著者

東 佳史

出版者

京都大学

雑誌

東南アジア研究 (ISSN:05638682)

巻号頁・発行日

vol.42, no.3, pp.328-353, 2004-12

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In many respects, Cambodia's Disarmament, Demobilisation and Reintegration (DDR) program is uniquein terms of complexity as well as the difficulties involved in project implementation. This study attempts toarticulate the extent to which structural background determines the fate of demobilized combatants. Itexamines the General Health Assessment (GHA) of 15,000 combatants carried out by the InternationalOrganization of Migration (IOM) in 2001–02, as well as the 1998 Cambodian Population Census. OtherCambodian epidemiological data, although very limited in terms of number of studies, are also used as acomparison to the GHA data.The DDR program is a most urgent political priority for Cambodian national development as well asthe reform of national accounts. One legacy of more than twenty years of civil war is the bloated militarysector that consumes a disproportionate share of a very limited budget. Thus, rapid demobilization isneeded to control the budget, and the reintegration of combatants (through vocational training, etc.) iscrucial to increase GDP. However, the empirical data show that most demobilized combatants are chronicallyill, commonly suffering multiple illnesses. Disability, impairment, and psychiatric illnesses are alsoevident. Furthermore, lack of an appropriate medical referral system has directly resulted in the developmentof further vulnerability, especially among elderly combatants. Hence, urgent measures are necessaryto coordinate the social safety net and, with donor support, regulate the referral system.