DOCSLIB.ORG

Project for Strengthening the ASEAN Regional Capacity on Disaster Health Management

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Project for Strengthening the ASEAN Regional Capacity on Disaster Health Management Ministry of Public Health Official Project of Association National Institute for of Southeast Asian Nations Emergency Medicine (ASEAN) Kingdom of Thailand Project for Strengthening the ASEAN Regional Capacity on Disaster Health Management Situation Survey for ASEAN Collective Measures to Support AMS I-EMT Deployment Needs and Potential Survey for Capacity Development of Disaster Health Management in ASEAN Member States Final Report March 2021 Japan International Cooperation Agency (JICA) Koei Research & Consulting Inc. IM JR 21-026 Ministry of Public Health Official Project of Association National Institute for of Southeast Asian Nations Emergency Medicine (ASEAN) Kingdom of Thailand Project for Strengthening the ASEAN Regional Capacity on Disaster Health Management Situation Survey for ASEAN Collective Measures to Support AMS I-EMT Deployment Final Report March 2021 Japan International Cooperation Agency (JICA) Koei Research & Consulting Inc. EXCHANGE RATE USD 1 ＝ JPY 105.743 THB 1 ＝ JPY 3.524 （March 2021, JICA） USD 1 ＝ THB 30.55 Project for Strengthening the ASEAN Regional Capacity on Disaster Health Management Situation Survey for ASEAN Collective Measures to Support AMS I-EMT Deployment Project Completion Report Table of Contents Map of Survey Target Abbreviations and Acronyms 1. Outline of the Survey ............................................................................................ 1 1.1 About the Survey .................................................................................................... 1 1.2 Background of the Survey....................................................................................... 1 1.3 Purpose of the Survey ............................................................................................. 1 1.4 Target of the Survey ................................................................................................ 2 2. Contents of the Survey .......................................................................................... 3 2.1 Contents and Item of the Survey ............................................................................. 3 2.2 Method of the Survey .............................................................................................. 3 2.3 Flow Chart of the Survey ........................................................................................ 4 2.4 Process of the Survey .............................................................................................. 5 3. Results of the Survey ............................................................................................ 7 3.1 Result of Literature Review .................................................................................... 7 3.2 Result of Information Collection from Target AMS ............................................. 10 3.1 Recommendation Based on Result of the Survey ................................................. 19 Attachments 1. Outlines of international guidelines used for literature review ........................... A-1 2. Questionnaire sheet (sample of Indonesia) ....................................................... A-13 3. Report of information collection ....................................................................... A-23 List of Figures Figure 1 Flow Chart of the Survey .............................................................................. 4 List of Tables Table 1 Items and contents of survey ........................................................................ 3 Table 2 Contents of literature review and information collection ............................. 3 Table 3 Prohibited items to be brought into each AMS ........................................... 10 Table 4 Procedure to bring in medicine and medical equipment ............................ 11 Table 5 Minimization and acceleration of entry and exit of country procedure ...... 11 Table 6 Assistance for I-EMT on transportation ..................................................... 15 Table 7 Assistance for I-EMT on human resource .................................................. 16 Table 8 Situation for importation, exportation and usage of communication tool .. 