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Right to Health of Internally Displaced Persons - IDP SriLanka

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7.6. Risk <strong>of</strong> HIV infections<br />

Sri Lanka is considered as having low prevalence <strong>of</strong> HIV notably less<br />

85<br />

than 0.1 percent (3800 persons) . The Government <strong>of</strong> Sri Lanka initiated<br />

HIV prevention and control efforts through the National STD and AIDS<br />

Control Program (NSACP) <strong>of</strong> the Ministry <strong>of</strong> <strong>Health</strong> in 1992.<strong>IDP</strong><br />

community can be considered as most-at-risk population (MARP) <strong>to</strong><br />

HIV and among the displaced community, especially women and<br />

children are vulnerable <strong>to</strong> sexual abuses and such incidents are not<br />

revealed <strong>to</strong> the world easily and most <strong>of</strong>ten remain as hidden crimes.<br />

86<br />

At present there are about 81,000 Sri Lankan refugees living in India ,<br />

and the only humanitarian package, available <strong>to</strong> them is the dry ration.<br />

Due <strong>to</strong> their poverty, they are being forced <strong>to</strong> engage in prostitution.<br />

During the study it was observed that those Indian refugees are coming<br />

back in<strong>to</strong> Sri Lanka through illegal ways. The problem posed here is that<br />

the unavailability <strong>of</strong> a mechanism <strong>to</strong> test them whether they are infected<br />

with HIV or not. However such kind <strong>of</strong> unavailability is understandable<br />

since the migration is done by illegal ways. But re-integration <strong>of</strong> them<br />

in<strong>to</strong> the community will pose serious health risks because they<br />

themselves may not be aware <strong>of</strong> the infection and this fact urges a<br />

mechanism <strong>to</strong> check the infectious status at the grass root level.<br />

7.7. Mental health <strong>of</strong> <strong>IDP</strong>s<br />

Inheriting a civil conflict for more than 25 years the fac<strong>to</strong>rs like loss <strong>of</strong><br />

loved ones, families, wealth and livelihood have caused majority <strong>of</strong> the<br />

people in war affected area <strong>to</strong> be mentally disordered. The security<br />

concerns and frequent threats <strong>to</strong> the life have also amplified the number<br />

<strong>of</strong> mentally affected patients. In Puttalam, it was reported that out <strong>of</strong> 300<br />

87<br />

patients coming for the psychiatric clinics, majority are <strong>IDP</strong>s .<br />

85<br />

http://web.worldbank.org/WBSITE/EXTERNAL/COUNTRIES/SOUTHASIAEXT/<br />

EXTSAREGTOPHEANUT/EXTSAREGTOPHIVAIDS/0,,contentMDK:20287586~<br />

menuPK:568884~pagePK:34004173~piPK:34003707~theSitePK:496967,00.html<br />

86<br />

87<br />

http://www.refugeesinternational.org/content/article/detail/933/, as at 20.01.2004<br />

Observed from the discussion with Dr. Fareed District Medical Officer<br />

61

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