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Dr Tharanga Diyunugala
Health Program Manager
Samaritan’s Purse Cambodia
Lingering Effects of
Khmer Rouge
Genocide on Mate...
History of Cambodia during Khmer Rogue
time
Lingering effects of Khmer Rogue time
Current health status of women and
child...
In what ways is the genocide in Cambodia unique
compared to other genocides that have happened
around the world?
Question ...
Pre KR era
- Independence from French Colonization
- Viet Nam War
- Political unrest in Cambodia
- Rise of Khmer Rogue
KR ...
Picture caption
Life expectancy
Education
Political situation
Economics
Hidden scars…
Post traumatic disorder
Violence
Lack of collective ...
Current Status of Child Health
Target Indicator 2005 2008 2010
CMDG
2015
Infant mortality (per 1,000 live births) 66 66 60...
Current Status of Child Health, continued
Maternal Mortality Rates Under Five Mortality Rates
Healthcare Access
Loss of healthcare workforce
Self medication
Attempt to repopulate with poor birth control
Trusting heal...
Reconciliation with ones own past
Reconciliation with the family
Being a parent………
Parenting Model
Needs of a child
Mother...
Allow women to reconcile
with their own past
Redefining parenting values
Improve self Efficacy of
women through model
moth...
Emphasis on the needs of a
child
Redefining the role of
mother and father in caring
for the child
Engaging men in helping
...
• More recognition for Health volunteers
• Reconciliation within the community
• Reduced domestic violence
• Men engaging ...
• Historical events can have a significant effect on
the health outcomes of a current day population
(post traumatic disor...
Picture caption
Picture caption
And he shall turn the hearts of the fathers to the children and
the hearts of the children...
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CCIH 2013 Concurrent Sessions 2 Lingering Effects of Khmer Rouge Genocide on MCH Tharanga Diyunugala Samaritan's Purse

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The presentation explores the link between the lingering effects of the Khmer Rouge and current health and social status of the women and children in Cambodia; and the Christian approach used by Samaritan's Purse as a model for other organizations to address the issue.

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CCIH 2013 Concurrent Sessions 2 Lingering Effects of Khmer Rouge Genocide on MCH Tharanga Diyunugala Samaritan's Purse

  1. 1. Dr Tharanga Diyunugala Health Program Manager Samaritan’s Purse Cambodia Lingering Effects of Khmer Rouge Genocide on Maternal and Child Health in Cambodia CCIH Annual conference June 7-10, 2013 Marymount University, VA
  2. 2. History of Cambodia during Khmer Rogue time Lingering effects of Khmer Rogue time Current health status of women and children in Cambodia Barriers to improve Mother Child Health Journey of reconciliation SP Parenting model Presentation Overview…
  3. 3. In what ways is the genocide in Cambodia unique compared to other genocides that have happened around the world? Question to the Audience…
  4. 4. Pre KR era - Independence from French Colonization - Viet Nam War - Political unrest in Cambodia - Rise of Khmer Rogue KR regime (1977 – 1979) - Communist ideology - Eradication of elite, educated, money, banking, education , and HEALTHCARE - Killing fields – murder, torture, starvation - Failed human experiment 1979- present day - Restoration of the civil society - Political stability - Influx of international aid - Cambodia at a crossroads Khmer Rogue………..
  5. 5. Picture caption
  6. 6. Life expectancy Education Political situation Economics Hidden scars… Post traumatic disorder Violence Lack of collective identity Lack of trust within the society Social incoherence Legacy of Khmer Rogue on Civil Life
  7. 7. Current Status of Child Health Target Indicator 2005 2008 2010 CMDG 2015 Infant mortality (per 1,000 live births) 66 66 60 50 Under 5 mortality (per 1,000 live births) 82 82 75 65 Maternal mortality (per 100,000 live births) 473 461 350 250 % births attended by skilled birth attendance 44 58 70 87 % married women using modern contraceptive 20 26 40 60 % of children age 0-59 months moderately or severely stunted (less than -2 SD) 37 39.5 28 22 % of children age 0-59 months moderately or severely wasted (less than -2 SD) 7 8.9 10 9 % of women age 15-49 with anemia 47 NA 32 19 % of children age 0-59 with anemia 62 NA 52 42
  8. 8. Current Status of Child Health, continued Maternal Mortality Rates Under Five Mortality Rates
  9. 9. Healthcare Access Loss of healthcare workforce Self medication Attempt to repopulate with poor birth control Trusting health workers Behavioral Loss of parenting values Child neglect and abuse Passive feeding Negative touch Self Efficacy Victimized mentality Lack of role models No perceived benefits Barriers to Improving Maternal Child Health
  10. 10. Reconciliation with ones own past Reconciliation with the family Being a parent……… Parenting Model Needs of a child Mother child bond Valuing children…. Active feeding Positive touch Play…
  11. 11. Allow women to reconcile with their own past Redefining parenting values Improve self Efficacy of women through model mothers Perceived benefits of good parenting Samaritan’s Purse Parenting Model
  12. 12. Emphasis on the needs of a child Redefining the role of mother and father in caring for the child Engaging men in helping women Samaritan’s Purse Parenting Model, continued
  13. 13. • More recognition for Health volunteers • Reconciliation within the community • Reduced domestic violence • Men engaging more in childcare • Active feeding of infants and children • Improved self efficacy in childcare and feeding • Healing of hidden scars……….. Impact of Programming
  14. 14. • Historical events can have a significant effect on the health outcomes of a current day population (post traumatic disorder) • Restoring collective identity and parenting values is crucial for improving health outcomes • Parenting can be an entry point to any health or social development model • Improving self efficacy is very important • Reconciliation is the key………. Key Messages…
  15. 15. Picture caption Picture caption And he shall turn the hearts of the fathers to the children and the hearts of the children to their fathers….. Malachi: 4.4-5 Thank you

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