16 Table 9 Safety management measure/ plan to be provided for AMS I-EMT .......... 16 Table 10 International entry points to receive AMS I-EMT ...................................... 17 Table 11 Registration required for I-EMT members ................................................. 17 Table 12 Registration required for I-EMT and waivers ............................................ 18 Map of Survey Target Abbreviations and Acronyms AHA Centre ASEAN Coordinating Centre for Humanitarian Assistance on Disaster Management APCDM Asia Pacific Conference on Disaster Medicine ARCH Project for Strengthening the ASEAN Regional Capacity on Disaster Health Management ASEAN Association of South-East Asian Nations AMS ASEAN Member States CAF Contractual Arrangement for Assistance Form C/P Counterparts DMAT Disaster Medical Assistance Team EMT Emergency medical team F/R Final report IC/R Inception report JADM Japanese Association for Disaster Medicine JDR Japan Disaster Relief JICA Japan International Cooperation Agency MOPH Ministry of Public Health MRA Mutual Recognition Arrangement NIEM National Institute for Emergency Medicine (Thailand) PDM Project design matrix PWG Project working group RCC Regional Coordination Committee Standard operating procedure for Regional Standby Arrangements and Coordination of SASOP Joint Disaster Relief and Emergency Response Operations SOP Standard operating procedure TOR Terms of Reference UHC Universal Health Coverage UNDAC United Nations Disaster Assessment and Coordination WADEM World Congress on Disaster and Emergency Medicine WHO World Health Organization i Situation Survey for ASEAN Collective Measures to Support AMS I-EMT Deployment 1. Outline of the Survey 1.1 About the Survey This survey was implemented as supplemental survey for Project for Strengthening the ASEAN Regional Capacity on Disaster Health Management (here after, the ARCH Project). 1.2 Background of the Survey The ARCH Project started its project activity in July 2016 as the ASEAN official project and was planned to be implemented until July 2019 for three years. Setting up of coordination platform by AMS, implementation of regional collaboration drill, development of tools for effective regional collaboration on disaster health management etc. have been implemented. Through these activities, some lessons were learned and challenges, in order to be solved for rapid and smooth mutual cooperation between AMS, were revealed. According to the hearing interview during the 3rd AMS training, which was held by the ARCH Project in May 2018 in Bangkok, Thailand, while there was a common understanding that AMS should develop I- EMT in line with the WHO minimum requirements set out by the WHO EMT initiative, many AMS indicated that it would be difficult to meet the WHO standard especially in the areas of response to medical malpractice, medical waste management, logistics. To address these challenges, ASEAN Collective Measures was initiated as one of the ARCH Project activities to complement the gap for AMS to meet the WHO requirements. With the extension of the ARCH Project to March 2021, the survey was launched in September 2019 to collect and analyze information to consider the ASEAN Collective Measures. 1.3 Purpose of the Survey The purpose of this survey is to collect information and make recommendations on the following 5 priority issues, which have been identified as major challenges by the AMS in meeting the WHO minimum requirements, to consider the ASEAN Collective Measures which seeks to realize rapid, effective and quality I-EMT deployment in ASEAN region. 1) Customs clearance of I-EMT medicine and equipment 2) Laws and Regulations concerning medical waste management 3) Regulations concerning medical malpractice 4) Logistics issues concerning I-EMT deployment 5) Authorization procedures to practice for I-EMT medical professionals 1 Situation Survey for ASEAN Collective Measures to Support AMS I-EMT Deployment 1.4 Target of the Survey The target of the survey was the 5 AMS countries namely Indonesia, Myanmar, Philippines, Thailand and Vietnam, all of which are prone to disaster and potential of receiving I-EMT in the future, and having hosted or planning to host the ARCH Project Regional Collaboration Drill. 