Kampong Speu
Introduction
Welcome to the Provincial Food Security Profile pages for Kampong Speu. This first section provides background information on this province including an administrative map and information on its geography, and population.
Administrative Map of Kampong Speu
This map shows the district and commune names and boundaries in Kampong Speu, together with major roads and rivers, for your reference.
Map: Province Administrative map year 2000

(Download full size map: KSP_Map_Admin.pdf)
Geography of Kampong Speu
Kampong Speu is located to the west of Phnom Penh. It borders Kampong Chhnang and Pursat to the North, Phnom Penh to the East, Kampot and Takeo to the South and Koh Kong to the West. The area of the province is 7017 square kilometers (MAFF www.maff.gov.kh).
The topography is variable, from a large area of lowland paddy fields in the east to lowland/ upland mosaic and upland forested areas in the west. Cambodia's highest mountain, Phnom Aural is located here. Kampong Speu is classified as a rural province.
Demography of Kampong Speu
In 2004 the estimated population was 714 thousand persons and was 52% female. The population of children aged under 5 years was 95 thousand which was 13% of the total province population (NIS 2004). The Dependency Ratio (numbers of persons <15 years and 65 or over years per 100 adults aged 15-64 years) was 81.
The total number of households in 2004 was 138 thousand, giving an average household size of 5.2 persons (MAFF 2004). The people of Kampong Speu live in 8 districts composed of 87 communes and 1358 villages (CDB 2004).
The population density of the province is 102 persons/km2 compared to an average population density for Cambodia of 75 persons/km2.
Malnutrition
Mortality among Children
Malnutrition is a common contributing cause of death among children. Table 05.1 below shows estimates for the year 2000 of the rates and numbers of children who died prematurely in Kampong Speu.
These mortality rates are medium. The estimate is that over 8,600 children aged under 5 years died prematurely in Kampong Speu in the five years to 2000. Over 1,200 infants aged aged under 1 year had died in the preceding one year to the year 2000.
Table 05.1 Child Mortality in Kampong Speu at Year 2000
| Mortality Indicator |
Rate Percent |
Rate Prov.Rank |
Number of Children Affected |
Number Prov.Rank |
|---|---|---|---|---|
| Infant Population (aged < 1 year) |
- | - | 18,542 | 9 |
| Infant Mortality (aged < 1 year) |
6.83% | 22 | 1,266 | 11 |
| Child Population (Aged 0-<5 years) |
- | - | 96,267 | 9 |
| Under 5 year Mortality (aged 0-5 years) |
8.95% | 23 | 8,616 | 12 |
Source: Estimates calculated from CDHS 2000 & NIS 2004
Protein-Energy Malnutrition among Children
Table 05.2 below shows estimates for the years 2000 and 2005 of the rates and numbers of children aged under five years suffering from protein-energy malnutrition in Kampong Speu. Three indicators are used: Stunting (height for age) Underweight (weight for age) and Wasting (weight for height). The international WFP child nutrition standards categories for the rates are also included.
In 2005 Stunting rates were high (a decrease from year 2000) and over 35,000 children were Stunted (a decrease from year 2000). Underweight rates were very high (a decrease from year 2000) and almost 30,000 children were Underweight (a large decrease from year 2000). Wasting rates were medium (a very large decrease from year 2000) and over 7,000 children were Wasted (a very large decrease from year 2000).
Table 05.2 Child Malnutrition in Kampong Speu Years 2000 and 2005
| Malnutrition Indicator |
Rate Percent 2000 |
WFP Rate Category 2000 |
Number of Children Affected 2000 |
Rate Percent 2005 |
WFP Rate Category 2005 |
Number of Children Affected 2005 |
|---|---|---|---|---|---|---|
| Population Children Aged Under 5 years |
100% | - | 96,267 | 100% | - | 97,661 |
| Stunted (moderate & severe <-2SD) |
44.5% | Very High |
42,839 | 36.6% | High | 35,744 |
| Underweight (moderate & severe <-2SD) |
44% | Extremely High |
42,357 | 30.7% | Very High |
29,982 |
| Wasted (moderate & severe <-2SD) |
16.9% | Very High | 16,269 | 7.6% | Medium | 7,422 |
Source: CDHS 2000 & 2005
As shown in the table above the decline in number of children aged under 5 years affected by malnutrition is due to lower malnutrition rates as the population of children has barely changed from 2000 to 2005.
