So We Will Never Forget: A Population-Based Survey on Attitudes About Social Reconstruction and the Extraordinary Chambers in the Courts of Cambodia

Analyzes survey findings on Cambodians' views on the crimes committed by the Khmer Rouge, the Extraordinary Chambers in the Courts of Cambodia, and the outlook for justice and reparations. Makes recommendations to the courts, NGOs, and the government

Evaluation of the impact of the voucher and accreditation approach on improving reproductive behaviors and status in Cambodia

Background: Cost of delivering reproductive health services to low-income populations will always require total or partial subsidization by government and/or development partners. Broadly termed “demand-side financing” or “output-based aid,” these strategies include a range of interventions that channel government or donor subsidies to the user rather than the service provider. Initial pilot assessments of reproductive health voucher programs suggest that they can increase access, reduce inequities, and enhance program efficiency and service quality. However, there is a paucity of evidence describing how these programs function in different settings for various reproductive health services. Methods/Design: Population Council, funded by the Bill and Melinda Gates Foundation, intends to generate evidence around the “voucher and accreditation” approaches to improving the reproductive health of low-income women in Cambodia. The study comprises four populations: facilities, providers, women of reproductive age using facilities, and women and men who have been pregnant and/or used family planning within the previous 12 months. The study will be carried out in a sample of 20 health facilities that are accredited to provide maternal and newborn health and family planning services to women holding vouchers from operational districts in three provinces: Kampong Thom, Kampot, and Prey Veng and a matched sample of non-accredited facilities in three other provinces. Health facility assessments will be conducted at baseline and endline to track temporal changes in quality of care, client out-of-pocket costs, and utilization. Facility inventories, structured observations, and client exit interviews will be used to collect comparable data across facilities. Health providers will also be interviewed and observed providing care. A population survey of about 3,000 respondents will also be conducted in areas where vouchers are distributed and similar non-voucher locations. Discussion: A quasi-experimental study will investigate the impact of the voucher approach on improving reproductive health behaviors, reproductive health status, and reducing inequities at the population level and assess effects on access, equity, and quality of care at the facility level. If the voucher scheme in Cambodia is found effective, it may help other countries adopt this approach for improving utilization and access to reproductive health and family planning services

Social Impact Assessment (SIA) of Koh Kong Industrial/Export Processing Zone Project

This report was commisioned by Ministry of Commerce, Kingdom of Cambodia & UNDP Cambodi

After the First Trial: A Population-Based Survey on Knowledge and Perception of Justice and the Extraordinary Chambers in the Courts of Cambodia

On July 26, 2010, Kaing Guek Eav, alias Duch, was convicted of crimes against humanity and grave breaches of the 1949 Geneva Conventions for events that took place three decades earlier under the Khmer Rouge regime. Following this important milestone for the Extraordinary Chambers in the Courts of Cambodia (ECCC), the present study was implemented to (1) monitor public awareness and knowledge of the ECCC’s work, as well as of outreach and victim participation initiatives organized by the tribunal and local non-governmental organizations, (2) assess attitudes about justice and the desire for reparations for past crimes, and (3) recommend ways in which the ECCC, civil society, and the international community can continue to engage Cambodians in the work of the ECCC.This report presents the results of a survey of 1,000 Cambodians, aged 18 or above, randomly selected throughout the country to be representative of the adult population. The interviews were conducted anonymously and confidentially in December 2010 by a team of trained interviewers using a structured questionnaire. This is the second population-based survey conducted in Cambodia by the Initiative for Vulnerable Populations at UC Berkeley’s School of Law Human Rights Center

So We Will Never Forget: A Population-Based Survey On Attitudes About Social Reconstruction and the Extraordinary Chambers in the Courts of Cambodia

After a decade of negotiations leading to the adoption of its internal rules in June 2007, the Extraordinary Chambers in the Courts of Cambodia (ECCC) is the first serious effort to bring the law to bear, however belatedly and incompletely, on the horrendous crimes committed by leaders of the Khmer Rouge more than a quarter of a century ago. In power for just under four years (1975 to 1979), the Khmer Rouge more than decimated Cambodia. At least 1.7 million Cambodians, fully one quarter of the population, were killed or died as a result of the oppressive policies imposed by the Khmer Rouge, with execution, starvation, exhaustion from slave labor, malnutrition, and torture as the leading causes of death.This report presents the findings of a nationwide, population-based survey undertaken by the Human Rights Center’s Initiative on Vulnerable in Cambodia. The survey sought to capture opinions and attitudes about accountability, social reconstruction, and the ECCC. Teams of interviewers used a structured questionnaire to interview 1,000 Cambodians 18 years old or older, randomly selecting 125 communes out of 1,621 using systematic random sampling proportionate to population size. Two villages were randomly selected from each commune, resulting in a sample size of 250 villages. Analysis of the report concluded with specific recommendations of ways in which the ECCC, Cambodian judicial and administrative institutions, civil society, and the international community can ensure that Cambodians become engaged participants in—and not merely auxiliaries to—the work of the court

After the First Trial: A Population-Based Survey on Knowledge and Perception of Justice and the Extraordinary Chambers in the Courts of Cambodia

On July 26, 2010, Kaing Guek Eav, alias Duch, was convicted of crimes against humanity and grave breaches of the 1949 Geneva Conventions for events that took place three decades earlier under the Khmer Rouge regime. Following this important milestone for the Extraordinary Chambers in the Courts of Cambodia (ECCC), the present study was implemented to (1) monitor public awareness and knowledge of the ECCC’s work, as well as of outreach and victim participation initiatives organized by the tribunal and local non-governmental organizations, (2) assess attitudes about justice and the desire for reparations for past crimes, and (3) recommend ways in which the ECCC, civil society, and the international community can continue to engage Cambodians in the work of the ECCC.This report presents the results of a survey of 1,000 Cambodians, aged 18 or above, randomly selected throughout the country to be representative of the adult population. The interviews were conducted anonymously and confidentially in December 2010 by a team of trained interviewers using a structured questionnaire. This is the second population-based survey conducted in Cambodia by the Initiative for Vulnerable Populations at UC Berkeley’s School of Law Human Rights Center

The social determinants of health and health service access: an in depth study in four poor communities in Phnom Penh Cambodia

<p>Abstract</p> <p>Background</p> <p>Increasing urbanization and population density, and persisting inequities in health outcomes across socioeconomic groupings have raised concerns internationally regarding the health of the urban poor. These concerns are also evident in Cambodia, which prompted the design of a study to identify and describe the main barriers to access to health services by the poor in the capital city, Phnom Penh.</p> <p>Sources and Methods</p> <p>Main sources of data were through a household survey, followed by in-depth qualitative interviews with mothers, local authorities and health centre workers in four very poor communities in Phnom Penh.</p> <p>Main findings</p> <p>Despite low incomes and education levels, the study communities have moderate levels of access to services for curative and preventive care. However, qualitative findings demonstrate that households contextualize poor health and health access in terms of their daily living conditions, particularly in relation to environmental conditions and social insecurity. The interactions of low education, poor living conditions and high food costs in the context of low and irregular incomes reinforce a pattern of “living from moment to moment” and results in a cycle of disadvantage and ill health in these communities. There were three main factors that put poor communities at a health disadvantage; these are the everyday living conditions of communities, social and economic inequality and the extent to which a society assesses and acts on inequities in their health care access.</p> <p>Conclusions</p> <p>In order to improve access to health and health services for the urban poor, expansion of public health functions and capacities will be required, including building partnerships between health providers, municipal authorities and civil society.</p