2 Situation Survey for ASEAN Collective Measures to Support AMS I-EMT Deployment 2. Contents of the Survey 2.1 Contents and Items of the Survey In the survey, information collection was implemented in order to consider the ASEAN Collective Measures in ASEAN region. The followings are items and contents of survey. Table 1 Items and contents of survey Survey items Contents Medicine and medical supplies required for I-EMT Type 1 Presence of regulated (restricted) items and goods Application possibility of deregulation including simplify 1) Customs clearance of I-EMT and expeditious customs clearance in the event of disaster, medicine and equipment which including information of customs clearance process, organization in charge, existence of customs clearance agent, required documents, etc. 2) Laws and Regulations concerning Laws and regulations concerning medical wastes Medical waste management Special Disposal measure for special medical wastes 3) Regulations concerning medical Presence of regulations for medical malpractices malpractice Medicine and medical materials stock (Items, minimum volumes)
Load more

Recommended publications
  • Study Report on Emergency Medical Care in Cambodia
    Study Report on Emergency Medical Care in Cambodia March 2011 http://www.spf.org/e/ Study Report on Emergency Medical Care in Cambodia March 2011 The Sasakawa Peace Foundation The Nippon Foundation Bldg., 4th Fl. 1-2-2, Akasaka, Minato-ku, Tokyo, 107-8523 Japan Phone: +81-3-6229-5400 Fax: +81-3-6229-5470 http://www.spf.org/e/ Table of Contents Abbreviations ............................................................................................................................ i Summary .................................................................................................................................. ii 1. Overview of the Study ............................................................................................................1 1.1 Background and Objective of the Study ..............................................................................1 1.2 Field Study .......................................................................................................................2 1.3. Limitations of the Study ...................................................................................................3 1.4. Structure of the Report .....................................................................................................3 2. Current Status and Issues of the Emergency Medical System in Cambodia..................................4 2.1 History of the Emergency Medical System in Cambodia ......................................................4 2.2 Current Status and Issues of the Emergency Transport
    [Show full text]
  • University of Washington Emergency Medicine Global Health: June- August 2017
    UNIVERSITY OF WASHINGTON EMERGENCY MEDICINE GLOBAL HEALTH: JUNE- AUGUST 2017 University of Washington Emergency Medicine Global Health: June- August 2017 IN THIS ISSUE • EM Global Health Fellowship Update • Faculty, Fellow and Resident Recognitions • Upcoming and Recent Events • Quarterly Spotlight • Recent Global Health experiences • Other News Scott Owens attending the Global Health and Social Medicine Boot Camp run in partnership by Harvard and Partners In Health in Chiapas, Mexico. UNIVERSITY OF WASHINGTON EMERGENCY MEDICINE 2 GLOBAL HEALTH: JUNE- AUGUST 2017 | Faculty, Fellow and Resident Recognitions Publications Wollum, A., Dansereau, E., Fullman, N., Achan, J., Bannon, K., Burstein, R., O.Conner, R., DeCenso, B., Gasaria, A., Haakenstad, A., Hanlon, M., Ikilezi, G., Kisia, C., Levine, A., Masters, S., Njuguna, P., Okiro, E., Odeny, T., Roberts, A., Gakidou, E., Duber, HC. (2017). “The effect of facility-based antiretroviral therapy programs on outpatient services in Kenya and Uganda.” BMC Health Services Research. 19 August 2017. Carlson S, Duber HC, Achan J, Ikilezi G, Mokdad AH, Stergachis A, Wollum A, Bukhman G, Roth GA. Capacity for diagnosis and treatment of heart failure in sub-Saharan Africa. Heart. 2017 May 10. pii: heartjnl-2016-310913. doi: 10.1136/heartjnl-2016-310913. [Epub ahead of print] Duber, HC., McNellan, C. R., Wollum, A., Phillips, B., Allen, K., Brown, J. C., . Ng, M. (2017). Public knowledge of cardiovascular disease and response to acute cardiac events in three cities in China and India. Heart. Wentlandt, M., Morris, S. C., & Mitchell, S. H. (2017). Ventricular tachycardia and prolonged QT interval presenting as seizure-like activity. The American Journal of Emergency Medicine, 35(5).