Rank Comparison of Malnutrition in Kampong Speu with all 24 provinces in 2005
Table 05.3 ranks the 2005 child under 5 year malnutrition outcomes described above in comparison to all other provinces in Cambodia. Comparing food security outcomes in this province to all other provinces of Cambodia:- The prevalence of Under 5 year mortality was about average. The prevalence of malnutrition among the child population was average to low, varying by indicator. The actual numbers of children affected by malnutrition (considering differences in the child population of each province) was about average.
Table 05.3 How Malnutrition in Kampong Speu Ranks Compared to all 24 Provinces of Cambodia in 2005
| Malnutrition Indicator |
Rank of This Province Compared to all 24 Provinces: 1= the worst 24 = the best |
|---|---|
| Population of Children Aged Under 5 years | 9 |
| Number of Children Stunted | 8 |
| Number of Children Underweight | 8 |
| Number of Children Wasted | 7 |
| Rate of Stunting | 16 |
| Rate of Underweight | 20 |
| Rate of Wasting | 10.5 |
Maps of the Distribution of Child Malnutrition in Kampong Speu 2000
Below is a series of four maps showing the incidence of Stunting and Underweight by Commune in Kampong Speu in 2000. The maps show both the rates and the numbers of children affected by commune. These estimateswere made by WFP using small area estimation techniques. These maps now categorise communes by the new 2005 international WFP child nutrition standards.
It is important to note that there are variations between the direct CHDHS 2000 province level estimates of Stunting and Wasting presented above (which are the best current estimates for the province level in 2000) and the WFP commune estimates for the individual communes across the province presented in the following maps (percentage and number of children affected). This is a result of the the WFP commune estimates being based on a different methodology (small area estimation techniques-SME) and a different child Under 5 population estimate (1998 Census).
Despite these variations, these WFP commune level estimates or malnutrition are the only estimates of the geographical distribution of malnutrition within provinces for all communes in the country. They remain a useful tool to examine the relative incidence of child malnutrition by commune within provinces and give an initial estimate of proportions and numbers of children affected by commune in year 2000.
Children aged <5 years Stunted: Percent by Commune in Kampong Speu province year 2000
Map KSP 05.00 shows that most communes in the province were estimated to have at least a Very High percentage of children Stunted. Several communes had Extremely High rates of Stunting. The majority of communes with Very High rates of Stunting included those in the lowland plains to the east, south and centre of the province and those communes in or adjoining upland areas in Phum Sruoch parts of Oral, and Thpong districts.
Note that these commune level percentages derived from the SME technique and therefore the WFP Nutrition Standard commune categories are the same on average as the direct CDHS estimates for the province level presented above.
Map KSP 05.00: Children aged <5 years Stunted: Percent by Commune in Kampong Speu province year 2000

(Download full size map: KSP_Map_0500.pdf)
Children aged <5 years Stunted: Number of Children by Commune in Kampong Speu province year 2000
Map KSP 06.00 shows that the number of Stunted children varied substantially by commune within the province due to a combination of differences in commune child populations and Stunting rates at the commune level. These variations can also be seen between communes within districts. Communes with a range of 350- <750 Stunted children per commune were located mainly to the east of the province extending from the southern to northern borders, but also in Phnum Sruoch in the southwest.
Map KSP 06.00: Children aged <5 years Stunted: Number of Children by Commune in Kampong Speu province year 2000

(Download full size map: KSP_Map_0600.pdf)
Children aged <5 years Underweight: Percent by Commune in Kampong Speu province year 2000
Map KSP 07.00 shows that all districts had communes with Extremely High percentage of children Underweight, including quite a number of communes with Extremely High rates of underweight >=50%. These were mostly concentrated to the east of the province. Communes with highest rates of Underweight were clustered in three areas- in the southeast in Basedth district, in the northwest along the district road corridor from the province centre to Oral district centre, and in northern Samrong Tong/ Odong districts.
Note that these commune level percentages derived from the SME technique and therefore the WFP Nutrition Standard commune categories are the same on average as the direct CDHS estimates for the province level presented above.
Map KSP 07.00: Children aged <5 years Underweight: Percent by Commune in Kampong Speu province year 2000

(Download full size map: KSP_Map_0700.pdf)
Children aged <5 years Underweight: Number of Children by Commune in Kampong Speu province year 2000
Map KSP 08.00 shows that the number of Underweight children varied substantially by commune within the province due to a combination of differences in commune child populations and Underweight rates at the commune level. These variations can also be seen between communes within districts.
Communes with a range of 350- <750 Underweight children per commune were located mainly to the east of the province extending from the southern to northern borders, but also in Phnum Sruoch in the southwest.
