Reports Indicate High Malnutrition Rates throughout Northeast Sri Lanka

by International Medical Health Organization newsletter, July, 2010

Echoing the findings of humanitarian organizations, Sri Lankan media has been recently reporting on the very high levels of malnutrition in the Northeast. Child malnutrition is considerably high in the Northern and Eastern Provinces and has reached 46% out of a national average of 29%, a Demographic and Health Survey (DHS) revealed. In the two provinces the prevalence of malnutrition is significantly higher among boys, (50%) than among girls (42%). This difference between the genders contrasts dramatically with the malnutrition pattern in the rest of the country, where malnutrition rates amongst boys and girls are very much similar. The data also demonstrates that children aged 12-35 months constitute the most underweight demographic, with the age group of 36-59 months showing a gradual dropping off. This data holds true nationwide.

While it is somewhat surprising that the rates of malnutrition in urban and rural vary only by 1%, it is not at all surprising that the study revealed that a lack of maternal education is strongly associated with these lower levels of malnutrition.

The child malnutrition rate amongst those with uneducated mothers is 63%. Child malnutrition declines to 54% for those with primary educated mothers, 42% for secondary educated mothers, and 36% for tertiary educated mothers. 

Within the Northern and Eastern provinces, Batticaloa and Vavuniya have the highest levels of malnutrition with 53% and 51% respectively. Trincomalee stands at 45%, Ampara at 44%, and Jaffna at 43%, making Jaffna the best amongst the districts within the Northern and Eastern provinces. IMHO is proud to have sponsored many maternal health and child nutrition projects over the years, especially in Jaffna, and remains resolute in its commitment to improving child and maternal health. Only in this way can we truly ensure that the next generation grows up healthy and able.

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Widespread malnutrition among women and children

by World Socialist Web Site, June 10, 2010

Recently released surveys reveal that acute malnutrition is rife among Sri Lankan children and women, as a result of the country’s 30-year civil war and widespread poverty throughout the country.

Data from a Demographic and Health Survey (DHS) by Sri Lanka’s health ministry, published in the state-owned Daily News on May 29, revealed that child malnutrition is more than 50 percent in some areas of the East and North, with the national average at a record 29 percent.

In the Batticaloa, Trincomalee and Ampara districts in the eastern province, child malnutrition is 53, 45 and 44 percent, respectively. In the northern districts of Vavuniya and Jaffna it is 51 percent and 43 percent. The highest numbers of underweight children in these areas were in the 12-35 month age group, with a slight reduction in those aged 36 to 59 months. Malnutrition among girls is 42 percent and 50 percent for boys.

The North and East were where bloody fighting took place between the Sri Lankan military and the Liberation Tigers of Tamil Eelam (LTTE) during the past five years. The Mullaithivu and Kilinochchi districts were excluded from the survey. In the final months before the LTTE’s defeat in May 2009, the Sri Lankan military bombarded these districts ruthlessly, killing thousands of Tamil civilians and forcing hundreds of thousands into ever smaller areas.

After the war about 280,000 Tamils were detained in military-controlled camps. While about 60,000 remain in these camps, others have been sent to Kilinochchi and Mullaithivu without proper housing or healthcare assistance programs. Food supplies in these areas were limited or completely halted during the war, paving the way for widespread poverty and hunger.

While the malnutrition figures are lower in other parts of Sri Lanka, the situation is nevertheless alarming. According to a recently released 2006-07 Demographic and Health Survey, which excluded the northern and eastern parts of Sri Lanka, found the national average of underweight babies was 17 percent and the figure had not improved since the last survey.

The highest numbers of underweight babies were born to mothers in Sri Lanka’s plantation districts. Thirty-one percent of children from these areas were born underweight, a 10 percent increase on survey conducted in 2000, with the highest numbers recorded in Nuwara Eliya and Badulla districts. For Nuwara Eliya the figure was 33.8 percent, and in Badulla 21.9 percent.

These figures are not accidental. Estate workers are amongst the lowest paid workers in Sri Lanka. According to official statistics, poverty among plantation workers increased 56 percent between 1991 and 2006.

Diarrhoea, acute respiratory infections, malaria and other illnesses causing fever are widespread among children under the age of five throughout Sri Lanka. The prevalence of fever among children between 6-11 months is 22.8 percent, and 21.5 percent among children 12-23 months.

A Nutrition and Food Security Assessment Survey issued by UNICEF and World Food Program (WFP) on June 8 confirmed the same general trends. The survey was carried out in nine districts—rural, estate and urban—and among those considered the most economically vulnerable.

The report reveals that households spent 37.9 percent of their monthly income on food and 43.6 percent on productive assets (i.e., for income-generating activities), with nearly a third of households forced to borrow money for their purchases. According to the survey, 32 percent of the households “did not have enough food” at least once during the previous 12 months. The figure was 55.9 percent in the estate sector.

The UNICEF-WFP report reveals that 39.1 percent of households had a monthly income less than 9,000 Sri Lankan rupees ($US79). Almost 60 percent of Jaffna district households were in the lowest income category, 55 percent in Badulla and 51.7 percent in Ratnapura. It found that 0.5 percent of the households were “severely food insecure”, 11.8 percent “moderately food insecure” and 87.6 percent “food secure”.

The prevalence of anaemia was 16.2 percent among pregnant women, 19.6 percent among lactating women and 21.7 among non-pregnant and non-lactating women. Almost 20 percent of Sri Lankan children in the 0-59 month age group were stunted, 11.7 wasted and 21.6 percent underweight. Stunting in the Nuwara Eliya, Badulla and Ratnapura districts was 40.9 percent, 23.9 percent and 21.6 percent respectively. The Colombo district figure was 17.4 percent.

The UNICEF-WFP report concluded that the high percentage of households living on “borrowed food and reduced meals as a coping strategy”, and prevalence of anaemia among women and malnutrition among the preschool children, were serious public health issues. The government, however, has no solutions to these acute problems.

The government, the UN and various corporations recently launched a fund-raising campaign focussing on “eradicating child malnutrition”. On June 6, Economic Development Minister Basil Rajapakse, Education Minister Bandula Gunawardena, various UN agencies, and representatives from TNT Express and Unilever carried out a promotional train journey from Colombo to a suburban town.

This campaign is a fraud, however, designed to divert attention from preparations for severe austerity measures in the budget due at the end of this month. Faced with International Monetary Fund demands to halve the budget deficit, the government will slash social spending and increase taxes. As a result, poverty and the acute health problems facing the Sri Lankan masses will only worsen.