Cambodia

United World Schools www.unitedworldschools.org

The Lake Clinic on the Tonle Sap Lake www.lakeclinic.org

United World Schools is a UK based charity that works in 4 of the same countries as us, namely Cambodia, Myanmar, Madagascar and Nepal. Their mission is to ‘teach the unreached’ and they can transform children’s lives by building schools and empowering communities where there would otherwise be no access to formal education at all. In discussion with UWS, Guernsey Aid identified an isolated ethnic minority Tampuan community at Chak Chap village in the Lumphat District of Ratanakiri Province and in 2021 we entered into a partnership with UWS to build and develop a brand new primary school there.

In February 2023 Dr Nick and Claudine made the long journey to NE Cambodia (at their own expense) to visit the newly opened Chak Chap school in person. Our partners at United World Schools had done a great job and 100 children had been given access to education for the very first time. A full report can be found in the Spring 2023 news update. In 2024 we teamed up with UWS again to fully fund a £30,000 15 school water, sanitation and hygiene project in some of the remotest parts of Ratanakiri and Mondulkiri Provinces. Both Chak Chap school and Kam school (built with a GOADC grant in 2015) were involved as were 13 other mainly ethnic Bunong schools. Altogether more than 1300 children benefited together with their local village communities. In February 2025 when the project had just been completed, Dr Nick and Claudine visited 6 of the schools (see photos above). Further details are available on the Spring 2025 update page.

The Lake Clinic (or TLC as it is known) is a charitable organization set up in 2007 to provide much needed free healthcare and education to the many isolated and impoverished floating communities on the Tonle Sap Lake (see photos above and below).

At high water, the lake covers an area of up to 16,000 square kilometres in the centre of Cambodia and more than a million people live in poverty on or around it. Most of them rely totally on subsistence fishing for their survival. Poor sanitation and hygiene combined with a general lack of education results in an unnecessarily high burden of ill health and preventable disease. There are no government health facilities or hospitals on the lake and many children miss out on school because of a shortage of teachers.

Each week TLC sends teams of doctors, nurses and other health workers out on to the lake. They eat, sleep and work aboard a series of floating medical clinics where they provide a full range of primary healthcare services including childhood immunizations, antenatal care, school medical check-ups and dental treatment. When necessary they also visit sick and immobile patients in their homes and can arrange referrals or transfers ashore.

An important part of the clinic’s work is concerned with health education and hygiene. They run a sustainable community outreach programme that, amongst other things, hands out seeds to villagers to enable floating vegetable gardens to be created. They also provide Biosand water filters to needy families so that they don’t have to drink the contaminated lake water. These water filters cost approximately $100 to purchase and install (see photo below and diagram on our Autumn 2020 news update). They are a very simple and effective way to promote health and reduce the risk of water-borne infections such as gastroenteritis that can be fatal especially for babies and small children.

Dr Nick and Claudine have been privileged to spend time working with the clinic team out on the lake and they have been able to see for themselves the vitally important contribution they make and the desperate need for their work to continue. On his trip to Cambodia in 2020, as well as helping out in the clinic, Dr Nick was invited to join in with training and mentoring sessions for the local staff. Before he left he passed on sufficient funds donated by supporters in Guernsey for another 10 Biosand water filters to be installed out on the lake and Guernsey Aid continues to make the provision of these water filters a priority. In February 2023 Dr Nick and Claudine again spent time volunteering out on the Tonle Sap Lake with the clinic. It was a joy to catch up with them again after the Covid pandemic and Guernsey Aid has since awarded them two grants in support of their outreach programme to enable more bio-sand water filters and floating vegetable gardens to be installed in the isolated and impoverished communities around the lake. The second of those grants in November 2023 was match funded by the Impact UK ‘Double Impact’ children’s healthcare appeal.