MATARA. Geographic location 4 ( ) Distribution of population by wealth quintiles (%), Source: DHS

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1 Ministry of Health

2 MATARA DEMOGRAPHICS Total population 822, (28) L and area (Sq. Km) 1,27 (26) under-five (%) 9.2 (26-7) 1 Females in reproductive age group (%) (26-7) 1 Estimated housing units 181,679 (26-7) 1 A verage household size 4.4 (26-7) 1 Live births 14,644 (28) F ertility rate 2.4 (26-7) Geographic location Distribution of population by sector (%), 21 Source: Census Urban Rural Estate SOCIO-ECONOMIC STATUS AND FOOD SECURITY Poverty Head Count Index (%) (26-7) Household expenditure, 26-7 Poverty Gap Index (%) 2.4 (26-7) Population below poverty line 4 119, (26-7) Population below minimum level of daily dietary energy consumption (%) (26-7) Mean daily dietary energy consumption per person among poor (Kcal.) 1,71 (26-7) M ean household income per month (Rs.) 22,914 (26-7) Mean household expenditure on food & non-alcoholic drinks per month (Rs.) 8,372 (26-7) Mean household expenditure on health and personal care per month (Rs.) 1,73 (26-7) Population aged years with no health insurance coverage (%) 83.9 (26-7) 39% 61% Food Non-food items Source: HIES 26-7 Poverty Head Count Index (%), Distribution of population by wealth quintiles (%), 26-7 Distribution of women age by education level (%), No education Some primary Completed primary Some secondary Completed secondary More than secondary Source: HIES to 26-7 Source: DHS 26-7 Source: DHS 26-7 CHILD HEALTH Neonatal mortality rate (per 1, live births) 14 (26-7) Distribution of under-five deaths by age, 26-7 P ost-neonatal mortality rate (per 1, live births) (26-7) Infant mortality rate (per 1, live births) 14 (26-7) C hild mortality rate (per 1, live births) 4 (26-7) Under-five mortality rate (per 1 live births) 18 (26-7) Under-five mortality rate (per 1, live births), Source: Registrar General s Department Total Males Females % Source: DHS % Infant mortality equals neonatal plus post-neonatal mortality rates 78% Neonatal mortality rate Post-neonatal mortality rate Child mortality rate

3 Women whose last live birth was protected against neonatal tetanus (%), Immunisation coverage of one year old children (%), Tetanus 2. Measles DTP 3 Polio 3 B.C.G. All basic No vaccinations vaccination Source: DHS 26-7 Source: DHS 26-7 Prevalence main diseases among children under-five (%), Acute Respiratory Infection (ARI) Diarrhoea (all cases) Diarrhoea with blood 14. Fever Treatment main diseases among children under-five (%), with fever for whom treatment was sought with fever who took antibiotics. with fever who took antimalarial drugs Mothers who know about ORS Source: DHS 26-7 Source: DHS 26-7 CHILD NUTRITION Nutrition status of children under-five (%), Underweight among children under-five (%), Underweight (< -2 SD) Severe underweight (< -3 SD) Stunting (< -2 SD) Severe stunting (< -3 SD) Wasting (< -2 SD) Severe wasting (< -3 SD) Overweight (< +2 SD) Source: DHS 26-7 [WHO Child Growth Standards] Source: DHS 1993 to Breastfeeding initiation (%), Source: DHS Infants Started ever within 1 breastfed hour Started within 1 day Median duration of exclusive breastfeeding (months), Source: DHS 26-7 Infant and young child feeding practices among children 6-23 months (%), Infants 6-8 months who started complementary feeding (a) Source: DHS 26-7 (b, c & d) fed breast milk or milk products (b) Minimum dietary diversity (c) Minimum meal frequency (d) with the 3 IYCF practices (b, c & d) 3/6

