SlideShare a Scribd company logo
Where have all the poor gone?
Cambodia Poverty Assessment
2013
February 20, 2014
Phnom Penh, Cambodia
Carlos Sobrado, Senior Poverty Economist
2
1. Progress on poverty reduction
2. Remaining challenges
3. Policy recommendations
What we will talk about…
3
Official poverty estimates in
Cambodia
o In 1994, poverty in Cambodia was estimated for
the first time
o Several other estimates were developed after
1994, but the results were difficult to compare
o Starting in 2004 the National Institute of
Statistics adopted a more standardized field
work for the Cambodia Socio-Economic Survey
4
And in 2013, with an updated
methodology, poverty was estimated for
each year
53.2%
50.1%
38.8%
23.9%
22.1% 20.5%
18.6%
0%
10%
20%
30%
40%
50%
2004 2005 2006 2007 2008 2009 2010 2011 2012
PovertyRate
p
5
Reductions reported everywhere;
with highest poverty in rural areas
15.8%
2.7%
4.3%
3.8%
39.7%
35.0%
12.7%
9.1%
59.0% 57.9%
27.5%
22.2%
0%
10%
20%
30%
40%
50%
60%
70%
2004 2007 2008 2009 2010 2011 2012
Phnom Penh
Other Urban
Rural
p
6
Methodology
o Measures poverty by comparing per capita
consumption to a poverty line
o The poverty line is the cost of a food basket with
a minimum amount of calories, plus an allowance
for non-food consumption
o Estimates based on 2009 data – applied to all
years
o Based on a sample (not a census)
7
For those households that escaped poverty
… housing conditions improved
33.9%
3.6%
7.1%
52.9%
21.8%
28.8%
0%
10%
20%
30%
40%
50%
60%
2004 2011
8
those escaping poverty
… also acquired more assets
18.9%
2.2%
41.4%
17.1%
54.9%
62.5% 62.7% 63.2%
0%
20%
40%
60%
80%
Motorcycle Mobile phone Television Suitcases
2004 2011
9
In education, net enrollment improved for
every schooling year
0%
20%
40%
60%
80%
1 2 3 4 5 6 1 2 3 4 5 6
Year in primary Year in secondary
%studentsatappropriate
grade
Net enrollment rate by year
2004 Net 2011 Net
10
Gender gap in education decreases and
disappears over time
-1
0
1
2
3
4
5
6
7
8
9
1919
1924
1929
1934
1939
1944
1949
1954
1959
1964
1969
1974
1979
1984
1989
1994
Birth year
Female
Male
GAP
School age
11
Cambodia is on target for the under-five-
mortality MDG goal
0
20
40
60
80
100
120
140
160
2000 2005 2010
Poorest
Wealthie
st
Deathsper1,000children
What are the reasons behind this
impressive reduction in poverty?
13
In 2004, a large group were just
below the poverty line
2004
Poor
2011
0%
2%
4%
6%
8%
10%
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Population%
Consumption in Per Capita 2009 Phnom Pen
Riels/day (000)
Poverty Line = CR 5,326 in 2009
14
By 2011, they were no longer poor
They moved just above the poverty line
2004
2011
0%
2%
4%
6%
8%
10%
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Population%
Consumption in Per Capita 2009 Phnom Pen
Riels/day (000)
Poverty Line = CR 5,326 in 2009 prices
2011
Poor
15
The most important drivers of poverty
reduction were increases in rice prices and
rice production
Increased rice
prices & rice
production account
for 47% of the
poverty reduction
Key drivers of poverty reduction 2004-
2011
16
Pro-poor growth helped reduce poverty
in 2008, 2010, 2011
21
19
21 21 22 23 23
33
37
32 32 30
28 28
0
5
10
15
20
25
30
35
40
2004 2007 2008 2009 2010 2011 2012
Share prosperity (bottom 40%) GINI * 100
17
Other key factors were:
… a liberal, undistorted agriculture
market
For example, from 2004 to 2009
• International rice prices: ↑134%
• Local rice prices in Cambodia: ↑119%
18
… Government policies on
infrastructure
19
o 8,000 village roads helped
farmers get rice to local
markets.
o And the roads were
increasingly used by the
poorest. Poor households
with motorbikes increased
four times
- from 7% to 29%
…and local infrastructure development
funded by communes met local
needs
20
o Poverty decreased from 53.2% (2004) to 20.5%
(2011)
o Reflected in improvements in quality of housing
conditions, assets education and health.
o This reduction in poverty came about because:
o Many poor moved just above the poverty line
o Rice price and production
o Pro-poor growth
o Free rice market price
o RGC investments in rural infrastructure.
Progress in reducing poverty
- in a few words
Despite the impressive
reduction in
poverty, challenges remain...
22
The poor are less but remain
concentrated in rural areas: 9 out of 10
6.8 million poor in
2004
Other
Urban 0.6
Phnom
Penh 0.2
million
Rural 6.2
million
Other Urban
0.2 million
Phnom Penh
0.1 million
Rural 2.7
million
3.0 million poor in
2011
23
There are fewer poor,
but more vulnerable people
4.6
8.1
2004 2011
Near poor people
(million)
Near poor are those living above $1.15 per day
, but below $2.30 per day
6.9
3.0
2004 2011
Poor people
(million)
Poor are those living below $1.15 per day
(poverty line)
24
A small shock can double
poverty
20.5%
41.0%
2011 2011 with shock
Poverty rate
- =
25
Further increases in rice prices are
unlikely,
at least at the same pace
26
Overage in primary is a major problem
and increases dropout rates
Students entering first grade late, limits the
learning potential and increases dropout rates:
o 40% of students are entering first grade at
age 8 (two years later than recommended)
o 40% of students are finishing primary at 15
years old (3.1 years later than
recommended)
27
Enrollment differences between
upper and lower quintiles
0%
20%
40%
60%
80%
100%
1 2 3 4 5 6 7 8
%of15-20yearsoldwith
completedschoolyearin2011
School year completed
Lowest quintile Highest quintile
28
After some progress child malnutrition
rates were relatively unchanged in 2005-
2010
2000 2000
2005
20052010 2010
0%
10%
20%
30%
40%
50%
Stunted Underweight
29
o While HEF is a key instrument to insure access to
health services by the poor, some challenges
remain:
o Increase coverage: 25% poor households do not
have a HEF card
o Increase use: among the poor seeking treatment
in hospitals, 60% do not use the HEF cards
o The poor seek medical advice 55% of the time from
informal providers where diagnosis and treatment
are unreliable.
Under use of Health Equity Funds (HEF)
30
o There are less poor, but more vulnerable
households
o Relatively small shocks could double poverty
rates
o Another spike in rice price unlikely
o Too many overage students
o Low enrollment rates of poor children
Remaining challenges
… In a few words
Possible implications on
policies and programs to
reduce poverty and
vulnerability
32
o For Example through:
o Improved farmers skills by means of formal
education and better extension services
o Improved access to improved seeds
o Promote water user associations
Enhance agriculture profitability
and diversification
33
o Rationalize, connect and maintain
roads and other infrastructure
o More funds for commune-driven
participatory development to better
meet local needs
Continue to improve access to
basic rural infrastructure and services
34
But we also need to look beyond
agriculture
Increase jobs in manufacturing by addressing the 3 key
bottlenecks:
o Reduce electricity cost and increase reliability by
implementing a strategic and competitive roll out plan
with Public-Private-Part.
o Enhance business environment through reduced informal
payments and burdensome regulations
o Reduce high transport costs and unreliable delivery by
implementing a connectivity strategy
35
Investing in education
o Expand early childhood education to promote
entry to Grade 1 at the right age
o Strengthen the quality of schooling in early
grades to reduce repetition in primary
o Provide targeted scholarships and school
feeding in primary and secondary
schools, especially for poor children, to improve
enrollment and reduce drop-out rates.
36
o Expand provision of health equity card
o Increase use of health equity card to encourage
health services at public hospitals
o Tighter control on informal services to improve
medical treatments
Improve access to public health
services
37
Integrated programs to tackle
child malnutrition
o Food fortification and micronutrients
o Improve feeding practice
o Reduce open defecation
o Promote hygiene practices
38
Implement sub-national social accountability policy to
improve performance of local service providers
o Establish systematic citizen/user feedback and
monitoring
o Display performance and budget information for
communes, schools and health centers
Strengthen accountability to
improve service delivery
39
Implement National Social
Protection Strategy
Clarify institutional
responsibilities and
provide support for
agencies implementing
the NSPS
Encourage salaried
workers to enroll in
national security system
40
o Agriculture Extension services, seeds and
participation on infrastructure projects
o Manufacturing Lower electric and transport cost
and reduce informal payments and regulations
o Education Expand early childhood
education, promote enrollment of the poor
Recommendations
In a few words
41
o Health Integrated approach to fight
malnutrition, improved understanding of low HEF
utilization, and strengthen regulation on informal
markets
o Social Protection Increased support to
coordinating agency, greater participation of
salaried workers in national security system
o Increase accountability of all service providers
Recommendations
In a few words
Thank you very much for your
attention
Thank you very much for
your attention

