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COI Report March 2012 - UK Border Agency - Home Office

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7 MARCH <strong>2012</strong> SRI LANKA<br />

� ―Sri Lanka Sumithrayo – based in Colombo but with 13 branches across the<br />

country providing counsellors and trained volunteers -<br />

www.srilankasumithrayo.org<br />

� ―Basic Needs – capacity building of communities, partner organisations and<br />

primary health care workers to help to the stigma surrounding mental health -<br />

http://www.basicneeds.org/srilanka/index.asp<br />

23.27 The Médecins Sans Frontières MSF (Doctors Without <strong>Border</strong>s) undated Focus on Sri<br />

Lanka 466 , noted that: ―Since November 2010, MSF has provided counselling to people<br />

suffering from mental trauma in partnership with the Kilinochchi District Mental Health<br />

Unit, in the far north of Sri Lanka. Most patients were suffering from bereavement or<br />

missing family members because of the conflict. Staff held both individual and family<br />

counselling sessions.‖<br />

Psychiatrists and psychologists<br />

23.28 The BHC letter of 31 January <strong>2012</strong> 467 observed that: ―There are no psychologists<br />

working within the public sector although there are [sic] 1 teaching at the University of<br />

Colombo. There are no numbers available for psychologists working within the private<br />

sector. There are currently 55 psychiatrists attached to the Ministry of Health and<br />

working across the country.‖<br />

Post Traumatic Stress Disorder (PTSD)<br />

23.29 The BHC letter of 31 January <strong>2012</strong> 468 observed that:<br />

―Post Traumatic Stress Disorder (PTSD) was first recognised in Sri Lanka in patients<br />

affected by the 2004 tsunami. Many of the psychiatrists and support staff in Sri Lanka<br />

have received training in Australia and the <strong>UK</strong> for the treatment of the disorder. A<br />

Consultant Psychiatrist from NIMH said that many patients often sought ayurvedic or<br />

traditional treatment for the illness long before approaching public hospitals, adding that<br />

this often resulted in patients then suffering from psychosis.‖<br />

Availability and affordability of anti-depressant and therapeutic drugs<br />

23.30 The BHC letter of 31 January <strong>2012</strong> 469 reported that:<br />

―The government through the State Pharmaceutical Corporation (SPC) provide free<br />

drugs to patients with mental health problems. Drugs such as Carbamazepine,<br />

Ethosuximide, Phenobarbital, Phenytoinsodium, SodiumValproate, Amitriptyline,<br />

Chlorpromazine, Diazepam, Carbidopa and Levodopa, as well as generic drugs of a<br />

similar kind are all available. SPC are able to procure all Western drugs. Sometimes<br />

there were difficulties obtaining some narcotic items in India, and also Indian drugs were<br />

occasionally sub-standard, but SPC also deal with European suppliers, and often<br />

obtained specific drugs from the <strong>UK</strong>, France, Germany or Switzerland. For very specific<br />

individual cases, a search would be conducted over the internet to locate the required<br />

466 Médecins Sans Frontières MSF (Doctors Without <strong>Border</strong>s), Focus on Sri Lanka, undated<br />

http://www.msf.org.uk/sri_lanka.focus date accessed 27 January <strong>2012</strong><br />

467 British High Commission (BHC) Colombo, letter dated 31 January <strong>2012</strong><br />

468 British High Commission (BHC) Colombo, letter dated 31 January <strong>2012</strong><br />

469 British High Commission (BHC) Colombo, letter dated 31 January <strong>2012</strong><br />

The main text of this <strong>COI</strong> <strong>Report</strong> contains the most up to date publicly available information as at 3 February <strong>2012</strong>.<br />

Further brief information on recent events and reports has been provided in the Latest News section<br />

to 2 <strong>March</strong> <strong>2012</strong>.<br />

181

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