Cambodia has a population of around 15 million people, with Phnom Penh as its capital city. The country suffered greatly under the Khmer Rouge regime in the 1970s, which resulted in the deaths of over 1.5 million Cambodians from executions, starvation, and forced labor. Cambodia remains one of the poorest countries in Asia, with over 30% of the population living below the poverty line. The economy relies heavily on agriculture, garment exports, and tourism. The healthcare system faces many challenges including a lack of funding, medical supplies and equipment, as well as high rates of malnutrition, maternal and infant mortality.
3. Demographics
Population: 14,952,665
Ethnic Groups:
Khmer 90%
Vietnamese 5%
Chinese 1%
Other 4%
Religious Groups:
Buddhist 96.4% (Official)
Muslim 2.1%
Other 1.3%
(World Fact Book, 2012)
4. History
1887 – Cambodia becomes part of French Indochina
1953 – Cambodia gains full independence from France
1975 – Communist Khmer Rouge forces capture Cambodian
capital Phnom Penh and evacuate all cities and towns
Pol Pot – Cambodian Communist Revolutionary, led Khmer Rouge
forces
At least 1.5 million die from execution, forced hardships, and
starvation
Killing fields – estimate 1,386,734 victims
5. History
1978 – Vietnamese invasion drives out Khmer
Rouge regimes
10 years of Vietnamese occupation
13 years of Civil War
1991 – Peace Accords mandate democratic elections
and ceasefire on 13 years of civil unrest
1993 – UN-sponsored elections form a coalition
government
1997 – Fractional fighting ends 1st coalition government
1998 – Round two of elections, 2nd coalition government
implemented
1999 – Remaining elements of Khmer Rouge
surrendered
2004 - King Norodom Sihanouk abdicated the throne to
his son, Prince NorodomSihamoni
6. Economy
Currency: Riel
Remains one of the poorest countries in Asia
Approximately 4 million people live on less than $1.25 per day
37% of children under 5 suffer from chronic malnutrition
31% below poverty line
More than 50% of the government budget comes from donor
assistance (World Bank, IMF)
Main Industries:
Agriculture
Employs 57.6% of population
Tourism
Garments
Accounts for more than 75% of Cambodia’s total exports
(World Fact Book, 2012)
9. Education
Result of Khmer Rouge
(1975-1979)
Post-Vietnam occupation
Problems and challenges
Illiteracy
10. Health Related Statistics
Birth Rate: 25.17 births/1,000 population
Death Rate: 7.97 deaths/1,000 population
Life Expectancy at Birth: 63.04 years
(World Fact Book, 2012)
11. Health Challenges
Maternal & Child Healthcare
Infant Mortality Rate: 120 deaths/1,000 live births
Maternal Mortality Rate: 250 deaths/100,000 live births
Mortality Rate for Children 1-5: 200 deaths/1,000 births
Most important health problems:
malaria, tuberculosis, diarrheal diseases, HIV/AIDS
Mainly curative medicine
Sanitation Issues
Lack of funding
Health Expenditures: 5.8% of GDP
12. Availability of Resources
Limited
Hospitals (9 in total, all located
close to the capital)
Physician Density: 0.227
physicians/1,000 population
Hospital Bed Density: 0.1
beds/1,000 population
Lack of medical supplies &
equipment
Water supply
13. Health Care Delivery System
Private Sector
Public-Private Doctors
Pharmacists and Drug
Sellers
70% of people seek it in the
first instance
Public Sector
Health Centers: 18.5% in
rural areas
Referral Hospitals: 12% in
urban areas
Oriented towards treating
acute illness and disease
Referrals and linkages through
the provider network
First point of entry into the
health system is the health
center
Refers to district hospitals and
then provincial hospitals as
needed
Ministry of Health (MOH)
Improve and extend primary
health services through
operational districts system
Allocate financial and human
resources
Health Sector Strategic Plan
14. Resources
Health Care Delivery Profile, Cambodia, 2012
http://www.wpro.who.int/health_services/service_delivery_profile_cambodia.pdf
Oxford Jounals, Health Policy and Planning, Cambodia
http://heapol.oxfordjournals.org/content/26/suppl_1/i30.full
Ministry of Health, Cambodia Health Information System Analysis
http://www.moh.gov.kh/files/dphi/chisra.pdf
Cultural Survival, Health Care in Cambodia
http://www.culturalsurvival.org/publications/cultural-survival-
quarterly/cambodia/health-care-cambodia
NGO Education Profile, Cambodia
http://nepcambodia.org/index.php/en/footereducation
CIA, World Fact Book Cambodia, 2012
https://www.cia.gov/library/publications/the-world-factbook/geos/cb.html
Education Facts and Figures, Cambodia
http://www.savong.com/SAVONGSCHOOL/EducationFactsandFiguresCambodia/tabid/114/De
fault.aspx
Notas do Editor
1887 – Cambodians are descendants of the Angkor empire that extended over Southeast Asia from the 10th to 13th century. Attacks by Thai and Cham (modern-day Vietnam) led the Angkor King to place Cambodia under French protection and eventually becoming part of Indochina1953 – Following Japanese occupation in WWII, Cambodia gained full independence from France1975 – after a 5 year struggle, communist Khmer Rouge forces capture the capital. Killing fields – a number of sites in Cambodia where large numbers of people were killed and buried by the Khmer Rouge regime1978 -
1991 – Peace Accords were not fully respected by Khmer Rouge1993 – elections help restore some semblance and normalcy1998 – semi-political stability restoredIn 2008 the Cambodian’s People Party secured 60% of the vote, making Hun Sen the Prime Minister