More Related Content

PDF
Effects of COVID19 Crisis on the IT/ITES Companies of Pakistan
PDF
The External Environmental Crises and its Effect on MSME Sector and Trade in ...
PPTX
Covid Situation in Bangladesh
PDF
PHARMACEUTICAL INDUSTRY: KEEPING WORLD HEALTHY IN PANDEMIC
PPTX
COVID-19 and its impact on Ethiopia’s agri-food system, food security, and nu...
PDF
COVID-19 and the Food and Agriculture Sector: Issues and Policy Responses
PPTX
Covid-19 Vulnerability Hotspots in Central Africa
PPTX
Framing presentation on COVID 19- challenges and opportunities on livestock f...
Effects of COVID19 Crisis on the IT/ITES Companies of Pakistan
The External Environmental Crises and its Effect on MSME Sector and Trade in ...
Covid Situation in Bangladesh
PHARMACEUTICAL INDUSTRY: KEEPING WORLD HEALTHY IN PANDEMIC
COVID-19 and its impact on Ethiopia’s agri-food system, food security, and nu...
COVID-19 and the Food and Agriculture Sector: Issues and Policy Responses
Covid-19 Vulnerability Hotspots in Central Africa
Framing presentation on COVID 19- challenges and opportunities on livestock f...

Viewers also liked (20)

PPT
The Health Equity Fund an Insurance for the Poor
 
PDF
Cambodia 2017
PPTX
How to reduce corruption in Cambodia?
PDF
ANICHINI Hospitality
PDF
Lessons for Inclusive Growth from the US & the World - by Jason Furman
PPTX
Europe & Central Asia Outlook, Jan 2014
PPTX
East Asia and Pacific Regional Outlook
PPTX
The 10 Twitter Accounts Millennial Women Should Be Following
PPTX
South Asia Outlook, Jan 2014
PPTX
Even It Up - Time to End Extreme Inequality: Comments by Dean Jolliffe
PPTX
aaQuiz
PDF
How To Graduate with: Time Management
PDF
How To Graduate With: Group Studying
PPTX
Sub-Saharan Africa Regional Outlook June 2013
PDF
Marketing Your Small Firm Lunchtime Webinar Series - Part 2
PDF
Bounce The Ball Already!
PPTX
Gep june 2013 regional outlook east asia & pacific
PPTX
Primary ed
PPTX
Gender ed
PPTX
Pre primaryed
The Health Equity Fund an Insurance for the Poor
 
Cambodia 2017
How to reduce corruption in Cambodia?
ANICHINI Hospitality
Lessons for Inclusive Growth from the US & the World - by Jason Furman
Europe & Central Asia Outlook, Jan 2014
East Asia and Pacific Regional Outlook
The 10 Twitter Accounts Millennial Women Should Be Following
South Asia Outlook, Jan 2014
Even It Up - Time to End Extreme Inequality: Comments by Dean Jolliffe
aaQuiz
How To Graduate with: Time Management
How To Graduate With: Group Studying
Sub-Saharan Africa Regional Outlook June 2013
Marketing Your Small Firm Lunchtime Webinar Series - Part 2
Bounce The Ball Already!
Gep june 2013 regional outlook east asia & pacific
Primary ed
Gender ed
Pre primaryed
Ad

Similar to Cambodia Poverty Assessment - Feb 2014 (20)

