Posted: August 10th, 2022

Humanitarian Action Technical Brief 2500 words

Public Well being Info Companies
Public Well being State of affairs Assessment Normal Working Procedures

Humanitarian Action Technical Brief 2500 words

WORLD HEALTH ORGANIZATION

Desk of Contents Public Well being State of affairs Assessment- Quick Kind – SRI LANKA 2 1. Abstract of Disaster 2 2. Map of Affected Nation/Area three three. Well being Standing and Threats four Well being and different determinants pre-crisis four Well being and different determinants post-crises four Healthcare threats four four. Well being System Standing & Native well being system disruptions 7 Pre-crisis 7 In-crisis 7 5. Humanitarian Well being Response (three/4W matrix) eight Well being response coordination eight Well being response actors eight 6. Info gaps & info supply eight 7. Key References 9 eight. Contacts 9 Annex 1 WHO advisable surveillance case definitions 10 Annex 1: References and Citations 12 Annex 2: Disaster Typology Icons Legend 12 Annex four: Scoring the magnitude of well being threats /wants 15 Annex 5: Desk 1 a and 1b: Anticipated evolution of disaster emergent well being threats over time 17 Annex 6: Desk 2 of the lengthy kind PHSA: Scoring the magnitude of disruption to key well being system elements 22 Annex 7: Desk 2 of the lengthy kind PHSA: Anticipated evolution of disruptions to key well being system elements over time 23 Annex eight: Applicable strategies for the gathering of main information 27

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Public Well being State of affairs Assessment- Quick Kind – SRI LANKA
Final replace: August four, 2022

Initiated by: Nation Workplace □ Regional Workplace □ HQ □

Kind of emergency (see Annex 2 of this doc)

Battle

Primary well being hazards

· Give a bullet level listing of the principle rising well being hazards (or hazards which can be prone to grow to be a problem) ensuing from the disaster

UN

Degree

WHO

Grade

Safety degree(s)

For the UNDSS web site (dss.un.org), enter UN

username and password. Fill out the next desk:

INFORM

threat , out of 10.

at (date).

Obtain the excel sheet. Embrace threat class (e.g. Very Excessive)

Rank: Embrace rank of nation

Meals safety

Location(s)

Degree

Displacement

Excessive (6)

Drought

Excessive

(5)

Flood

Substantial (four)

Reasonable (three)

Low (2)

1. Abstract of Disaster
Sri Lanka is going through one of the crucial extreme humanitarian crises within the nation’s historical past. Since 2021, the nation has not recovered from the COVID-19 pandemic and matched with unsustainable debt and public corruption, a public well being disaster has emerged that requires fast worldwide consideration.

The next are the highlights of the general public well being crises that faces Sri Lanka

· The general public well being crises have an effect on all of Sri Lanka since 95% of healthcare is supplied by public well being amenities.

· The capital metropolis Colombo is probably the most affected by the disaster, since it’s the space that has skilled probably the most casualties ensuing from the protests which were occurring for the previous one yr

· The federal government lacks the overseas trade to buy medication which has led to an acute scarcity of drugs and medical provides within the nation

· The underlying causative issue is an ongoing financial disaster

· Fears of resurgence of a deadlier wave of COVID-19. Dengue fever and malaria circumstances might rise within the coming months

2. Map of Affected Nation/Area

Humanitarian Profile:

Inhabitants in want: 22 million

Inhabitants in want of humanitarian well being help: 21.2 million

Deaths (estimates): N/A

Accidents (estimates): 20000

IDP’s:

Refugees: N/A

Returnees: N/A

(The HNO/HRP is helpful to search out this info). One other good supply is the “RW Crises” telephone app.

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three. Well being Standing and Threats
Probably the most fast menace going through Sri Lanka in the meanwhile is a resurgence of COVID-19 and Dengue fever which is perhaps attributable to oncoming monsoon rains. Sri Lanka has managed to realize vital well being outcomes that are above its earnings ranges, pre-crisis. The nation managed to eradicate illnesses resembling malaria, filariasis, polio and neonatal tetanus.

Well being and different determinants pre-crisis
Pre-crisis, the nation struggled with a rising healthcare problem of an ageing inhabitants and non-communicable illnesses. Based on statistics, 75% of deaths within the nation had been attributable to non-communicable illnesses.

A big bulk of healthcare companies within the nation is supplied by the general public sector. Over 90% of inpatient care and over 50% of outpatient care is supplied by public healthcare amenities. The personal well being care sector is practical however is inaccessible to the vast majority of the inhabitants resulting from excessive prices.

