Cambodia


Trends

Cambodia, in the past five years has witnessed a slight increase of its maternal mortality rates. In 2000, the Cambodia DHS found the rate of maternal mortality to be 437 per 100 000 live births. In 2005, the rate had risen to 472 . Despite this increase in maternal mortality, progress has been made in the area of care received by pregnant women. Where in 2000 55% of women received no antenatal care, in 2005 69% of women received antenatal care from a health care professional at least once. The majority of care was provided by midwives, followed by doctors and nurses.

Progress can also be seen in the conditions of deliveries. In 2000 89% of births were delivered at home. This figure in 2005 had decreased to 78%. Of the 22% of births delivered at health facilities, a great proportion are located in urban areas, pointing to a difficulty of access of women in rural areas to health centres.

In addition to an improvement in the place of delivery, assistance by trained health professionals has also increased. Obstetric care by a trained provider during delivery has moved from 32% in 2000 to 44% in 2005. More than half (55%) of births are assisted by traditional birth attendants.

Child mortality rates, like many of the maternal health indicators, have greatly improved. There has been a substantial reduction in the under five mortality rate from 127 deaths per 1000 live births in 2000 to 83 deaths per 1000 live births in 2005. This reduction in child mortality is spread across neonatal, post neonatal, infant and child mortality. Important causes of child death in Cambodia are premature births, fever, respiratory diseases, complications at delivery and tetanus.

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