Page 1
HEALTH DEVEL NORTH EAST
19 ᎦᎡ L

LOPMENT PLAN I PROVINCE -90 ANKA

Page 2


Page 3
HEALTH DEVEI
-: Ig NORTH EAS
se a
Podleses S
ESCHE
MINISTRY SEAVIEW ROA.

LOPMENT PLAN 990: -
T PROVINCE
kong
4 ga
M.!
3330
OF HEALTH D,TRINCOMALEE

Page 4
HEALTH DEVELO NORTH-EAST PR Ss3E3E3E3E3=
Contents 1 Prefạce 2 Forward 3 Introduction 4 Profile 5 Devolution of Powers 6 Statute for Health Services
Annex. 1. Institutions occupi
2. Stafi availability
Services (Selected 3. Staff Availability
(Selected Categorie 4. A.G.AA. Divisions i 5.
Land Area & Populat 6. Medical/Health Inst
of Hospitals 7. Ayurveda Dispensar
Map of Sri Lanka d 7 Subjects & Functions
8 & 9 Organisation.. Che 8 Financial Provisions
10. Schedule of alloca
Ministry to Region 9 Buildings
Location sites for
& Divisional Drugs Programme of work 10 Primary Health Care 11 Rehabilitation & Reconstructi 12 Programme of Work 1990 13 Basic Data set Index

PMENT PLAN 1990 OVINCE : SRI LANKA sesazezesssssssss
Pages
3 - 4
O UN W N
7 - 8
Led by Security Forces
- Patient Care & Diagnostic Categories) - Community Health Services B8)
Porth-East Province Eion - NEP District Wise
titutions and Bed Strength
Les run by Local Authorities emarketing North-East Province
9 - 14
arts
tion granted by State al Offices
16 - 17 Ministry of Health in Trincomalee Stores for RDHS Division, Trincomalee
18 - 22 23 - 27
on

Page 5
PREFACE.
Annual Health Development Plans h: each year, districtwise by the Re Services starting with the year 1 term Health Development Plan with 'Alma Ata' declaration of the Wor: with the objective of "Health for
Health Region.
Dist
1.
Ampé Batt
Amparai Batticaloa Trincomalee. Vavuni ya.
* 3.
Trii
4.
Vavi Man Mul: Jaf: Kil:
Jaffna.
The Regional Directors have, like Health Development Plans for 1990 composite Health Development Plan based on the plans submitted by tl
The plan is presented to all to wl consideration, soliciting their s encouragement in its implementati
Thank you. .
i
Yours in Service
P. Ratuszochspricky
Dr.P.Ratnasa bapathy. Director General of Health Servic North-East Province, Trincomalee. 5th. November, 1989.

ad been formulated for gional Director of Health 985, as part of a long
a vision to achieve the Lld Health Organisation A11" by 2000 A.D.
Erict.
trict. asarlaridan arai (1) sicaloa (2)
comalee (3) uniya. (4) nar. (5) laitivu. (6). fna. inochchi(8) vise, submitted their . This document is a
for the North-East Province, 1e Regional Directors. 1om it may concern for their Ipport, Co-operation and on..
di Storia ya utama
:S

Page 6
FORWARD
The Health Sector of the Northwith several institutional stru emaciasted of its man-power, esp Personnel and Equipments, parti These deficiancies are reflecte of the five Regional Directors Also several Institutions in fu the security forces have not be in Annex.1
Reconstruction and Rehabilitatis infra-structure facilities are ] extensive damages that had occu with, in the prevailing conditie resources.
Acute shortage of Medical and Pe practically in all the major med and District Hospitals. The se staff needed to man the Communi has arisen because the positions resignations, transfers etc. ha years. These are reflected in respective R.D. H.SS. The Health/Ministry North-East efforts to remedy the major pro release of Institutions, by the staff. In this effort the Min powers that may who hold the he of resources and manpower to as. Directors to heal and resuscita Sector, North-East Province, Sr Health Services are responsible Plans for each district formula approved, with active support, d of Health North-East Province.

-ast Province stands today devasted,
tures destroyed or damaged, and cially of Medical and Para-Medical Fularly of the Electro-Medical Gear.. - in the Health Development Plans -f Health Services, in detail. Li or sections of them occupied by en vacated yet. These are listed
on of the damaged structures and progressing but slow, due to the Fired, various constraints faced ons; and availability of the limited
ara-Medical Personnel prevails dical institutions - General, Base ame situation prevails as regards · :y Health Services. . Such a situation ; that became vacant due to retirements, I not been replaced over the several Annex.2&3; also in the plans of the
Province will direct all possible blems of reconstruction of structures, security forces and the shortage of .stry look forward and appeal to the
ping and commanding hand in distribution ist. the Ministry and . the Regional e the ailing Mr. Health alias Health
Lanka. Directors of the Regional for implementing the Health Development ed by them for 1990, and which have been rection and supervision of the Ministry.

Page 7
INTRODUCTION
In order to achieve the objective effort for the provision of healt level of health, that permits peo productive life, by improving the it has now become clearly recogni Plans be formulated at District 1
formulation of an Annual District to clearly delineate the health d the attainment of the highest pos people and also to ensure:-
1. the rational allocation
resources between progr on established prioriti ation the resources ava potential, from all sou vincial, Donor Agencies and Community Contribut
2. that the programmes are
health problems of the of manageable activitie main social and economi and influence the healt provision of health car improve the health stat
inter-sectoral co-ordir cipation in the impleme development plans.
4.
maintenance of all heal cluding maternal and ch by providing needed fac
It is also being recognised that District Health Development Commi Constituted with a view of ensuri sectoral co-operation, Community and to review the health develop

s of the Health Development h care for attainment of a ple to live a socio-economic
health status of the people, sed that Health Development evel. The purpose of the
Health Development Plan is evelopment efforts towards sible level of health by all
and utilization of the ammes and projects ba sed es, taking into considerilable, actual and rces viz. National ,Pro, (Governmental & N.G.00) -ions.
ation
- directed to priority
districts by selection Es taking into account the
c factors which constrain Eh sector, and by the -e facilities and to
cus of the population.
nation and community partientation of the health
.th sector institutions inild health clinic centres
cilities.
a working group known as the Ettee for each district be
ng political support, interparticipation for monitoring ment efforts. Such a committee