PPT
Poverty in India
PPT
Povertyunderdevelopment 110905060121-phpapp01-2
PPTX
POVERTY IN INDIA
PPT
Poverty (Reasons & Solutions)
PPTX
Poverty as a challenge
PPTX
Harshavardhan kore 28 states
PPTX
Role of Public finance in rural development
PPTX
chapter 4 poverty its your choice class 12th.pptx
PPTX
Poverty As A Challenge.pptx class Ix economics
PDF
Poverty as a challenge
PDF
Progress in MDGs
PPTX
China's lessons in poverty reduction
PPTX
POVERTY Statistics, Causes of Poverty.pptx
PPTX
PPTX
COLLEGE OF EDUCATION - TALK ABOUT POVERTY
PPTX
Poverty and development issues
PPTX
Poverty as achallenge (2).pptx
PPTX
Challange of poverty.pptx
PPTX
Poverty ,Enemy of India
PDF
Undergraduate Research Project
Poverty in India
Povertyunderdevelopment 110905060121-phpapp01-2
POVERTY IN INDIA
Poverty (Reasons & Solutions)
Poverty as a challenge
Harshavardhan kore 28 states
Role of Public finance in rural development
chapter 4 poverty its your choice class 12th.pptx
Poverty As A Challenge.pptx class Ix economics
Poverty as a challenge
Progress in MDGs
China's lessons in poverty reduction
POVERTY Statistics, Causes of Poverty.pptx
COLLEGE OF EDUCATION - TALK ABOUT POVERTY
Poverty and development issues
Poverty as achallenge (2).pptx
Challange of poverty.pptx
Poverty ,Enemy of India
Undergraduate Research Project
Ad

More from WB_Research (20)

PPTX
Policy Research Report 2014
PDF
Emerging internet trends that will shape the global economy
PDF
G20 Growth Agenda: Framework for Strong, Sustainable, and Balanced Growth
PDF
Poverty Assessment Dissemination - Feb, 2014 - KHM
PPTX
Public services fight inequality
PPTX
Latina America & Caribbean Outlook, Jan 2014
PPTX
East Asia & Pacific Outlook, Jan 2014
PPTX
Middle East and North Africa Outlook, Jan 2014
PPTX
Sub-Saharan Africa Outlook, Jan 2014
PPTX
Global Economic Prospects, January 2014
PPTX
Global Financial Development Report 2014 - Financial Inclusion
PPTX
World Development Report 2014
PPTX
Europe and Central Asia Regional Outlook
PPTX
Global Economic Prospects - June 2013
PPTX
South Asia Regional Outlook June 2013
PPTX
Latin America & Caribbean Regional Outlook June 2013
PPTX
Middle East & North Africa Regional Outlook June 2013
PPTX
Science of Delivery in Education
PPTX
Quality ed (1)
PPTX
Expenditure ed
Policy Research Report 2014
Emerging internet trends that will shape the global economy
G20 Growth Agenda: Framework for Strong, Sustainable, and Balanced Growth
Poverty Assessment Dissemination - Feb, 2014 - KHM
Public services fight inequality
Latina America & Caribbean Outlook, Jan 2014
East Asia & Pacific Outlook, Jan 2014
Middle East and North Africa Outlook, Jan 2014
Sub-Saharan Africa Outlook, Jan 2014
Global Economic Prospects, January 2014
Global Financial Development Report 2014 - Financial Inclusion
World Development Report 2014
Europe and Central Asia Regional Outlook
Global Economic Prospects - June 2013
South Asia Regional Outlook June 2013
Latin America & Caribbean Regional Outlook June 2013
Middle East & North Africa Regional Outlook June 2013
Science of Delivery in Education
Quality ed (1)
Expenditure ed

Recently uploaded (20)

