any way you turn in srok khmer there is undeserved and remediable tragedy not 500 m away. it is difficult to know how to assist sometimes, and still maintain ones own stability.

when i contrast it with thailand, the conclusion appears that a diversified and strong subsistence agriculture can allow health care and education to arise.

Bitte_Kein_Lexus wrote:Shit... That'd indeed quite sad. They usually know ahead of time if the baby has turned around or not. That's rough for the husband and her parents...

That suggests a degree of prenatal care that I suspect failed to be performed, and then also a degree of initial examination when labor starts which I also suspect was never performed. Tragic and, frankly, pathetic that these individual are allowed to call themselves doctors. I'd rather have a new york cabbie deliver the baby... at least they probably have some experience in it.

Very sad and unnacessary deaths, may they both rest in peace.

Tragic and all too common in Cambodia. My mother-in-law is currently recovering from a nearly fatal hospitalization. As she drifted alarmingly near the brink of death, her "Doctors" were extorting buckets of money from my wife's family, that is until my wife flew in from the US and kicked some phony MD ass.

A big part of the problem was the family's willingness to defer to authority and perceived status, just going along with whatever the doctor said, no matter how outlandish his diagnosis and treatment, or lack thereof. No one even bothered to ask these corrupt charlatans why, after a week in ICU with obvious signs of kidney failure, her liver function and renal panels had yet to be taken. Unbelievable. I'm sure that the plan was to leech every possible penny from the family while deliberately keeping Ma on the brink of death, just for dramatic effect. Providing a proper diagnosis and a cure could ruin the doctor's lever into the family savings.

Sad. My heart goes out to the surviving family members.

I lived for sometime in student type housing, with most of em being for nursing and agriculture. Most of the nurses I knew there were in for midwifery, seemed determined, but all I saw was a WHOLE LOT of reading texts into the wee hours of the night. Memorizing. You know the drill.

With all the NGO's crawlin that land you would THINK that SOME would get a handle on this and drinkable water. I have given up hope that any humans there have the ability to examine failings and correct them. One big RUT from border to border with us trying to eek out a little civilized living. Can't tell em anything, they don't listen. It's like when we was kids, we just HAD to do it OUR way, no matter that tons of folks who'd been LIVING it for decades wanted to tell us how we might do it better.

When I do meet one with some spark, I hope it don't get squashed by something or someone. Hopefully this new batch of trained kids will help in the future. Remember, half the country is UNDER 25. That right there will put many things there into perspective.

Seems to me six properly placed birthing hospitals with WELL trained staff and some even volunteer visiting Dr's would be a good start.

I'm currently grooming/financing a young man (nephew) who has a great love of learning for medical school. I plan to ride him constantly about really learning things vs just passing, as well as offsetting his education with some supplementary learning at home via western online resources.

Hope to spit out a good khmer doctor at the end of it all, at which point I'll be building him a clinic. The net result, good doctor for the country with a clinic of his own... who can then take care of me as I get old and feeble (minded) as I've taken care of him, lol.

Quite a lot is being done in the maternal and child health sector, last year health officials launched a $14 million initiative to improve women’s limited access to reproductive health care. Taking strides to curb Cambodia’s high maternal and child mortality rates,
During the three-year Partnering to Save Lives campaign, funded by AusAid, NGOs Care Cambodia, Marie Stopes and Save the Children aim to expand reproductive, maternal and neonatal care.“This is about saving mothers and babies through a strategic partnership,” Heidi Brown, director of the initiative’s coordination and learning unit, said.

http://www.phnompenhpost.com/national/w ... -14m-boost

This year Japan provided US$11.5 million in grand aids to Cambodia for the implementation of the Project for Expansion of National Maternal and Child Health Center.The exchange of notes and record of discussion on the extension of a grand aid was signed by Cambodia’s Foreign Minister Hor Namhong and Yuji KUMAMARU, Japanese Ambassador to Cambodia, at Ministry of Foreign Affairs and International Cooperation. - See he http://thecambodiaherald.com/cambodia/d ... DNlOTcxMjE
Cambodia Midwifery Education Project (Cambodian Midwives Council)

Australian Volunteers International are providing support “through the placement of Midwifery Preceptor Advisers and Midwifery Educators, we have been working with Cambodia's University of Health Science's Technical School for Medical Care (TSMC) since 2009 to reduce the country's maternal-infant mortality rates through improved safe motherhood and birthing programs and services.”

http://www.australianvolunteers.com/pro ... oject.aspx

WHO comment on Cambodias progress in the MCH sector

Cambodia has made good progress in this sector since I was involved in the mid ‘90’s. “ While maternal mortality has fallen worldwide by almost half over the past 30 years, the reduction has been more dramatic in Cambodia, thanks principally to improvements in health care. Since 1990, maternal mortality in Cambodia has fallen approximately two-thirds.”

“Cambodia deserves enormous credit for its tremendous reduction of the number of women who die in or soon after childbirth,” says WHO Representative to Cambodia Pieter Van Maaren. “This brings the country closer to meeting the Millennium Development Goal having to do with the reduction of maternal mortality.”

http://www.wpro.who.int/about/administr ... tality/en/

With 80 percent of its population living in rural areas, Cambodia has made remarkable progress in reducing poverty and improving people’s health in the past decades. Maternal mortality has decreased 58 percent since 1990, but sociocultural and economic factors still prevent women from accessing public health services. A policy of free access to care for low income groups is being tested and progressively extended. The 2008 Health Strategic Plan prioritized maternal health.

The country has an acute shortage of health professionals and not enough cadres are being graduated. A Midwifery Council was established in 2006. A three-year direct-entry midwifery program was introduced in 2008, and the curriculum for a four-year bachelor’s degree is being developed. While these initiatives are underway, several in-service training programs have been implemented. Strengthening the competencies and numbers of midwifery faculty, and the educational materials, equipment and infrastructure is important to address the current shortage of midwives.

http://www.unfpa.org/sowmy/resources/do ... rofile.pdf

History of midwifery education in Cambodia (Cambodian Midwives Council Website)

http://cmidwivesc.org/?lg=en&pg=article ... nstruction

In 2011 the Health Ministry has announced plans to step up regional midwifery training programs in a bid to address the unmet needs of women living in remote areas and combat Cambodia’s high maternal mortality rates.

http://www.healthynewbornnetwork.org/pr ... k-midwives

Clip of an obstetric emergency in the provinces published on Jun 16, 2013
The clip was used in the UNFPA booth during the 2013 Women Deliver Conference and shows how the life of a woman and her baby were saved in the northeastern part of Cambodia. The woman arrived by boat from a remote village and was referred to the provincial hospital for an emergency operation. Training Midwives



Piloting an Integrated Postpartum Care Program for Midwives in Cambodia

http://reprolineplus.org/system/files/r ... report.pdf

there is a real good niche in health insurance partnering with rattanak and a thai insurance co waiting for anyone who likes that sort of thing.