Maternal Health 2010 Cambodia Demographic and Health Survey

• Antenatal care • Delivery and postnatal care © 2001 Marcel Reyners, Courtesy

Antenatal Care by Provider Percent distribution of women with a live birth in the past 5 years TBA or village health volunteer 1% Midwife 79% No one 10% Doctor 9% Nurse 1% 89% of women received ANC from a skilled provider *Skilled provider includes doctor, nurse, or midwife.

Trends in ANC • ANC by a skilled provider has increased since 2005, when only 69% of women received this care. 89 69 2005 2010

Timing of Antenatal Care and Number of Visits • 59% of women went to their first ANC visit during the 1 st trimester of pregnancy, as recommended. • 59% of women had 4 or more ANC visits, as recommended. • 10% of women had no ANC visits.

Components of Antenatal Care • 89% took iron tablets or syrup during last pregnancy • 45% took intestinal parasite drugs • 80% were informed of signs of pregnancy complications • 91% had blood pressure measured • 91% were weighed • 45% had blood samples taken • 36% had urine samples taken

Tetanus Toxoid Injections 85% of last births were protected against neonatal tetanus. 61% of women received two or more TT injections during their last pregnancy.

Place of Delivery Percent distribution of live births in the 5 years before the survey Total Urban Rural 59 51 44 45 41 27 10 Public facility Private facility 14 7 At home

Assistance During Delivery Traditional birth attendant 28% Doctor 12% Nurse 1% 72% of births were delivered by a skilled birth attendant. Midwife 58% Percent distribution of births in the past 5 years *Skilled birth attendant includes doctor, nurse, or midwife.

Otdar Mean Chey 64% Banteay Mean Chey 69% Preah Vihear/ Steung Treng 28% Siem Reap 73% Battambang/Pailin 78% Pursat 74% Kampong Thom 48% Kampong Chhnang 69% Preah Sihanouk/ Koh Kong Kampong Speu 68% 79% Mondol Kiri/ Rattanak Kiri 38% Kratie 44% Kampong Cham 68% Prey Veng Kandal 59% Svay 87% Rieng 90% Takeo Kampot/Kep 85% 67% Phnom Penh 99% Delivery by Skilled Provider

Delivery by Skilled Provider by Education Percent distribution of live births in the past 5 years assisted by a skilled provider* 91 70 47 No schooling Primary Secondary and higher *Skilled birth attendant includes doctor, nurse, or midwife.

Trends in Delivery Care • Assistance at delivery has improved since 2005. 71 44 2005 2010

Postnatal Care • 54% of mothers had a postnatal checkup within 4 hours of delivery • 26% of mothers had no postnatal checkup within 41 days of delivery

Key Findings • 89% of women received antenatal care from a skilled provider (doctor, nurse, or midwife) at least once • 54% of women deliver in a health facility; 45% deliver at home • 71% of women were assisted at birth by a skilled provider • 26% of women did not receive a postnatal check up • Antenatal care and assistance at delivery have improved markedly since 2005.