Map KSP 08.00: Children aged <5 years Underweight: Number of Children by Commune in Kampong Speu province year 2000

(Download full size map: KSP_Map_0800.pdf)
Food Availability
A lack of food availability can be an important cause of malnutrition and can contribute to premature mortality as well. Food availability is the ability of the people to directly produce the foods they need through their own activities in agriculture and livestock production,and through harvesting wild foods in agricultural commons areas, forests and fisheries.
This section examines evidence for a lack of food availability that might be contributing to child malnutrition and mortality levels found among the population of Kampong Speu (see Malnutrition and Food Utilization sections).
Information on food availability is limited in some areas, particularly in relation to wild foods from common property forest, agricultural and fisheries. However, we can still build an overall profile of food availability in Kampong Speu from available information while these limitations do still exist in 2004.
Readers should note that crops in Kampong Speu were badly damaged by drought in the year 2004 and this damage is reflected in the crop production related statistics included below.
Access to Agricultural Land in Kampong Speu in 2004
Table 05.2.1 shows the percentage of rural households in Kampong Speu by agricultural land holding size.
Rural households in Kampong Speu have limited access to agricultural land for crop production in general. Further, there are also large differences in the quantity of agricultural land available to individual rural households. Small land holdings and other factors limiting crop productivity limit food ability for many rural households.
In 2004, 5% of rural households in Kampong Speu were landless and did not produce their own staple food crops. This rate of landlessness is much lower than average. However a further 63% possessed less than 1.0 hectares of land, a much higher proportion than average at the national level. These small hold farming households will typically only produce enough food from crop agriculture to meet a part of their staple food needs.
Table 05.2.1 Agricultural Land Access in Kampong Speu in 2004
| Agricultural land per rural household | % of Rural HH This Province |
% of Rural HH National |
|---|---|---|
| No agricultural land (landless) | 5% | 15% |
| Less then 1.0 hectare (0.01- <1.0 ha) | 62% | 49% |
| 1.0- < 3.0 hectares | 29% | 30% |
| >= 3.0 hectares | 3% | 6% |
Source: MAFF 2004
Percentage of Rural Households Producing Crops in 2004
Table 05.2.2 shows the percentage of rural households in Kampong Speu engaged in crop production by season. Rural households are very commonly engaged in crop production, most typically rice production to grow their own food and for cash income at least for one season per year.
Most food crop production in Kampong Speu is rain-fed and is confined to the wet season. with 93% of households producing crop in the wet season compared to only 6% of households in the dry season. Further, most dry season cropping is restricted to only some communities within the province, those with access to groundwater or flood recession, or irrigation, surface water. This limitation imposed through dependency on rain-fed crop cultivation is clearly contributing to shortages in food availability.
Table 05.2.2 Percentage of Rural Households Producing Crops in Kampong Speu in 2004
| Rural Households Producing Crops | % of Rural HH This Province |
% of Rural HH National |
|---|---|---|
| Any Season-Any Crop | 95% | 85% |
| Wet Season-Rice Crop | 93% | 69% |
| Dy Season-Rice Crop | 6% | 16% |
Source: MAFF 2004
Crop Production by Type and Season in 2004
Rice Production
Table 05.2.3 shows statistic about rice production in Kampong Speu. Rice is the staple cereal food crop of rural Cambodians.
Comparing wet season rice production with national averages, the mean rice area cultivated per rural household was lower than the national level and the rice paddy yield per hectare was lower than the national level.
Comparing dry season rice production with national averages, the mean rice area cultivated per rural household was lower than the national level and the rice paddy yield per hectare was lower than the national level.
Rice production is limited mainly to the wet season. Dry season rice production is undertaken in a limited area but produces higher yields. Dry season rice areas are restricted within the province to only some communities, those with access to groundwater or dry season surface water resources (flood recession, or irrigation). This limitation imposed through dependency on rain-fed crop cultivation is clearly contributing to shortages in food availability.
The area of rice harvested in Kampong Speu in 2004 was reduced substantially through destruction of part of the cultivated area due to flood, drought or insects. Further information on crop damage is found in the Food Vulnerability section.
Table 05.2.3 Rice Crop Production by Season in Kampong Speu in 2004
| Rice Production Indicator |
This Prov Wet Season |
National Wet Season |
This Prov Dry Season |
National Dry Season |
|---|---|---|---|---|
| Area Cultivated- '000 ha. | 85 | 2087 | 0.27 | 330 |
| Area Harvested- '000 ha. | 53 | 1851 | 0.25 | 318 |
| Paddy Production '000 MT | 63 | 2918 | 0.6 | 973 |
| Yield-MT/ha. | 1.2 | 1.6 | 2.3 | 3.1 |
| Paddy % of total crop area cultivated |
91% | 81% | 44% | 84% |
| Mean Area Cultivated/ Rural HH- ha. | 0.65 | 0.9 | <0.1 | 0.1 |
Source: MAFF 2004
Rice Food Balance
Table 05.2.4 shows the balance between rice food availability from production and defined minimum white rice food needs of the population of Kampong Speu. Rice is the only food crop type for which such a direct measure of food availability compared to food needs can be made.