Page 8
- 4 -
could be constituted with the health administration of the District Political Authorit
Officers of Health Supervisi
and Public Health Nurses ano
of the district serving as
" Health for all is:
by every body. Di during its implemer requires fundamenta Change does not ha brought about by 1
Recognising that promotive more effective for developm the people, high priority i to the preventive services achieving'health for al1' P mental changes in the conte organisation of health sy st. allocation, the perception providers and the public. arrangement and a relationes forcing than that existed p
The 'Alma Ata' declaration a new era in health. The c Global health for all strat rapidly gaining ground. So North-East Province is plac directing greater efforts t as such emphasized in this document presented.

· R.D.H.S. responsible for the
· district as Chairman, with ', Asst.Govt. Agents, Medical .ng/Public Health Inspectors, I selected community leaders
members.
I slogan easily accepted Pficulties arise, however, itation, since success ally new attitudes to health. ppen spontaneously but is 90 eaders" - (WHO Forum)
and preventive health care are ent and sustains the health of 5 given to more sustained efforts in this plan. As a strategy for rimary Health Care implies fundant of health programmes, the ems, the manner of resources and value systems of health care It necessitates a new working hip that is more mutually reinreviously.
NOW
of the W.H.O., in 1978 heralded oncept of Primary Health and the egy to implement. it are now
much so the Ministry of Health, ing high priority devoting and o this project during 1990 and ' Health Development Plan'

Page 9
-- 5
PROFILE - NORTH EAST PROVINCES Sssssssssssssssssssss========
North-East Province is one of th bounded by the Indian Ocean on t Western region. Provinces adjoi North-Central, Uva and the South dry zone. It has a land area of Physically the province is a la (lagoons) along the costal belts Jungle coverage. There are a fe number of small tanks. The Prov with a total of 68 Assistant Gov
The Province is mainly agricultu paddy, cereals, vegetables, onio springled with palmyrah palms to plantations to a fair extent. N occupation of the people is fish ventures, both state sponsored a
The mid year population for 1990 shows population distribution by the population is rural.
Health Sector Institutions servi and shown under; Hospitals for 1 number 87 with a bed strength of Ayurveda); 86 only for outdoor preventive care services, beside
General Hospital ( Tea General Hospital Ba se Hospitals District Hospitals Ayurveda Hospital ( T. Peripheral Units Rural Hospitals Central Dispensaries
T.B. Hospital Leprosy Hospital Central Dispensaries Ayurveda Dispensaries
* Administrative con
There are also 38 Ayurveda Dispe local authorities with contribut Institutions classifiedy Distri

RI LANKA
SE SE
e Eight Provinces of Sri Lanka. It is he East, North and a portion on the ning this Province are, North-Western, ern Provinces. The Province is the - 18,347 sq. Kilometers, approximately.
t land stringed with inlets of sea F. The fair extent of the area is under
W major irrigation tanks and a large Fince is divided into eight (08) districts Fernment Agent's Divisions. Annex.4.
ural, chiefly cultivated crope being ons and chillies. The Province is - a large extent and with coconut Text to paddy cultivation, the major ing. There are several industrial and private enterprized.
is estimated as 2,528,000. Annex.5 Districts. Eighty percent (80%) of
.cing the province are classified Indoor/Outdoor treatment of patients 2 5947; Dispensaries (Western and patients care; 20 Health Unit for es other specialised units.
aching )
!!!!!!!
eaching )
= Maternity
Homes
- 01* - 01. - 83 - 03
trol by the State Ministry.
ensaries in the province run by tions from the Ministry. Lists of ctwise are shown in Annex.6 & 7.

Page 10
DEVOLUTION OF POW
13th Amendment to the C San; of Sri Lanka (Chapter X
=
IL +
li
Il
|
if
I!
II
=
=
LIST - 1 : (Provincial Council Li
Section 11 - Health
11:1 The establishment an
Rural Hospitals, Mat Arda
(Other than Teaching established for spe
11:2 Public Health Servic
Family Health, Mater
Food Sanitation, Env 11:3 Formulation and Impl
Plan and of the Annu
11:4 The provision of fac
referred to in 1 abo
the procurement of 11:5 Awarding of Scholars
within Sri Lanka to tutions specified in
12 - Indigenous Medicine 12:1 Establishment of Ayı
grants to such Dispe
12:2 Establishment and m: LIST - III: (Concurrent List)
Section 9 - Health
9:1 Schools for training 9:2 The supervision of i
Nursing Homes and o
Province; 9:3 Population control : 9:4 Constitution of Fro

ERS
onstitution
VII A Clause 154 A) ====================
st) is een
d maintenance of public hospitals, -ernity Homes, Dispensaries - Hospitals and Hospitals -cial purposes);
-es, Health Education, Nutrition, -nity and Child Care, Food and -ironmental Health ; Lementation of Health Development nal Health Plan for the Province;
cilities for all Institutions ove within the Province, excluding arugs; ships for Post-Graduate Education
personnel, attached to the Instia 1 a bove.
- Ayurveda, Siddha and Unani; arvedic Dispensaries and Hospitals, ensaries and Hospitals; aintenance of Herbaria.
s of Auxilliary Medical Personnel; private medical care, Control of E Diagnostic facilities within a
and family planning; eincial Medical Boards

