The State of Healthcare in Cambodia: Progress and Challenges
Cambodia has made significant strides in improving its healthcare system in recent decades, but challenges remain in achieving universal coverage and ensuring equitable access to quality care for all its citizens.
Achievements and Progress
A notable increase from 58 years in 1993 to 71 years in 2021, reflecting major improvements in healthcare.
The under-five mortality rate has significantly decreased due to better immunization, sanitation, and nutrition.
Investment in a larger network of health centers and hospitals has improved access, especially in rural areas.
Initiatives like the Health Equity Fund have aimed to reduce financial barriers to healthcare for the poor.
Ongoing Challenges

- Unequal Access: Disparities in healthcare access and quality persist, with rural populations and marginalized groups facing the greatest barriers.
- Shortage of Skilled Workers: Cambodia faces a shortage of qualified doctors and nurses, particularly in rural provinces, limiting the availability of quality care.
- High Out-of-Pocket Costs: Despite reforms, out-of-pocket expenditure remains high for many Cambodians, posing a significant financial burden on households.
- Rise of NCDs: The rising prevalence of non-communicable diseases (NCDs) like diabetes and cardiovascular disease is putting additional strain on the system.
- Quality of Care: While access has improved, the overall quality of care remains a concern, with issues like inadequate infrastructure and limited access to essential medicines.
Government Initiatives and Future Outlook

The Cambodian government has recognized these challenges and is implementing various strategic initiatives to address them:
- Health Sector Strategic Plan (HSSP): This comprehensive plan outlines the government's vision for achieving universal health coverage and improving healthcare quality by 2030.
- National Social Security Fund (NSSF): The NSSF is expanding its health insurance coverage to include informal workers and vulnerable populations, aiming to reduce financial barriers.
- Human Resources for Health (HRH) Development: The government is investing in training and education programs to increase the number and quality of healthcare workers across the country.
While challenges remain, Cambodia's healthcare system is on a positive trajectory. Continued investment in infrastructure, human resources, and health financing reforms, along with a focus on quality improvement, are essential to achieving the goal of universal health coverage and ensuring that all Cambodians have access to the quality healthcare they need.
Join the Conversation
The journey to better healthcare is ongoing. What are your thoughts on Cambodia's progress and the challenges that lie ahead? Share your experience or opinion in the comments below!