Nationwide price range expenditure compared to GDP has remained round 1.7% since 2013 and the family expenditure on healthcare is critical however catastrophic well being expenditure may be very low as a result of a big proportion of healthcare companies are supplied by the federal government.

Well being and different determinants post-crises
Sri Lanka imports greater than 80% of the medical provides that it wants. Due to the financial disaster the nation is at the moment unable to import medicines which has led to a scarcity in public hospitals. Based on ACAPS, roughly 200 medical gadgets had been in acute scarcity as of Could 2022. About 50% of medical procedures have been delayed throughout the nation due to scarcity of essential provides resembling surgical devices and anesthesia.

Healthcare threats
There isn’t a official statistics on the inhabitants mortality from the general public healthcare disaster that faces the nation. COVID-19 goes to be probably the most vital healthcare menace if the financial disaster persists amidst rising circumstances of COVID-19 infections. Due to the scarcity of medical provides, vaccination charges, which had been as soon as up pre-crisis might come down, resulting in an increase in circumstances of illnesses resembling post-natal tetanus, polio, measles and diphtheria.

Key Dangers within the coming month*

Public Geographi Probability** Public well being** Degree of Rationale

Well being cal Scope consequence threat***

threat

measles some areas Low Reasonable Low

Lack of vaccines

Malaria Some areas Low average Low

Oncoming monsoon rains and lack of help

COVID-19 Countrywide Excessive Extreme Excessive

Lack of preparedness

Dengue Fever countrywide probably Reasonable Reasonable

Oncoming monsoon rains and lack of correct planning

Psychological Well being Colombo Low Low Low

Financial stress

Psychological Well being Colombo Low Reasonable Excessive

Not sufficient statistics is on the market

NCDs and most cancers countrywide Excessive Reasonable Excessive

Lack of drugs and medical provides

Crimson: might lead to excessive ranges of extra mortality or morbidity within the upcoming month. Orange: might lead to appreciable ranges of extra mortality or morbidity. Yellow: might make a minor contribution to extra mortality or morbidity Inexperienced: will most likely not lead to any extra mortality or morbidity/comparatively regular satiation within the upcoming month.

Epidemic-prone illnesses

Sri Lanka has carried out rather well over the previous 5 a long time in eradicating epidemic-prone illnesses resembling measles and polio. There has not been any latest breakout of epidemic illnesses within the nation previously 20 years. Nevertheless, within the absence of robust medical companies within the nation because of the ongoing financial disaster, there is perhaps a resurgence of epidemic-prone illnesses in small pockets of the nation. The probability stays very low, the danger and the general public well being consequence can also be very low.

Endemic infectious illnesses
The present financial disaster is prone to irritate the endemic infectious illnesses, notably Dengue Fever and Malaria. The areas most liable to malaria outbreak embody Polonnaruwa, Ampara and Badulla, particularly with the approaching Monsoon rains which might present the right breeding circumstances for malaria-causing mosquito. The incidence charges for Dengue Fever are projected to be low since incidences of the illness haven’t been noticed even throughout wet seasons.

Sexual and reproductive well being

There’s a actual threat of the good points in sexual and reproductive well being being rolled again on account of the dearth of funding for such packages. Sri Lanka has previously recorded low maternal deaths, and excessive births attended by expert well being personnel, excessive supply of births at a well being facility and excessive uptake of household planning strategies. With the collapse of the general public healthcare system, there’s a actually excessive threat of lack of household planning medication which can have an effect on the standard of lifetime of households

Non-communicable illnesses (NCDs)

Over 75% of deaths within the nation previously has been resulting from NCDs resembling most cancers. The aged inhabitants is on the best threat of dying from NCDs resulting from lack of medical care. 90% of the inhabitants that current with NCDs to healthcare amenities are handled at authorities hospitals. Within the absence of public healthcare companies resulting from lack of funds, there’s a threat of a rise within the mortality resulting from NCDs.

four. Well being System Standing & Native well being system disruptions
Primary figures on disruption of key well being system elements

Injury to well being amenities: lack of public funding on healthcare amenities might result in a deterioration within the coming months

Well being workforce: 90% of healthcare employees might go with out pay for the foreseeable months resulting in lack of sufficient workforce.

