


“Health NGOs are very concerned about Cambodia’s ability to achieve the Cambodian Millennium Development Goals (CMDGs) of reducing by two-thirds the maternal mortality rates and reducing the under-five mortality by 2015.” It was argued that care of maternal, newborn and child health has not been developed and implemented with adequate sustainable financial support. Although the national budget for health was reported to have improved in the last years, the NGOs repeated it’s “…calls on the RGC to increase transparency and accountability for policies designed to reduce delays and incomplete government budget disbursement during the first part of the year in particular.” Malnutrition and lack of access to essential health care appear to be the most salient health-related problems that relate to poverty in Cambodia. Many of the aggregate health indicators have been stagnant in the last years with infant mortality rate of 66 per 1,000 live births, under-five mortality rate of 97 per 1,000 live births and maternal mortality of 450 per 100,000 live births. NGOs feel that: “...funding for maternal, newborn, and child health has been neglected...” Research has repeatedly shown that health problems are one of the major causes of poverty, as people sell their assets and go into debt to pay for health care, despite the poor quality of care given. The causes of poor health are numerous, but the lack of clean drinking water and safe sanitation is a major contributor. The main causes of death for adults are malaria and tuberculosis with HIV/AIDS also a serious concern as the epidemic has recently spread to married women and their children in both urban and rural areas. Specifically, ASU in facilitation with communities and local authorities have formed and supported CTBAC and CHAC. The CTBAC’s primary role is to advise on prenatal care, provide information on infant health issues and assist in the birth. The PADEK Area Support Units (ASU) coordinates with the District Referral Hospital to provide training to CTBAC members to strengthen their capacity. CHAC’s role is to provide information to villagers on basic health care, first aid and to provide awareness on HIV/AIDS. They have sought cooperation with district and provincial health departments in case of lack of resource to provide vaccination for women and children. The CHAC members also provide feedback to the Hospital on health status of villagers for the purpose of providing additional support.