4 Anaemia (%), children U months who consume foods rich in iron U-5 who receive iron supplementation Vitamin A deficiency (%), Prevalence of vitamin A deficiency among children U-5 (a) months who consume foods rich in vitamin A (b) months who receive 3 mega doses of vitamin A (c) Households consuming iodized salt (%), Source: DHS 26-7 under-five who receive deworming medication (%), Source: DHS 26-7 Source: MRI 26 (a) and DHS 26-7 (b) Source: DHS 26-7 MATERNAL HEALTH AND FAMILY PLANNING Maternal Mortality Ratio (per 1, live births) 14.6 () Maternal deaths 2 () Maternal Mortality Ratio (MMR) (per 1, live births), Distribution of maternal deaths by cause, % 6% 19% Post partum haemorrhage Septic abortion Cardiovascular disease Pregnancy induced hypertension Ectopic pregnancy Pulmonary embolism Lower respiratory tract infection Sepsis - Reproductive tract % Uterus rupture % Liver disease % 8% 8% 11% Dehydration following hyperemesis Cerebrovascular disease Suicide (post partum psychosis) Other (Direct cause) Inconclusive Source: FHB 21-5 Source: FHB 21-5 Pregnant women who had at least one antenatal care (ANC) visit (%), Delivery care (%), Mothers who had a postnatal check-up within two days after delivery (%), Attended by a skilled health professional Attended in a health facility 26-7 Source: DHS 26-7 Source: DHS 26-7 Source: DHS /6

5 Total demand for family planning (%) 76.5 (26-7) Use of contraception, (%), Unmet demand for family planning (%) 7.7 (26-7) 49. Proportion of family planning demand satisfied (%) 89.9 (26-7) Contraceptive prevalence, any method (%) 68.8 (26-7) 31.2 Source: DHS No contraception Any traditional contraceptive method Male condom Other modern contraceptive methods MATERNAL NUTRITION Maternal under-nutrition (%), Food consumption by mothers (%), Women aged years with BMI < 18.5 with a reported birth weight 26-7 Low birth weight ( < 2.5 Kg) Milk Milk products Grains Roots / tubers Legumes Animal food Vitamin A rich fruits / veg. Other fruits / vegetables Fat / oil Sugary foods Source: DHS 26-7 Anaemia (%), non-pregnant women Source: DHS 26-7 pregnant women 26-7 lactating women 98.6 Pregnant women who took iron during pregnancy HIV / AIDS, TUBERCULOSIS AND MALARIA Source: DHS 26-7 Vitamin A deficiency (%), Source: DHS 26-7 Mothers Mothers who with night receive postpartum blindness (Reported and vitamin A adjusted) supplementation 26-7 Mothers who receive deworming medication during pregnancy (%), Source: DHS Ever-married women aged years who have heard of AIDS (%) 94.4 (26-7) Women who identify using condom as a way of preventing sexual transmission of HIV (%) 67.6 (26-7) Women who identify limiting sexual intercourse to one uninfected partner as a way of preventing sexual transmission of HIV (%) 84.5 (26-7) Women who correctly identify the two major ways of preventing sexual transmission of HIV (%) 64.9 (26-7) Women with comprehensive knowledge of AIDS (%) 2.4 (26-7) Tuberculosis (per 1, pop.), 1992 and Tuberculosis cases cured under DOTS (%), Malaria incidence (per 1, pop.), 199 and 26 6, 5, 4, 3, 2, 1, under-five sleeping under a mosquito net (%), Incidence Deaths Any mosquito net Insecticide treated net (ITN) Source: National Programme for Tuberculosis 28 Source: National Programme for Tuberculosis 28 Source: Anti-malaria Campaign 28 Source: DHS /6

