Foundation / Corporate cember 2016 are available online: Foundation / Corporate www.angkorhospital.org/about- 74% us/ hospital-publications

37 Lifetime Contributors Costigan Family Foundation ADM Capital Foundation CW Asia Fund Foundation A very special thank Alistair and Rosie Thompson Dan & Mandy Simmons The Weldon UK Charitable Trust Dan Vovil you to the Royal Biltema Foundation David Aridi Government of Dave and Kerry Rickards Deutsche Bank Direct Relief International Dr Walter Keller Cambodia - not only Dr Masumi Kamachi Edward E. Stone Foundation, Inc do we value the Firetree Asia Foundation GHR Foundation Fondazione Mission Bambini Onlus GIZ Cambodia opportunity to work Friends Without A Border Japan Gori Rocco closely with the RGC, Friends Without A Border New York Hans Wolf Heart to Heart Foundation Henderson Global Investors but we also acknowl- Khmer HIV / AIDS NGO Alliance (Singapore) Ltd. edge all of the gener- Michael and Jo Ann Avery Hisao Takeda Monash Childrens Hospital Houn Lay ous financial and in- International Ian Macdonald kind contributions they Planet Wheeler Foundation Jae Choi Ptarmigan Charitable Foundation Jeanie Woo & Joey Lim continue to make to Seva Foundation Jet Streme Off-Road Challenge AHC. T&J Meyer Family Foundation John Canan The Maitri Trust Jones Day – Ministry of Health (MoH) University Research Coorporation Kowit Kret – Central Medical Stores (URC) Cambodia / USAID Kristen Glenn Tate (Cambodia) Leon Blackmore Foundation – National Center for HIV / AIDS, Cornerstone Contributors Linda C. Chandler Dermatology and STD Carraresi Foundation Marshall Family Foundation (NCHADS Cambodia) Children of Cambodia Mercy Malaysia – National Paediatric Hospital CLSA Capital Partners HK Miss Global Phnom Penh Charity Cambodia (NPH) Direct Relief - Abbott Laboratories Concert – Siem Reap Provincial Health Heart to Heart Foundation Morokok Art Funan Department Ian Thompson Memorial Nicolas Amodeo – Siem Reap Provincial Hospital Football Match Not Pointless Foundation Macquarie Group Foundation Open Heart International Cambodia Oxford Medical Paul Hancock and Philip Bartey Research Unit Panida Yotthaveepornanant Manulife Prof. Peter Forstmoser, PhD Fred N. Huston Pua Foundation Friends & Families Swiss Philanthropy Foundation Redevco Foundation The SAL Charitable Trust Robert & Jane Ellis Unilever (Cambodia) Ltd. Siem Reap Tourism Club (STC) Wat Bo Pagoda Sjovegan High School As a non-profit health care organisation, quality of healthcare available to chil- World Childhood Foundation Sokimex Group Investment Co., Ltd Stuart & Susan Davy Angkor Hospital for Children depends dren across Cambodia. Since opening Key Contributors The Ooty Foundation upon your generosity to ensure our in 1999, we have garnered support from Albizia Capital Pte Ltd T.O. Holdings Alexander Van Maanen Thong How Kwek doors stay open to the hundreds of all corners of the globe: whether you Arisaig Partners (Asia) Pte Ltd Trudy Chan-Johnson thousands of children who rely upon are a large trust making cornerstone Asia Brokers Asset Managers Tudor Foundation Charity (Singapore) Ltd University of Heidelberg our services. donations, a local business making Benjamin Hall University Research Coorporation We are grateful to each and everyone of regular contributions, or a traveler who Boltini Trust (URC) Cambodia / USAID Cambodia Red Cross Victor Chen our supporters: by choosing to support made time to donate blood, we sin- Siem Reap Branch Viriyane Richardson our treatment, education and preven- cerely thank you. Cambodian Chefs’ Association Zau Foundation Cambodian Friends of Friends tion programmes, you are improving the New York

38 39 We could not list every single supporter We also wish to say a special thank you ALSO A BIG THANK YOU TO ALL OF who has donated, here on these pages to all the local and foreign blood donors – to those not listed, we have not for- who took time from their work or holi- OUR DONORS WHO GENEROUSLY gotten you! We thank you and appreci- day to help us build our much needed ate every single donation, no matter blood supplies – we are truly grateful! SUPPORTED AHC ANONYMOUSLY! how big or small.