PPTX
How to Prepare Your Pharmacy for Financial Year‑End.pptx
PDF
Black White Vintage Classic Music Presentation.pdf
PPTX
Penn毕业证如何办理:宾夕法尼亚大学Offer定制学历毕业证Penn成绩单
PPTX
Financial Management fundamentals Unit-1.pptx
PPTX
Chapter One. Basics of public finance and taxation
PPTX
DR EDU INTRO TO CORPORATE FINANCING [Autosaved].pptx
PDF
Bladex Earnings Call Presentation 2Q2025
PPTX
Introduction to Essence of Indian traditional knowledge.pptx
PPT
geometric-modelingEast Coast of Kamchatka, 8.7M · 30 Jul 2025 08:52:50, Publi...
PDF
Melcom Copeland_Decentralized Mobile Lending Platform for Kenya (2018)
PDF
Critical Minerals in South Africa: Development, Mining, and Beneficiation By ...
PDF
Mirae Asset - Báo cáo chiến lược ngành 2H2025
PPTX
fastest_growing_sectors_in_india_2025.pptx
PDF
Enabling Strategic Clarity in a Complex MoR Landscape.pdf
PPTX
EFIN548 - U13L02 - Political Risk and FDI.pptx
PDF
ADVANCE TAX Reduction using traditional insurance
PDF
The Integration of Bophuthatswana Electricity Corporation into Eskom by Matth...
PPTX
Understanding FDI in India: Opportunities and Impact
PPTX
Section 12.7 Graphing Trig Functions.pptx
PPTX
Overview of India which express the landscape .pptx
How to Prepare Your Pharmacy for Financial Year‑End.pptx
Black White Vintage Classic Music Presentation.pdf
Penn毕业证如何办理:宾夕法尼亚大学Offer定制学历毕业证Penn成绩单
Financial Management fundamentals Unit-1.pptx
Chapter One. Basics of public finance and taxation
DR EDU INTRO TO CORPORATE FINANCING [Autosaved].pptx
Bladex Earnings Call Presentation 2Q2025
Introduction to Essence of Indian traditional knowledge.pptx
geometric-modelingEast Coast of Kamchatka, 8.7M · 30 Jul 2025 08:52:50, Publi...
Melcom Copeland_Decentralized Mobile Lending Platform for Kenya (2018)
Critical Minerals in South Africa: Development, Mining, and Beneficiation By ...
Mirae Asset - Báo cáo chiến lược ngành 2H2025
fastest_growing_sectors_in_india_2025.pptx
Enabling Strategic Clarity in a Complex MoR Landscape.pdf
EFIN548 - U13L02 - Political Risk and FDI.pptx
ADVANCE TAX Reduction using traditional insurance
The Integration of Bophuthatswana Electricity Corporation into Eskom by Matth...
Understanding FDI in India: Opportunities and Impact
Section 12.7 Graphing Trig Functions.pptx
Overview of India which express the landscape .pptx