This overall rice balance at the province level is shown in the table. In addition, to illustrate how rice balances can vary between areas and between households within the province, two further rice balance indicators are included. One is the percentage of communes having >= 100% of minimum rice needs for the commune population. The second rice balance is for small-hold farmers (cropping 0.5 ha. of rice).
At the province level overall the rice balance falls far below the minimum rice food needs of the population. Among the communes of the province 9% of communes produce enough rice to meet minimum food needs while 91% produce less than minimum food needs. Commune level rice balances are mapped at the bottom of this page. These rice balance statistics reflect the extensive damage done by drought to the wet season rice crop here in 2004.
For households that are small-hold farmers 57% of minimum rice needs are derived from the own production. This is indicative of the rice food balance in households farming 0.1- < 1.0 ha. of land shown in Table 05.2.1 above. Furthermore at the household level, it should be noted that the vast majority of the landless will produce no rice at all as very few rent or share-crop rice land.
Table 05.2.4 Rice Food Balance in Kampong Speu
| Rural Households Producing Crops | This Province | National |
|---|---|---|
| Total white rice available for food consumption '000 MT |
36 | 2166 |
| Minimum population white rice food needs/ year '000 MT |
96 | 1713 |
| Provincial Level: overall white rice food balance as % of minimum rice needs |
37% | 126% |
| Commune Level: Percentage of Communes with rice food balance >= 100%. |
9% | 61% |
| Smallholders (cropping 0.5 ha.): white rice food balance as % of minimum rice needs. |
57% | 66% |
Source: MAFF 2005
Other Non-Rice Annual & Perennial Crop Production in 2004
Table 05.2.5 shows some basic overall statistics to give an idea of the relative role of non-rice crops in agricultural cropping systems in Kampong Speu.
A range of other annual field crops are typically grown in the provinces. These include food crops (such as maize, cassava, mung bean, vegetables) and non-food crops (such as jute, tobacco). In addition a range of perennial crops are grown including agricultural fruit trees and coffee. A food balance is not possible for non-rice food crops as there are no nutritional guidelines for these other food types. In addition, statistics do not indicate what proportion of these non-rice food crops are consumed versus being sold for cash income.
In available MAFF statistics, non-rice crops are only partially enumerated estimates (limited range of selected crops, one collective estimate for most vegetables, unclear whether home garden production is included) and are enumerated in less detail than for rice. There is also a limited data on agricultural tree and perennial crops (limited range of crops, trees estimated by area rather than number, no data on production).
Considering these limitations, non-rice crop production accounts for *% of the total cultivated area for all crops which is similar to the national average. The heavy concentration on rice production within cropping systems will mean that the production of vegetables and fruit which are important for nutrition will be limited. A further limitation is that non-rice crop production is only undetaken onvery small areas of land.
Table 05.2.5 Non-Rice Annual & Perennial Crop Production Overview in Kampong Speu in 2004
| Non- Rice Crop Indicator |
Wet Season |
Dry Season |
Both Seasons |
|---|---|---|---|
| % of total annual crop cultivated area for non-rice field crops & vegetables |
9 | 57 | 10 |
| Mean ha./ rural household cultivated for annual non-rice field crops & vegetables |
<0.1 | <0.1 | <0.1 |
| Mean ha./ rural HH agricultural fruit tree and other perennial crops |
- | - | <0.1 |
Source: MAFF 2004
Livestock production in Kampong Speu in 2004
Table 05.2.5 shows some basic statistics on livestock production at the household level in Kampong Speu Livestock, if consumed, are an important source of protein and other important micro-nutrients such as Iron. A food balance is not possible from these livestock statistics as there are no nutritional guidelines for protein and nutrient supply by livestock type. Livestock statistics are only estimates and may be under-enumerated.
Poultry (second to fish) are typically consumed as a source of protein. Pigs are typically sold for cash and cattle and buffalo are retained for breeding, draught power and as a store of wealth and are therefore not consumed directly for food. However, examining statistics for these large livestock types does give and idea of local supply of pork and beef to markets, where they are bought in small amounts for consumption by rural households.
