Medicines in Health Systems: Advancing Access, Affordability and Appropriate Use. Chapter 5 – Annex 2: Task-shifting to Peer Educators in Cambodia
(2014; 7 pages)


Chronic Life-Long Conditions (CLLC) are the most important cause of mortality worldwide and the major burden falls in low and middle income countries (LMICs), posing a serious threat to social and economic development.

In this case-study, we describe and evaluate the work of a Cambodian NGO, named ‘MoPoTsyo’. The NGO aims to empower people living with diabetes to self-manage their condition by creating networks of community-based diabetes peer educators. The case study sets forth to

  1. describe the activities of the peer-educator networks (PENs) and how they have evolved over time in response to a changing environment;
  2. discuss the results achieved by the intervention, looking at both intended and unintended consequences of the networks on patients, health workers and other actors involved in the intervention;
  3. explore the perspective of key stakeholders in the Cambodian health system vis-à-vis the peer-educator networks.

The methodology consisted of a literature review of both published and grey literature, extended with field research in a rural district with a mature PEN. During the fieldwork semi-structured interviews were conducted with various stakeholders; including NGO staff, front-line health workers, pharmacists and policy makers. Data from all these sources was triangulated and a draft of the case-study was reviewed by key informants to increase validity.

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