Page 11
STATUTE FOR HEALTH
NORTH EAST PRO
(_Sent for approval to
A Statute, to make Privision for th of Health Services and Alternative Province of Sri Lanka in respecto out in the Items 11 and 12 of List of the 13th Amendment to the Const: Socialist Republic of Sri Lanka.
(1)
This statute may be cited Alternate Medicine Statute of the 1 Lanka.
(2)
For the purpose of this s Department of Health Services and . ting of the District and Divisiona: Officers and employees holding Off: from time to time.
(3)
There shall be appointed ] Director General of Health Services and Regional Directors of Flealth Se aspects of Health and Alternate Me
(4)
Subject to the general di: Provincial Minister, the Officers a ment shall execute and shall have sions of this statute and or of any under.
(5)
(1)
(2).
The Provincial Minis for the purpose of g. ples and Provisions In particular and wi lity of the powers c the Provincial Minis all or in respect of purposes:- (a)
The establishme Hospitals, Rura Dispensaries (o
and hospitals e (b)
Public helath s nutrition famil cate, food sani
(c)
Formulation and Development Pla for the Provinc

SERVICES..
E
INCE
the Attorney General )
e Establishment of Departments
Medicine, in the North East e Functions devolved, as set
Number 1 in the Ninth Schedule tution of the Democratic
as the Health Services and ' , .rr Short Horth-East Province of Sri
Title
Catute, there shall be a Alternate Medicine ConsisL. Health Officers and ice as may be appointed
Department of Health Services.
persons to be or Act as s and Alternati. Medicine ervices for specified dicine.
Creation of Posts in the Department.
rection and control of the and employees of the Departpower to enforce the proviI regulations made there
Powers and Dates of the Officers.
Regulations
ter may make regulations iving effect to the Princi»f this Statute. thout prejudice to the genera»nferred by Sub Section (1), ter may make regulations for all or any of the following
it and maintenance of Public . Hospitals, Maternity Homes, :her than teaching hospitals stablished for special purposes). :rvices, health education,
· health, maternity and child :ation, environmental health.
implementation of Health it, and of the Annual Health Plan
-2-

Page 12
The Provision referred to in excluding the
, (e)
Awarding of Sc. Education with attached to th
11. (a) Establishment of Ayurvedi
grants to such dispensari
(b) Establishment and mainten

of facilities. for all. institutions
1 above within the Province, : Procurement of drugs.: :
... ' " holarships for Post Graduate Sty : in Sri Lanka to personnel e · Institution specified in 1 above.
: : " Ar to:
c Dispensaries and hospitals es and hospitals.
ance of herbaria.
.. : : : : ( )
. : : 1
:: T. :

Page 13
Annex. 1
Institutions occupied by Securit
The Security forces (Sri Lanka A of the following offices, Medica for staff attached to the Instit Rehabilitation work in respect o Owing to this situation.
Vavuniya & Mullaitivu District
Central Dispensary & RMP's Q 2. Central Dispensary & Materni
Midwife Quarters/CD & My Pav 4. Central Dispensary and RMP's 5. RDHS office Vavuniya
MO MCH Quarters, Vavuniya 7. Divisional Drugs Stores (Part
Trincomalee District
1. Central Dispensary & Materni
Morawewa, Pankulam
DMO's & Nurses Quarters, DH 3. Rural Hospital and RMP's Qre 4. Central Dispensary & RMP's
Jaffna and Kilinochchi District
1. Central Dispensary, Vannerii 2.
Peripheral Unit, Akkarayarık
Maternity Wardand Medical O. Public Health Inspector's Q Akkarayankulam Central Dispensary & Matern Midwife's Quarters
4.
Batticaloa District
1. RMP's Quarters/Peripheral u 2. Central Dispensary & RMP's
Periyapullumalai Amparai District 1. Central Dispensary & Mater 2. MOH's Quarters, Thirukovil 3. Peripheral Unit Akkaraipat

y Forces
rmy/STF, IPKF) are in occupation 1 Institutions and/or quarters utions and RDHS's Office, Vavuniya. f these Institutions are held up
cuarters Neriyakulam - IPKF
ty Home, Pavatkulam - SLA Patkulam
SLA . Qrs , Kokilai
Prohibited Area
IPKF
- IPKF ) Vavuniya
ІРКЕ
ity Home
IPKF.
Muthur
- IPKF
3. T'hanpalakamam
IPKF Quarters, Mullipottana- SLA
- IPKF
xularn
Lulam fficer's Quarters
IPKF
cuarters
ENDLF
ity Home, Tharmapuram
IPKF
nit, Kaluwanchikudy - EPRLF Quarters
- STF
ity Home, Thirukovil - STF
IPKF u/Wards & RMP's Qrs. - STF

Page 14
-- -- --
|
2
*:)
05:01
TI
----
- - - - - -
----
--
| 1
II | 11
IIII
IR - - - - - - - - - - - - - -
IN || III
| 1
DI (.)
05.
I-II-III
IL II
U
L -
8.Physicians (V.P.... 9.Surgeons (GEN). 10.Surgeons (ENT). 11.Surgeons (EYE).
U IN
- -- -- --
|| IIII |
- --- --
-----
III
III
- -- -- --
| 1
1111 | 1
| 1
- -- --
----
1 1 1 1
12. Radiologists
IN || ||
O1
| 1
U IU IV ILLI III IN IO I OD II III
1 I
-- -- -- -- -- --
----
04.
Nurs
fficer
IS I
------------------------------
IL II 90
- - - - - - -
- - - - - - - - - -
11 If
18 ||
|--
I W
- - - -
---
1
----
| | |
05. F.H.W. (Midwifes
f
------------
e
Ii II
-SIN) }
OI
11 11
| 1
IN I
In 11 INUIUM IN
|: : 18 in 1% 18 || 11 ||
LA IN IO IO TO
IN IO IO | CO |
|| 14
...
is ia iaitu ia i
----------
III .
: : is ia iaisia
16! 14
O8 i -- -- -- -- --
II || - -- -- -- ----HIE -- - - - -
6
06. Pharmacist 07. M.L.TT. 08. Radiograp
her .09: E.C.G. Recordi 10. Physiotheropist
II (!
----
1 1207
06 i
01
03
IR II -----------+-------
--------
III
| O | IP
OU
I n
C) ! 02
| 1
11 ------------
II il
| 1
03
06
--"
O
01
01
| 11 15 #
TOTAL
245
168
437
269
234
IT I! 170
i} | il li
I !! -=====================================================
916
607
=============
=============================

