Cambodia's Main Challenges in Improving Health among the Poor
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Washington, DC
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The royal Cambodian government (RCG) has
achieved remarkable progress in recent years in reducing the
poverty rate by more than half. However, the majority of
those escaping from poverty only did so marginally and
remain largely near-poor and still highly vulnerable to the
slightest of shocks. One of the most critical factors in
enabling the poor to escape from poverty, and not only
remain non-poor but go on to prosper, lies in ensuring
higher levels of health welfare in these households. This is
especially important in rural areas, where most of
Cambodia s poor reside and where health indicators show a
stark divergence with those for urban areas. If poverty is
to continue to decline apace, and the gap between rich and
poor is to continue to narrow, then the RCG will need to
ensure that poor and near-poor people s health care is
greatly improved such that they can make the most of the new
opportunities in education and employment that are now
becoming available. With significant improvements in some
health indicators over the past decade, the major challenges
in health care going forward are now becoming clearer. These
include: making a breakthrough in tackling high levels of
child mortality and child malnutrition; addressing equity
more effectively in health service provision and health
spending, through pro-poor targeted programs and
improvements in the coverage and rates of use of health
equity funds (HEF); and the improved monitoring of
unregulated private providers of medication used by the
majority of the poor. In addition, another crucial step
forward will be providing adequate financing and ensuring
the implementation of Cambodia s first national social
protection strategy (NSPS).
Palabras clave
AGED, ANEMIA, ANTENATAL CARE, BIRTH ATTENDANTS, BREAST, BREASTFEEDING, BURDEN OF DISEASE, CANCER, CHILD CARE, CHILD DEATHS, CHILD GROWTH, CHILD MALNUTRITION, CHILD MORTALITY, CHILD NUTRITION, CHILDBEARING, CHRONIC DISEASES, CLINICS, COMMUNICABLE DISEASES, CONDITIONAL CASH TRANSFERS, COUNSELING, DEATHS, DEBT, DEFECATION, DELIVERY CARE, DIABETES, DIARRHEA, DIET, DISEASE BURDEN, DOCTORS, DRINKING WATER, EPIDEMIC, FAMILIES, FOLIC ACID, HEALTH CARE, HEALTH CARE FINANCING, HEALTH CARE PROVISION, HEALTH CENTERS, HEALTH COSTS, HEALTH EQUITY, HEALTH FACILITIES, HEALTH INSURANCE, HEALTH INTERVENTIONS, HEALTH OUTCOMES, HEALTH SECTOR, HEALTH SERVICES, HEALTH SYSTEM, HOSPITALS, HYPERTENSION, ILLNESS, ILLNESSES, IMMUNIZATION, INCOME, INFANTS, INJURIES, INJURY, INTERVENTION, IRON, IRON SUPPLEMENTS, LIVE BIRTHS, LOW BIRTH WEIGHT, MALNUTRITION, MATERNAL HEALTH, MATERNAL MORTALITY, MEASLES, MEASLES IMMUNIZATION, MEDICAL CARE, MEDICAL EXPENSES, MEDICAL PERSONNEL, MIDWIVES, MORTALITY, MORTALITY RATE, MORTALITY RATES, MOTHER, MOTHERS, NEONATAL MORTALITY, NURSES, NUTRITIONAL STATUS, ORT, PATIENT, PHARMACEUTICALS, PNEUMONIA, POSTNATAL CARE, PREGNANT WOMEN, PREVALENCE, PREVENTIVE HEALTH SERVICES, PRIMARY CARE, PRIMARY HEALTH CARE, PRIVATE PHARMACIES, PUBLIC HEALTH, QUALITY OF HEALTH, QUALITY OF HEALTH CARE, SANITATION, SCREENING, SMOKING, SOCIAL EXCLUSION, STUNTING, TOBACCO, TRADITIONAL BIRTH ATTENDANTS, TREATMENT, UNDERWEIGHT CHILDREN, USE OF HEALTH SERVICES, VACCINATION, VACCINES, VITAMIN A, WASTING