… far from roads in rural Kampot

This 18 year old mother was taking her baby to the health centre. This facility, built just last year with funds from a German NGO (can you tell it’s new?), is relatively far from the primary and secondary roads and can’t be accessed by vehicle.
This is the main transport option in rural areas. You can’t see the motorbike pulling this remorque (it’s basically a wagon that can hold up to 35 Khmer). It’s a horrible bumpy ride (I feel this way and I’m healthy, imagine a pregnant mother about to deliver riding this contraption up to 15km to get to a skilled birth attendant!).
Development efforts –ours and a host of others working in MCH (Maternal and Child Health)– sadly haven’t sufficiently implemented a continuum of care to respond to this access barrier.
Cambodia had the highest Maternal Mortality Rate (31st highest in the world) in 2000 at 450 deaths/100,000 live births. There was no progress by the Cambodian Demographic Health Survey 2005, when it peaked at 473/100,000.

Here’s another form of transport, but only if there’s no rush!

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