The number of pigs and cattle owned among in Kampong Speu is much higher on average than for the national level. This indicates their relatively larger role that these livestock fulfill in farming systems in this province. Clearly livestock raising is an important activity among these households.
Table 05.2.5 Household Livestock Production Overview in Kampong Speu in 2004
| Livestock Ownership among rural households | This Province | National |
|---|---|---|
| Mean poultry per rural household (head) | 4.9 | 6.5 |
| Mean pigs per rural household (head) | 1.0 | 0.9 |
| Mean cattle per rural household (head) | 2.4 | 1.2 |
| Mean water buffalo per rural household (head) | 0.0 | <0.1 |
Source: MAFF 2004
Percentage of minimum rice needs produced by Commune in Kampong Speu in 2004
Map KSP.02.01 shows the percentage of per capita minimum rice food needs produced for the population in each commune in 2004 according to MAFF statistics. This is an average figure for the commune level.
Map KSP.02.01 Percentage of per capita minimum rice food needs produced by Commune in Kampong Speu in 2004

(Download full size map: KSP_Map_0201.pdf)
Food Access
Problems with food access can be an important cause of food insecurity and malnutrition. This section examines people's ability in the province to earn cash income with which to buy food that they need for an adequate diet but which they cannot produce themselves.
A written description and statistics are found here about food access the province level. There is also a map and description of poverty rates at the commune level in 1997.
Consumption Poverty in Kampong Speu in 2004
Consumption poverty refers to having insufficient cash income (or its equivalent in kind) to meet basic livelihood needs. This includes having insufficient cash income to buy foods that people need for an adequate diet as well as cash income to buy other basic needs such as shelter, clothing, health and education.
This lack of market purchasing power can be an important cause of food shortages and protein-energy and micro-nutrient malnutrition in the province population.
Table 05.3.1 contains indicators of the prevalence of consumption poverty in Kampong Speu in comparison to national rates. Results show that 53% of households are below the consumption poverty line and 58% of households in the province fall into the poorest two national quintiles of national consumption. These households will struggle to have enough cash available to buy food needs on the market and to meet other expenditure needs such as health services.
Table 05.3.1 Indicators of Consumption Poverty in Kampong Speu 2004
| Consumption Poverty Indicator | This Province |
National |
|---|---|---|
| Mean Total per capita HH daily per capita consumption in riel |
2252 | 3247 |
| % of households in the lowest Q1 and Q2 (i.e. 40%) of national consumption quintiles |
58 | 37 |
| Consumption poverty line in riel | 1771 | 1836 |
| % of households below the poverty line | 53 | 32 |
| The poverty line value as a percentage of total consumption |
79 | 49 |
Source: CSES 2004 Knowles Analysis
Household Economic Asset Poverty in Kampong Speu in 2004
Another important dimension of poverty is a lack of physical assets with which to generate household income. Table 05.3.2 contains indicators of the prevalence of a lack of physical assets among households in Kampong Speu in comparison to national rates. Households lacking economic assets of their own will be more exclusively dependent upon wage labor or common property resources to generate cash income to buy food and other basic needs.
Table 05.3.2 Indicators of Household Asset Poverty in Kampong Speu 2004
| Asset Poverty Indicator | This Province |
National |
|---|---|---|
| % rural households with no crop land-landless 0 ha. | 5 | 15 |
| Average crop land area cultivated for all annual crops ha./rural hh | 0.7 | 1.2 |
| % households with thatched roof houses | 37 | 34 |
| % HH not owning any cattle or buffalo | 27 | 49 |
| % HH not owning any pigs-CDB 2004 | 58 | 54 |
| Mean no. of households per car | 48 | 39 |
| Mean no. of households per motor | 4.4 | 5.4 |
| Mean no. of households per oxcart | 2.2 | 4.0 |
Source: MAFF 2004 & CDB 2004 aggregates from village data
Employment and Labor Force Characteristics in Kampong Speu in 2004
Employment either in the form of wage labor or operating a business enterprise can be a very important source of cash income to Cambodian households. Unfortunately, we lack information on this important aspect of food security and poverty. This is because most Cambodians generate wage and business cash income outside the "formal sector" of the economy, in what is know as the "ïnformal sector". The limitation of most existing statistics is that they do not distinguish between formal sector (more regulated, more secure, and often higher income activities) and informal sector activities in statistics collection.
Wage labor in the informal sector is unregulated, casual and often low paid. A very typical example is agricultural casual wage labor. Businesses in the informal sector are commonly household based micro-enterprises, unregistered, unregulated and often with poor access to credit, business and legal services. These micro-enterprises are diverse including agro and natural resource processing, small scale industrial/ handicraft and service enterprises.
