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10: How our future depends on a girl at this decisive age

 
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This handbook aims to provide operational guidance including practical tips and job aids for health care providers addressing physical, sexual and emotional violence experienced by women. This handbook provides comprehensive information about violence against women, first line support, additional care for physical health after sexual assault, and mental health for survivors of violence.

សៀវភៅនេះ មានគោលបំណងផ្តល់នូវជំហានសំខាន់ៗ រួមមាន គន្លឹះសម្រាប់អនុវត្ត និងជំនួយការងារសម្រាប់ជួយអ្នកផ្តល់សេវាថែទាំសុខភាព ក្នុងការឆ្លើយតបសេវាឲ្យបានសមស្របដល់ស្រ្តី ដែលរងអំពើហិង្សាពីដៃគូស្និទ្ធស្នាល ឬអំពើហិង្សាផ្លូវកាយ ផ្លូវភេទ ឬផ្លូវចិត្ត។

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Violence against women affects every one and it can happen within and outside home. In Cambodia, in most cases, intimate partners (usually husbands) are the perpetrators of
violence against women, and types of intimate partner violence can include physical, sexual or emotional violence.
 
Obviously, many women and men believe that violence is justifiable in Cambodian culture and norms. 
 
 
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The analysis studies women's expereince of domestic violence and other forms of violence in Camboida. Intimate Parnter Violenc is the common experience followed by domestic violence committed by mother, step-mother, father or step-father. 

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With 22 % aged between 15 and 24 years, Cambodia has the youngest population in Southeast Asia. Young people face many sexual and reproductive health concerns such as sexually transmitted infections, unwanted pregnancies, unsafe abortion, STIs, HIV and AIDS. These health concerns are exacerbated by the lack of sexual and reproductive health information, knowledge, youth friendly services, poor education attainment, and rural to urban migration for employment often placing young people at a social and economic disadvantage, especially those living in rural areas.

One aim of this report was to describe the current state of the sexual and reproductive health of adolescents and youth in Cambodia and this was achieved through the analysis of data on young women aged 15-24 years from the four Cambodian Demographic and Health Surveys (CDHS) conducted in 2000, 2005, 2010 and 2014. The number of young women marrying before the age of 20 years decreased between 2000 and 2014 although early marriage remains more prevalent in rural areas compared with urban areas. 

Rates of teenage marriage among young men have remained relatively constant across the survey years.  Females report that sexual intercourse prior to marriage is rare while we see a steady increase in pre-marital sex with age among young males.  

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The Fast Track Initiative Roadmap (FTIRM) for Reducing Maternal and Newborn Mortality 2016-2020 has been developed to serve as guiding tool for the formulating and development of stratgic interventions annuall in order to foster effort at sub-national level towards improving maternal and child health. The unfinishing priorities highlighted in the FTIRM 2010-2015 were reflected and reinforced in this hilgh level document. 

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Revealing significant progress from the review of the 2010-2015 Emergency Obstetric and Newborn Care Improvement Plan, the challenges were also highlighted. 

The EmONC 2016-2020 has been developed to booster the commitment in reducing maternal and child deaths as reflected in the global sustainable development goals. The plan will be contributing to the implementation of the Fast Track Initiative Roadmap in Reducing Maternal  and Newborn Mortality 2016-2020 of the Royal Goverment of Cambodia. 

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The report presents findings from a secondary anaylsis of four surveys nationally representing women in reproductive age, 15 to 49 years old. It is a comparision between urban and rural areas on their fertility, reproductive health and maternal.

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With respect to current demographic trends, the Royal Government of Cambodia has updated the 2003 National Population Policy to incorporate population dynamicss in the development planning process and address the challenges that Cambodia has been facing. 

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Cambodia has a huge youth population in the SouthEast Asia region, whereas one in five is between the age of 15 and 24 years and almost two thirds of the population being under the age of 30.
Whereas total fertility rates for youth aged 15-19 is 57 per 1,000 women and media age for marriage for girls is 21 years, teenage fertility among 15-19 year-old has increased from 8% in 2010 to 12% in 2014.

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