Cambodia Poverty Assessment - Feb 2014

  • 1. Where have all the poor gone? Cambodia Poverty Assessment 2013 February 20, 2014 Phnom Penh, Cambodia Carlos Sobrado, Senior Poverty Economist
  • 2. 2 1. Progress on poverty reduction 2. Remaining challenges 3. Policy recommendations What we will talk about…
  • 3. 3 Official poverty estimates in Cambodia o In 1994, poverty in Cambodia was estimated for the first time o Several other estimates were developed after 1994, but the results were difficult to compare o Starting in 2004 the National Institute of Statistics adopted a more standardized field work for the Cambodia Socio-Economic Survey
  • 4. 4 And in 2013, with an updated methodology, poverty was estimated for each year 53.2% 50.1% 38.8% 23.9% 22.1% 20.5% 18.6% 0% 10% 20% 30% 40% 50% 2004 2005 2006 2007 2008 2009 2010 2011 2012 PovertyRate p
  • 5. 5 Reductions reported everywhere; with highest poverty in rural areas 15.8% 2.7% 4.3% 3.8% 39.7% 35.0% 12.7% 9.1% 59.0% 57.9% 27.5% 22.2% 0% 10% 20% 30% 40% 50% 60% 70% 2004 2007 2008 2009 2010 2011 2012 Phnom Penh Other Urban Rural p
  • 6. 6 Methodology o Measures poverty by comparing per capita consumption to a poverty line o The poverty line is the cost of a food basket with a minimum amount of calories, plus an allowance for non-food consumption o Estimates based on 2009 data – applied to all years o Based on a sample (not a census)
  • 7. 7 For those households that escaped poverty … housing conditions improved 33.9% 3.6% 7.1% 52.9% 21.8% 28.8% 0% 10% 20% 30% 40% 50% 60% 2004 2011
  • 8. 8 those escaping poverty … also acquired more assets 18.9% 2.2% 41.4% 17.1% 54.9% 62.5% 62.7% 63.2% 0% 20% 40% 60% 80% Motorcycle Mobile phone Television Suitcases 2004 2011
  • 9. 9 In education, net enrollment improved for every schooling year 0% 20% 40% 60% 80% 1 2 3 4 5 6 1 2 3 4 5 6 Year in primary Year in secondary %studentsatappropriate grade Net enrollment rate by year 2004 Net 2011 Net
  • 10. 10 Gender gap in education decreases and disappears over time -1 0 1 2 3 4 5 6 7 8 9 1919 1924 1929 1934 1939 1944 1949 1954 1959 1964 1969 1974 1979 1984 1989 1994 Birth year Female Male GAP School age
  • 11. 11 Cambodia is on target for the under-five- mortality MDG goal 0 20 40 60 80 100 120 140 160 2000 2005 2010 Poorest Wealthie st Deathsper1,000children
  • 12. What are the reasons behind this impressive reduction in poverty?
  • 13. 13 In 2004, a large group were just below the poverty line 2004 Poor 2011 0% 2% 4% 6% 8% 10% 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Population% Consumption in Per Capita 2009 Phnom Pen Riels/day (000) Poverty Line = CR 5,326 in 2009
  • 14. 14 By 2011, they were no longer poor They moved just above the poverty line 2004 2011 0% 2% 4% 6% 8% 10% 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Population% Consumption in Per Capita 2009 Phnom Pen Riels/day (000) Poverty Line = CR 5,326 in 2009 prices 2011 Poor
  • 15. 15 The most important drivers of poverty reduction were increases in rice prices and rice production Increased rice prices & rice production account for 47% of the poverty reduction Key drivers of poverty reduction 2004- 2011
  • 16. 16 Pro-poor growth helped reduce poverty in 2008, 2010, 2011 21 19 21 21 22 23 23 33 37 32 32 30 28 28 0 5 10 15 20 25 30 35 40 2004 2007 2008 2009 2010 2011 2012 Share prosperity (bottom 40%) GINI * 100
  • 17. 17 Other key factors were: … a liberal, undistorted agriculture market For example, from 2004 to 2009 • International rice prices: ↑134% • Local rice prices in Cambodia: ↑119%
  • 18. 18 … Government policies on infrastructure
  • 19. 19 o 8,000 village roads helped farmers get rice to local markets. o And the roads were increasingly used by the poorest. Poor households with motorbikes increased four times - from 7% to 29% …and local infrastructure development funded by communes met local needs
  • 20. 20 o Poverty decreased from 53.2% (2004) to 20.5% (2011) o Reflected in improvements in quality of housing conditions, assets education and health. o This reduction in poverty came about because: o Many poor moved just above the poverty line o Rice price and production o Pro-poor growth o Free rice market price o RGC investments in rural infrastructure. Progress in reducing poverty - in a few words
  • 21. Despite the impressive reduction in poverty, challenges remain...
  • 22. 22 The poor are less but remain concentrated in rural areas: 9 out of 10 6.8 million poor in 2004 Other Urban 0.6 Phnom Penh 0.2 million Rural 6.2 million Other Urban 0.2 million Phnom Penh 0.1 million Rural 2.7 million 3.0 million poor in 2011
  • 23. 23 There are fewer poor, but more vulnerable people 4.6 8.1 2004 2011 Near poor people (million) Near poor are those living above $1.15 per day , but below $2.30 per day 6.9 3.0 2004 2011 Poor people (million) Poor are those living below $1.15 per day (poverty line)