    [Show full text]
  • UW and Cambodia: Partnering for Health
    UW and Cambodia: Partnering For Health The Problem: An estimated 50 Cambodian physicians were alive at the end of the Khmer Rouge’s killing fields. Most fled as refugees. The killing fields left behind a tremendous burden of PTSD, with estimates of 14% to 33%among Khmer Rouge survivors, as compared with 0.4% prevalence of PTSD worldwide. Today, almost forty years later, there are just 53 psychiatrists to serve 16 million Cambodians, one of the lowest psychiatrist-to- patient ratios in the world. Cambodian universities struggle to produce well-trained doctors or nurses, and university training for social workers only very recently became available. Local Solution: The University of Washington (UW)/Royal University of Phnom Penh (RUPP) Partnership initiated a project called “Partnering For Health” (PFH) to establish the first Social Work Unit in two Cambodian government hospitals, Calmette and Preah Kossamak Hospitals. PFH is developing a new multi-disciplinary model of patient care through: o A collaborative care model that incorporates task shifting and attention to mental health needs and services within primary or specialty care departments o Use of electronic real-time patient records to support care and a follow-up care system o Use of brief, empirically supported interventions for depression o Attention to patient and family education particularly in the care and treatment of chronic conditions and cancer, and o Effective discharge planning particularly among the growing segment of elderly with no family supports The Need: The UW/RUPP Partnership seeks funding to provide strong evidence to the Ministry of Health and Cambodian government of the need for social workers, particularly in the delivery of a collaborative care model to expand mental health services in a country with an enormous legacy of trauma.
    [Show full text]
  • Health Strategic Plan 2016-2020
    KINGDOM OF CAMBODIA NATION RELIGION KING KINGDOM OF CAMBODIA NATION RELIGION KING “Quality, Effective and Equitable Health Services” HEALTH STRATEGIC PLAN 2016-2020 “Quality, Effective and Equitable Health Services” DEPARTMENT OF PLANNING & HEALTH INFORMATION MAY 2016 THE THIRD HEALTH STRATEGIC PLAN 2016-2020 (HSP3) “Quality, Effective and Equitable Health Services” Health System Fiancing Health Health Information Workforce System Health Service Development Delivery Coverage Quality Equity Health Essential Infrastructure Support Development Systems Department of Planning & Health Information May 2016 Foreword Health Strategic Plan 3 | Foreword i Acknowledgements I highly appreciate the Ministry of Health senior leadership, especially H.E Prof. Eng Huot, chair of Secretariat of Technical Working Group for providing support and guidance in the development of the Third Health Strategic Plan 2016-2020 (HSP3), and also representatives of relevant institutions at national and sub-national level, including health officers of provincial health departments and operational districts local administrations, health professional associations, private health sector, Development Partners and NGOs for providing constructive input to key aspects of the plan during consultative meeting. My special thanks go to Dr. Lo Veasnakiry, Director, Department of Planning and Health Information for his leadership and dedicated work in coordination, organizing the formulation and consultation process and undertaking the writing of the plan. I also appreciate the efforts made by officers of the Department of Planning and Health Information in the formulation of Health Strategic Plan 2016-2020. The production of this important document would not have been possible without great effort of committed task teams whose names are provided in Annex1: The Task Team on Health Service Delivery, chaired by Dr.
    [Show full text]
  • Emergency Medicine in Cambodia This Is a Continuing Column That Examines the Practice of Emergency with Intensive Care and Anesthesiology
    AAEM Resident & Student RCOMMON SENSER Association Emergency Medicine in Cambodia This is a continuing column that examines the practice of emergency with intensive care and anesthesiology. In many hospitals, the ED medicine in various countries around the world. This issue will functions also as the Intensive Care Unit, and patients are not look at EM in Cambodia. This article is written by Glenn Geeting, transferred to a medical or surgical ward until they are quite stable. There is a pressing need for improved training of medical personnel. AAEM/RSA MD FAAEM, an American board-certified emergency physician who has spent considerable time since 1996 working at the Our hospital began with a goal of simply offering free, high-quality Sihanouk Hospital Center of HOPE in Phnom Penh, Cambodia. care to the poor and needy of Cambodia. After a few interviews, Dr. Geeting is now an Assistant Professor of Emergency Medicine the need to increase the capability of our new staff became painfully and Associate Program Director at Penn State Hershey Medical obvious, and our mission was expanded to include the training of Center. Cambodian professionals. The doctors and nurses here are generally eager to learn; even simple interventions can have an impressive Introduction impact. At times technology is ahead of knowledge base; a nearby Cambodia is a nation scarred by decades of tragedy and unrest. ED has a cardiac monitor and EKG machine, but staff members Freedom from French rule was achieved in 1954. The relative peace are unable to interpret basic cardiac rhythms. was broken by a 1970 civil war and the regime of Lon Nol.