Table 05.3.3 contains indicators of the characteristics of the labor force and employment in Kampong Speu in comparison to national rates. Total and female adult literacy rates are a good proxy indicator for access to productive employment and higher incomes. The indicator on percentage of the labor force economically active <=10 days/ mth gives some indication of the problem of underemployment, a major limitation to income generation from wage labor in the informal sector.
Table 05.3.3 Employment and Labor Force Indicators in Kampong Speu 2004
| Employment and Labor Force Indicator |
This |
National |
|---|---|---|
| Literacy Rate > 15 years % total population | 61 | 67 |
| Literacy Rate > 15 years % females | 53 | 60 |
| % of the labor force in the primary sector incl. Agriculture | 65 | 60 |
| % of the labor force in the secondary sector/ Industry | 18 | 13 |
| % of the labor force in the tertiary sector/ Services | 16 | 25 |
| % of the labor force economically active <=10 days/ mth | 38 | 29 |
Source: CSES 2004 Kanol Analysis (NIS)
Market Access in Kampong Speu in 2004
Characteristics of access to markets and major transport systems serving them are an important dimension of food access. Communities more isolated from markets will tend to suffer from lower prices for the products they sell and higher costs in buying food and other needs.
Table 05.3.4 contains indicators of access to markets and major transport systems serving them in Kampong Speu in comparison to national statistics.
Table 05.3.4 Market Access Indicators in Kampong Speu 2004
| market access Indicator |
This Province |
National |
|---|---|---|
| Average time (minutes) taken from village to the nearest market |
45 | 45 |
| Average farm gate price of paddy in Riel (December) |
558 | 521 |
| Distance (Km) to nearest year-round road | 0.9 | 3.8 |
| Average time (minutes) from village to nearest year-road | 6 | 18 |
Source: CDB 2004 aggregates from village data
Percentage of the population below the consumption Poverty Line by Commune in Kampong Speu in 1997
Map KSP.03.01 shows the WFP estimate of the percentage of the population below the consumption Poverty Line in the year 1997. These estimates were made by WFP using small area estimation techniques based on the CSES 1997. This remains the most recent source of poverty data at the commune level. Note that some communes were not covered in the CSES 1997 due to insecurity.
Map KSP.03.01 Percentage of the Population Below the Consumption Poverty Line by Commune in Kampong Speu 1997

(Download full size map: KSP_Map_0301.pdf)
Food Utilization
Problems with food use and utilization can be important causes of food insecurity and malnutrition. This section examines patterns of food use and utilization among mothers and children, which contributed to food insecurity in terms of increasing mortality, morbidity and malnutrition in the year 2005.
Included here are sections on malnutrition rates among women, maternal care, mother- child care practices, child illnesses, child micro-nutrient malnutrition and access to sanitation and safe drinking water.
Malnutrition rates among women in Kampong Speu
"A mother's well-being has a direct impact on her children's well-being. Similarly when one group fares poorly so does the other. For newborns, survival is directly linked to a mother's health during pregnancy" (CDHS 2000).
Results for 2005 are available for two important maternal micro-nutrient malnutrition indicators, Iron Deficiency Anemia (IDA) and Iodine Deficiency (IDD). Iodine Deficiency is avoided by the use of Iodized salt. The CDHS 2005 provides results for use rates of Iodized salt in households.
The percentages of women affected by these conditions, together with the outcomes of these forms of malnutrition, are shown in Table 05.04.1. Anemia (IDA) rates in Kampong Speu were higher than the rate at the national level. The percentage of households not using Iodized salt, an indicator for Iodine deficiency (IDD), was similar to the rate at the national level.
Table 05.04.1Malnutrition rates among women in Kampong Speu in 2005
| Malnutrition Indicator for Women aged 15-49 years |
% of Women This Province 2005 |
% of Women National 2005 |
|---|---|---|
| Women with Iron Deficiency Anemia (IDA) IDA Outcomes: "contributes to low birth weight, lower resistance to infection, poor cognitive development and decreased work capacity." |
58% | 47% |
| Iodine Deficiency (IDD) Household tested salt not Iodized. IDD Outcomes: "increased rates of abortion, stillbirths, congenital abnormalities, cretinism, psychomotor defects and neonatal mortality." |
29% | 28% |
Source: CDHS 2005
Maternal health care in Kampong Speu
Access to maternal health care services is of great importance to support maternal and child health and nutrition during pregnancy and at birth.