6 WATER AND SANITATION Households with improved source of drinking water (%), Source: DHS Households using adequate sanitation facilities 7 (%), Source: DHS CONTINUUM OF CARE Continuum of care (%), 26-7 Family planning demand satisfied Antenatal care visit (1 or more) Protection against neonatal tetanus Iron supplementation during pregnancy Skilled attendant at birth Early initiation of breastfeeding (within 1h) Postnatal check-up (within 2 days) Measles immunization DPT 3 immunization Adequate complementary feeding Vitamin A supplementation (*) Treatment of fever sought Mother's knowledge about ORS Access to safe drinking water Adequate sanitation facilities Source: DHS CHILD PROTECTION EDUCATION Birth registration (%) (26-7) Net enrolment rate for primary education level 83.4 (27) Adolescent girls (15-19 years) who are mothers or pregnant with their first child (%) 9.5 (26-7) Survival rate to grade (27) Primary completion rate 75. (27) Sri Lanka has achieved a relatively high status of healthcare as seen by the low national levels of infant, child and maternal mortality. However, maternal and child under-nutrition continues to be a major challenge, adversely affecting children s physical and intellectual development. Additionally, significant health and nutrition inequalities exist across the country, between geographic areas and socio-economic groups. The main objective of these profiles is to promote a culture of evidence-based decision making and resource allocation. They should help policy-makers and programme managers in identifying major problems as well as disadvantaged groups, setting priorities and establishing effective strategies to achieve MDGs with equity. INFORMATION SOURCES (199-91) Department of Census and Statistics (Ministry of Finance and Planning). Household Income and Expenditure Survey ( ) Registrar General s Department. Vital statistics, (1993) Department of Census and Statistics (Ministry of Finance and Planning). Sri Lanka Demographic and Health Survey (DHS) ( ) Department of Census and Statistics (Ministry of Finance and Planning). Household Income and Expenditure Survey (2) Department of Census and Statistics (Ministry of Finance and Planning). Sri Lanka Demographic and Health Survey (DHS) 2. Colombo, 22. NB: This survey did not cover the Northern and Eastern Provinces. (21) Department of Census and Statistics (Ministry of Finance and Planning). Census of Population and Housing 21. Colombo, 21. (21-5) Family Health Bureau (Ministry of Healthcare and Nutrition) and UNICEF. Overview of Maternal Mortality in Sri Lanka Colombo, 28. (22) Department of Census and Statistics (Ministry of Finance and Planning). Household Income and Expenditure Survey 22. (24) Department of Census and Statistics (Ministry of Finance and Planning) and UNICEF. Survey of Child Health and Welfare in Selected Northern and Eastern Districts in Sri Lanka 24. Colombo, March 24. (-6) UNICEF. Survey of Child Health and Welfare in Kilinochchi and Mullaitivu Districts in Sri Lanka -6. Colombo, August 26. (26) Medical Research Institute (Ministry of Healthcare and Nutrition) and UNICEF. Vitamin A Nutrition Status in Sri Lanka 26. Colombo, 26. (26) Medical Statistics Unit (Ministry of Healthcare and Nutrition). Annual Health Statistics Sri Lanka 26. (26-7) Department of Census and Statistics (Ministry of Finance and Planning). Household Income and Expenditure Survey Colombo, August 28. (26-7) Department of Census and Statistics (Ministry of Finance and Planning). Sri Lanka Demographic and Health Survey (DHS) Colombo, April 29. NB: This survey did not cover the Northern Province. (28) Department of Census and Statistics (Ministry of Finance and Planning). Estimated mid-year population by sex and district (28) Department of Census and Statistics (Ministry of Finance and Planning). MDG Indicators of Sri Lanka, A Mid-Term Review (28) Ministry of Education. School Census, Preliminary Report (29) Medical Research Institute (Ministry of Healthcare and Nutrition) and UNICEF. Nutrition and Food Security Assessment in Sri Lanka 29. Colombo, March 21. NB: This survey covered the districts of: Ampara, Anuradhapura, Badulla, Batticaloa, Colombo, Hambantota, Jaffna, Kurunegala, Moneragala, Nuwara Eliya, Rathnapura, Trincomalee and Vavuniya. FOOTNOTES 1 Preliminary results of Sri Lanka Demographic and Health Survey (DHS) Available from: Accessed November 2 th Females in reproductive age: year old. 3 Percentage of population below the poverty line. 4 The official poverty line of Sri Lanka for 26-7 is Rs. 2, Population below 23 kcal of daily dietary energy consumption. 6 Reference population differs between surveys carried out from 1993 to -6 (NCHS/WHO Reference) and those carried out from 26-7 to 29 (WHO Child Growth Standards) 7 Water sealed toilets. 8 This figure includes both children who had a birth certificate and those registered in local birth registrars. 6/6

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