Health Care in Ratanakiri Province


Health indicators in Ratanakiri are the worst in Cambodia.[1] Malaria, tuberculosis, intestinal parasites, cholera, diarrhea, and vaccine-preventable diseases such as measles are endemic.[2][1] Rattanakiri has Cambodia's highest rates of maternal and child mortality,[2] with 22.9% of children dying before the age of five.[3] Ratanakiri also has the country's highest rates of severe malnutrition.[2] Ratanakiri residents' poor health can be attributed to a variety of factors, including poverty, physical remoteness, language and cultural barriers that prevent Khmer Loeu from obtaining medical care, poor infrastructure and access to water, lack of accountability in the medical community, and exacerbating environmental factors such as natural resource degradation, decreasing food production, and internal migration.[2][1] The province has one referral hospital, 10 health centers, and 17 health posts.[4] Medical equipment and supplies are minimal, and most health facilities are staffed by nurses or midwifes, who are often poorly trained and irregularly paid.

Statistics

Vaccinations

* DPT1: 44%
* DPT2: 24%
* DPT3: 19%
* Measles: 39%

Nutrition

* Children moderately underweight: 35%
* Children severely underweight: 19%

Infant and child mortality

* Neonatal mortality: 80 per 1000
* Infant mortality: 170 per 1000
* Child mortality: 229 per 1000

Access to health care

* Visited health facility in last year: 13%

Sexual health

* Age at first intercourse: 18.0
* Age at First Marriage: 18.6
* Knows that a healthy person can have AIDS: 78%
* Knows that condoms can be used to prevent AIDS: 33%
* Uses any method of birth control: 8%
* Uses condoms: 1%
* Uses modern method of birth control: 7%
* Delivery Assistance by Doctor: 1%
* Delivery Assistance by SBA: 14%