AindA =
STAFF AVAILABILITY OF SELECTID CATE
A
T
A
1 H
RIOS ES
IH-1 G) 10
PATIENT CARE AND DISGNOSTIC S
I
HI UL
| 41
TRIT IIII ILII
PLACES
eneral Hospi
District Hospital
Base Hospital.
Total
I Q.
- - - - - - - - - -
31 RII ILII
Fixed i Working.
Fixed
| Working.
ILI
02.-.-.----- 02
08
07
Fixed I working
Fixed i Working 06.
0803. 24--------29. 24
.16
IUN
------------
CATEGORIES _01. D.M.0. _02._M.00.(Grade). 03.
| Specialist (M.O.) 1.Anasthetist
li II
11
کےا
IO
| 1
CD 1
ID
-------
III || II
-
III INN
DI
-----
- -- won - -- --
IIII
IL
ia is is
-----
II IL ILII
ia il 19 in
2.Dermatologist.
IL LIO
I TIL
-------
13 10 11 12
3.Dental Surgeons 4.Paediatrician
----
| | | |
I 1 1 1 1 - - - - - - - - - - - 1
hii ii in in ia
---- + ..
DIO I
O
1 1 1 1 1 1
5.Pathologi
II
| 11 ----
- - - H - - - - - - -
- H
II
IT II - - - - - - - - - - - - - - - - - -
IN II
11 - - - - - - - - - - - - H H -- -- -- --
+-- II IIl -+ - H+ - - - - - - - - - - - - - || BI i II
I.
O II TO S II
I.
t
UD I
- -L. --
| || || | || ||
| | | |
O II !... IT
DI O
| 1
. ..
(O I
6.Psychiatrist
-------
- -- -- -- -- --
!
n?
NL
O
7.9hsteterisian
i

Page 15
Annexire - 3
STAFF AVAILABILITY - COMMUNITY HEALTH SERVICES (OF SELECTED CATEGORIES).
AMPARAI
BATTICALOA
DISTRICTS.
TRINCOMALEE
JAFFNA
VAVUNIYA
TOTAL.
#
CATEGORIES.
Fixed
I working
Fixed
! working
Fixed
i Working
Fixed : Working
Fixed i
Working. I Fixed working.
--.L...
M. O. H.
O4
O4
03
02
03
03
03
09
07
1 22
17
S.P.H.I.
04
03
01
01
06
07
01
21
02
· P.H.II..
26
33
21
10
32
54
40
169
106
----+--
P.H.NN.
O4
03
03
01
06
02
18
02
H
S/F.H.W.
04
03
01
-02
| 01
02
05.
01
07
F.2.ww."
161
74
113
60
36
21
117
26
162
(IO
90
271

-----
School Dental Therapists
04
LO
05
02
06
O1
2
10
|
TOTAL:
224
111
163
98
เ1
182
58
249
145
417
876
============
===========
F=================================================================================================
----
* The number indicated under Colums "Fixed" is for the existing statior.s - does not
reflect the actual requirement according to the list of stations approved subsequently.

Page 16
Annex. 4.
A.G.A DIVISIONS DISTRICT WI
DISTRICTS
* Trincomalee .
* Mannar
* Mullaithivu
* Vavuniya
* Kilinochchi
* Jaffna
Batticaloa

SE - NORTH - EAST PROVINCE
A.G.A DIVISIONS
1. Town and Graveis 2. Kuchchaveli 3. Thambalagamam 4. Kinniya 5. Mutur 6. Seruvilla 7. Kantale 8. Morawewa 9. Gomarankadawela 10..Serunuwara 113. Thoppur
1. Mannar 2. Mantai West 3. Musali 4. Nanattan
1. Maritime Fattu 2. Puthukudiruppu 3. Thunkkai 4. Manthai East
1. Vavuniya North Division 2. Vavuniya South Tamil Division 3. Vavuniya South Singala Division 4. Vengala Cheddikulam Division
1. Pachchilampallai 2. Kilinochchi 3. Poonakary 4. Kandavalai
1. Delft 2. Island North 3. Island South 4. Nallur 5. Vali East 6. Vali West 7. Vali South West 8. Vali North 9. Vali South 10. Thenmaradchi 11. Point Pedro . : 12. Karaveddy 13. Jaffna 14. Chempianpattu
1. Manmunai West 2. Manmunai South West 3. Manmunai North 4. Manmunai South & Eruvil Pattu 5. Eravur Pattu 6. Koralai Pattu North
cont......

Page 17
Annex. 5
LAND AREA AND POPULATION DISTRICTwis
Administrative area
Land Area ..sq.km
Jaffna District
1374
Mannar District
2002
Vavuniya District
2193
Mullaithivu District
1966
Batticaloa District
2500
Amparai District
4539
Trincomalee District
2618
Kilinochchi District
1155
North - East Province
18347
Sri Lanka
64652

E - NORTH - EAST PROVINCE
Population 1981 Census
1989 Estimated Mid Year
733096
853000
106940
127000
95920
114000
77530
93000
330900
406000
388970
510000
263948
308000
98000
117000
2085304
2528000.
14846750
17055000

Page 18
DISTRICTS
* Batticaloa
Amparai

A.G.A DIVISIONS
7. Koralai Pattu North 8. Paththiruppu Pattu
1. Padi yatalawa 2. Uhana 3. Damana 4. Amparai 5. Kalmunai 6. Sammandurai 7. Addalachchenai
Akkaraipattu 9. Thirukkovil 10. Pottuvil 11. Mahaoya 12. Ninthavur 13. Karaitivu 14. Lahirtugala

