Sri Lanka

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  • Low mortality, but unusually high malnutrition

    “With nearly one out of three children aged five or under being underweight, Sri Lanka has unusually high rates of child malnutrition, not only in absolute terms but also in relation to its income,” says the World Bank in its report on Sri Lanka attaining the Millennium Development Goals (MDG).

    Local health authorities are sceptical, but the bank’s research team insisted Friday, at the launch of the report, that there is no mistake.

    In fact, as much as 15 percent of children even from the richest households – that should have access to enough food – are underweight and stunted.

    Paradoxically, child mortality rates in Sri Lanka are so low - only 13 infant deaths per 1,000 live births – they are only one fourth of what is expected of a country with Sri Lanka’s per capita income.

    “Based on income levels, child mortality should be in the range of 45 to 50,” says Anil Deolalikar a professor of economics from the University of California.

    Sri Lanka has also already attained gender equality in primary and secondary school enrolments and is near universal primary enrolment and completion.

    Adult literacy and life expectancy rates are also well above levels expected from the country’s per capita income.

    Which is why the high child malnutrition rates – almost double what it should be based on per capita GDP and treble what it should be based on infant mortality rates - are difficult to digest.

    “What this means,” says Deolalikar, “is that children are surviving in Sri Lanka but the quality of life in early childhood is far from ideal.”

    According to demographic and health survey data, says the World Bank, around 29 percent of children between the ages of 3 months to 59 months are moderately or severely underweight.

    Another 14 percent of children in the same age group are stunted or wasted.

    Malnutrition is highest in the estate sector with nearly half the children - over 43 percent- are underweight followed by the rural sector where around 20 percent of children are underweight.
  • Ending Chaos
    The annual World Disasters Report commissioned by the British Red Cross to examine the relief industry’s performance in the wake of last year’s Boxing Day tsunami makes sobering reading. The impact of unprecedented generosity by government and individual donors around the world was undermined by jealous rivalries and poor co-ordination amongst the agencies that rushed to the disaster areas. Many charities duplicated aid but neglected some of the worst-affected areas. Most shockingly, some aid agencies, eager to raise their profiles, concealed information about the disaster rather than share it with rival organisations, according to the report.

    The lessons to be drawn are likely to be unpalatable to the international donor and relief agency communities; that agencies cannot be entrusted to lead relief efforts, or to coordinate their actions. In other words, even in the 21st century, the state – and by that we mean the de-facto authority in a given territory – still has a crucial role. Indeed, in some cases, the state is peerless as the leading actor in a crisis – as exemplified in failure by Hurricane Katrina. The Indian Ocean tsunami killed tens of thousands in Sri Lanka. But more would have died, not least in ensuing epidemics, without the swift and decisive actions of the Liberation Tigers, not only in their controlled areas, but also in government-controlled parts of the Northeast.

    Especially in disasters on such scales, a centralized coordinating body – one which agencies on the ground are compelled to function through – is vital. The LTTE runs a disciplined framework for coordinating relief agencies and non-governmental organizations working in the Vanni. Inevitably, this has sometimes caused resentment amongst organizations whose ‘global civil society’ ethos is predicated on autonomy of action. But the framework has reduced waste and maximized the impact the myriad of organizations – which often have overlapping skills, resources and objectives – on the people of the region. The ultimate beneficiaries of this structure have, quite rightly, been the aid recipients. In prioritizing their interests, agencies must thus be prepared to participate in the coordinating efforts of the de-facto authorities, whether state or non-state.
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