UPLIFTING APECT OF HEALTH IN KILINOCHCHI AREA BY ARMOUR COORDINATING OFFICER
1.The Sir Lankan Public Health Services have been a model for a developing country’s health care worldwide. The country achieved remarkable health status indicators with less expenditure on health in comparison to other countries with approximately more than 10 times its income level.
2.The conflict had affected the entire country but the most devastating impact has been in the North-East and particularly to KILINOCHCHI area.
4.o improve the health security of the population in KILINOCHCHI area.
5.To promote health including the reduction of inequality
- I.Action on health determinants–Such as nutrition, alcohol, tobacco and drug consumption and also social and environmental determinant.
- II. Measures of prevention of major diseases.
- III.Increasing health and promoting health ageing. ,p>6.Facilitate development using evaluation of vaccines and other prevention program such as vector control and forcing redacting of communicable and non communicable diseases.
7.To redact gap between normal population in KILINOCHCHI area and security forces and make a bridge to reach to the people.
ORGANIZATION AND MANAGEMENT OF HEALTH SERVICES PROVISION IN KILINOCHCHI AREA
8.Health service in KILINOCHCHI area is provided by both state and private sectors. Provision includes allopathic as well as traditional medicine. Health service in KILINOCHCHI area is free to all citizens seeking treatment in the state sector. The service provision has been decentralized and has two parallel systems namely, the curative and preventive health services, with varying degrees of integration of both systems at different levels. The responsibility of the provision of services lies with the provincial Ministry of Health Services except for the teaching hospitals that are controlled by the central Ministry of Health. The Provincial Director is the departmental head in the Province assisted by the Deputy Provincial Directors in each of the districts. The central ministry provides policy guidelines and controls medical paramedical education, teaching, purchase of drugs and supplies, and procurement of major equipments.
HEALTH STATUS IN SF HQ (KLN) AOR BEFOR 2009
9.The health status of the KILINOCHCHI was worse during the controlled of the LTTE. Though it was under the controlled of LTTE organization government has continuously supplied medical aid to the northern area. But it wasn’t reach to the people; LTTE organization used it for their benefit by pressurizing the government medical staff in the area. Many health institutions had been destroyed or damaged. Some closed for either shortfall of manpower and drugs or for security reasons. There had been a manpower shortage even before the conflict but the situation worsened-in KILINOCHCHI with the onset of the conflict.Before 2009 the main risk areas identified as:-
a.Increase in the virulent form of malaria i.e. Plasmodium Falciparum infection due to interruption of vector control program.
b.Increase in the incidence of Acute Respiratory Infections (ARI) and Diarrheal Diseases due to inadequate shelter, damage/disruption to water and sanitation systems.
c.The worsening of the maternal and child health status especially nutritional status of the children and mothers due to food shortage, deterioration of public health services, non-functioning of the maternal and child health program.
d.The available data on leading causes of hospitalization and deaths by districts are not reliable. Further information is only from some hospitals that have reported and relates to indoor morbidity and mortality only; hence do not indicate the actual disease pattern in area.
THE PRESENT HEALTH SITUATION IN KILINOCHCHI
10.The hospitals of KILINOCHCHI area was affected with conflict that ravaged the north over 30 years. During this time these hospital ran with minor facilities. After the end of conflict the government reconstructed the all hospitals in area with support of the military.
11. According to the regional director of health service in KILINOCHCHI, end of the year 2008 area had only few functional hospitals and there were less number of patient beds. Within four years time it was suddenly increased. As per the record end of the year 2012 it was 09 hospital and 430 patient beds.
12.The end of year 2008, 13 medical officers, 29 nursing officers, 02 public health inspectors and 34 public health midwives were in position to perform the duties. With resettlement program it was increased and end of the 2012 record says 08 consultants, 67 medical officers, 65 nursing officers, 14 public health inspectors and 74 public health midwifes. Also increased other staff such as dispenser, pharmacist etc.
Table 1: Comparison of medical employees
FACILITIES OF HOSPITALS UNDER SF HQ (KLN)Under Regional Director of Health Services-Kilinochchi
Under Regional Director of Health Services�Mulathive
EVENTS CONDUCTED IN SECURITY FORCE HEAD QUARTERS KILINOCHCHI AREA
THE WORLD DAY FOR THE SICK (12 FEB 2013)
13.Conducted a programs at KILINOCHCHI Maha Vidyalaya and AKKARAYANKULAM Maha Vidyalaya to educate the students on health and how to prevent from infection. There are 900 students and 35 teachers were participated at KILINOCHCHI Maha Vidyalaya form all around the KILINOCHCHI area. Also another 90 students and 12 teachers were attended same program at AKKARAYANKULAM Maha Vidyalaya.To succeed the event Anchor Fontera brand (PVT) LTDhas donated some milk powder pack and flavor drinking milk packs.
DENGUE CONTROL WEEK (06 FEB 2013 TO 13FEB2013)
14.Program had been arrange to awareness the people on how to prevent from dengue. It schedule as Home Visit Programs and Sramadana Campaigns to cover all around the area of KILINOCHCHI. In KILINOCHCHI 12 Home visit programs and 3 Sramadana Campaigns were held. In MALLAVIL and POONARIN, each area covered 5 Home Visit Campaigns and 2 Sramadana Campaigns.
INTERNATIONAL DAY FOR EAR AND HEARING/NO SMOKING DAY AND WORLD KIDNEY DAY (13 MAR 2013)
15.Special awareness program arrange to educate the students at PARANTHAN HINDU VIDYALAYA. There are 70 students and 7 Teachers were participated for that program.
WORLD TB DAY AND WORLD AUTISM AWARENESS DAY (02 Apr 2013)
16.Awareness programs had been arranged for the world TB day and world autism awareness day at WADDAKACHCHI COLLAGE on 02 Apr 2013, From 0930 Hrs to 1130 Hrs. For that program 200 Students and 10 Teachers were participated. It was facilitate by 01 doctor and 03 PHIs. Arranged 200 Richlife drinking milk packs were donated to the participant.
WORLD MALARIA DAY (25 Apr 2013)
17.The main aim of this day was to prevent the malaria. For that In KILINOCHCHI area 14 Sramadana campaigns, In MULANKAVIL area 14 Sramadana campaigns and In POONARIN area 01 awareness program and 01 Sramadana campaign were held. To succeed the program every bn has participate to conduct the program.
WORLD ASTHMA DAY (03 May 2013)
18.There are 03 awareness programs held regarding ATHMA day to educate the people In KILINOCHCHI, AKARAYANKULAM and POONARIN areas.
SUMMARY REPORT ON -2013
THE EVENTS TO BE CONDUCT IN YEAR 2013
19.After having three decade of war in the country, the affected areas have to be developed. In this issue security forces has to do major roll in winning the hart and mine of the effected population. Only the government can’t fulfill the health requirement of people. In this perception security force headquarters KILINOCHCHI has play the key roll to develop the health in the area.
21. The first quarter of the year 2013 security forces spend Rs 760700.00 value to develop the health situation in the KILINOCHCHI area. It shows the commitments of the security force to develop the country. Conducting series of health program security force headquarters KILINOCHCHI achieved his primary objective of wining the hart and mine and making the path to understand each other while securing the health in KILINOCHCHI area.