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UN Analysis Final.pdf - United Nations in Cambodia

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A comprehensive set of policies and programmes should focus on these current health issues affect<strong>in</strong>g<br />

youth. There is particular need to target specific population groups, based on their ethnicity, geographical<br />

location, and the needs of both s<strong>in</strong>gle and married young people. Programmes should be <strong>in</strong>stituted that<br />

guarantee full access to health <strong>in</strong>formation and services, and should <strong>in</strong>clude tra<strong>in</strong><strong>in</strong>g for livelihoods and<br />

life skills, freedom from violence, and connections to supportive youth networks. Drug users will need<br />

specific attention, as care should be taken that they are not treated as crim<strong>in</strong>als. As the Prime M<strong>in</strong>ister has<br />

said, “illicit drug users should be victims who need to receive care; while crim<strong>in</strong>als who produce, traffic,<br />

and use drugs must be heavily punished accord<strong>in</strong>g to the law”. It will be necessary, therefore, to promote<br />

universal awareness of the harm caused by illicit drugs, tobacco use and alcohol consumption, especially<br />

among young people.<br />

To arrive at policies that better address young people’s health status, it will be necessary for the Government<br />

and NGOs to develop advocacy, awareness-rais<strong>in</strong>g and health education programmes for youth, their<br />

households and communities. These programmes need to respond to the differ<strong>in</strong>g needs of young males<br />

and females, sett<strong>in</strong>g out very specific priority actions and projects. Government and non-governmental<br />

agencies should work together, based on exist<strong>in</strong>g local authority levels and community-based networks,<br />

and build effective collaboration with religious and local ethnic leaders, schools, medical practitioners,<br />

social service counsellors and families. They should engage young people <strong>in</strong> community discussions on<br />

development and encourage them to be active <strong>in</strong> decision-mak<strong>in</strong>g with<strong>in</strong> their communities.<br />

Specific recommendations <strong>in</strong>clude:<br />

Cont<strong>in</strong>ue and expand comprehensive health education by target<strong>in</strong>g both <strong>in</strong>- and out-of-school<br />

youths, with a wide range of geographical coverage. This should be provided consistently to all<br />

<strong>Cambodia</strong>n youths from an early age. More importantly, health-related issues concern<strong>in</strong>g youth must be<br />

<strong>in</strong>cluded <strong>in</strong> Commune/Sangkat development plans and should be considered as a priority.<br />

Increase comprehensive access to accurate <strong>in</strong>formation on sexual and reproductive health, the impacts<br />

of smok<strong>in</strong>g and alcohol and drug abuse, through mass media or outreach programmes, <strong>in</strong>clud<strong>in</strong>g a<br />

telephone hotl<strong>in</strong>e and Internet sites designed for youths.<br />

Improve health services through expanded youth counsell<strong>in</strong>g services and youth networks to ensure<br />

that at local level, especially <strong>in</strong> the communes, there are social or medical counsellors and social<br />

volunteer workers. In addition, provide health services to respond to unwanted pregnancies and<br />

abortions among young people, whose sexual activity is often unplanned.<br />

Develop and/or support programmes that will reduce the <strong>in</strong>cidence of fatal and non-fatal <strong>in</strong>jury<br />

among youth, with particular focus on mitigat<strong>in</strong>g suicides and road traffic accidents.<br />

6.4 RESEARCH GAPS<br />

This chapter shows the need for several areas of research. Among the key concerns need<strong>in</strong>g additional<br />

<strong>in</strong>vestigation are:<br />

L<strong>in</strong>ks between unwanted pregnancy among 15-24 year-olds and the <strong>in</strong>cidence of abortion, particularly<br />

the reasons for the absence of a tra<strong>in</strong>ed provider for abortions.<br />

Situation <strong>Analysis</strong> of Youth <strong>in</strong> <strong>Cambodia</strong><br />

77

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