Status: Reduction of child mortality is the CMDG where most progress has been made and many targets have been reached or exceeded. In 2008, one baby out of 20 died before reaching his/her first birthday. While this number is high, it has been brought down from almost one death per 10 births in 1998.
Similarly, under-five mortality, while high, has decreased from 124 to 83 deaths per 1,000 live births from 2000 to 2005, with a 2010 CMDG target of 75. The progress on CMDG 4 has been attributed to the strong performance of the national immunization programme, successful exclusive breastfeeding promotion, improved access to basic health services, an overall reduction of poverty levels and improved access to education and better roads.
Challenges: However, while overall the situation of child mortality has improved substantially, there are still wide regional variations that need to be addressed. Infant and under-five mortality are still almost double the national average in Kampong Speu, Preah Vihear/Steung Treng, Prey Veng and Mondol Kiri/Ratanak Kiri provinces. Cambodia still has among the highest rates of child mortality in the region.
The Way Forward: Efforts should be made to revise the target, and continue and expand current successful programs.
Evolution of Under 5 Mortality Radio
Source: CDHS 2005, Census 1998, 2008
Evolution of Infant Mortality Ratio
Soure: CDHS 2005, Census 1998, 2008