Countries that have a significant landmine problem are usually also suffering many other major problems. They mostly have a poor economy; their social and economic infrastructure has been torn apart by the ongoing fighting; educational programmes have mostly ceased and professional people have long since left.
Military hardware is in the hands of armed gangs, poorly trained soldiers or even children. Among the weapons that remain when the war ends there may be thousands, if not millions, of anti-personnel mines. Health care is largely dependent on a variety of foreign aid agencies whose work is also hampered by the presence of mines. The local medical personnel is usually not well trained and the and supplies are lacking, limited or stolen and sold in the markets. When an area is too dangerous for the agencies to visit or work in people must then rely on their own resources to transport the injured to a nearby hospital, which in some cases may be days away. They are then expected to pay for their medicines and treatment, which most rural people cannot afford
In Cambodia alone there are more than 35,000 people who have been injured by landmines. They estimate that the same number of those who survive actually die in the fields from loss of blood.