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other young people. According to WHO, factors which might contribute to vulnerability<br />

include: malnutrition; poor hygiene/sanitation; lack of shelter; violence; and emotional/<br />

social deprivation 31 .<br />

Another important health issue is HIV/AIDS; however, Cambodia is one of the few<br />

countries that have seen declining HIV prevalence reducing the adult rate (15-49 years<br />

of age) from 3 percent in 1997 to 0.8 percent in 2008 32 . Cambodia’s HIV/AIDS epidemic is<br />

spread primarily through heterosexual transmission and revolves largely around the sex<br />

trade. Significantly, a low prevalence rate in the general population masks far higher prevalence<br />

rates in certain sub-populations, such as injecting drug users, people in prostitution, men who<br />

have sex with men, karaoke hostesses and beer girls, and mobile and migrant populations.<br />

As a consequence of the high HIV/AIDS prevalence during the 1990s the number of<br />

AIDS or-phans has increased in Cambodia at a proportional rate in the recent years.<br />

Children/youth whose parents are living with HIV often experience many negative<br />

changes in their lives even before they are orphaned. Eventually, they suffer the death<br />

of their parent(s) and the emotional trauma that results. They may then have to adjust<br />

to a new situation, with little or no support, and are at risk of ending up on the streets.<br />

In response, the National HIV/AIDS Authority of Cambodia has shifted the focus of<br />

its prevention efforts from young adults to children. 2008 statistics show an increase<br />

in rates of antiretroviral use among children and mother-to-child transmission of the<br />

virus.<br />

Unsafe Migration Patterns and Human Trafficking<br />

Migration within Cambodia is primarily internal, rural-urban, and the movement is<br />

usually to-wards more prosperous areas.<br />

According to the National Institute of<br />

Statistics of Cambodia, 35 percent of the<br />

Cambodian population are migrants 33 .<br />

Although migrants are conventionally<br />

thought of as adults or families, several<br />

street children/youth are lone migrants. It<br />

is observed that youth (aged 15-24) form<br />

CSCN<br />

CSCN Street Children Profile 2009<br />

21

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