Health in Ratanakiri Province

Health indicators in Ratanakiri are the worst in Cambodia.Riddell, Ebony. [http://rsh.sagepub.com/cgi/reprint/126/6/258.pdf "Community-led safe motherhood advocacy, Ratanakiri, Cambodia"] (PDF). "Journal of the Royal Society for the Promotion of Health" vol. 126 no. 6 (November 2006): 258–59.] Malaria, tuberculosis, intestinal parasites, cholera, diarrhea, and vaccine-preventable diseases such as measles are endemic. [http://www.healthunlimited.org/cambodia/ratt_index.htm "Improving Access to Healthcare for Indigenous Women and Children in Rattanakiri"] . Health Unlimited (2007). Accessed 2008-05-04.] Rattanakiri has Cambodia's highest rates of maternal and child mortality, with 22.9% of children dying before the age of five. [ [http://www.methodfinder.com/wfpatlas/index.php?page=03&lang=e "National Child Mortality and Malnutrition (Food Insecurity Outcome) Maps"] . United Nations World Food Programme. Accessed 2008-05-04.] Ratanakiri also has the country's highest rates of severe malnutrition. 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. The province has one referral hospital, 10 health centers, and 17 health posts. Medical equipment and supplies are minimal, and most health facilities are staffed by nurses or midwifes, who are often poorly trained and irregularly paid. [http://www.healthunlimited.org/aboutus/ARAIreport.pdf "Indigenous women working towards improved maternal health"] (PDF). Health Unlimited (May 2006), p. 9. Accessed 2008-05-04.] [Brown, Ian. "Cambodia". Oxfam (2000), [http://books.google.com/books?id=bK11j2IdbC0C&pg=PA59&sig=ej6QqW6vDJeraV9-LlD1LdeQiZY#PPA59,M1 p. 59–60] .]

tatistics

"Note: These statistics are aggregated for both Ratanakiri and Mondulkiri provinces.";Vaccinationshttp://www.ciesin.org/pdf/Two_Way_Health_Equity_Tables.pdf]
* 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%

References