    [Show full text]
  • Imaging in the Khmerâ•Žs Land: Cambodia Country Report
    COUNTRY REPORT Imaging in the Khmer’s Land: Cambodia Country Report Samantha G. Harrington1*, Joseph Makris1 1 University of Massachusetts Medical School, Worcester, MA, USA *Corresponding author. Current address: 55 Lake Avenue North Worcester, MA 01655; [email protected] OPEN ACCESS economic improvement and a growing healthcare Introduction system improved the life expectancy to 63.78 © 2015 Harrington and Makris. This CAMBODIA is located in Southeast Asia on the years by 2015 (2). The physician density remains open access article is distributed low, at 0.17 physicians per 1,000 people (2). As of under a Creative Commons Attri- Indochina Peninsula and borders Vietnam, Laos, bution 4.0 License (https://creative- Thailand and the Gulf of Thailand (Figure 1). With 2012, there were eight national hospitals and three commons.org/licenses/by/4.0/) a total area of 69,898 square miles and population levels of referral hospitals in the public sector. of 15,458,332, Cambodia’s population density Referral hospitals are categorized by three levels DOI: 10.7191/jgr.2015.1016 has steadily increased since 1980. The country’s of Complementary Package of Activity (CPA): 1) CPA-1 hospitals do not perform surgery; 2) CPA-2 Received: 8/27/2015 annual rate of urbanization is 2.65 %. As of 2014, 20.5% of the population lives in an urban setting. hospitals perform surgeries but with more limited Accepted: 9/18/2015 The estimated population growth rate is 1.63% (1). specialized services; and 3) CPA-3 hospitals The capital of Cambodia is Phnom Penh, which perform surgery with more specialized services.
    [Show full text]
  • Tell Them That I Want to Kill Them” Two Decades of Impunity in Hun Sen’S Cambodia
    HUMAN “Tell Them That I Want RIGHTS to Kill Them” WATCH Two Decades of Impunity in Hun Sen’s Cambodia “Tell Them That I Want to Kill Them” Two Decades of Impunity in Hun Sen’s Cambodia Copyright © 2012 Human Rights Watch All rights reserved. Printed in the United States of America ISBN: 1-56432-963-1 Cover design by Rafael Jimenez Human Rights Watch is dedicated to protecting the human rights of people around the world. We stand with victims and activists to prevent discrimination, to uphold political freedom, to protect people from inhumane conduct in wartime, and to bring offenders to justice. We investigate and expose human rights violations and hold abusers accountable. We challenge governments and those who hold power to end abusive practices and respect international human rights law. We enlist the public and the international community to support the cause of human rights for all. Human Rights Watch is an international organization with staff in more than 40 countries, and offices in Amsterdam, Beirut, Berlin, Brussels, Chicago, Geneva, Goma, Johannesburg, London, Los Angeles, Moscow, Nairobi, New York, Paris, San Francisco, Tokyo, Toronto, Tunis, Washington DC, and Zurich. For more information, please visit our website: http://www.hrw.org NOVEMBER 2012 ISBN: 1-56432-963-1 “Tell Them That I Want to Kill Them” Two Decades of Impunity in Hun Sen’s Cambodia Summary ........................................................................................................................... 1 I. The Paris Agreements and Developments Since 1991 ....................................................... 7 II. Illustrative Cases of Impunity since the Paris Agreements ............................................ 13 UNTAC and A-Teams .................................................................................................................. 13 S-91 and Chhoeu Khmao, 1992-94 ............................................................................................
