Why is Cambodia's Health System Still Struggling ?

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CEOCambodiaNews
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Why is Cambodia's Health System Still Struggling ?

Post by CEOCambodiaNews »

One can only agree with the Cambodian PM that there has been much improvement in the country's health system, which was left totally destroyed in 1979 in the aftermath of the Khmer Rouge regime, but that is almost 45 years away now. In 2023, Cambodia's health system is still struggling to provide for the basic needs of the population.
Cambodia's health system runs in a chaotic manner, governed by the rules of the state and those of private enterprise. NGOs fill some of the gaps. People living in remote areas often have to rely on unlicensed "village doctors", others put their faith in the local "healer", because access to proper health facilities is too far away and too expensive. Health care in Cambodia today is a dice roll.

What can be done today to make sure that there is an adequate health service for Cambodians tomorrow ?

Cambodia's Health Sector Moves away from the Situation Left by the Khmer Rouge
AKP Phnom Penh, May 18, 2023 --
Prime Minister Samdech Akka Moha Sena Padei Techo HE said the Cambodian health sector has moved away from the legacy left by the Khmer Rouge regime since 1979.

At the graduation ceremony of some 1,400 students of the University of Health Sciences held here this morning, Samdech Techo HE said that Cambodia had invested a lot in the health sector, especially in the improvement of people’s healthcare and well-being.

“We are now moving away from our difficult era, the legacy of the Khmer Rouge, but we will continue to invest and improve our health sector,” he underlined.

The Premier took the opportunity to call on all medical practitioners to continue strengthening their professional ethics to further contribute to the progress of Cambodia’s health sector.

Samdech Techo HE also laid stress on the key success of Cambodia’s preventive measure against the COVID-19 pandemic, including the vaccination policy, etc.
By Heng Panha
AKP
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John Bingham
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Re: Why is Cambodia's Health System Still Struggling ?

Post by John Bingham »

CEOCambodiaNews wrote: Thu May 18, 2023 1:04 pm One can only agree with the Cambodian PM that there has been much improvement in the country's health system, which was left totally destroyed in 1979 in the aftermath of the Khmer Rouge regime, but that is almost 25 years away now.
Bad maths.
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Re: Why is Cambodia's Health System Still Struggling ?

Post by Doc67 »

John Bingham wrote: Thu May 18, 2023 1:30 pm
CEOCambodiaNews wrote: Thu May 18, 2023 1:04 pm One can only agree with the Cambodian PM that there has been much improvement in the country's health system, which was left totally destroyed in 1979 in the aftermath of the Khmer Rouge regime, but that is almost 25 years away now.
Bad maths.
"Bad" is quite a generous description JB. You must be in a good mood.
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Re: Why is Cambodia's Health System Still Struggling ?

Post by Alex »

That's one area where I would like to see some significant improvements. In many other areas, what Cambodia has accomplished within the last few decades is amazing, but it's painfully obvious that the health system has been left behind.
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Re: Why is Cambodia's Health System Still Struggling ?

Post by phuketrichard »

Could it be that even the locals have no faith in the doctors & nurses when they know courses, grades, degrees can all be brought?
and meds are not always real.
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newkidontheblock
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Re: Why is Cambodia's Health System Still Struggling ?

Post by newkidontheblock »

Health care is expensive. It’s a huge percentage of government spending in western countries, alone.
Clearly not a spending priority in Cambodia.

Missus heard the harping on ‘more professionalism’ since when she was a nurse not so long ago. At the time, nurses worked low wages and 36 hours days were the norm. Nurses cared for 10-50 patients each. Even doctors earned less than English teachers.

Recently her father had problems breathing. Went to the the commune hospital. Was turned away and sent to the city hospital. They drained his lungs.

Image

And sent him home with TB meds.

No word if there was a confirmation of TB or not on X ray or even if the fluid was tested.
He took the meds, coughing got worse. Went to the Kru Khmer and felt better.

Is there any wonder?
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John Bingham
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Re: Why is Cambodia's Health System Still Struggling ?

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phuketrichard wrote: Thu May 18, 2023 1:56 pm Could it be that even the locals have no faith in the doctors & nurses when they know courses, grades, degrees can all be brought?
and meds are not always real.
I don't think that is so prevalent anymore. Many doctors have degrees from abroad where it wouldn't be possible at all. A bigger problem is that a lot of doctors pretty much stop learning after graduation and sell their books, while doctors in many other countries are more likely to subscribe to medical journals, attend conferences etc and keep up to date.
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Re: Why is Cambodia's Health System Still Struggling ?

Post by Kammekor »

newkidontheblock wrote: Thu May 18, 2023 4:39 pm Health care is expensive. It’s a huge percentage of government spending in western countries, alone.
Clearly not a spending priority in Cambodia.
Yes, health care can be very expensive, but the basics can be life-saving and cheap. To be honest, even the basics are a mess here.

My neighbor had a bacterial infection in his foot, he was given antibiotics by the local quack for three days. I told him he needed at least double to get rid of the infection, he used antibiotics for just three days and the infection returned, requiring different antibiotics.

It's healthcare systems like Cambodia making us run out of suitable antibiotics soon, I am afraid.
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Re: Why is Cambodia's Health System Still Struggling ?

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phuketrichard wrote: Thu May 18, 2023 1:56 pm Could it be that even the locals have no faith in the doctors & nurses when they know courses, grades, degrees can all be brought?
and meds are not always real.
I don't know if that's a real problem. All meds have to be bought through one single (government) agency / company, making loads of money but preventing illegal meds on the market. They often close down 'illegal' pharmacies selling meds acquired from other sources than them.
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Re: Why is Cambodia's Health System Still Struggling ?

Post by Kammekor »

John Bingham wrote: Thu May 18, 2023 4:54 pm
phuketrichard wrote: Thu May 18, 2023 1:56 pm Could it be that even the locals have no faith in the doctors & nurses when they know courses, grades, degrees can all be brought?
and meds are not always real.
I don't think that is so prevalent anymore. Many doctors have degrees from abroad where it wouldn't be possible at all. A bigger problem is that a lot of doctors pretty much stop learning after graduation and sell their books, while doctors in many other countries are more likely to subscribe to medical journals, attend conferences etc and keep up to date.
1,600 graduated. How many do you think will go abroad for more studies? How many will end up in local health centers without more studies? How many will start up their own private 'clinic' marketing their mediocre services at high rates tomorrow?

How many are really qualified now? Remember the protests around 2019 from the students, complaining about the difficulty of the exams, asking the Iron Man to intervene and let them pass nevertheless?

I know quite a few excellent Cambodian doctors, but generally I avoid them like the plague unless they're recommended by a (foreign) doc I trust.
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