Page 19
ANNEX, 6.
MEDICAL/HEALTH INSTITUTION
SHOWN CLASSIFIED:REGION
REGIONS
Ampa -rai
Batt|caloa
T |-n
DISTRICTS
Medical Institutions
General Hospital (Teachine)
Provincial Hospitals
Base Hospitals
NI
District Hospitals
Peripheral Units
5
Rural Hospitals
Maternity Home & Central Dispensary
Central Dispensaries
23
Chest Hospital
Chest Clinics
Leprosy Hospital *
Ayurvetha Dispensaries
Ayurvetha Dispensaries
Health Institutions M.00.H. .
School Medical Officer
School Dental clinics
Regional Medical Officer:Malaria Control Sub Regional Officers - Malaria Control
T O T A L
53
35
* Under the administrative control of the
** Run by Local Authorities with subsidy

ES: NORTH-EAST PROVINCE - WISE/DISTRICT WISE
V A V UNI Y A
J AF EN A
-inco nalee
TOTAL
Vavu -niya
Mannar Mullai- Jaffnal Kili
tivu
nochchi
5 I
.14
7 | 3
23
16
2
9
24
15
20
38
19
21
26
24
14
80
265
e State Ministry of Health
co be given by this Ministry.

Page 20
DISTRIBUTI ON OF HOSPITALS RE
NORTH-EAST PROVINCE SHOW
Health Regions
Ampa-*Battirai. I caloa.
caloa.
Admn. Districts
Type of Hospitals:
Nos.
General Hospital (Teaching)
Beds
Nos.
|Provincial Hospitals
Beds
618
No5.
2
Base Hospitals
Beds
352
Nos.
District Hospitals
Beds
94
100
Nos.
Peripheral Units
Beds
164
135
|11|1 || 1 | 1 || TITI 8° 318||18| TELLE EST LE 11
Nos.
Rural Hospitals
| 3
Beds
24
62
No6.
Maternity Homes
Beds
67
10
Nos.
Tuberculosis Hospital
Beds
No6.
Leprosy Hospitals
Beds
158
Total Nui
Total Be Central Dispensaries and Ayurved.
15
Central Dispensaries (Western system) Ayurveda Dispen saries. (1) Departmenta
(2) Local
Authorities

SI ON WISE/DISTRICT WISE IN ING BED-STRENGTH
Crinco -malee
V A V U N I Y A
J AF FN A
|TOTAL Vavu
| Mannar Mullai Jaffna Kiliniya
tivu
noch chi.
1060
1060
618
330
158
183
232
1255
- 3
| 5
· 14
52
107 |
| 88
625
- 128
1194
3
23
36
24
- 24 |
42
331
102
858
16
96
41
43
24
93
2
2
9
24
36
16
26
88
277
144
144
158
mber of Hospitals : 87 a-Strenth
:5947 a Dispensaries
: Out door treatment only
8
9 e 4
83
5
38

Page 21
ANNEX. 7.
Ayurveda Dispensaries run by Local from the Ministry of Health, North
f
H
e
a
H!
P;
TRINCOMALEE DISTRICT:
01. China-baj 02. Kantalai 03. Seruvila 04. Sampaltiv 05. Uppuveli.
JAFFNA DISTRICT:
01. Chulipura 02. Nallur 03. Analaitiv 04. Punguduti 05. Nainativu 06. Jaffna 07. Eluvaiti 08. Puloppall 09. Kaddaivel 10. Uduppiddy 11. Puloly 12. Chankanai 13. Nelliady 14. Atchuvely 15. Neervely 16. Manipay 17. Mirusuvil 18. Kachchai 19. Myliddy 20.
Uduvil 21. Darlalai 22. Varany 23. Manipay
MANNAR DISTRICT:
01. Erukkalam 02. Nanattan 03. Musali (N 04. Chinnache
MULLAITIVU DISTRICT:
01. Mulliyawa 02. Uthayavod
KILINOCHCHI DISTRICT:
01. Poonagary 02. Pallavara 03. Karachchi
VAVUNIYA DISTRICT:
01. Kilakkumo
AMPARAI DISTRICT:
01. Kalmunai.

Authorities with subsidy - East Provincial Government.
au
am
av
L.vu
U
Lai
Test
piddy West Iorth) -ddikulam.
Llai r.
yankaddu
olai (North)

Page 22


Page 23
ਰੇ
Malaria
ਲੇ
Salmonella
ow OA [Surw p
s31ਘ pR
CIOK PROCRE
Rabi's
x B
7ਕ KURES
3 Irpris'
HEALTH FO ALL FOR E
HEALTH IS EVERYON

OD Y
AT KOKO
1981-1990
food supply sud prupet nutrition
health education
coin In unicable discar control
IS AND ACCES
provision of essential drugs
ОНС
immunization
IUSSI SUO
environuicentul health: adequale supply of sule
water und basis "samlation
I resting of
coinaron discuses and injuries
maternal and child care
R ALL - HEALTH
24 νο:
IN 1988 JE
VE'S BUSINESS
IK :
od uiry
TINO,
Au.ALL

Page 24
MAP OF SRI LANKA
E
CKILINOCÍ
* MANNÁR,
Oooooo
Anur
(Puttaland
Kurune gala
(FGampaha Ke galle
Colombo
Ratna
Kalutara
Galle
- Mata

NORTH-EAST PROVINCE
District Boundary
radhapura
TRINCO
MALE:
Polonnaru
-wa
BAMIKO
CALO
Matale
Kandy
AMPARAIS
Nuwara
) Eliy Badulla
Moneragala
pura
Hambantotas
ira