Table 05.04.2 presents the percentages of pregnant women not having access to important maternal health care services in 2005. The lack of access to maternal health care services is a causal factors in the observed rates of child and maternal mortality and malnutrition in the province.
Compared to the national level, the percentage of pregnant women not having access to antenatal care services was generally higher than the national average. Compared to the national level, a much higher percentage of pregnant women in this province did not have babies delivered with a health professional and a similar percentage did not deliver babies in a health facility.
Table 05.04.2 Maternal health care in Kampong Speu Year 2005
| Maternal Care Indicator for Women during pregnancy who had a live birth in the previous five years |
% of Women This Province 2005 |
% of Women National 2005 |
|---|---|---|
| Pregnant women without antenatal care from a health professional | 40% | 31% |
| Pregnant women not receiving >=1 Tetanus toxoid injection | 22% | 23% |
| Pregnant women not given iron tablets | 47% | 37% |
| Women not having babies delivered with a health professional | 77% | 56% |
| Women not having babies delivered in a health facility | 81% | 78% |
Source: CDHS 2005
Mother-child care practices in Kampong Speu
After birth, mother-child health and nutrition practices are extremely important for the healthy development and nutrition of a growing child. These practices are influenced by a mother's education and knowledge, and by physical, social and economic access to child health care services.
Table 05.04.3 presents the percentages of mothers not using appropriate mother-child health and nutrition practices. whether through a lack of knowledge or because of a lack of physical social or economic access to child health care services. The final indicator, women's illiteracy rate, is a more general indicator of mother's education and knowledge which has been shown to have a major affect on mother-child health and nutrition practices overall.
In Kampong Speu a much lower percentage of children had not received their complete course of vaccinations compared to the national level. Compared to the rates of diarrhea treatment practices at the national level, a similar percentage of children were not taken for medical treatment and a lower percentage of children were not given any sort of Oral Rehydration treatment. Compared to the rates of ARI/Fever treatment practices at the national level, a lower percentage of children with ARI/Fever symptoms in this province were not taken to a health care provider for medical treatment.
Table 05.04.3 Mother-child care practices in Kampong Speu
| Mother-Child Care Practices | % of Children This Province 2005 |
% of Women National 2005 |
|---|---|---|
| Children aged 12-23 months not receiving all vaccinations (a) | 19% | 33% |
| Children < 5 yrs with Diarrhea not having medical treatment sought from health facility or provider |
47% | 50% |
| Children < 5 yrs with Diarrhea not given Oral Rehydration treatment of any sort |
32% | 41% |
|
Children < 5 yrs with Fever/ARI |
45% | 57% |
Source: CDHS 2005
Child health in Kampong Speu
A combination of mother-child health care practices and external factors, particularly those related to water and sanitation, affect the prevalence rate of child infections. Diarrhea and Acute Respiratory Infections are common causes of morbidity and the most common final causes of death among children aged < 5 years. Diarrhea also directly reduces nutrition intake.
Table 05.04.4 Child Illnesses and Treatment in Kampong Speu in 2005
| Children < 5 yrears illnesses | % of Children This Province 2005 |
% of Children National 2005 |
|---|---|---|
| Children < 5 yrs with Diarrhea within the preceding two weeks | 16% | 20% |
| Children < 5 yrs with symptoms of ARI within the preceding two weeks | 7% | 8.5% |
| Children < 5 yrs with fever within the preceding two weeks | 38% | 35% |
Source: CDHS 2005
Micro-nutrient malnutrition rates among children in Kampong Speu
The percentages of children affected by these conditions, together with the outcomes of these forms of micro-nutrient malnutrition, are shown in Table 05.04.5. The percentage of children aged 6- 59 months suffering from both any level of IDA, and moderate levels of IDA, are shown. The CDHS 2005 results for use-rates of Iodized salt used in households is repeated here in this table, as an indicator of Iodine Deficiency (IDD) prevalence among children.
Rates for any level of Anemia (IDA) were similar rates of moderate levels of Anemia (IDA) were higher than the national average in Kampong Speu, meaning that a similar to higher percentage of children in this province were suffering the outcomes of Anemia described in the table. The proportion of households not using Iodized salt was very similar to the national average, with this percentage of children suffering the outcomes of Iodine deficiency (IDD) described in the table.
