Utilization of Health Services for Accident, Illness, or Injury

2010 Cambodia Demographic and Health Survey

2010 CDHS

Prevalence of Accidents• 2% of household members were injured in an

accident in the year before the survey• Only 0.1% of household members were killed

in an accident in the year before the survey.• 2% of men were in accidents, compared to 1%

of women• Accidents were especially common in

Kampong Speu (3%)

Type of Accident

Percent distribution of household population injured or killed in an accident in the year before the survey:

Gun shot

Road accident

Snake/animal bite

Fall from tree/building

Violence

2

68

5

12

3

Physical ImpairmentAmong household members who are physically impaired, the cause of impairment:

Birth

Illness

Landmine

Gun

Road ac

cident

Other acci

dent

20

34

115

10

19

Illness and Injury in Past 30 Days

Percent distribution of household population ill or injured in the 30 days before the survey by severity of illness

Not ill or injured89%

Slight4%

Moderate 5%

Serious2%

Treatment Sought for Injury and Illness

First treatment Second treatment Third treatment

96

35

14

95

25

9

88

155

SeriousModerateSlight

Percent of ill/injured who sought treatment by severity of injury/illness

Treatment Seeking

First treatment Second treatment Third treatment

95

185

92

23

9

Urban Rural

Percent of ill/injured who sought treatment by residence

Treatment Seeking for First TreatmentPercent of ill/injured who sought 1st treatment by where treatment was sought:

Public sector Private sector Non-medical sector

26

66

3

29

56

6

UrbanRural

• Ill/Injured Cambodians spend an average of: -US$2.38 on transportation and -US$30 on health care treatments

Cost of Health Care by Type of Health Facility and Severity of Problem

Mean cost in US dollars for total treatment (transport + health care for all visits)

$34.65 $27.63 $13.11

$324.26

$9.56 $24.78

$99.07

Cost of Health Care by Region

Mean cost in US dollars for total treatment (transport + health care for all visits)

CambodiaMondol Kiri/Rattanak Kiri

Preah Vihear/Steung TrengPreah Sihanouk/Koh Kong

Kampot/KepBattambang/PailinOtdar Mean Chey

TakeoSvay RiengSiem Reap

PursatPrey Veng

Phnom PenhKratie

KandalKampong ThomKampong Speu

Kampong ChhnangKampong Cham

Banteay Mean Chey

$32.37$32.94

$22.55$40.26

$16.24$42.92

$19.27$16.80

$36.59$22

$32.09$27.59

$169.10$58.63

$14.33$45.80

$27.92$22.52$23.59

$35.60

Source of Money for Health Care

Percent distribution of the source of expenditures for transport and health care

Wages/

pocket m

oney

Gift from re

lative/

friend

Savin

gs

Borrow (n

o inter

est)

Borrow (w

ith in

terest

)

Sale

of asse

ts

45

9

51

8 11 8

Key Findings• 2% of household members were injured or killed in an

accident in the year before the survey. Road accidents were the most common type.

• 2% of household members are physically impaired -- most commonly caused by illness or birth.

• 11% of household members had some degree of illness or injury in the 30 days before the survey.

• The majority of ill or injured people sought at least one treatment, most commonly from the private sector.

• The average cost for transport and health care for all needed treatments was US $32.37.

• Most people paid for their health care costs through wages/pocket money or savings.