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    Reconstruction of health in Cambodia. The work of WHO: past, present and future.

    World Health Organization [WHO]

    Tokyo, Japan, WHO, 1994 Mar. 13 p.

    During Cambodia's transition to a parliamentary democracy, the World Health Organization (WHO) assisted various administrative authorities as they determined immediate health policies and strategies and established mechanisms for national and international coordination of health activities. WHO identified national requirements that formed the foundation for a national health development process and of de facto policies and strategies. The generation of war and suffering had the most impact on women and children (e.g., maternal mortality 900/100,000 live births and child mortality >200/1000). Significant conditions in Cambodia include malaria, dengue hemorrhagic fever, tuberculosis, diarrhea, HIV/AIDS, and loss of limbs and other physical injuries. The Ministry of Health (MOH) is responsible for health care for almost the entire population. The priority health development strategy is improving district health systems in support of community health services. The currently managed vertical programs will eventually be integrated and managed as one comprehensive health service system from the provincial level. The human resource development strategy includes workforce planning and management, continuing education, and formal training. Cambodia's system of procurement and distribution of essential drugs, supplies, and equipment of public sector health facilities needs to be improved. WHO is supporting Cambodia's expanded program on immunization. MOH considers reduction of maternal and young child mortality a top priority and is promoting birth spacing. Mental health problems have not been traditionally addressed in Cambodia. The government plans on establishing a central program of planning and management to support and develop mental health services. Other areas WHO and MOH are addressing include nutrition, health and environment, and health sector resources (e.g., health personnel, capital investment).
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