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Right to Health of Internally Displaced Persons - IDP SriLanka

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problems <strong>of</strong> conflict affected <strong>IDP</strong>s. But such kind <strong>of</strong> view is not legally<br />

valid since, no <strong>of</strong>ficial notice/letter/circular is saying that those circular<br />

is equally applicable <strong>to</strong> the health concerns <strong>of</strong> conflict affected <strong>IDP</strong>s. If<br />

they are equally applicable, there is no point <strong>of</strong> issuing “Provisional<br />

guidelines for emergency management <strong>of</strong> public health problems <strong>of</strong> the<br />

<strong>IDP</strong>s” by the Epidemiologist for the Batticaloa and Trincomalee in 2005.<br />

Therefore it shows inequitable responses by health authorities for the<br />

consequences <strong>of</strong> two disasters.<br />

According <strong>to</strong> the National <strong>Health</strong> Policy, services and programmes will<br />

be introduced by the Ministry <strong>to</strong> meet the emerging health needs, inter<br />

alia the health problems <strong>of</strong> displaced populations. Though they have<br />

established “Disaster Preparedness and Responses Unit” in the Ministry<br />

in line with that policy, any other services and programmes, specially<br />

addressing the health problems <strong>of</strong> conflict affected displaced population<br />

are not discernible yet.<br />

7.9. Security problems<br />

Inability <strong>to</strong> access <strong>to</strong> some areas due <strong>to</strong> security problems is another<br />

burning issue for the government health staff, NGOs and also <strong>to</strong> the<br />

patients. It was reported from RDHS-Mannar that closure <strong>of</strong> the<br />

Uyilankulam checkpoint is increasing travel costs for the majority <strong>of</strong><br />

health workers as 90% <strong>of</strong> staff working in Manthai West, now must travel<br />

from Mannar Island through the A9 road. However this is only one <strong>of</strong><br />

such reported incidents where security problems is a fac<strong>to</strong>r in deciding<br />

health conditions and people are also hesitated <strong>to</strong> travel from villages <strong>to</strong><br />

the <strong>to</strong>wn though more facilities and services are available, because the<br />

value <strong>of</strong> life is bigger than suffering from an illness.<br />

It is sometime evident that even though the funds and donations are there<br />

<strong>to</strong> facilitate the health requirements <strong>of</strong> the displaced people, the burdens<br />

such as security problems and lack <strong>of</strong> cooperation between the parties,<br />

undermine this process. In Wahalkada Central Dispensary, earlier it was<br />

reported that the doc<strong>to</strong>r is providing services only 2 days for a week, but<br />

after NPDS for <strong>IDP</strong>s Project's intervention residential doc<strong>to</strong>r was<br />

arranged <strong>to</strong> work for all the weekdays. Though MOH <strong>of</strong>fice is<br />

conducting mobile medical clinics in threaten areas with the help <strong>of</strong><br />

NGOs like World Vision & Sarvodaya it was reported as not sufficient.<br />

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