  • 24. 24 A small shock can double poverty 20.5% 41.0% 2011 2011 with shock Poverty rate - =
  • 25. 25 Further increases in rice prices are unlikely, at least at the same pace
  • 26. 26 Overage in primary is a major problem and increases dropout rates Students entering first grade late, limits the learning potential and increases dropout rates: o 40% of students are entering first grade at age 8 (two years later than recommended) o 40% of students are finishing primary at 15 years old (3.1 years later than recommended)
  • 27. 27 Enrollment differences between upper and lower quintiles 0% 20% 40% 60% 80% 100% 1 2 3 4 5 6 7 8 %of15-20yearsoldwith completedschoolyearin2011 School year completed Lowest quintile Highest quintile
  • 28. 28 After some progress child malnutrition rates were relatively unchanged in 2005- 2010 2000 2000 2005 20052010 2010 0% 10% 20% 30% 40% 50% Stunted Underweight
  • 29. 29 o While HEF is a key instrument to insure access to health services by the poor, some challenges remain: o Increase coverage: 25% poor households do not have a HEF card o Increase use: among the poor seeking treatment in hospitals, 60% do not use the HEF cards o The poor seek medical advice 55% of the time from informal providers where diagnosis and treatment are unreliable. Under use of Health Equity Funds (HEF)
  • 30. 30 o There are less poor, but more vulnerable households o Relatively small shocks could double poverty rates o Another spike in rice price unlikely o Too many overage students o Low enrollment rates of poor children Remaining challenges … In a few words
  • 31. Possible implications on policies and programs to reduce poverty and vulnerability
  • 32. 32 o For Example through: o Improved farmers skills by means of formal education and better extension services o Improved access to improved seeds o Promote water user associations Enhance agriculture profitability and diversification
  • 33. 33 o Rationalize, connect and maintain roads and other infrastructure o More funds for commune-driven participatory development to better meet local needs Continue to improve access to basic rural infrastructure and services
  • 34. 34 But we also need to look beyond agriculture Increase jobs in manufacturing by addressing the 3 key bottlenecks: o Reduce electricity cost and increase reliability by implementing a strategic and competitive roll out plan with Public-Private-Part. o Enhance business environment through reduced informal payments and burdensome regulations o Reduce high transport costs and unreliable delivery by implementing a connectivity strategy
  • 35. 35 Investing in education o Expand early childhood education to promote entry to Grade 1 at the right age o Strengthen the quality of schooling in early grades to reduce repetition in primary o Provide targeted scholarships and school feeding in primary and secondary schools, especially for poor children, to improve enrollment and reduce drop-out rates.
  • 36. 36 o Expand provision of health equity card o Increase use of health equity card to encourage health services at public hospitals o Tighter control on informal services to improve medical treatments Improve access to public health services
  • 37. 37 Integrated programs to tackle child malnutrition o Food fortification and micronutrients o Improve feeding practice o Reduce open defecation o Promote hygiene practices
  • 38. 38 Implement sub-national social accountability policy to improve performance of local service providers o Establish systematic citizen/user feedback and monitoring o Display performance and budget information for communes, schools and health centers Strengthen accountability to improve service delivery
  • 39. 39 Implement National Social Protection Strategy Clarify institutional responsibilities and provide support for agencies implementing the NSPS Encourage salaried workers to enroll in national security system
  • 40. 40 o Agriculture Extension services, seeds and participation on infrastructure projects o Manufacturing Lower electric and transport cost and reduce informal payments and regulations o Education Expand early childhood education, promote enrollment of the poor Recommendations In a few words
  • 41. 41 o Health Integrated approach to fight malnutrition, improved understanding of low HEF utilization, and strengthen regulation on informal markets o Social Protection Increased support to coordinating agency, greater participation of salaried workers in national security system o Increase accountability of all service providers Recommendations In a few words
  • 42. Thank you very much for your attention Thank you very much for your attention

