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Phnom Penh: Difference between revisions

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During the Khmer Rouge period (1975-79), the Cambodian health care system was destroyed. After the fall of the Khmer Rouge to Vietnamese forces, the government entered a period of Vietnamese control, which showed little progress related to family planning. However, in 1994, Cambodian family planning efforts were finally reinstated with international support. Since 2000, the efforts of the Cambodian government along with non-governmental agencies have helped boost contraceptive usage, ushering in improved reproductive health and lower fertility rates. Between 2000 and 2005, the rate of contraceptive use jumped from 11% to 24%, and the fertility rate dropped from 4.0 to 3.4.<ref>[https://www.guttmacher.org/journals/ipsrh/2010/09/role-social-support-and-parity-contraceptive-use-cambodia The Role of Social Support and Parity in Contraceptive Use in Cambodia]</ref>
During the Khmer Rouge period (1975-79), the Cambodian health care system was destroyed. After the fall of the Khmer Rouge to Vietnamese forces, the government entered a period of Vietnamese control, which showed little progress related to family planning. However, in 1994, Cambodian family planning efforts were finally reinstated with international support. Since 2000, the efforts of the Cambodian government along with non-governmental agencies have helped boost contraceptive usage, ushering in improved reproductive health and lower fertility rates. Between 2000 and 2005, the rate of contraceptive use jumped from 11% to 24%, and the fertility rate dropped from 4.0 to 3.4.<ref>[https://www.guttmacher.org/journals/ipsrh/2010/09/role-social-support-and-parity-contraceptive-use-cambodia The Role of Social Support and Parity in Contraceptive Use in Cambodia]</ref>


According to a 2010 Guttmacher Institute report, "Despite these gains, shortcomings in family planning service delivery and acceptance in Cambodia remain." Generally speaking, Cambodian women who are older, more educated, living in higher income brackets and living in urban areas are more likely to use contraceptives. Women in rural areas are less likely to use contraceptives. Furthermore, while most Cambodian women report knowing a modern contraceptive method, and while there are many low-cost contraceptive options in Cambodia, they are not always adopted by women. This can be partially attributed to social and cultural influences. It has been found that many women are heavily reliant upon the opinions of their husbands, communities and elders when deciding whether to use contraceptives.<ref>[https://www.guttmacher.org/journals/ipsrh/2010/09/role-social-support-and-parity-contraceptive-use-cambodia The Role of Social Support and Parity in Contraceptive Use in Cambodia]</ref>
Despite progress, there is still significant room for growth. Generally speaking, Cambodian women who are older, more educated, live in higher income brackets, or live in urban areas are more likely to use contraceptives. Women in rural areas are less likely to use contraceptives. There are stigmas and misconceptions related to contraceptives as well. For example, it is a common misconception in Cambodia that contraceptives cause infertility or that only married women can purchase contraceptives. Furthermore, many women have men in their lives (such as their husbands, fathers, or community leaders) who are opposed to contraceptives, and they may be heavily influenced by these opinions.<ref>[https://www.guttmacher.org/journals/ipsrh/2010/09/role-social-support-and-parity-contraceptive-use-cambodia The Role of Social Support and Parity in Contraceptive Use in Cambodia]</ref> These various factors contribute to a lower rate of contraceptive adoption among women in certain areas or communities.


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