|Author(s):||l. dassanayake*1, A. Karunarathne2|
|Affiliation(s):||1Department of Orthopaedic Surgery Teaching Hospital Anuradhapura and Disaster prepairedness and resp, MInistry of Health, Colombo, 2Department of Neurosurgery, Teaching Hospital Anuradhapura, Anuradhapura, Sri Lanka|
|Keywords:||Mass population migration, disaster, health|
Provision of an optimum health care services determine the survival during disasters. Especially when the community had being on migration for a considerable time ,poor quality water, poor sanitation reduced food supplies and overcrowding may aggravate the health issues and demands for the health system to function on it’s full stretch. Scenario discussed will be the ground level experience of establishment of the health care system and provision of primary health care during the initial disaster phase in zone 4 of Menik farm relief villages with the sudden influx of 44,000 internally displaced population on the days of 15th and 16th of May 2009. This population had being on migration for months.
Identification and predicting the health issues of the community, assessing the capacity of the existing health facilities, prioritizing the services carried out before and on arrival of the IDP’s. First 24 hours spent on preventing the mortality among IDP’s by treating the life threatening conditions and launching the existing heath facility to its fullest extent. With the progress of the time services were expanded and consolidated. Special attentions were paid to health education,early detection and prevention of infectious outbreaks and strengthening the primary health care.Mobile health clinics were used to access the population in the peripheries of the zone until the proper primary health care centers are established. A Close coordination was established between the ground level and the central level to facilitate the smooth flow of logistics,human resources and enabling ground level to contribute efficiently in decision making.
A. Identification of the nature of health issue: On migration for a long period of time; Large number of unattended medical and surgical problems; Dehydration; Sub-optimal antenatal care compared to other areas; Came with epidemics of Hepatitis A, diarrhea and Chicken pox.