This is told by Susan, a retired nurse.
I worked as a nurse for a community in Cambodia from
1986-1987. In many ways, it was the best and worst time of my career.
Infirmaries in Cambodia
At the time, I worked in a small community. There was
no hospital, and only a couple of infirmaries.
The larger of the two infirmaries had 8 beds with 2 being considered
critical. Beds were hand carved bamboo,
however they did have mattresses, similar to what we would find on a futon
bed. The beds were not adjustable as
hospital beds in the U.S. are, and of course there were no call nurse buttons
averrable for patients. there were
several people trained in what Americans would think of as CNA’s and they took
turns spending the night the in infirmary with the patients. A physician visited every other week, and in
the meantime all patients were seen and evaluated by nursing staff.
Healthcare in Cambodia, the Facts Today
The lack of
accurate statistics and surveys makes planning for the development of the
health care system difficult. There has not been a census since 1962, and the
system is plagued by a lack of trained personnel, lack of knowledge of public
health and epidemiology, security problems related to the continuing war, and
severe infrastructure problems from the war years.
Over the last 20
years, landmines have been planted in many regions of Cambodia, as they are
still today, leaving a trail of injuries, deaths, and mine-infested lands. A
1989 United Nations Development Program Needs Assessment Study, recommends that measures be taken to educate
local populations on how to locate areas affected by landmines and to develop
measures to deal with them.
In 1979 and the
early 1980s, Cambodia's health system depended on the many Vietnamese experts
present in the country; the system is based on the Vietnamese model, with
vestiges of the old French system. Most major hospitals in Phnom Penh, and some
hospitals in the provinces, are assisted by medical teams, from both Western
and Eastern bloc countries. Although there are attempts to coordinate services
among the Red Cross teams, the NGOs, and UN agencies, there are some
communication difficulties. Attempts have been made to standardize drug
importation from Western countries.
Health care is in
theory free for all citizens, but in fact there are many charges for services,
and when supplies are unavailable in hospitals the patient must purchase them
on the open market. Each province has a separate budget, and provinces receive
different amounts of humanitarian aid.
Major Health Problems
According to the
dean of the faculty of Medicine, the most important health problems are
malnutrition, malaria, tuberculosis, and diarrheal diseases. The Dr. estimates
that 2 million Cambodians have malaria and 200,000 have tuberculosis. Agencies
working in Cambodia identify major health problems somewhat differently,
focusing on diarrheal diseases, acute respiratory infection, malaria and dengue
fever, and childhood illnesses. War injuries, dysentery, typhoid, hepatitis,
venereal diseases, yaws, and intestinal worms are common as well.
The Department of
Epidemiology in Phnom Penh states that "prevention is better than
treatment." However, the health care system is essentially based on
curative medicine, with minimal emphasis on primary health care. As the health
system has gradually strengthened, changes are being made. The Department of
Epidemiology has been working with UNICEF on primary health care, and
distributes preventative health educational materials via radio, television,
newspaper, posters, seminars with flip charts, and audio-visual displays, often
in coordination with labor unions and women's associations NGOs incorporate
principles of primary health care into their programs: "clean water, clean
food, clean living."
Maternal and Child Health Care
Between
40 and 50 percent of Cambodia's population is under 15 years of age. With an
infant mortality rate of 120 per 1,000 births up to age one, and 200 per 1,000
births for children from one to five years old, Cambodia has one of the highest
rates in the world. NGO health personnel report that the major causes of child
death are diarrhea, dengue hemorrhagic fever, malaria, respiratory infections,
and malnutrition.
In
1985 a system was designed for children under the age of five who were
suffering from acute malnutrition, diarrhea, and dehydration. Centers were
established for rehydration, immunization, nutrition, and education (RINE
Centers). In 1989 there were ten centers in Phnom Penh, and nine in all the
provinces. There is also a system of day care centers, or "creches,"
which increased from one in 1981 to eighty centers in 1987.
Immunizing
children has been one of the Ministry of Health's priorities, with vaccination
coverage in Phnom Penh reaching 80 percent. Coverage in the provinces is much
less, ranging from 30 to 60 percent. Children are vaccinated against pertussis,
diphtheria, polio, measles, tetanus, and tuberculosis. Some infant mortality
still is attributed to tetanus and measles, and other preventable diseases.
Related: International
Nurses Association
I'm here to give my testimony how I was cured from HIV, I contacted my HIV via blade. A friend of my use blade to peel of her finger nails and drop it where she use it, so after she has left i did know what came unto me i looked at my nails, my nails were very long and I took the blade which she just used on her own nails to cut of my finger nails, as i was maintaining my names, i mistakenly injured myself. I did even bother about it, so when I got to the hospital the next week when i was ill the doctor told me that I am HIV positive, i wondered where did i got it from so i remembered how I use my friend blade to cut off my hand so i feel so sad in my heart to the extent that i don’t even know what to do, so one day i was passing through the internet i met a testimony of a lady that all talk about how she was cured by a doctor called DR Imoloa so i quickly emailed the doctor and he also replied to me and told me the requirements which i will provide and I do according to his command, he prepare a herbal medicine for me which I took. He message me the following week that i should go for a test which i did to my own surprise i found that i was HIV negative. He also have cured for all kinds of incurable diseases like: Huntington's disease, back acne, chronic kidney failure, Addison's disease, Chronic Disease, Crohn's Disease, Cystic Fibrosis, Fibromyalgia, Inflammatory Bowel Disease, Fungal Nail Disease, Paralysis, Celia Disease , Lymphoma, Major Depression, Malignant Melanoma, Mania, Melorheostosis, Meniere's Disease, Mucopolysaccharidosis, Multiple Sclerosis, Muscle Dystrophy, Rheumatoid Arthritis, Alzheimer Disease and so many. Thanks to him once more the great doctor that cured me dr. Imoloa so you can also email him via drimolaherbalmademedicine@gmail.com or what'sapp him on +2347081986098.. God Bless you Sir.
ReplyDelete