Page 25
, SUBJECTS AND FUNCTIONS.
The Ministry of Health, Nor is charged with the respons and policy direction to the by the provision of establi. for the prevention and trea for the preservation and pr
people living distributed ii
Districts of the Province.
District.
Health Direct Region
Ampar. Batti
Trinc
Vavun
1. Amparai 2. Batticaloa 3. Trincomalee 4. Vavuniya. 5. Mullaitivu. 6. Mannar. 7. Kilinochchi. 8. Jaffna.
Vavun
Vavun
Jaffn Jaffn.
The responsibility of the Mi
management of the health ser
of the functions and evaluat
the public under the two sub care services (2) Community Regional Directors of Health
goal of attaining better hea Organisation Charts of the M of a Regional Director of He Divisions) are attached as A

Eh East Provincial Government
ibility of providing guidance
Health and Ayurvedic Services
shments and services necessary
tment of diseases and generally
omotion of the health of the
a the following Administrative
prs'
Estimated Mid year Population for 1989
S.
ai
caloa omalee iya iya. iya.
510000 406000 308000 114000
93000 127000 137000 853000
a.s
a.
Total.
2528000
nistry includes the executive
vices by direction, supervision
ion of the services provided to
stantive Programmes (1) Patient
Health Services through the
Services with the objective
1th status for the people. inistry of Health NEP and that alth Services (Common to R.DD.H.S. anex. 8 & 9.

Page 26
- 1
This is done through t tative, Preventive and ranging from central D providing outpatient t hospitals of the natur lised Hospitals. A cl Health Centres are sho of Bed-strength of hos
However, the Administra hospitals are not devo
A. General Hospital
ar Ayurveda Hospital
B. 1. T.B.Hospital,Ka
2. Leprosy Hospita
The functions comprise Para-Medical & Support Medical Laboratory and Machinery, Vehicles ir Maintenance of Buildir Financial Administrat tion & Staff Services
PLANNING
The activities includ
(i) Preparation of t
Health Developme Policy
(ii) Preparation of t
Programme (iii)Implementation,
of Annual Medium
Development Plan (iv) Establishment of
System Provision of Hea National Health

O.
he net work of Curative, Rehabili
Primary Health Care Centres ispensaries/Specialised clinics reatment to the largest types of e of General Hospitals and Speciaassified list of these Medical/ iwn in chartIII. Distribution ipitals is as indicated in A.
itive control of the following
lved and is retained at the Centre.
Teaching) Jaffna (Teaching) Jaffna
inkesanthurai
Ll, Mantivu
e of Planning, Management of Medical, Five Staff, Management of Drugs, a General Stores, Equipments, ncluding Ambulances; Construction and ngs with infra structure facilities; ion and Control: General Administra
Management.
e the following:-
he Annual and Medium 'Term Provincial at Plans in accordance with National
he Provincial Public Investment
Supervision, Monitoring and Evaluation Term and Capital Provincial Health
Provincial Management Information
1th Data to the National Level for the Information System.

Page 27
PATIENT CARE SERVICES
The activities include the foll
(i)
Providing both Indoor and to the sick in Provincial Rural Hospitals and Mater (only) at Central Dispens
(ii) Providing Ante and Post N:
Hospitals
(iii) Performing Surgical inter
required
(iv) Provision of all basic sp
Base Hospitals and establ: specialised care of patie diabetes, Surgical, Eye, : provision of finer specia Thoracic Surgery and Paed.
(v)
Provision of Peripheral C to Institutions around Pr
(vi)
Provision of Specialist C and Base Hospitals to oth prevent specialist concio Provincial and Base Hospi
(vii) Provision of specialised
Outdoor, to patients suffe: Mental illness, Cancer an
(viii) opening of New Hospitals
Hospitals in accordance w specified by the National
(ix)
Construction and Maintena of infrastructure facilit
(x)
Procurement and Distribut Hospital needs, such as N the like
(xi) Procurement of Drugs, Dre.
Soft Goods, X-ray films a Ware and Chemi cals and Me Medical Supplies Division Division of National Mini.
(xii) Management of all Medical
General Hospital (Teachin of Jaffna & Batticaloa, L
Hospital, Kankesanthurai. (xiii)Deployment of Staff withi: (xiv) Establishment of Ayurvedi

Dwing:-
Outdoor Medical Treatment - Base, District, Peripheral, nity Homes & Outdoor Treatment aries
atal Care of Mothers at all
ventions on patients when
ecialities in Provincial and ishment of clinics for
nts Viz. Cardiac(Heart), Ear, Nose & Throat, Dental and lities like Neuro-Surgery, iatric Surgery
onsultation and Support Services pvincial and Base Hospitals
onsultant Service from Provincial er Medical Institutions to us public filtering into tals.
Medical Care both Indoor and ring from Tuberculosis, Leprosy, a Sexually Transmitted Diseases
and Up-Grading of existing ith Policies and Standards
Ministry of Health
nce of all buildings and provision ies
ion of Furniture, Linen and other on-Medical Equipment, Diet and
ssings, Consumables, Surgical nd Ehemicals, Laboratory Glass dical Equipments from the
and the Bio-Medical Engineering stry of Health
· and Health Institutions other than g) Jaffna, Nurses Training Schools eprosy Hospital, Mantivu and Chest
n the Province c Dispensaries and Hospitals

Page 28
The activities under t include the following:
(i)
Treatment of pa All the Hospita managed by the Teaching Hospit
(ii)
Ayurvedic Pharm Dispensaries ot Hospitals.
(iii) Herb gardens at
other than Herb research purpos
(iv)
Establishment o
Providing assis tals run by the
(vi)
Establishment o
saries.
(vii) Ayurvedic Prese
(viii) Establishment o
training of stu the Ayurveda Ed
(ix).
Establishment o Hospitals.

| 12 -
he Indigenous Medical System
tients under the Ayurvedic System. ls and Dispensaries presently Department of Ayurveda, except als.
acies attached to Hospitals and her than Pharmacies in Teaching
tached to Hospitals and Dispensaries
gardens that are maintained for es. .
f New Research Institutions.
stance to Free Dispensaries and Hospi- Local Authorities.
-f New Ayurvedic Hospitals and Dispen
rvation Boards,
-f Institutions for the purpose of udents to sit for exams conducted by Lucation and Hospital Board.
-f Homeopathic Dispensaries and