Supporters Cyclical World Event Hartmut Giesecke Mary Trussell Sok Phat 10 January 1979 High School Damien Coles Hasbro Childrens Hospital McDermott Gallery Sokbunthoeun So, PhD 777 Clinic Siem Reap Dana & Graig Toedman Hotel Link Solutions MediGroup Asia Ltd. Sokha Hotels & Resort Aarti & Avi Ibraham and Daniel George Green House Sun Tour & Travel Michael Gilmore (Sokha Hotels Group) Aarti Angara Daniel James French Huy Keang Money Exchange Michael P O’Connor Somadevi Angkor Hotel & Spa Aing Kimsan Bicycle Shop Daniela Springer IL Yung Jung Miss the Moon Fundraising Event Song Fa and Rental David Gilinson Indren Naidoo Morag Fullilove Soup Dragon Restaurant Alcon David Ong International School of Siem Reap Mr Vath, Mr Sok, Mr Loun St Michael Parish Alfredo B. Donaire David Oum International Society for & Mrs Kung Stephen Drakeford Amansara David Thomas Children with Cancer Mulberry Boutique Hotel Stephen Philip Hunt Ana Catalina Arce-Clachar David Walter Iu Ting Kwok Nealon Hannah Stephen Tierney Andy Cross David-Jaya Piot, Piot and Tep Vattho James Banghart Nikola Kemper Steve Newhouse Angkor Japanese Speaking Deputy Chief Monk, Chikreang Japanese Clef Palate Foundation Ozyegin Murat & Yasemin Guckan Stuart Davy Guide Assiociation District & Supporters Jasja Han Willem Kotterman Perlita A. Urbano Stuart Huggett Angkor Kinders DKSH (Cambodia) Jasmine Brunner Peter Wild Stuart R Wilson Angkor Super Market Dr Kevin Kishin Gandhi Jerry Collier Philip Bhaskar Ten Kosal Anita Watt Dynamic Pharma Co. Jerudong International School Philip James Witherington The Siem Reap Brewpub Artisans d’ Angkor Edgewood College John Brisco Phillip C. Jones Thiam Soon Lim Axis Communications Edward Thomas Jenne John M Williamson Phos Phoan Timothy & Hannah Shepherd Ben Harris Edward Wu & Christina Lee John Williamson Phuk Chea Timothy & Virginia Beaulac Bernard Drury Elise Anne McAuley Jonh Bishop Ponlu Tola Tobias Bücheler Boran Mao Elizabeth Gagnon JTB Fukuoka Promrath Pagoda Tourist Transport Association Bosba Panh Fundraising Event Eng Sok Gech Jukka Hakli Radio Free Asia for SR Airport Brian Shannon Erich Cuaz Kalsom Ismail Rebecca & Damien Brosnan Tuon Saveung and Family Bun Thoeun Sotevtey Excol Charity Dinner Karen Ouk Rebecca Bolsover Ty Monkol Jewelery Caleb Woo EXO Foundation Katherine Rose Rebecca Holgate Tycoon Global Investment Co., Ltd CAMINCO Cambodian National FCC Hotels & Restaurants Kofi Co., Ltd Rebecca Meisels V Asia Design Insurance Company Fleur Eng-Reeves Koh Poh Guan Richard Allan Vargo Vanessa Sng Carol Kai Jok Tan Florida International School Kuan Huang Wen Robert Johnson Vijai Bhola Caroline & Chris Botsford Fo Guang Shan Singapore Kung Beb & Family Rory Dickson Wai Yip Caroline & Oliver Crandell Former students of 10 January Lam Kwong Tak Eddie Rula HR Husni Walter Krankemann CBG Logistics (CAMBODIA) High School (1991 – 1994) Lavender Christopher Ry Muth Won Chong Trading Inc. Celia Yan Frances Nealon Le Meridien Angkor Sam Relief Inc. WooLodewijk Meens & Wei Si’eu Chamber of Commerce – Francesco Lagutaine Leila M. Cheung Samantha Lee Woo Siem Reap – Oddor Mean Chey Fredrik Dalborg Lilian Yu Sara Wille Burton Yan Phoeun Chanrey Tree Co. Friends of Friends, Philadelphia Lisa Tang Sathapana Bank PLC Yeo HC Chenda M. Cupak Future Bright International School Lisa Ting Ngoi Shalom College Young Entrepreneurs Association Christine Shimoda & Shimoda Yoji Gary Oconnor Lucy Taylor-Smith Shen Hsieh Shuan Yuen Siu Fung Christopher Eskdale Guy Raymond Adan Mills Ly Ratana Rany Siem Reap International Airport Chua Chee Seng H.E Sieng Nam Ly Taing Lay & Ly Muou Chhi SIF Foundation Cindy Spencer Han Kottenman M F Dommermuth Sin Sao Coburn Vibha Hang Pou Manulife (Cambodia) PLC SmartKids International School Colin Smith Hard Rock Café, Siem Reap Mark Miller Soek Khim Chang Coral Hanevold Harmeet S. Bedi Martin Wright Sofitel Angkor

40 41 As a nonprofit hospital, we are entirely grateful for all those who have supported Angkor Hospital for Children. We have made every effort to be accurate in this listing. Should you find any omissions or errors, please do not hesitate to contact the Development Department: +855 (0)63 963 409 ext. 7035 [email protected] ANNUAL REPORT 2016

2016 - 2020

Deliver high quality paediatric health 1 care to our community in partnership with the Cambodian Government.

Become a centre of excellence for education and research within 2 Cambodia.

Develop strong and sustainable teamwork at a hospital, communi- 3 ty and national level.

Become a sustainable and replicable 4 model of healthcare in Cambodia.

The Angkor Hospital for Children’s five year Strategic Plan (2016 - 2020) was developed to ensure our vision, mission and values are reflected in all unit operating plans and daily activities and highlights our commitment to being a centre of excellence for paediatric treat- ment, education and prevention in www.angkorhospital.org Cambodia. [email protected] +855 (0)63 963 409