Medication and different provides: Widespread scarcity of medicine and different medical provides due to scarcity of overseas trade

Pre-crisis
The standard of main healthcare in Sri Lanka is above its earnings group. The main focus of the nation since 2013 has been to scale back the deaths attributed to NCD and growing old. There was an elevated development of NCDs within the nation, that are attributed to a number of components resembling unhealthy weight-reduction plan, smoking, drug abuse and psychological well being. Pre-crisis, greater than 600,000 Sri Lankans had entry to more healthy existence and improved healthcare.
Pre-crisis, the nation had made vital healthcare strides in eliminating illnesses resembling malaria, polio and post-natal tetanus.
In-crisis
There are a number of packages aimed toward strengthening main healthcare in Sri Lanka, all that are presently liable to collapsing within the disaster.
· The disruption in main healthcare primarily impacts vaccinations, inpatient and outpatient care and the administration of continual illnesses.
· There are not any official statistics of the impact of the disaster on PHC in Sri Lanka owing to how latest the disaster is.
· Normal dangers to PHC embody lack of drugs and medical provides, lack of electrical energy provide in hospitals and lack of funding for essential healthcare packages within the nation.
· One in three dad and mom in Sri Lanka states that they
have observed a detrimental change of habits of their
kids within the final six months since January,
in accordance with a Save the Youngsters survey performed
in June 2022.
5. Humanitarian Well being Response (three/4W matrix)
Well being response coordination
The information on the well being response in inadequate. Nevertheless, because the disaster started, the Sri Lanka Crimson Cross and different worldwide companies such because the World Well being Group have stepped in to supply essential healthcare companies to the residents of Sri Lanka and to plug within the gaps in healthcare provision that has been left by the collapse of public healthcare programs.

No. of companions

As at current, there isn’t any concrete information or info on the companions or organizations which can be main healthcare service supply.

Well being response actors
Who

· Sri Lanka Crimson Cross

· Ministry of Well being

· GAP organizations working to advance the SDGs’ healthcare and growth aims

· WHO offering tips and doing wants Assessment to help the Wholesome Cities initiative

The place

· Countrywide

How

· Quick response to medical emergencies

· Collaborations between public and business organisations to advance the healthcare SDG agenda

· Offering mandatory healthcare companies that aren’t supplied by hospitals

· Making efforts to renew offering healthcare companies over the following three months

(There isn’t a adequate info to assemble the three/4W matrix, and subsequently a quick description of the companions and response actors is given)

Who

What

The place

When

Sri Lanka Crimson Cross

Emergency medical take care of protesters who grow to be injured

Metropolis of Colombo

Since June 2022

Ministry of Well being

-Working with aid organizations to present PHC to residents

-Working to revive healthcare companies nationwide

countrywide

Yearly

GAP companies

Coordination of actions to fulfill SDG targets for healthcare and constructing out the infrastructure for healthcare

Countrywide

Yearly

World Well being Group

-Provision of emergency medical provides on account of the paralysis of public companies

-Coordination of the Wholesome Cities initiative with the MOH and GAP companies

Countrywide, Metropolis of Colombo

Since Could 2022

6. Info gaps & info supply
There’s a basic lack of expertise on the general public well being disaster that’s going through Sri Lanka in the meanwhile. The out there info exists in types of information stories and in web sites of worldwide organizations just like the World Well being Group. The knowledge that exists in secondary sources is just not updated as a result of the financial disaster is a latest occasion.

There’s little to no info and official figures on the prevalence of illnesses and on the vaccination charges.

The next are advisable for assortment of main information in the place adequate secondary information can’t be discovered:

7. Key References
SRI LANKA Socioeconomic disaster. ACAPs

Rajapaksa L, De Silva P, Abeykoon A, Somatunga L, Sathasivam S, Perera S et al. Sri Lanka well being system overview. New Delhi: World Well being Group Regional Workplace for South-East Asia; 2021.

Vaidyanathan, Rajini. “Sri Lanka Healthcare on the verge of Collapse in Financial Disaster.” BBC Information. Final modified April 17, 2022. https://www.bbc.com/information/world-asia-61111405.

WHO | World Well being Group. Accessed July 27, 2022. https://www.who.int/docs/default-source/health-workforce/health-labour-market-analysis-in-sri-lanka.pdf.

“The Devastating Well being Penalties of Sri Lanka’s Financial Collapse.” The BMJ. Final modified June 29, 2022. https://doi.org/10.1136/bmj.o1543.

eight. Contacts
For instance:

Well being Cluster Coordinator:

Well being Cluster Info Administration Officer:

[Insert Country Name] Public Well being Info Companies Focal Level (WHO Geneva, RO):

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