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Sri Lanka: community health programmes make a real difference
5 November 2007
By Rukshan Ratnam, International Federation Information Manager in Sri Lanka
As S. Sumanawathi and her son walk around the small vegetable plot in front of her house, she stoops to pluck some green beans and ladies fingers which will be made into a spicy curry for the family lunch.

Sumanawathi is a participant in a home garden project in Sri Lanka’s southern district of Kalutara which is part of a wider community based health programme (CBH) being implemented by the Spanish Red Cross and Sri Lanka Red Cross (SLRCS) across nineteen villages in the district. The project is providing seeds and training to vulnerable families with the aim of encouraging families to eat a more nutritious and balanced diet. “All the vegetables we now eat we grow ourselves. We have even been able to share some of the produce with relatives and neighbours,” explains Sumanawathi.

The home garden project is run by village health committees, many of whose members are beneficiaries themselves. Each committee levies fees from its members and Sumanawathi’s committee in Kalutara South hopes to use the income raised to purchase eye glasses for needy members of the community and to conduct a mobile health clinic in her village.

Since the 2004 Asian tsunami, the health and care programmes of the SLRCS have undergone a dramatic expansion with programmes that now cover First Aid training, community based health, psychosocial support, public health in emergencies and HIV awareness and prevention. The greatest investment has been made in developing the SLRCS’s community based health programmes. There are currently 14 CBH programmes supported by 10 partner Red Cross societies in 13 districts.

In a remote area of the northern district of Puttalam, a CBH project run by the SLRCS and the Japanese Red Cross is having a big impact on the health and welfare of economically marginalized villagers in the area. The CBH programme is comprised of three main pillars - improvements to water and sanitation infrastructure, improvements in nutrition and building the capacity of community-based organizations.

Thirty kilometres north of Puttalam lies the village of Eluvankulam which is situated close to a former frontline area separating government forces and those of the Liberation Tigers of Tamil Eelam (LTTE). Following an attack during the long running conflict, the village was re-located to a new site two kilometres away, but well water in the new location was found to be brackish with limestone deposits. The Red Cross stepped in and made repairs to the well at the old village, constructed a pump house and is installing a pipeline that will bring water to the new village. In total, three community wells were built or re-habilitated in three villages together with storage towers and distribution lines. 1,000 households from the three villages of Eluvankulam, Rambaganayagama and Divulwewa will benefit from the new water system.

The village health committee in Eluvankulama supervises construction of the water infrastructure using local masons and in the future it will charge monthly rates from each household to cover the maintenance and operating costs of the network. Each family is expected to contribute to the cost of branch pipelines that will connect their individual household to the main grid. 52 such village health committees have been set up by the Red Cross in the different local administrative divisions in the district. They, together with additional Red Cross volunteers, drive CBH projects in the villages.

Many of the families targeted under this programme are extremely poor and are living with very basic facilities. Some lack toilets - which led the Red Cross to construct new toilets for almost 100 families across the three villages.

Complementary to the water and sanitation scheme is a hygiene promotion and nutrition programme that is targeting 45,000 people. Red Cross volunteers visit 9,000 homes across the district. Teams – comprised of a community health promoter accompanied by 2 SLRCS volunteers – spend three days each week making house calls.

“We raise awareness about basic hygiene issues like not washing food or cooking on the floor. We advise people to boil water before drinking it and explain that they shouldn’t leave water containers open for mosquitoes to breed in,” explains Red Cross volunteer Yamuna Amaranth.

Although the volunteers are only able to each family every few months, levels of awareness amongst the village community are already much higher.

“I now cover all pots, pans, the coconut scraper and even the grinding stone as I don’t want germs to get into the food I cook for my family,” says Kusuma Rajapakse.
Beneficiaries register for a Sri Lanka Red Cross and Japanese Red Cross supported community health based (CBH) project in the northwestern Sri Lankan district of Puttalam. Under this programme, The CBH program is comprised of three main pillars - improvements to water and sanitation infrastructure, improvements in nutrition and building the capacity of community structures. (p16674)
Beneficiaries register for a Sri Lanka Red Cross and Japanese Red Cross supported community health based (CBH) project in the northwestern Sri Lankan district of Puttalam. Under this programme, The CBH programme is comprised of three main pillars - improvements to water and sanitation infrastructure, improvements in nutrition and building the capacity of community structures. (p16674)
RELATED LINKS
Activities in Sri Lanka
International Federation tsunami operation
More news stories
S. Sumanawathi gathers vegetables from her home garden in the southern Sri Lankan district of Kalutara. The home garden project is part of a wider CBH programme in 19 villages of the district, implemented by the Sri Lanka Red Cross and Spanish Red Cross. (p16675)
S. Sumanawathi gathers vegetables from her home garden in the southern Sri Lankan district of Kalutara. The home garden project is part of a wider CBH programme in 19 villages of the district, implemented by the Sri Lanka Red Cross and Spanish Red Cross. (p16675)