Right to Health of Internally Displaced Persons - IDP SriLanka

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The lack of coordination between the MOH and local authorities when erecting toilets, the failure of local authorities in garbage disposal and in supplying equipments and tools to control communicable diseases have also collectively caused the living standards of IDPs to be fallen down. In Puttalam, there is no proper drainage system in welfare centers and relocation centers and they also lack proper water supply. Another burning issue affecting health conditions of IDPs is the lack of proper mechanism for garbage collection. Urban Council of Puttalam possesses only 6 tractors for garbage collection and the less number of staff for this purpose has caused the situation worse. Safe disposal of excreta • Ensure adequate sanitary facilities at all temporary camps for the displaced. Where necessary, make arrangements to construct adequate number of temporary latrines according to the guidelines. Disposal of refuse • Co-ordinate disposal of garbage by sanitary burial or burning in suitable adjacent areas of temporary shelters. • Control flies, insects and rodents by proper use of physical and chemical methods (insecticides and TCL powder). • If garbage is removed daily by the local authorities using tractors, ensure enough barrels (garbage bins) are available in the temporary shelters for collection of garbage. “Provisional guidelines for emergency management of public health problems of the IDPs” issued by the Epidemiological Unit of Ministry of Healthcare & Nutrition for Batticaloa Health Staff - Section 3 & 4 - SeeAnnexureVI Disease Prevalence It is palpable that the disease prevalence is comparatively high in the aftermath of a disaster. Especially soon after a disaster the IDPs live in community wise and therefore the incidence of viral infections, diarrhoeal diseases are easy to outbreak among the community. In Arthiviravar camp where there were over 1,400 people, there were only 8 toilets available and a high incidence of diarrhea was reported in this 60 camp . However it was revealed things have been changed after the resettlement and in present they only have about 300 members and authorities were able to manage the situation. Trincomalee also it is 60 Centre for Policy Alternatives, INFORM Human Rights Documentation Centre, Law and Society Trust, Women and Media Collective, Report of the Fact-Finding Visit to Batticaloa and Vakarai,April 2007, p.3 51
eported that IDPs in the welfare centers are infected with some communicable diseases such as diarrhea, skin diseases, infected because of unhygienic condition of the welfare centers due to the improper maintenance of toilets; contaminated drinking water and irregular garbage disposal system. Recently it was reported that two persons in Orr's Hill and Moor Street of Trincomalee were dead due to 61 Dengue fever .According to findings of PHI the main reason for fever is the availability of water stores for mosquito breading, in many areas of Trincomalee district, the system of water supply is not proper and water is coming with low pressure. Therefore it is not enough to uplift the water to water tank. Due to this the people are storing the available water in big drums and barrels (without lids) and it is very much feasible to mosquito breeding and the disease spreading thereby. It was also reported that though there is reported TB patients among IDP community, the TB Center of Puttalum has been unable to hold any program for IDPs areas 62 due to insufficient funds . Following the influx of displaced population in Trincomalee and Batticaloa districts, the Epidemiological Unit of Ministry of Healthcare & Nutrition, has issued “Provisional guidelines for emergency 63 management of public health problems of the IDPs” which is very much worthy to be discussed. These guidelines (GLs) are recommended to minimize the adverse public health impact and to prevent the spread of communicable diseases of IDPs living in temporary shelters. Ensuring safety of water and water, safe disposal of excreta, disposal of refuse, treatment and management of minor ailments, prevention of control of potential outbreaks and disease surveillance are the important aspects health addressed by these GLs. The enforceability of these GLs are being fallen on the PHI and other field health staff under the supervision of DDHS/MOH and under the overall monitoring and supervision of the relevant Regional Epidemiologist (RE). 61 Remedial Institution's Co-ordination Mechanism Meeting Tricomalee District MINUTES, 26th February 2008 62 Field Study on Right to Health, NPDS for IDPs Project, Puttalam, July 2008 63 SeeAnnexure VI 52
Page 1 and 2: Taken from : http://www.flickr.com/
Page 3 and 4: Title Author First Edition : “Rig
Page 5 and 6: BH CD & MH CD CEDAW CERD CRC DDHS D
Page 7: Table of Contents n t 1. Executive
Page 10 and 11: curative health sector in the selec
Page 12 and 13: Introduction Taken From :Http://www
Page 14 and 15: “Despite its status as a 'less-de
Page 16 and 17: “Right to Health” as a Universa
Page 18 and 19: According to UN Committee on Econom
Page 20: In addition to the above, Article 1
Page 23 and 24: 4. Justifiability i i i t of Right
Page 25 and 26: In addition, Penal Code contains a
Page 27 and 28: 5. Do the Health Rights of the IDPs
Page 29 and 30: It is submitted therefore that the
Page 32 and 33: General Curative health situation o
Page 34 and 35: are Functioning only as OPDs and it
Page 36 and 37: Anuradhapura Anuradhapura district
Page 38 and 39: It was found that many heath instit
Page 40 and 41: Health Issues of Internally Displac
Page 42 and 43: as Janakapura , Kiri Ibbanwewa, Ath
Page 44 and 45: equired for the division, but curre
Page 46 and 47: However though there is a scarcity
Page 48 and 49: In Batticaloa West, the drinking wa
Page 50 and 51: Ensuring safety of water Ensure ade
Page 54 and 55: Regarding the impact of these GLs,
Page 56 and 57: As per the circular No: CGES/ER/95/
Page 58 and 59: are not receiving dry ration since
Page 60 and 61: Nutritional status of pregnant wome
Page 62 and 63: 7.6. Risk of HIV infections Sri Lan
Page 64 and 65: 07.01.2005-General Circular: 01-01/
Page 66: They also face with serious securit
Page 69 and 70: 8.C onclusion The need for physical
Page 71 and 72: 9. Recommendations 1) Improvements
Page 73 and 74: elaborated in the “Guidelines for
Page 75 and 76: ) Regarding the quality of dry rati
Page 77 and 78: Annexure Annexure 1 IDPs Population
Page 79 and 80: Annexure III Statistics relating to
Page 81 and 82: Annexure V Carder position as at Se
Page 83 and 84: 3. Safe disposal of excreta Ensure
Page 85 and 86: Annexure VII Health Indicators Isla
Page 87 and 88: Annexure X MCH Clinics at Trincomal
Page 90: Article 25 Right to adequate standa

Right to Health of Internally Displaced Persons - IDP SriLanka

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