Page 29
SPECIALISED CAMPAIGNS
Management of activities of t at the Regional level in terms
National Ministry of Health.
(i) Control of Malaria (ii) Control' of Filaria (iii) Control of Leprosy (iv) Control of Tuberculosis (v) Control of Rabies (vi) Control of Sexully Tran
PERSONNEL ADMINISTRATION
(i)
All activities relating Technical Staff
(ii) All activities, other t
personnel administratio control of all Health o Service but serving on the National Ministry o
(iii) Conduct of all efficier
examinations, in terms
National Ministry of He
(iv)
Promotions in all gradi Services depending on 1 policy of National Min:
(v) · Selections for further
tation with the Nation
(vi) Conduct inservice prog

· 13 -
Le following specialised campaigns ; of the policy set out by the
smitted Diseases.
: to personnel administration of non
Chan basic training, relating to on of Technical Staff. (Disciplinary. officers belonging to National
secondment/deputation will come under of Health).
Icy bar examinations and departmental
of guidelines set out by the ealth.
es belonging to the Provincial Health che cadre, in accordance with the
stry of Health.
training within Sri Lanka in consulal Ministry of Health. .
ramme for all catagories of staff.

Page 30
COMMUNITY HEALTH
The Health Policy is geare goal of Health for all by be achieved by implementat Programme. Priority wou.
Health Services.
Community Health Services
(i)
General Preventive
Sanitation.
(ii)
Health Education (iii) Family Health, inc
including Family P (iv)
School Health, inc
Malaria Control (vi). Filariasis Control (vii) Sexually Transmitt (viii) Rabies Control (ix) Food Quality Contr
Community Health Services of Health, Public Health Health Nurses including I Workers and Field Assist: The physical implementat under programme 6: Pati en including the Primary He as enumerated in the Hea be done by the respectiv monitored and evaluated Ministry. Ministry wil: struction and rehabiliti and/or additional facil of the Health Sector. of this plan.

- 14--
1 towards the achievement of the the Year 2000" and this would Lon of the Primary Health Care 1 therefore be given for Community
include the following activities:-
Services and Environmental
.uding Maternity and Child Care, Lanning & Immunisation Luding School Dental Health
ed Diseases Control
-ol
s are managed mainly by Medical Officers Inspectors, Health Educators, Public Dental Nurses, Midwives, Family Health ants. aon management of the activities shown t Care Services, Community Health Services, alth Care in achieving the targets projected, ath Development Plans for the districts will = Regional Directors activily supported (giving directions where necessary) by the
devote its efforts chiefly to the recontion process and provision of improved ties urgently needed in the development hese are indicated in the relevant sections

Page 31
PREVENTION OF DISEASES REHABILITATION
PLANNING PERSONAL MANAGEMENT BRANCHES
DEPUTY DIRECTOR ALTERNATIVE MEDICINE
R.D.H.S. VAVUNIYA
R.D.H.S BATTICALOA
R. D.H.S AMPARAI
AYURVEDHA SIDDHAYURVEDHA UNANI HOMEOPATHY ACUPUNCTURE
RESPONSIBLE FOR ALL ACTIVITIES RELATED TO HEALTH AT REGIONAL LEVEL ADMINISTRATION ACCOUNTING CURATIVE HEALTH PUBLIC HEALTH
UN
.
ed,
ܐܕ
28

ORGANIZATION CHART.
MINISTRY OF HEALTH
| NORTH-EAST: PROVINCIAL GOVERNMENT -
MINISTER OF HEALTH
SECRETARY . OF HEALTH
DIRECTOR GENERAL OF
HEALTH SERVICES
DEPUTY DIRECTOR
PATIENT CARE
A C continente. A muškaraca
DEPUTY DIRECTOR COMMUNITY HEALTH
'05 R.D. H.SS
DEPUTY DIRECTOR ADMINISTRATION
DEPUTY DIROCTOR
FINANCE
ALL WORK RELATED
ТО HOSPITALS IN PROVINCE
ALL WORK RELATED
TO PROMOTION OF HEALTH
R.D.H.S JAFFNA
R.D, H.S. TRINCOMALEHE
BUILDINGS CONSTRUCTION ADMINT STRATTON
FINANCE AUDITING BRANCHES

Page 32
ORGANISATION CHART
. REGIONAL HEALTH SERVICES
MINISTRY OF HEALTH Regional Director of
Health Services
Medical Officer
of Health
Medical: Officer: {
Maternal and Child Health
Regional
Epidemiologist
Provincial
Hospital
Base
Hospital
interesse sa
Public Health Nursing Sister
Public Health
Inspector
Regional Dental Surgeon
Divisional
R.M.P.
District
Hospitals
Peripheral
Units
Supervising Pub|lic Health Mid
School Dental
Therapist
Supervising Public Health
Inspector
WIE
Supervising Public Health Nursing Sister
Rural
Hospitals
Central Dispensary & Maternity Homes ·

Public Health
Midwife
Clerks, Peons
Labourers
|| ||
|Beal Education
Officer
Divisional
Pharmacist
Maternity
Homes
Central
Dispensaries
Divisional
Drug
Store-Keeper
Supervising School Dental
Therapist
Primary Health Care Centres
Branch Dispensaries
Statistical
Survey
Officer
Planning
Assistant
FIELD SERVICES
Visiting
Stations
Technical Services --二十一7--
Administrative
Accountant
Officer Subject||
Clerks
PATIENT 'CARE INSTITUTIONAL SERVICS,
ADMINISTRATIVE SERVICES
|Peons,Labour
ers

Page 33
- 15 -
FINANCIAL PROVISION
MINISTRY OFFICE
Provision allowed under the expenditure incurred from Me
Recurrent Expenditure
RE
Capital Expenditure
e é či
Regarding Capital Expenditur one Motor Car for the Secret ments. The Motor Car has si August 1989.
REGIONAL OFFICES
The State Ministry of Health for Recurrent Expenditure ar Five (5) Regional Directors as well as in all Medical I 1989. Monthly Expenditure Ministry of Health by the Re with a summary of expenditur
Details of allocations recei

