SEMINAR PRESENTATIONS Cambodia DHS and Measure DHS+ Survey Objectives and Methodology Housing and Characteristics of the Population Fertility and its Determinants Fertility Preferences Family Planning Abortion Women’s Status Domestic Violence HIV/AIDS and Other STIs Health Status and Utilization of Health Services Infant, Child and Maternal Mortality Maternal and Child Health Infant Feeding & Childhood and Maternal Nutrition

Infant and child mortality levels Differentials Adult and maternal mortality Infant and child mortality levels Differentials Adult and maternal mortality

Childhood mortality rates Deaths per 1,000 For the period 5 years before the survey

Comparisons in childhood mortality, by recent data collection efforts

Deaths per 1,000 births Trends in childhood mortality

Infant and child mortality levels Differentials Adult and maternal mortality Infant and child mortality levels Differentials Adult and maternal mortality

Does childhood mortality vary by sex? Deaths per 1,000 For the period 10 years before the survey

How does under-5 mortality vary by residence and mother’s education? Deaths per 1,000 For the period 10 years before the survey

 75‰ 76 to 100‰ 100‰ and + Infant mortality levels vary widely by region: Kampong Spueu Kampong Thum Kaoh Kong Phnom Penh (38 ‰) Preah V./Stueng T./Kracheh CAMBODIA Bantey Mean Chey Kandal Takaev Bat Dambang/ Krong Pailin Siem Reab/Otdar Mean Chey Kampong Cham Kampong Chhnang Prey Veaeng Pousat Svay Rieng Kampot/Krong K./K.P. Sihanouk Mondol K./Rotanak K. (170 ‰)

Are chances of survival better for children born of mothers who receive assistance at delivery? Deaths per 1,000 live births, 5 years before the survey Assistance at delivery No assistance

What maternal factors are typically associated with high risk of childhood mortality? Age of mother at birth: Age of mother at birth: too young or too old Birth order: Birth order: too many Preceding birth interval: Preceding birth interval: too short

Deaths per 1,000 births Age of mother at birth For the period 10 years before the survey

Preceding birth interval For the period 10 years before the survey

Birth order For the period 10 years before the survey

Infant and child mortality levels Differentials Adult and maternal mortality Infant and child mortality levels Differentials Adult and maternal mortality

Adult mortality Direct estimates of adult mortality were obtained from information collected in the sibling history. Maternal mortality is a subset of adult mortality. Estimates are for the period

Adult mortality rates Mortality rate for men age is 4.8 deaths per 1,000. Mortality rate for women age is 3.5 deaths per 1,000.

Maternal mortality Maternal deaths are defined as any death that occurred: During pregnancy During childbirth Within 2 months after the birth or termination of a pregnancy.

Maternal mortality measurements For the period , 437 women died from maternal related causes per 100,000 live births (maternal mortality ratio). This ratio corresponds to a lifetime risk of dying from maternal causes of 1 in 50. Maternal deaths accounted for 18% of all deaths to women age

Main findings on mortality One in 10 children does not survive to his/her first birthday. One in 8 children does not survive to his/her fifth birthday. Mortality levels seem to have increased slightly over the last decade. Rural children, those born of mothers with no education and those whose mother did not receive assistance at delivery have the highest risk of dying.

Wide geographic disparities in child survival chances persist in Cambodia: infant mortality is 38‰ in Phnom Penh and 65‰ in Kampong Thum as opposed to 139‰ in Pousat and 170‰ in Mondol Kiri/Rotanak Kiri. The pace and pattern of childbearing affects the probability of childhood death: children born of teenage mothers, those with a birth order of 7 or more and those born less than 2 years after their sibling have the highest risk of dying.

For the period , the maternal mortality ratio is 437 per 100,000 live births. Maternal deaths accounted for 18% of all deaths to women age 15-49