Status: Cambodia has achieved internationally recognized success in combating HIV/AIDS. The government’s 100 percent condom campaigns, supported by coordinated response from development partners, has resulted in a spectacular decrease in HIV prevalence from 1.6 percent in 2000 to 0.9 percent in 2006 (now estimated at 0.7 percent for 2009), a rate far better than the original 2015 target of 2.3 percent, which is now modified to <0.9 percent.
Projections show that HIV prevalence is expected to further decline and to stabilize at 0.6 percent after 2010. However, there are now concerns about the resurgence of the epidemic among most at-risk groups – drug users, men who have sex with men and entertainment workers – and an increase of new HIV infections through spousal and mother-to-child transmission.
Good progress has been made in the fight against malaria, dengue fever and tuberculosis prevalence and case fatality rates, all of which are on track to achieve their objectives, except for TB and malaria death rates which require special attention.
Challenges: The major challenges now are to maintain and increase the gains in HIV education and prevention and to reduce the risk transmission among at-risk groups. Gender discrimination must also be addressed to cope with the increasing spousal HIV infections.
The Way Forward:
HIV/AIDS: Scale up Continuum of Care Strategy and expand comprehensive package of health services for women (sexual transmitted infections, reproductive health, voluntary confidential counseling, testing and other HIV services)
Malaria: eliminate the presence of artemisinin-tolerant malaria parasites by implementing a short term and a medium term plan to sustain and scale up the containment activities.
People living with HIV projection
Target and Actual Malaria cases (per 1,000)
Source: MoH HIS
TB death rate (per 100,000)