Delon Wu
PACS
5/10/14
Cambodia Community Project-case study
1. " Reduction and envelopment in Cambodia: Enabling disabled people to play a role" A. Overview * Defining Disability in Cambodia
- Cambodia has one of the highest rates of disability in the developing world.
-The main causes of disability are due to illnesses, diseases, and accidents.
-The causes of disability from mine are relatively in the low percentage.
-Approximately 3 people are killed or injured by mines in Cambodia each day however traffic accidents are significantly responsible for the causes of disability. * Table of Disabled people in Cambodia * Disability and Poverty
- National Poverty Reduction Strategy states that 36% of the population in Cambodia live below the poverty line of US $0.40-0.63.
-Disability and poverty are closely intertwined, the victims of mine are usually poor people that have to live near and enter mine affected areas to collect food or firewood.
-They also use less safe methods of transport and work in risky environments.
-Lack of access to basic health care leads to infections, illnesses and injuries that often result in permanent disability because the wounds were left untreated.
-Untreated common childhood ear infections are a major cause of permanent hearing loss in children
-Psycho-social mental health problems such as depression and anxiety due to being in poverty can also be disabling.
-Malnourishment is a major cause of developmental delay and long -term intellectual disability. Iron deficiency can reduce intelligence and Vitamin A deficiency is the leading cause of childhood blindness..
-Some disabled people need to learn new skills to work in a new job.
-In this study, the poor became poorer after they were disabled.

B. Roles and Responsibilities in the Disability sector * The State
-The State established the Disability Action Council (DAC) in 1993.
-key achievements
-Creates a single classification system for disability used in all data -gathering exercises
-Improves geographical spread of services
-Represent Cambodia at all international disability conferences and act as a central resource and information center for the sector.
-However the state's support for disability is extremely limited, they only provide 1000 Riels (US$0.25) per day to patients in certain rehabilitation institutes. * Service providers
- These services are provided by Non- government organizations.
-Services for disabled people include providing assistive devices, medical rehabilitation, education and training.
-Despite the impressive number of organizations, the services are still lacking in rural and remote areas.
-The resources for are being cut due to the lack of funding. * Disable people's organizations
-The Disabled people's organizations are run and managed by disabled people.
-They play a role in representing disable people, raising awareness about disability, and advocating for the rights of disabled people to the government.
-However their organization is weak, which requires improvement. * Analysis of the Disability sector C. Organizations and Services that provide for the disabled

D. Project's solutions * Propose disability legislation
-Provide a framework that promotes the rights of disabled people.
-Designating clear roles and responsibilities for government and civil society. * Improve local planning for disable people
-Creates more disability institutes in rural and remote areas.
- Increase health services and rehabilitation centers * Develop social protection mechanism and institutes
-Establish a national system for identifying and targeting the most vulnerable households. Which ensure assistances that would reach the poorest.

E. Evaluation/ Class Discussion * Would it be successful or not? * What are the positive and negative consequences? * Are there any other methods for improvement?