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Right to Health of Internally Displaced Persons - IDP SriLanka

Right to Health of Internally Displaced Persons - IDP SriLanka

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“Despite its status as a 'less-developed' country, Sri Lanka has<br />

achieved impressive results in health, nutrition and family<br />

planning with levels <strong>of</strong> public health expenditure lower than<br />

countries with similar incomes whose health outcomes are<br />

considerably worse. Current life expectancy is 73 years,<br />

compared <strong>to</strong> a regional average <strong>of</strong> only 61 years, infant<br />

mortality is around 16 per 1,000 births, fertility is near<br />

replacement level, and the population growth rate is less than 1<br />

percent a year and falling. The maternal mortality ratio, at 30<br />

deaths per 100,000 live births, is well below that <strong>of</strong> countries<br />

with similar levels <strong>of</strong> per capita income”.<br />

This illustration is true as long as the overall condition <strong>of</strong> the health in the<br />

whole country is considered. But in district wise and segment wise, the<br />

situation <strong>of</strong> health condition is different, sometimes very much worse.<br />

This difference can be seen among the rural population, estate<br />

population in the up-country and also among internally displaced<br />

persons (<strong>IDP</strong>s).<br />

The purpose <strong>of</strong> this study is <strong>to</strong> assess the “<strong>Right</strong> <strong>to</strong> Heath <strong>of</strong> the <strong>IDP</strong>s” and<br />

address the issues raised therewith. In this regard, the health situation in<br />

six Districts <strong>of</strong> Sri Lanka, namely Batticaloa and Trincomalee in the<br />

Eastern Province, Mannar and Vavuniya in the Northern Province,<br />

Puttalam in North Western Province and Anuradhapura in North Central<br />

Province were identified. This sample was selected for the research<br />

because they are <strong>of</strong>ten affected by the conflict and access <strong>to</strong> relevant<br />

information is comparatively trouble-free in these districts than the other<br />

conflict affected areas. As for Puttalam, though it is somewhat far from<br />

the conflict, many <strong>IDP</strong>s have been relocated within that district and<br />

selected therefore. The <strong>to</strong>tal <strong>IDP</strong> population in these districts is 224,818<br />

and they represent more than 50 percent <strong>of</strong> the <strong>to</strong>tal Sri Lankan conflict<br />

affected <strong>IDP</strong> population. However, the limitation <strong>of</strong> this study is that the<br />

unavailability <strong>of</strong> the facts and problems faced by displaced persons in the<br />

district like Jaffna, Mulathivu, Kilinochchi and Ampara where the<br />

condition <strong>of</strong> health and living standards are sometimes more aggregative<br />

than the selected sample and access <strong>to</strong> information is also comparatively<br />

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