High Climate Risk for Children in Cambodia | CCRI 2025

 

Children’s vulnerability to climate and environmental hazards, shocks, and stresses

All children face challenges associated with climate change and a degrading natural environment. Some children, however more vulnerable to the impacts of climate change than others. This depends largely on the availability, quality, equity, and sustainability of key and essential services for children, including WASH, healthcare, nutrition, education, and social protection, among others. The resilience of services significantly affects the capacity of individuals and communities to manage and recover quickly from the impacts of climate shocks.

Unfortunately, not only does a child’s lack of access to these essential services increase their vulnerability to climate change, but climate change is likely to make it more difficult for children to obtain access to those key essential services. Thus, a vicious cycle is created, pushing the most vulnerable children further into poverty, at the same time as increasing their risk of experiencing the worst effects of climate change. Moreover, vulnerabilities and exposures also interact with each other, potentially magnifying the effects. This vicious cycle is further exacerbated by a lack of recognition of children’s voice and agency, which often undermines any capacity that children have to respond and adapt.

IN CAMBODIA:

RIVERINE FLOODING

Almost half of the population of children in Cambodia (47 percent) are exposed to riverine flooding. The Mekong River and Tonle Sap River tributaries frequently overflow, inundating Kampong Cham, Kratie, Kandal, Prey Veng, Stung Treng, Svay Rieng, and Takeo. Cambodia is also prone to flash floods, especially during the monsoon season.

Riverine flooding has caused significant damage to livelihoods, social infrastructure, and the economy in Cambodia. For example, according to the UNISDR, Cambodia loses approximately USD 250 million per year on average due to floods (just over 1 percent of GDP). Effective flood risk management is needed to reduce potential losses and damages related to floods in the country.

Climate models predict an increase in average annual rainfall, particularly during the wet season, which is expected to raise peak discharge in rivers and streams, leading to an increased frequency, duration, and severity of flooding. However, upstream hydropower developments along the Mekong and its tributaries, may serve to counteract this, by causing a reduction in rainy season flows

VECTOR-BORNE DISEASES

Several arboviruses, including dengue and Japanese encephalitis, are rife in Cambodia and 6.1 million children are living in areas exposed to one or more disease vectors according to the CCRI. For example, Cambodia’s entire population of children are exposed to dengue, 96 percent of children are at risk of aedes, and 59 percent are exposed to zika. Research has shown that education facilities in Cambodia are high risk areas for vector-borne disease transmission, thus necessitating vector control methods in schools.

SOIL AND WATER POLLUTION

The main industries contributing to soil and water pollution in Cambodia include agriculture, garment factories, brick kilns, rice milling, and rubber processing. Polluted water sources remain a primary concern, especially in rural areas given that limited WASH infrastructure exists outside of urban centres. Almost half of all children and adolescents under the age of 20 are exposed to lead pollution (48 percent), posing significant risks to physical and neurological development, especially in young children. Additionally, 4.5 million children (74 percent) live in areas with high pesticide pollution risk. Pesticide exposure can result in acute or chronic poisoning, with symptoms ranging from skin irritation to delayed development, reproductive abnormalities, cancer, and even death.

COASTAL FLOODING

Coastal flood risk is high in Cambodia, scoring 7.1 on the CCRI, although riverine and flash flooding are more prominent. The coastal region on the Gulf of Thailand is vulnerable to cyclone and tsunami-induced storm surges, but to a lesser extent than other LDCs. Sea-level rise is expected to pose more serious threats to coastal communities in the future, which already face storm surges, high tides, beach erosion, and seawater intrusion. Without adequate resilience measures, the impacts of coastal flooding will undoubtedly worsen, especially in fishing and agricultural communities in the country’s south-western region.

HEALTH AND NUTRITION

Cambodia’s health system has witnessed considerable advances over the past few decades. Preliminary findings of the Cambodia Demographic Health Survey (CDHS 2021-22) show that compared to 2014, overall child mortality and maternal mortality have improved, with substantial reductions in under-5 mortality, infant mortality and neonatal mortality. There has also been a decline in childhood stunting from 34 percent in 2014 to 22 percent in 2021, however the prevalence of childhood wasting, or acute malnutrition remains unchanged, at 10 percent over the past years. Some provinces have wasting rates that exceed emergency levels over 15 percent.

Micronutrient deficiencies also remain persistent, especially for children and women of reproductive age, where an estimated 36.5 percent of Cambodian pregnant women were anaemic in 2019. Key drivers of malnutrition likely include inadequate care and feeding of infants and young children, inadequate WASH, poverty, limited access to quality services and low maternal education.

Climate models predict that by 2050, there could be up to 59 climate-related fatalities per million people in Cambodia due to a lack of food, under high emission scenarios (RCP8.5), Greater investments into care for children, the rural poor, and maternal health are crucial to reduce vulnerability to the impacts of climate change.

In comparison to other LDCs, Cambodia has relatively lower scores for other vulnerability components, including poverty assets and social protection, education, and WASH. Nevertheless, there are still areas of improvement to be made to increase the resilience and adaptiveness of essential child services.

WASH

Despite advancements in WASH systems and practices, children continue to be stunted and die from preventable WASH related causes, as a result of limited access to clean water, toilets and hand-washing facilities. Less than half of households have access to basic drinking water services (44 percent) and just 28 percent of households are drinking water from safely managed services. Access to hygiene and sanitation services has seen improvements. In 2020, 69 percent of households had at least basic sanitation and only 14 percent of the population had no handwashing facilities.

POVERTY AND SOCIAL PROTECTION

In 2020, around 21 percent of Cambodian children lived in households with income below the national poverty line.Inadequate infrastructure and access to basic services remain key challenges keeping Cambodian children in poverty. For example, the absence of year-round access to all-weather roads impacts Cambodian food value chains, as well as to health, education, and other public services. Regarding social protection, only 10 percent of households are receiving child or family benefits and 38 percent of the population above the age of 15 are unable to come up with emergency funds. In the absence of adaptive and shock responsive social protection, poor children and families are likely to be pushed even further into poverty.

EDUCATION

Cambodia has made remarkable progress in education. The adjusted net attendance rate for children of primary school age was approximately 93 percent in 2014.Youth literacy rates also remain high at 92 percent. Nonetheless, Cambodian children continue to fall short of age-appropriate learning levels. For example, in primary schools, roughly a quarter of students in Grade 3 are unable to write a single word in a dictation exam and only 27 percent of 3 to 5-year-olds are developmentally on track in literacy and numeracy.

Recent national learning assessment results indicate only 55 percent and 26 percent of grade 6 students achieve minimum proficiency in Khmer language and mathematics respectively. Inadequate learning in early years, poor nutrition, a lack of qualified teachers and insufficient WASH infrastructure in schools are the main drivers of poor educational development. Discrimination towards disabled children still exists and many parents, particularly in rural and impoverished areas, do not see the value of education or cannot afford to send their children to school.

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