Table 05.04.5 Micro-nutrient malnutrition rates among children in Kampong Speu in 2005
| Micronutrient Malnutrition Indicator for Children |
% of Children This Province 2005 |
% of Children National 2005 |
|---|---|---|
| % Children 6-59 months with any Iron Deficiency Anemia (IDA). Outcomes: "impaired cognitive performance, motor development, coordination, language development and scholastic achievement. Increases morbidity from infectious diseases because it adversely affects immune mechanisms". |
63% | 62% |
| % Children 6-59 months with moderate Iron Deficiency Anemia (IDA). Outcomes: as above but more severe. |
38% | 32% |
| Iodine Deficiency (IDD) Household tested salt not Iodized Outcomes: "goiter, hypothyroidism, impaired mental functions, retarded mental and physical development and diminished school performance." |
29% | 28% |
Source: CDHS 2005
Access to sanitation and safe drinking water in Kampong Speu
"The type of water and sanitation facilities are important determinants of the health status of household members and particularly children. Proper hygienic and sanitation practices can reduce exposure to and the seriousness of major childhood diseases such as diarrhea". (CDHS 2000).
Table 05.04.6 shows the percentages of households not having access to sanitary toilets and not having access to safe drinking water in the year 2004. Among these households, members and particularly children are exposed to poor hygiene and sanitation conditions which will increase risks of infections including diarrhea, and which will in turn increase risks of child death, and levels of child malnutrition.
Compared to the national level, a higher percentage of households in this province did not have a sanitary toilet. The percentage of households not having access to safe drinking water in this province was the same as the national average. More needs to be done to promote sanitation and to further improve access to safe drinking water in this province, to reduce the risks of child death, and to reduce existing levels of child morbidity and malnutrition.
Table 05.04.6 Access to sanitation and safe drinking water in Kampong Speu 2004
| Sanitation and Safe Drinking Water Access Indicators |
% of Households This Province |
% of Households National |
|---|---|---|
| Households not having a sanitary toilet | 90% | 81% |
| Households not having access to a safe source of drinking water at, or within 150 meters, of their house |
34% | 34% |
Source: CDB 2004
Percentage of the population without access to safe drinking water by Commune in Kampong Speu in 2004
Map KSP.04.01 shows the percentage of the population without access to a source of safe drinking water by commune according to the Commune Database 2004. This map can be compared with the maps in the malnutrition section. Children without access to safe water are more likely to suffer from Underweight, illnesses and mortality.
Map KSP.04.01 Percentage of the Population Without Access to Safe Drinking Water by Commune in Kampong Speu in 2004

(Download full size map: KSP_Map_0401.pdf)
Food Vulnerability
A final set of causes of food insecurity are found in the vulnerability of Cambodian rural people to shocks and stresses that can reduce their food supply, or access or utilization of food to levels below minimum needs.
These issues have been shown to be an important dimension of food insecurity and poverty in Cambodia in a large number of studies. However, information about vulnerability covering all individual provinces is limited.
Below are a set of indicators of agro-ecological vulnerability at the province level for Kampong Speu. Some issues related to socio- economic vulnerability to food insecurity are also discussed and a cross reference is provided to the section of this profile that already includes relevant available indicators.
Agro-ecological Vulnerability
Agro-ecological vulnerabilities include risks of damage or destruction to crop production, livestock morbidity and morality and changes to common property fisheries and forest resources' productivity and access.
Indicators of such risks at the province level are limited to those about rice crop production, including flood, drought and pest damage. These results are presented in Table 05.5.1. They give an indication of vulnerability to food production loss for the staple crop rice, and other annual crops produced for food and income under mainly rain-fed cropping systems in Kampong Speu.
In 2004 the wet season crop cultivated area was 99% of the total rice cultivated area for the year. Of this wet season cultivated area, 38% was destroyed, mostly through drought. The dry season rice crop area in this province is very small. As a result access to minimum rice needs for many households in Kampong Speu would depend on their ability to meet the shortage by buying rice on the market.
Table 05.5.1 Percentage of rice cultivated area destroyed by season and cause in Kampong Speu 2004
| Indicator | Wet Season | Dry Season |
|---|---|---|
| % of total rice cultivated area for 2004 by season |
99 | 1 |
| % Rice cultivated area destroyed by flood by season |
3 | 0 |
| % Rice cultivated area destroyed by drought by season |
34 | 4 |
| % Rice cultivated area destroyed by insect/other by season |
1 | 3 |
| % cultivated area destroyed-total by season |
38 | 7 |
Source: MAFF 2004
Socio-economic Vulnerability
There are a range of socio-economic vulnerabilities that can contribute to food insecurity. One such vulnerability is dependency on low, erratic, and insecure sources of cash income to buy household needs including food. Another characteristic vulnerability is illiteracy, which is associated with higher levels of poverty and low incomes, and higher rates of child malnutrition. A further set of vulnerabilities here relate to remoteness from markets, major transport networks and social services such as health and education.