    [Show full text]
  • Functional Mapping Report: Ministry of Health
    March, 2012 Functional Mapping Report: Ministry of Health Table of Contents Executive Summary of Key Issues Identified in MOH Functional Mapping ........................................ 5 I. Introduction: the Basis for Functional Mapping ......................................................................... 6 II. Mapping of Key Functions in Laws and Regulations ................................................................... 6 III. Additional Key Functions in Strategy & Policy Documents ....................................................... 14 IV. Master-List of Key Functions and Sub-Functions ...................................................................... 17 V. Mapping of Functions to Levels of Administration ................................................................... 17 VI. Mapping of MOH Personnel and Health Facilities to Organizational Units and Functions ...... 22 VII. Mapping of Financial Resources from Government and Donors.............................................. 34 VIII. MOH Experiences with De-concentration and Contracting In-Out .......................................... 43 IX. MOH Process of Validation, Consultation and Approval of Functional Mapping ..................... 46 X. Conclusions: Key Issues Identified in Health Sector Mapping: Mismatch of ODs and D/Ms; Joint Functions & Linkages; SOAs; Pilots and Changing Functions ................................................... 47 Annexes ............................................................................................................................................
    [Show full text]
  • Download Document (PDF | 10.56
    Main Angkor Wat Temple Complex. (World Factbook) 2 Center for Excellence in Disaster Management & Humanitarian Assistance Table of Contents Welcome - Note from the Director 7 About the Center for Excellence in Disaster Management & Humanitarian Assistance 8 Acknowledgments 9 Country Disaster Response Handbook Series Overview 11 Executive Summary 12 Country Overview 13 A. Culture 14 B. Demographics 18 Key Population Centers 19 Economics 20 C. Environment 22 Borders 22 Geography 23 Climate 23 Disaster Threat Analysis 27 A. Hazards 28 Natural 28 Man-Made 34 Infectious Diseases 34 B. Endemic Conditions 36 Government 43 Cambodia Disaster Management Reference Handbook | February 2014 3 A. Government Structure for Disaster Management 45 B. Government Capacity and Capability 52 C. Laws, Policies and Plans on Disaster Management 52 D. Cambodian Military Role in Disaster Relief 55 E. Foreign Assistance 58 Infrastructure 61 A. Airports 62 B. Ports 63 C. Inland Waterways 64 D. Land (Roads/Bridges/Rail) 64 E. Hospitals and clinics 67 F. Schools 68 G. Utilities 71 Power 71 Water and Sanitation 72 H. Systemic factors Impacting Infrastructure 73 Building Codes 73 Traditional Homes in Cambodia 74 Health 75 A. Structure 76 B. Surveillance and reporting 78 C. Management of Dead Bodies after Disasters 81 D.Sexual and Reproductive Health in Disasters 81 E. Psychological and Mental Assistance in Disasters 84 Communications 89 A. Communications structures 90 B. Early Warning Systems 90 4 Center for Excellence in Disaster Management & Humanitarian Assistance C. Management of Missing Persons 93 Disaster Management Partners in Cambodia 95 A. U.S. Agencies 96 U.S. DoD 97 U.S.
    [Show full text]
  • Former Khmer Rouge Solder Provides Further Details on the Evacuation of Phnom Penh
    “Absolute” Suffering: Former Khmer Rouge Solder Provides Further Details on the Evacuation of Phnom Penh November 05, 2012 By Doreen Chen, Senior Consultant, Destination Justice, and LLM, Columbia Law School In a day peppered with exchanges between the defense, prosecution, and bench on appropriate evidentiary procedures, the Trial Chamber in the Extraordinary Chambers in the Courts of Cambodia (ECCC) heard testimony on Monday, November 5, 2012, from former Khmer Rouge foot soldier Sum Chea on events during the evacuation of Phnom Penh. The hearing ended on a dramatic note, with International Co- Counsel for Ieng Sary Michael Karnavas emphatically suggesting that the witness’s testimony may be tainted due to the witness's own testimony that he had given the ECCC’s Office of the Co- Investigating Judges (OCIJ) a second interview that was neither recorded nor had a written record on the case file. Defendant Ieng Sary Remains Absent The public gallery was largely empty during the day’s first session, with only a small group of civil parties as well as French historian and Khmer Rouge expert Henri Locard in attendance. Trial Chamber Greffier Duch Phary advised the president that Ieng Sary remained hospitalized, but had waived his right to be present for the testimony of the upcoming witness.[2] Trial Chamber President Nil Nonn added that Mr. Sary was still at the Khmer Soviet Friendship Hospital, and that his right to waive his presence was enshrined under ECCC Internal Rule 81(5).[3] Witness Sum Chea Commences Testimony Witness Sum Chea began his testimony with the support of duty counsel.