Editor's Notes

  • #4: Note 1: The 1994 original poverty estimate was adjusted to take into consideration several areas not sampled due to ongoing conflictsNote 2: for more detail of the other household surveys between 1995 and 2003, read WB poverty assessment : Socio-Economic Surveys, pages 5-6
  • #5: Also in 2013 the World Bank published poverty results covering the same years
  • #6: With gaps between regions becoming smaller
  • #7: Food component based in minimum calorie intakeNon-food component based on Engels coefficient obtained from households in the survey
  • #8: The figure include those households between the 20 and 50 percentile according to consumption. Most of them were poor in 2004 and not poor in 2011Toilet connected to sewerage of septic tank and Electricity for light excluding batteries
  • #9: The figure include those households between the 20 and 50 percentile according to consumption. Most of them were poor in 2004 and not poor in 2011Households had many other assets. The ones chosen here are very well measured and provide a good picture of the improvement
  • #10: Note: different to the official net enrollment rates the ones presented here are estimated for each year individually. Improvement in Primary are in average 18 percentage points per year (30.6% to 48.8%) and average of 12 percentage points for secondary (from 8.1% to 20.0%)
  • #16: Other factors were not identified but can include remittances, public and private transfers, etc.
  • #20: In rural areas in Cambodia, between 2003-2010, nearly 8000 village roads funded by the commune sangkat fund enabled the poorest households to take advantage of favorable economic conditions, to access to input and output markets, lowering costs and enhancing revenue. It also enabled the poor to access other non-farm opportunities. The poorest two quintiles increased production the most (70%) compared with the wealthiest quintile (35%).Travel indicators: The number of motorbikes per household in the bottom quintile increased by 400%, and the number of motorbikes per HH in the second quintile by over 300% during the period 2004-2010. The total increase in motorbikes for all quintiles is 200%. This is not only an indicator of increased HH incomes, but of the increased use of local commune roads.
  • #23: Note this are numbers up to 2011 and changes are expected in later years, especially in Phnom Penh.Urban rural definition does not change often and if new poor are in areas around cities they might be classified as rural because historical classification
  • #32: This are the implications from this study that are a subset of what can be included in a national strategy as the NSDP or the rectangular strategy
  • #33: The World Bank is engaged on a extensive study looking into the agricultural situation and recommendations for Cambodia