Right to Health of Internally Displaced Persons - IDP SriLanka

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Nutritional status of pregnant women and lactating mothers The nourishment of pregnant mothers is vital since it affects not only on health condition of the mother but also on the child. The recommended weight gain during the pregnancy is 10 Kg, but it is reported according to National Nutrition Policy, 2007 the average weight gain reported in Sri Lanka is less than 7.5 Kg. Despite the provision of iron, folic acid and other vitamins by the health authorities through PHM, average anemia 77 prevalence is being reported as 37 percent amongst pregnant women . According to the data from DPDHS- Trincomalee, 2007, 5 percent of pregnant mothers are suffering from moderate anemia and 1.33 percent is suffering from severe anemia. It was also observed that while 87.3 Percentage of pregnant mothers were protected against the rubella in the districts of Vavuniya, Trincomalee and Mannar, only 50 percent of them 78 were protected . Repercussions of above factors were greatly felt on the women of the above conflict affected area it is evidenced by higher Maternal Mortality Rates, low birth weigh rates reported in those districts. In 2005, Batticaloa and Vavuniya reported 81.2 and 68.7 of maternal mortality 79 rate per 1000 live births while national average is 38 . Low Birth Weight rate was also reported in the district of Batticaloa, Puttalam and 80 Anuradhapura as higher than national average and District like 81 Batticaloa and Anuradhapura possess higher Infant Mortality Rate . In Trincomalee, reported percentage of babies born with low birth weight approximately was about 12.8 %( 971 out of 7587 births) in 2006 and in 82 2007, it was 14.95% (964 out of 5457 births in June) . According to the 77 Medical Research Institute, Ministry of Health Care Nutrition and Uva Wellassa Development, UNICEF: Rapid assessment of coverage of micronutrient supplementation in Sri Lanka,2004 78 79 80 81 Vavuniya 50.9,Trincomalee 54.2, Mannar 45.6-FHB- 2005 FHB-2005, See theAnnexure VII National- 16.9,Batticaloa 20.2, Puttalam 21.1,Anuradhapura 19.2- FHB-2004 National average- 11.2-per 1000 LB, Batticaloa 19.6, Anuradhapura 19.4-- Table 4.Vital statistics by District,Annual Health Bulletin, 2005 82 See theAnnexure IX 59
83 details of conducted Maternity and Child Health Clinics , it was observed that the number of conducted Well Women Clinics in Trincomalee district were inadequate during the 2004 and 2005. Considering Nutrition status of pregnant mothers and lactating mothers, special nutritional intervention by the government, worth of Rupees 500.00 is given to the target group in selected DS divisions.According to the circular No: 21, dated 2006.07.31 (amended 2007.02.19) the Commissioner General of Samurdhi, applicant should be a Samurdhi beneficiary to be entitled under this scheme. In addition to this category, if the mother is not from a Samurdhi beneficiary family, she should established that her family income is below the poverty line and her nutrition status is low and it has to be recommended by relevant MOH and further certified by Samurdhi development officer. However during the study it was revealed that the displaced expectant and lactating mothers do not receive this nutritional package even though they were qualified before their displacement. The fact that they are receiving the dry ration instead of Samurdhi has disqualified them from being qualified under this package. Regarding health of women, the incidents of “minor parents” are reported as a much common factor in Kuchchevelli DS division of 84 Trincomalee district. In 2005 10.55 percentage of teenage pregnancy was reported from Trincomalee while national average is 6.2(FHB). This has led to many health issues of young girls and as well as infants due to the risk faced them at the period of pregnancy and due to malnutrition issues. 83 84 See the Annexure X & XI See the Annexure XII 60
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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 52 and 53: The lack of coordination between th
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 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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