Child Health

2010 Cambodia Demographic and Health Survey

• Immunisation Coverage

• Childhood Illnesses and Treatment

© 2001 Marcel Reyners, Courtesy of Photoshare.

Full Immunization

• Children who have received:• BCG• Measles• 3 doses of Tetravalent or Pentavalent• 3 doses of Polio (excluding polio 0)

Are said to be “fully immunized”

Childhood Immunizations

BCG 1 2 3 HB 0 1 2 3 Measles All basic* None

94 93 9085

73

94 9185 82 79

4

* Not includes HB 0

Percent of children 12-23 months immunized

DPT-Heb B-Hib Polio

Immunization Coverage

Percent of children age 12-23 months fully

immunized

Mondol Kiri/Rattanak Kiri

28%

Preah Vihear/Steung Treng

66%

Kampong Thom79%

Kratie71%

Siem Reap89%

Otdar Mean Chey78%

Banteay Mean Chey

93%

Battambang/Pailin 79%

Pursat74% Kampong

Cham85%

KampongChhnang

76%

Preah Sihanouk/ Koh Kong

74%

Kampot/Kep57%

Kampong Speu89%

Takeo84%

SvayRieng75%

PreyVeng76%

Kandal77%

Phnom Penh84%

How Does Cambodia Compare?

Timor Leste 2009-10

Indonesia 2007

Vietnam 2002

Cambodia 2010

Philippines 2008

Bangladesh 2007

Nepal 2006

53

59

67

79

80

82

83

Percent of children 12-23 months fully immunized

Trends in Immunization Coverage

BCG

DPT/ Tetra

valent/

Pentavale

nt 3Polio

3

Measl

es

All basi

c vac

cinati

ons

71

49 52 5540

9178 77 77

67

9485 85 82 79

2000 CDHS 2005 CDHS 2010 CDHS

Percent of children 12-23 months

Trends in Immunization Coverage

2000 CDHS 2005 CDHS 2010 CDHS

40

67

79

22

7 4

Fully Immunized No vaccinations

Percent of children 12-23 months

Immunization Coverage by Mother’s Education

No schooling Primary Secordary and higher

58

8088

Percent of children 12-23 months fully immunized

Immunization Coverage by Household Wealth

Lowest Second Middle Fourth Highest

65

7784 84

88

Percent of children 12-23 months fully immunized

Poorest Wealthiest

• Immunisation Coverage

• Childhood Illnesses and Treatment

© 2001 Marcel Reyners, Courtesy of Photoshare.

Acute Respiratory Infection (ARI)

In the 2 weeks before the survey, 6% of children under age 5 were ill with cough and rapid breathing, symptoms of ARI.

• 64% of these children were taken to a health facility or provider.

• 39% were given antibiotics.

FeverIn the 2 weeks before the survey, 28% of children under age 5 had a fever.

• 63% of these children were taken to a health facility or provider.

• 0.3% were given antimalarial drugs.

• 44% were given antibiotics.

Diarrhea

15% of children under age five had diarrhea in the 2 weeks before the survey; 2% had bloody diarrhea.

• 59% of children with diarrhea were taken to a health facility or received treatment from a health provider.

Diarrhea Prevalence by Age

48-59 mos

36-47 mos

24-35 mos

12-23 mos

6-11 mos

<6 mos

9

10

14

21

26

14

Percent of children under 5 with diarrhea in the two weeks before the survey

Knowledge of ORS Packets

95% of mothers know about oral rehydration salts (ORS) packets or ORS pre-packaged liquids to treat diarrhea

Diarrhea Treatment

No treatment

Home remedy/other

Zinc supplements

Antibiotic drugs

ORS or increased fluids

Increased fluids

ORS packets or tablets

Taken to a health provider

19

52

2

6

53

34

34

59

Percent of children under 5 with diarrhea in the two weeks before the survey

Feeding Practices During DiarrhoeaLiquids Offered

(compared to usual)Food offered

(compared to usual)

48% of children continued feeding and were given ORT and/or increased fluids, as recommended

More4

Same

49%

Some-

what less10%

Much less5%

More16%

Same55%None

0%

Much less3%

Some-what less19%

Never gave food6%

Key Findings

• 79% of children have all the recommended immunizations.

• Immunization coverage has increased in recent years.

• 6% of children under five had symptoms of ARI and 28% had fever in the 2 weeks before the survey.

• 15% of children had diarrhea in the 2 weeks before the survey. Of these, 59% of children were taken to a health facility or provider.• 53% were given ORS or increased fluids.• 19% did not receive any treatment.