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All Journal Indonesian Journal of Health Research and Development International Journal of Nursing Information
Tun Sreypeov
University of Puthisastra
Health Professions Medicine & Pharmacology Nursing Public Health

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Addressing the Obesity-Diabetes Continuum in Cambodia: A Critical Review of Health Policy, Regulation, and Care Delivery System Readiness Yem Sokha; Kem Sokunthea; Tun Sreypeov
International Journal of Nursing Information Vol. 5 No. 1 (2026)
Publisher : Qualitative and Quantitative Research Center

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58418/ijni.v5i1.177

Abstract

Cambodia is undergoing a rapid epidemiological transition marked by an escalating continuum of obesity and type 2 diabetes mellitus (T2DM). This study evaluates Cambodia’s health policy responsiveness, regulatory frameworks, and care delivery system readiness to address this shifting chronic disease burden. Synthesizing national data from the Cambodia Demographic and Health Survey 2021–22 and the STEPS Survey 2023 alongside national strategic frameworks, this review provides a critical macro-level policy-linked analysis, filling a vital literature gap by bridging clinical epidemiology with health systems governance. Findings confirm a severe metabolic burden, with 31.7% of adult women overweight/obese, 15.2% experiencing abdominal adiposity, and T2DM prevalence reaching 6.4%. Crucially, 50% of T2DM cases remain undiagnosed, a systemic failure rooted in primary care unreadiness, diagnostic stockouts of HbA1c and lipid panels, and historical prioritization of acute infectious management. Socioeconomic disparities compound this risk, as individuals with no formal education exhibit the highest T2DM prevalence (11.2%). On the regulatory front, current fiscal policies like sugar-sweetened beverage taxation require aggressive strengthening, while financial frameworks like the Health Equity Fund lack preventative screening mandates. This review contributes a novel, multi-level evaluation framework that transitions Cambodia’s public health discourse from passive clinical reporting to active, systemic healthcare reorientation. Ultimately, mitigating this metabolic crisis demands restructuring primary care into chronic care models, expanding financial protection for preventative services, and enforcing multi-sectoral dietary regulations.
A Low Prevalence and Complementary Nature of Traditional Medicine Use in Maternal Healthcare: Evidence from Cambodia Demographic and Health Survey 2021-22: Traditional Medicine Use in Cambodia Sokha Yem; Kem Sokunthea; Tun Sreypeov
Indonesian Journal of Health Research and Development Vol. 4 No. 2 (2026): Indonesian Journal of Health Research and Development
Publisher : CV Media Inti Teknologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58723/ijhrd.v4i2.607

Abstract

Background: Cambodia has achieved substantial gains in modern maternal healthcare coverage, yet nationally representative evidence on residual traditional birth attendant (TBA) use and home delivery, and whether these persist alongside or instead of modern care, remains limited. This study estimated the prevalence and correlates of TBA use and home delivery in Cambodia.Aims: This study estimated the prevalence, patterns, and correlates of TBA use and home delivery in maternal healthcare in Cambodia.Methods: We analyzed data on 6,968 women with a birth in the five years preceding the Cambodia Demographic and Health Survey (CDHS) 2021–22. TBA/home-delivery (TBA/HD) care was defined as antenatal care from a TBA, delivery assisted by a TBA, or home (non-facility) delivery. Weighted prevalence and survey-adjusted multivariable logistic regression identified correlates.Results: Overall prevalence of TBA/HD care was 1.25% (95% CI: 0.92–1.69%; 154/6,968 unweighted) and was markedly higher among rural than urban women, among women with no education than higher education, among the poorest than the richest wealth quintile, and among women with four or more children than one child (all p<0.001). In the fully adjusted model, the poorest quintile had over six times the odds of TBA/HD care versus the richest (aOR=6.82, 95% CI: 2.10–22.13), p=0.001), and women with one child had 69% lower odds versus those with four or more (aOR=0.31, 95% CI: 0.16–0.61). p=0.001). Residence and education were not independently significant after adjustment.Conclusion: TBA use and home delivery are uncommon in Cambodia and concentrated among the poorest and highest-parity women; wealth and parity, more than education or residence, distinguish residual TBA/HD care after adjustment. Findings support targeting the poorest women rather than population-wide campaigns.
Co-Authors Kem Sokunthea Sokha YEM Yem Sokha