1. 2010 Cambodia Demographic and Health Survey
Nutrition
2010 Cambodia Demographic and Health Survey

2. Breastfeeding and Infant and Young Child Feeding Practices
Micronutrient Intake
Nutritional Status of Children
Nutritional Status of Women
Prevalence of Anemia
© 2007 Stéphane Janin, Courtesy of Photoshare

3. Early Breastfeeding
Provides a newborn with colostrum, a key supplement for the infant’s immune system.
66% of newborns are breastfed within the first hour of life, and 86% within the first day.
19% of newborns given food or liquid other than breastmilk (prelacteal feed), although this is not recommended.
96% of infants are ever breastfed.
The early initiation of breastfeeding is important for a number of reasons. Early suckling benefits mothers because it stimulates breast milk production and releases a hormone that helps the uterus to contract and reduce postpartum blood loss. It also fosters bonding between mother and child.

4. Duration of Breastfeeding
Median duration of breastfeeding in months among children born in the last 3 years
Most children are breastfed for approximately 21 months, exclusively breastfed for less than one month and predominantly breastfed for 2 months.

5. How Does Cambodia Compare?
Median duration of any breastfeeding in months

6. Exclusive Breastfeeding
Children who receive only breast milk and no other foods or liquids, even water, are considered exclusively breastfed.
Exclusive breastfeeding is recommended for the first 6 months of life, since breast milk contains all the nutrients that a baby needs.
Antibodies in breast milk provide immunity to disease.
Exclusive breastfeeding is recommended for the first 6 months of a child’s life because breast milk is uncontaminated and contains all of the nutrients necessary for children in the first few months of life. In addition, the mother’s antibodies in breast milk provide immunity to disease.

7. Exclusive Breastfeeding by Age
Percent of children exclusively breastfed
Age in months

8. Breastfeeding Status Under 6 Months

9. IYCF Practices
The Infant and Young Child Feeding Practices (IYCF) recommended by WHO:
Breastfed children over 6 months should also receive 3 or more food groups, at least twice a day, for infants 6-8 months and at least 3 times a day for breastfed children 9-23 months.
Non-breastfed children should receive milk or milk products, in addition to 4 or more food groups, 4 times a day or more.

10. IYCF Practices Percent of children 6-23 months
1Breast- milk, milk, or milk products, 4+ food groups (a. infant formula, milk other than breast milk, cheese or yogurt or other milk products; b. foods made from grains, roots, and tubers, including porridge and fortified baby food from grains; c. vitamin A-rich fruits, vegetables and red palm oil; d. other fruits and vegetables; e. eggs; f. meat, poultry, fish, shellfish, and organ meats; g. legumes and nuts), Minimum times or more (fed solid or semisolid food at least twice a day for infants 6-8 months, 3+ times for other breastfed children, and 4+ times for nonbreastfed children)

11. Breastfeeding and Infant and Young Child Feeding Practices
Micronutrient Intake
Nutritional Status of Children
Nutritional Status of Women
Prevalence of Anemia
© 2007 Stéphane Janin, Courtesy of Photoshare

12. Vitamin A and Iron Intake
Among youngest child age 6-35 months living with his/her mother
Among children age
6-59 months

13. Vitamin A and Iron Intake among Mothers
Percent of women age 15-49
Mothers should receive a vitamin A dose after giving birth; almost half of women received vitamin A postpartum.

14. Iodized Salt
Percent of households with iodized salt

15. Breastfeeding and Infant and Young Child Feeding Practices
Micronutrient Intake
Nutritional Status of Children
Nutritional Status of Women
© 2007 Stéphane Janin, Courtesy of Photoshare

16. Nutritional Status of Children40 11
The nutritional status of young children is a comprehensive index that reflects the level and pace of household, community, and national development. Malnutrition is a direct result of insufficient food intake or repeated infectious diseases or a combination of both. It can result in increased risk to illness and death and can also result in a lower level of cognitive development.
Children who are stunted are considered too short for their age. 40% of children are stunted.
Children who are wasted are too thin for their height % of children are wasted.
Children who are underweight are too short for their height. 28% of children are underweight. 28
Percent of children under 5
*Based on the new WHO Child Growth Standards

17. Preah Sihanouk/ Koh Kong
Otdar Mean Chey
40%
Banteay
Mean Chey
33%
Preah Vihear/
Steung Treng
56%
Siem Reap
50%
Mondol Kiri/
Rattanak Kiri
55%
Battambang/Pailin 27%
Kampong Thom
50%
Kratie
48%
Pursat
45%
Kampong
Chhnang
40%
Kampong Cham
47%
Preah Sihanouk/ Koh Kong
42%
Kampong Speu
42%
Stunting
Prey
Veng
35%
Kandal
35%
Svay
Rieng
31%
Takeo
41%
Kampot/Kep
43%
Phnom Penh
25%
Percent of children under age 5 who are too short for their age (based on WHO standards)

18. Trends in Nutritional Status of Children
Percent of children under age 5
Note: Data for 2000 and 2005 CDHS are recalculated WHO reference standard to be comparable to 2010 data.

19. Breastfeeding and Infant and Young Child Feeding Practices
Micronutrient Intake
Nutritional Status of Children
Nutritional Status of Women
Prevalence of Anemia
© 2007 Stéphane Janin, Courtesy of Photoshare

20. Nutritional Status of Women
Women with a body mass index (BMI) below 18.5 are considered too thin, reflecting chronic energy deficiency.
Women with a BMI over 25 are overweight, while a BMI over 30 is considered obese.
Percent of women by nutritional status

21. Breastfeeding and Infant and Young Child Feeding Practices
Micronutrient Intake
Nutritional Status of Children
Nutritional Status of Women
Prevalence of Anemia
© 2007 Stéphane Janin, Courtesy of Photoshare

22. Anemia Testing
In every second of the households selected for the 2010 CDHS, women age and children age 6-59 months were tested for anemia, using the HemoCue system.
Anemia testing was only carried out if consent was provided by the respondent and, in the case of a minor, by the parent or guardian.

23. Prevalence of Anemia in Children
Percent of children age 6-59 months with anemia
55% of children in Cambodia have anemia

24. Anemia in Children Percent of children age 6-59 months with any anemia
Otdar Mean Chey
61%
Banteay
Mean Chey
50%
Preah Vihear/
Steung Treng
54%
Siem Reap
60%
Mondol Kiri/
Rattanak Kiri
54%
Battambang/Pailin 54%
Kampong Thom
65%
Kratie
61%
Pursat
39%
Kampong
Chhnang
64%
Kampong Cham
55%
Preah Sihanouk/ Koh Kong
58%
Kampong Speu
54%
Anemia in Children
Prey
Veng
52%
Kandal
56%
Svay
Rieng
66%
Takeo
54%
Kampot/Kep
49%
Phnom Penh
48%
Percent of children age 6-59 months with any anemia

25. Trends in Anemia in Children
Percent of children 6-59 months with any anemia
Note: Data for 2000 and 2005 CDHS are recalculated WHO reference standard to be comparable to 2010 data.

26. Prevalence of Anemia in Women
Percent of children age with anemia
44% of women in Cambodia have anemia

27. Key Findings Children are breastfed for a median of 19.8 months
However, children are exclusively breastfed for 4.3 months
74% of children under 6 months are exclusively breastfed, and 7% are already receiving complementary foods
83% of households have iodized salt.
40% of children are stunted (short for their age). Stunting has decreased since 2005.
55% of children 6-59 months have anemia.
44% of women age have anemia.