    [Show full text]
  • Human Rights Watch All Rights Reserved
    HUMAN “Tell Them That I Want RIGHTS to Kill Them” WATCH Two Decades of Impunity in Hun Sen’s Cambodia “Tell Them That I Want to Kill Them” Two Decades of Impunity in Hun Sen’s Cambodia Copyright © 2012 Human Rights Watch All rights reserved. Printed in the United States of America ISBN: 1-56432-963-1 Cover design by Rafael Jimenez Human Rights Watch is dedicated to protecting the human rights of people around the world. We stand with victims and activists to prevent discrimination, to uphold political freedom, to protect people from inhumane conduct in wartime, and to bring offenders to justice. We investigate and expose human rights violations and hold abusers accountable. We challenge governments and those who hold power to end abusive practices and respect international human rights law. We enlist the public and the international community to support the cause of human rights for all. Human Rights Watch is an international organization with staff in more than 40 countries, and offices in Amsterdam, Beirut, Berlin, Brussels, Chicago, Geneva, Goma, Johannesburg, London, Los Angeles, Moscow, Nairobi, New York, Paris, San Francisco, Tokyo, Toronto, Tunis, Washington DC, and Zurich. For more information, please visit our website: http://www.hrw.org NOVEMBER 2012 ISBN: 1-56432-963-1 “Tell Them That I Want to Kill Them” Two Decades of Impunity in Hun Sen’s Cambodia Summary ........................................................................................................................... 1 I. The Paris Agreements and Developments Since 1991 ....................................................... 7 II. Illustrative Cases of Impunity since the Paris Agreements ............................................ 13 UNTAC and A-Teams .................................................................................................................. 13 S-91 and Chhoeu Khmao, 1992-94 ............................................................................................
    [Show full text]
  • Cambodians Doctors
    TRANKELL OVESEN & A unique blend of historical anthropology and contemporary ethnography. At face value, this book is about medicine in Cambodia over the last hundred years. At the same time, however, it is an historical and con- temporary anthropology of Cambodia, in that ‘medicine’ (in the sense of ideas, practices and institutions relating to health and illness) is CAMBODIANS AND THEIR DOCTORS used as a prism through which to view the colonial and post-colonial society at large. Rich in ethnographic detail derived from both contemporary anthropological fieldwork and colonial archival material, the study is an account of the simultaneous presence in Cambodia of two medical traditions: the modern, biomedical one first introduced by the French colonial power at the turn of the twentieth century, and the indigenous Khmer health cosmology. In their reliance on one or the other of the two traditions, the Khmer people have continually been concerned to find efficient medical treatment that also adheres to norms about the morality of social relations. CAMBODIANSAND THEIR The authors trace the articulation of these two traditions from the French colonial period via the political upheavals of the 1970s through to the present day. The result is more than a medical anthropology; this is a key text that makes a significant contribution to the anthropological DOCTORS study of Cambodian society and will be an important resource for scholars as well as for development planners and aid workers in medical A Medical Anthropology and related fields. of Colonial and Post-Colonial Cambodia ‘This is a compelling, persuasive study of the “indigenization” of global bio-political knowledge in Cambodia from colonial to modern times.
    [Show full text]