BATTICALOA 2/6 DEMOGRAPHICS SOCIO-ECONOMIC STATUS AND FOOD SECURITY CHILD HEALTH 12% 38% 50% Distribution of population by sector (%), 2001

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1 Ministry of Health

2 BATTICALOA DEMOGRAPHICS Total population 53, (28) Land area (Sq. Km) 2,61 (26) Children under-five (%) 11.6 (26-7) 1 Females in reproductive age group (%) (26-7) 1 Estimated housing units 113,747 (26-7) 1 Average household size 4.5 (26-7) 1 Live births 11,519 (28) Fertility rate 2.8 (26-7) Geographic location Distribution of population by sector (%), Source: Census Urban Rural Estate SOCIO-ECONOMIC STATUS AND FOOD SECURITY Poverty Head Count Index (%) (26-7) Household expenditure, 26-7 Poverty Gap Index (%) 1.5 (26-7) Population below poverty line 4 36, (26-7) Population below minimum level of daily dietary energy consumption (%) (26-7) Mean daily dietary energy consumption per person among poor (Kcal.) 1,79 (26-7) Mean household income per month (Rs.) 21,32 (26-7) Mean household expenditure on food & non-alcoholic drinks per month (Rs.) 1,499 (26-7) Mean household expenditure on health and personal care per month (Rs.) 1,11 (26-7) Population aged years with no health insurance coverage (%) 96.5 (26-7) 51% 49% 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 (%), N/A N/A N/A 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) 1 (26-7) Distribution of under-five deaths by age, 26-7 Post-neonatal mortality rate (per 1, live births) 4 (26-7) Infant mortality rate (per 1, live births) 5 (26-7) Child mortality rate (per 1, live births) 3 (26-7) Under-five mortality rate (per 1 live births) 8 (26-7) Under-five mortality rate (per 1, live births), Source: Registrar General s Department Total Males Females 38% Source: DHS Infant mortality equals neonatal plus post-neonatal mortality rates 5% Neonatal mortality rate Post-neonatal mortality rate Child mortality rate 2/6

3 Women whose last live birth was protected against neonatal tetanus (%), Immunisation coverage of one year old children (%), Tetanus 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) 6.5 Diarrhoea (all cases) 1.4 Diarrhoea with blood 13.5 Fever Treatment main diseases among children under-five (%), Children with fever for whom treatment was sought 42.3 Children with fever who took antibiotics. Children 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 (%), 26-7 and 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 and NFSA 29 [WHO Child Growth Standards] Source: SCHW 24, DHS 26-7 and NFSA 29 6 Breastfeeding initiation (%), 26-7 and Infants ever breastfed Started within 1 hour Source: DHS 26-7 and NFSA 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 (%), 26-7 and Infants 6-8 months who started complementary feeding (a) Children fed breast milk or milk products (b) Minimum dietary diversity (c) Source: DHS 26-7 (b, c & d) and NFSA 29 (a) Minimum meal frequency (d) Children with the 3 IYCF practices (b, c & d) 3/6

4 Anaemia (%), 26-7 and Anaemia among children U-5 Children 6-35 months who consume foods rich in iron Source: DHS 26-7 and NFSA Children U-5 who receive iron supplementation Vitamin A deficiency (%), 26-7 and N/A Prevalence of vitamin A deficiency among children U-5 (a) 9. Children 6-35 months who consume foods rich in vitamin A (b) Source: DHS 26-7 (b) and NFSA 29 (c) 82.7 Children months who receive 3 mega doses of vitamin A (c) Households consuming iodized salt (%), Source: DHS 26-7 Children under-five who receive deworming medication (%), Source: DHS MATERNAL HEALTH AND FAMILY PLANNING Maternal Mortality Ratio (per 1, live births) 91.6 () Maternal deaths 1 () Maternal Mortality Ratio (MMR) (per 1, live births), Distribution of maternal deaths by cause, % 18% 1 Cardiovascular disease Post partum haemorrhage Pregnancy induced hypertension Sepsis - Reproductive tract Uterus rupture Cerebrovascular disease Anaemia Pulmonary embolism Liver disease Acute inversion of uterus Septic abortion Ante partum haemorrhage % 1 Bronchial asthma Systemic lupus erythematosis Pulmonary oedema of unknown origin Other (Direct cause) Other (Indirect 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 Anaemia (%), 26-7 and Anaemia among children U-5 Children 6-35 months who consume foods rich in iron Source: DHS 26-7 and NFSA Children U-5 who receive iron supplementation Vitamin A deficiency (%), 26-7 and N/A Prevalence of vitamin A deficiency among children U-5 (a) 9. Children 6-35 months who consume foods rich in vitamin A (b) Source: DHS 26-7 (b) and NFSA 29 (c) 82.7 Children months who receive 3 mega doses of vitamin A (c) Households consuming iodized salt (%), Source: DHS 26-7 Children under-five who receive deworming medication (%), Source: DHS MATERNAL HEALTH AND FAMILY PLANNING Maternal Mortality Ratio (per 1, live births) 91.6 () Maternal deaths 1 () Maternal Mortality Ratio (MMR) (per 1, live births), Distribution of maternal deaths by cause, % 1% 18% 1 1 Cardiovascular disease Post partum haemorrhage Pregnancy induced hypertension Sepsis - Reproductive tract Uterus rupture Cerebrovascular disease Anaemia Pulmonary embolism Liver disease Acute inversion of uterus Septic abortion Ante partum haemorrhage Bronchial asthma Systemic lupus erythematosis Pulmonary oedema of unknown origin Other (Direct cause) Other (Indirect 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

6 WATER AND SANITATION Households with improved source of drinking water (%), 26-7 and Source: DHS and NFSA 29 Households using adequate sanitation facilities 7 (%), 26-7 and Source: DHS and NFSA CONTINUUM OF CARE Continuum of care (%), 26-7 and 29 Family planning demand satisfied 6.1 Antenatal care visit (1 or more) 1. Protection against neonatal tetanus 89.4 Iron supplementation during pregnancy 93.6 Skilled attendant at birth 98.4 Early initiation of breastfeeding (within 1h) 85.9 Postnatal check-up (within 2 days) 66.3 Measles immunization 94.1 DPT 3 immunization 98.2 Adequate complementary feeding 7.5 Vitamin A supplementation (*) 82.7 Treatment of fever sought 67.4 Mother's knowledge about ORS 95.6 Access to safe drinking water 99.5 Adequate sanitation facilities Source: NFSA 29 (*) and DHS 26-7 (all other indicators) 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. The Integrated Nutrition Programme (INP) is a comprehensive package of interventions to overcome the problems of under-nutrition and anemia among children under five years, adolescents, pregnant women and lactating mothers. CHILD PROTECTION EDUCATION Birth registration (%) 8 1. (26-7) Net enrolment rate for primary education level 12. (27) Adolescent girls (15-19 years) who are mothers or pregnant with their first child (%) 6.8 (26-7) Survival rate to grade (27) Primary completion rate 92.1 (27) 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