The barriers and facilitators of implementing a national laboratory-based AMR surveillance system in Cambodia: key informants’ perspectives and assessments of microbiology laboratories

Frontiers Public Health Dec, 21, 2023 Sovathiro Mao, Chansovannara Soputhy, Sokreaksa Lay, Jan Jacobs, Grace Marie Ku2, Darapheak Chau, Chhorvann Chhea, Por Ir

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Background: Collecting data on antimicrobial resistance (AMR) is an essential approach for defining the scope of the AMR problem, developing evidence-based interventions and detecting new and emerging resistances. Our study aimed to identify key factors influencing the implementation of a laboratory-based AMR surveillance system in Cambodia. This will add additional insights to the development of a sustainable and effective national AMR... ( Read More )

Anemia among Pregnant Women in Cambodia: A Descriptive Analysis of Temporal and Geospatial Trends and Logistic Regression-Based Examination of Factors Associated with Anemia in Pregnant Women

PLOS Glob Public Health Oct, 05, 2023 Samnang Um, Heng Sopheab, An Yom, Jonathan A. Muir

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Child anemia in Cambodia: A descriptive analysis of temporal and geospatial trends and logistic regression-based examination of factors associated with anemia in children

PLOS Glob Public Health Sep, 23, 2023 Samnang Um, Michael R. Cope, Jonathan A. Muir

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Anemia in children remains a public health concern in many resource-limited countries. To better understand child anemia in Cambodia, we examined temporal and geospatial trends of childhood anemia and used logistic regression to analyze its association with individual and household characteristics using data from the Cambodia Demographic and Health Surveys for 2005, 2010, and 2014. The prevalence of childhood anemia decreased from 62.2% in 2005... ( Read More )

The cascade of hypertension care in Cambodia: evidence from a cross-sectional population-based survey.

BMC Health Services Research Jun, 29, 2023 Savina Chham, Veerle Buffel, Josefien van Olmen, Srean Chhim, Por Ir, Edwin Wouters

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Background Hypertension (HTN) is a leading cause of cardiovascular diseases and deaths globally. To respond to the high HTN prevalence (23.5% among adults aged 40–69 years in 2016) in Cambodia, the government (and donors) established innovative interventions to improve access to screening, care, and treatment at different public health system and community levels. We assessed the effectiveness of these interventions and resulting... ( Read More )

Evaluation of Diabetes Care Performance in Cambodia Through the Cascade-of-Care Framework: Cross-Sectional Study

JMIR Public Health and Surveillance Jun, 22, 2023 Vannarath Te; Srean Chhim; Veerle Buffel; Wim Van Damme; Josefien van Olmen; Por Ir; Edwin Wouters

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Background: Cambodia has seen an increase in the prevalence of type 2 diabetes (T2D) over the last 10 years. Three main care initiatives for T2D are being scaled up in the public health care system across the country: hospital-based care, health center–based care, and community-based care. To date, no empirical study has systematically assessed the performance of these care initiatives across the T2D care... ( Read More )

Trends and determinants of acute respiratory infection symptoms among under-five children in Cambodia: Analysis of 2000 to 2014 Cambodia demographic and health surveys

PLOS Glob Public Health Jun, 03, 2023 Samnang Um, Daraden Vang, Punleak Pin, Darapheak Chau

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Acute Respiratory Infections (ARIs) are the leading cause of mortality and morbidity among children under 5 years old and about 1.3 million annually worldwide. Account for 33% of deaths among children under 5 years that occurred in developing countries. In Cambodia, ARIs prevalence in children under 5 years old was 20% in 2000, and 6% in 2014. Hence, the aimed to describe the trends of ARI symptoms among children aged 0–59 months over time... ( Read More )

Scaling-up integrated type-2 diabetes and hypertension care in Cambodia: what are the barriers to health system performance?

Frontiers Public Health Jun, 02, 2023 Savina Chham, Josefien Van Olmen, Wim Van Damme, Srean Chhim, Veerle Buffel, Edwin Wouters, Por Ir

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Background: Non-communicable diseases (NCDs) such as type-2 diabetes (T2D) and hypertension (HTN) pose a massive burden on health systems, especially in low- and middle-income countries. In Cambodia, to tackle this issue, the government and partners have introduced several limited interventions to ensure service availability. However, scaling-up these health system interventions is needed to ensure universal supply and access to NCDs care for... ( Read More )

Descriptive assessment of COVID-19 responses and lessons learnt in Cambodia

BMJ Global Health May, 03, 2023 Srean Chhim, Grace Ku, Sovathiro Mao , Willem Van De Put, Wim Van Damme, Por Ir, Chhorvann Chhea, Vandine Or

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As a member state of the International Health Regulations 2005, Cambodia is continuously strengthening its capacity to respond to health emergencies and prevent the international spread of diseases. Despite this, Cambodia’s capacity to prevent, detect and rapidly respond to public health threats remained limited at the onset of the pandemic, as was the case in most countries. This paper describes epidemiological phases, response phases,... ( Read More )

