Right to Health of Internally Displaced Persons - IDP SriLanka

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Regarding the impact of these GLs, an appreciation of them is inevitable because it address the many health hazards after a displacement and the guidelines were elaborative on the subjects. However the guidelines have been issued only for Batticaloa and Trincomalee districts while several other districts also providing shelter to similar or more number of 64 IDPs . Meanwhile it has not addressed the health aspects on personal hygiene, Provision of maternal and child health care services, immunization as it is laid down in detail, in the “Guidelines for management of public health effects in the community following Tsunami disaster”. In addition, regarding the enforceability, the above GLs were issued by Deputy Epidemiologist whereas the “Tsunami guidelines were issued by Director General of Health Services, which seems to have comparatively more powerful enforceability among the health staff. Sometimes it was detectable that the lack of knowledge and enthusiasm in healthy practices among IDPs, have contribute to down grade health of the people. It is evident when anti mosquito bed nets were distributed among the IDPs they do not use them properly. In Mujhahidanpuram relocation center, Wanthawillu Division, Puttalam the skin diseases have been infected among the children but their parents did not keen to direct them to basic medical treatments. Prevention and control of potential outbreaks In a case of in particular, prompt action must be taken to ensure early treatment and prevention of further spread. In case of contagious diseases such as acute respiratory tract infections and chickenpox, these cases should be isolated and referred to hospitals if necessary. Steps should be taken to control mosquito breeding to prevent and control mosquito borne diseases such as dengue, malaria and JE. Disease surveillance MOH/PHI should visit the camps daily to inquire into unusual occurrence of disease events/outbreaks. Collect and report data related to health events in camps according to the format provided by the Epidemiology unit (annexure). MOH should consolidate the above data weekly and send a consolidated report to RE with a copy to Epidemiology Unit (annexure). “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 6 & 7-See Annexure VI 64 SeeAnnexure I. 53
7.4. Adequate Food Supply and Nutrition According to the Article 11 of ICESCR everyone has the right to food and right to be free from hunger. Especially during a period of internal displacement the food security of people is undoubtedly become worse due to loss of occupations, deterioration or the destruction of harvest and also due to loss of breadwinner of many families. This lack of food security is the main determinate of health and one of the causes of undernutrition status of Sri Lanka and according to the WFP, Northern and Eastern districts have much more child undernutrition than other 65 districts . Therefore the availability and adequacy of the food packages given to displaced people is being assessed here. Cooked meals According to The circular (No: NDRSC 2007/10), cooked meals of Rs.70.00 for an adult and of Rs.50.00 for child under 12 yrs per diem are provided to all those who vacate their permanent places of residence and seek shelter at welfare centers temporally irrespective of their level of income for maximum of 3 days and this period can be extended. Dry rations The persons who have lost their places of residence and all properties as a result of a disaster and living in a temporary camp are provided with dry rations for the period they stay in camps irrespective of their level of income. The circular (No: NDRSC 2007/10) authorizes that dry ration can be issued for one week and if the period is to be extended the approval of the Director of the National Disaster Relief Service Center (NDRSC) is needed. However it is reported that in relation to conflict affected IDPs, the dry ration will be given to them as long as they stay in the WCs and in relation to resettled and returned IDPs, dry ration will be given to them as long as the need for dry ration is prevailing. This period is different from district to district and it was evidenced that in Trincomalee for resettled and returned people dry ration will be given for six months after resettlement. 65 Sri Lanka Food Security Assessment, based on the Integrated Food Security & Humanitarian Phase ClassificationApproach,15-30,April,2007,WFP,Page 43 54
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Page 7: Table of Contents n t 1. Executive
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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 52 and 53: The lack of coordination between th
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
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Right to Health of Internally Displaced Persons - IDP SriLanka

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