Medical facilities enhanced at Welfare Centers in Vavuniya
Ministry of Health (MoH) has mobilized its resources
to a maximum to provide medical facilities to the civilians in welfare
centers in Vavuniya. Additional 232 Medical officers have been
permanently posted to the Northern Province and Padaviya hospitals.
With this reinforcement, 304 medical officers
(doctors) and the nurses to 986 (See annex II) are now working in
hospitals and welfare centers in the North and Padaviya. Ministry of
Health also organize a senior Registrar Anesthesia from Teaching
Hospital Anuradhapura, a Paediatric Surgeon from Lady Ridgeway Colombo,
03 JMO from Kegalle, CSTH from Karapitiya and a surgeon from Teaching
Hospital Kalubowila to visit regularly to the camp sites.
-
Increase in Medical officer capacity since 1st May
2009:
-
Padaviya (15), Mannar (15), IDP Camps (44),
Chettikulum (10), General Hospital Vavuniya (25), Kabithigollawa
(5), Madavacchiiya (5), Kurunagala (10).
1. Medical Facilities- Hospitals
07 hospitals provide healthcare facilities for IDPs in
the Northern and the Eastern Provinces;
-
1. General Hospital Trincomalee
-
2. General Hospital Vavuniya
-
3. General Hospital Mannar
-
4. Base Hospital Cheddikulum
-
5. District Hospital Cheddikulum
-
6. District Hospital Poovarasakulum
-
7. District Hospital Pampainimadu
In addition, 07 hospitals which are located outside
the North & the East Provinces provide healthcare for the IDPs.
-
1. Base Hospital Dambulla
-
2. General Hospital Polonnarauwa
-
3. Base Hospital Hingurakgoda
-
4. Base Hospital Kanthalai
-
5. Base Hospital Medirigiriya
-
6. Base Hospital Medavachchiya
-
7. Teaching Hospital Kurunagala
-
Medicine San Frontier (MSF), France constructed a
100 bed field hospital in Chettikulum to take care of the IDP
population.
-
(Indian government relocated its field hospital in
Pulmudai to Zone 1 of the welfare center in Manik Farm area. Medical
team comprising 8 doctors and 54 nursing , 115 beds , para -medical
and technical staff are providing health care to IDPs.
2. Medical Facilities available
-
(Ministry of Health has assigned additional number
of nurses to all hospital in the Northern Province. 114 nurses have
been deployed to the Northern Province and 50 nurses to Trincomallee
district and 18 to Padaviya.
-
(The number of beds available in the Cheddikulum
Hospital has increased to 188.
-
(Base hospital in Poovarasakulum is identified for
treating the patients infected with Chicken pox and other
communicable diseases.
-
(Adequate stocks of all essential drugs have been
deployed from all Regional Medical Supply Division to the hospitals
in the North. The MOH also has appointed a senior Director from
Medical Supply Division to Vavuniya to coordinate all the Drug
supply to Northern district. A Senior Assistant Director is also
located at the Chettikulam drug store, with a store keeper.
-
( MOH regularly provides 30-40 lorry loads of
medical supplies to IDP camps. The recent consignment contained more
than 500,000 oral doses for Chicken Pox and necessary antibiotics.
-
(A new drug store is to be established in Vavuniya
to dispatch of required drugs.
-
(MOH has placed additional 37 Ambulances in
hospitals in the North.
-
40 Ambulances (equipped with basic life support in
each with EMT and driver) will be deployed to the PHC centers in
each IDP camps with the assistance of Ministry of Local Government,
Provincial Councils and Medical teams international.
-
Additionally Ambulances were made available to;
3. Preventive Healthcare:
-
Drinking water quality analysis is carried out by
health staff on a regular basis. The Public Health Inspector (PHI)
also advocate for the frequent chlorination of the drinking water
sources
-
Routine immunization is being carried out in all
welfare centers. Unimix is given to all children below 5 years.
-
Vitamin 'A' mega doses were given to all IDPs
expects pregnant women and elderly.
-
De-worming (anti-helminthic) tablets/Pyrethin
syrup (for children under 2 years) is given to all IDPs on arrival
to camps.
-
Family planning: condoms were made available to
IDPs through the Public Health Inspectors (PHI) and Public Health
Midwives (PHM).
-
A mobile dental unit has been dispatched to
provide dental care services for people living in welfare centres. A
mobile laboratory was mobilized to Vavuniya region to improve
investigation facilities in welfare centers.
4. Composition of Primary Health Care Centers (PHC) at IDP camp
level:
-
Every Primary Health Care Centre (PHC) covers
10,000-15,000 people, operates from 8 a.m. to 4 p.m. with a 24 hour
ambulance service. The Center has staffed with 3 Medical Officers
with a nurse and a pharmacist/dispenser.
-
The PHC will provide basic medical care, basic
procedures (e.g. suturing, nebulization) and conduct clinics
(Antenatal, postnatal, well baby, well woman clinics). It also
carries out health education services & counseling services.
5. Mental Health and Psychological support:
-
A specialist psychiatrist is station in Vavuniya
psychiatric care for IDPs. Only Vavuniya and Jaffna has an acute
care ward to treat mentally ill.
-
Psychosocial interventions at IDP camp level is
also need to be catalyzed and coordinated.
-
Teachers trained in counseling have been mobilized
by the education department to work at each IDP camp in Northern
district.
6. Nutritional status in Camps Most of IDPs arrived from the
former no fire zone have a poor nutritional health status.
-
On arrival, all IDPs are given Tripohsa (a
micro-nutritional supplement) at the welfare camps.
-
Vitamin 'A' mega doses were given to all IDPs
expects pregnant women and elderly.
-
Nutritional screening centers (where Therapeutic
feeding will be made available) will be established at all primary
health care centers in the 5 zones. The technical guidance will be
provided by the Family Health Bureau and UNICEF, and the program
will be implemented by Sarvodaya. The funding for this Emergency
nutritional programme will be provided by UNICEF.
-
Pompaimadu hospital has been identified to cater
for highly vulnerable: elderly, pregnant mothers, post-partum
mothers.
-
The children under 5 years living in the camps
were screened to identify the children with GAM (Globally Acute
Malnourished). According to the available information five camps
were screened upto now.
7. Nutritional Packages of Interventions
-
A programme has been initiated to prevent of
Malnutrition through Blanket Supplementary Feedings.
-
Treatment of Moderate Malnutrition has been
conducted by using UNIMIX / High Energy Biscuits (HEB)
-
Treatment of Severe Acute Malnutrition is done
with providing BP 100 / Plumpy Nut and for uncomplicated cases while
F-75, F-100 & ResoMal for complicated cases.
-
MMN tablets will be provided for the pregnant
women and Sprinkles will be given for the children under 5 years.
-
Mebendazole tablets and Pyrantale Pamoate syrup
are given for all children under 5 years.
-
Hygiene education and appropriate infant feeding
practices are done through PHM & PHIs.
Courtesy: Ministry of Health
|