A descriptive assessment of the National Institute of Public Health's contribution to the COVID-19 response in Cambodia, 2020-2021

Western Pacific Surveillance and Response Journal Mar, 22, 2023 Srean Chhim, Wuddhika In Vong, Kimsorn Pa, Chanboroth Chhorn, Tambri Housen, Amy Elizabeth Parry, Wim Van Damme, Por Ir, Chhorvann Chhea

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Objective: This paper examines the contributions made by the National Institute of Public Health to Cambodia's response to the coronavirus disease (COVID-19) pandemic during 2020-2021. Methods: The activities conducted by the Institute were compared with adaptations of the nine pillars of the World Health Organization's 2020 COVID-19 strategic preparedness and response plan. To gather relevant evidence, we reviewed national... ( Read More )

Healthcare usage and expenditure among people with type 2 diabetes and/or hypertension in Cambodia: results from a cross-sectional survey

BMJ Open Jan, 12, 2023 Srean Chhim, Vannarath Te, Veerle Buffel, Josefien van Olmen, Savina Chham, Sereyraksmey Long, Sokunthea Yem, Wim Van Damme, Edwin Wouters, Ir Por

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Objective To assess usage of public and private healthcare, related healthcare expenditure, and associated factors for people with type 2 diabetes (T2D) and/or hypertension (HTN) and for people without those conditions in Cambodia. Methods A cross-sectional household survey. Settings Five operational districts (ODs) in Cambodia. Participants Data were from 2360 participants aged ≥40 years who had used healthcare... ( Read More )

Overweight and obesity among women at reproductive age in Cambodia: Data analysis of Cambodia Demographic and Health Survey 2014

PLOS Glob Public Health Nov, 04, 2022 Samnang Um ,An Yom,Jonathan A. Muir,Heng Sopheab

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Overweight and obesity increase the risk of cardiovascular disease, type 2 diabetes mellitus, hypertension, stroke, and some type of cancers, and maternal health globally. In Cambodia, the prevalence of overweight and obesity among women aged 15–49 years increased from 6% in 2000 to 18% in 2014, becoming a public health burden. We examined socio-demographic and behavioral factors associated with overweight and/or obesity among women of... ( Read More )

Cambodia’s Response to COVID-19: Lessons Learned and Future Directions

CJPH Mar, 03, 2022 Savina Chham, Hay Vannith, Cheata Vadhana, Sok Ngovlily, Chhea Chhorvann

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Introduction: The COVID-19 pandemic has become a global crisis that requires government responses. Cambodia is one of the countries that reported relatively low numbers of cases of COVID-19 infections; however, the number has been significantly rising since 2021. In this study, we provide an overview of the responses to COVID-19 from the Cambodian government, as it is a very important lesson learned for other resource-limited countries and for... ( Read More )

Human Infection with Avian Influenza A(H9N2) Virus, Cambodia, February 2021

Emerging Infectious Diseases Oct, 10, 2021 Samnang Um, Jurre Y Siegers, Borann Sar, Savuth Chin, Sarika Patel, Seng Bunnary, Makara Hak, Sothy Sor, Oum Sokhen, Seng Heng, Darapheak Chau, Tum Sothyra, Asheena Khalakdina, Joshua A Mott, Sonja J Olsen, Filip Claes, Ly Sovann, Erik A Karlsson

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In February 2021, routine sentinel surveillance for influenza-like illness in Cambodia detected a human avian influenza A(H9N2) virus infection. Investigations identified no recent H9N2 virus infections in 43 close contacts. One chicken sample from the infected child’s house was positive for H9N2 virus and genetically similar to the human virus.

Determinants of the continuum of maternal health care in Cambodia: an analysis of the Cambodia demographic health survey 2014

BMC Pregnancy and Childbirth Jun, 02, 2021 Savina Chham, Emma Radovich, Veerle Buffel, Por Ir, Edwin Wouters

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Introduction Cambodia has achieved significant progress in maternal health, yet remains in the group of countries with the highest maternal mortality ratio in South-East Asia. Extra efforts are needed to improve maternal health through assessing the coverage of maternal health services as a continuum of care (CoC) and identifying the gaps. Our study aims to explore the coverage level of the Optimal CoC by (1) measuring the continuity of... ( Read More )

Factors determining the use of modern contraceptive among married women in Cambodia: Does their decision-making matter?

CJPH Mar, 25, 2021 Savina Chham, Ngovlily Sok, Vannith Hay, Por Ir

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Introduction In Cambodia, modern contraceptive use has increased slightly from 35.0% to 39.0% between 2010 and 2014. However, this proportion remains low in the South-East Asia regions; more efforts are needed to increase the use of modern contraceptives (MC). Our study aimed to explore the determinants of MC use and to assess whether women’s decision-making power on contraceptive use is the more influential... ( Read More )