Provincial Budget for 1989 and the rch to June 1989 are furnished below:
Provision for 1989
Expenditure from March to June 1989
E. 889,700/= Rs. 235,695/=
. 750,000/= Rs, 48,745/=L EL 11639.700/= .Rs. 284,440/==
IRN
ONI
JIN
II d
II
:
4
==
4
========
Il II
re, orders have already been placed for cary and urgently required office equipnce been purchased and payment made in
I has granted financial allocations id Capital Expenditure, direct to the to meet all expenses in their offices istitutions in their regions during .s intimated direct to the State :gional Directors of Health Services, 'e to this Ministry.
.ved are given in Annex•10

Page 34
Annex. 10
SCHEDULE OF ALLOCATIONS AND THE STATE MINISTRY { EXPENDITURE IN 1 9 8 9.
Programme 1 General Administ
Projects : 2 Regional Admini:
3 Training & Scho.
Programme 2 Patient Care Sei
Projects : 1 Provincial and ]
2 District Hospit:
3 Peripheral Unit.
4 Central Dispensi
5 Specialised cli 6 Other Diagnosti
Programme 3 Community Healt
Projects : 1 Gen. Preventive
2 Health Educatio
3 School Health,
Health
4 Quarantine (Por
6 Malaria Control
10 Family Health * Under the control of the
Programme 4 Alternate Medic
amme
SUMM
Prog Prog
Prog Prog

*** P.
BY THE STATE MINISTRY OF HEALTH OF INDIGENOUS MEDICINE FOR RECURRENT
Allocation
Rs
cration and Staff Serries
stration
8,534,100
Larships
9,720, 310 18, 254,410 ===========
Cvices
Base Hospitals
als
s & Rural Hospitals aries & Mat. Homes nics (T.B)
58,253,620 28,855, 295 29, 162,322 14,872,678
5, 100,000 _2, 122,905
c Services
J
IIW
Il Op
IW
II O
I ON
II o
IN
h Services
& Environmental Sanitation
10, 145,415
320, 385
including School Dental
725,325
E Health Office, Talaimannar)
9,200,000
OIL
IN
IO
TIU.
1
ANII
INN
state Ministry of Health k Women's Affairs. ine
Z
3
INO
8
8,000
Il
=
IRIS ED UNDER PROGRAMMES
ramme 1
'anime 2
ramme 3
|18,254,410 138,366,820 20,391, 125
3,308,000 170,320,355
ramme 4
TOTAL

Page 35
- 16 -
BUILDINGS.
The Ministry office was h Building in a hall with a
With the expansion of wor!
available office apace wa
was shifted to an unoccup
Sea View Road, Trincomale
It is proposed to put up
an estimated cost of Rs.1
on the Colombo Road. Site
have been drawn up and ac
tenders and to commence c
CO
sketch plan of the propos
REGIONS.
Action has already been t
Trincomalee at a cost of
been called for and close allocated Rs.2.9 million communication for obtain:
is shown in the sketch p
The above two Building c commenced in 1989 and to

bused in the present Secretariat
floor area of about 400 sq feet.
and the increase in staff, the s inadequate and the Ministry . ied block in the Sinhala Maha Vidyalaya e towards the end of June, 1989. a Secretariat for the Health Ministry at O million near the 4th. Mile post has already been selected. Plans
tion has been initiated to call for
-onstruction work this year. A location
ed office for the Ministry is attached.
iaken to construct a Drug store for
Rs.3.8 million. Tenders have already :d. State Ministry of Health has
for this purpose and we are in .ng the balance money. The location
.an annexed.
onstruction is expected to be
be completed in 1990.

Page 36
- 17 -
A look at the map of Sri Lanka, one s in the Southern Vavuniya, a District Mullaitivu, a Base Hospital in the we Hospital in the Northern Chavakachche Teaching, Jaffna. Patients in between Vavuniya & Jaffna have access to specialised services a Mullaitivu in East Coast to Mannar ir Hence in Planning the Patient Care Se
1) Up Grading of District Hospi
& District Hospit to the level of Base Hospital 2) Building a New General Hospit
Kilinochchi, Iranama du area As the necessity for the General Hos) which is Central, another aspect is In this region land is available in planned hospital with quarters for s and other facilities.
When we plan this hospital we have to development of Jaffna in respect of;
a). University of Jaffna in deve
in Kilinochchi b) Population shi ft into the ma
Peninsula
Water facilities available f
Storage Tanks d) Space for sewerage disposal e) Availability of space for a
with hostel facilities for s
Hence keeping in mind these trends t to cater for future training needs o facilities which are not available i as Plastic Surgery, Paediatric Surge services namely Eye & ENT Surgery. made available to the population in Approximate cost of such a Project w

sees the Base Hospital
Hospital in the Eastern !stern Mannar and a District :ri & beyond it General Hospital
i a distance of 120 kms do not ind so is for patients from i West Coast. ervices one has to plan for:
tal, Chavakachcheri tal, Mullaitivu Ls with 300 beds each tal (Teaching) in the with 1000 beds pital is accepted in this area the suitability of Land. adequate extent for a well taff & for sewerage dispo sal
ɔ keep in mind the future
loping its facilities
inland from the over crowded
rom the large Irrigation &
in a safe manner well planned Medical Faculty tudents
he hospital should be planned f Medical Students and for the n Jaffna General Hospital such ry, Rheumatology & high demand
These specialities should be the North-East Province. -ill be Rs. 1,000 million.

Page 37
• TO TRINCOMALEE ->
TO KAVARADI MALAI
THE GOVERNMENT OF NORTH EAST PROVINCE HEALTH DEPARTMENT DRUG STORES TRINCOMALEE
4
2,47 hec ROAD RESERVATION

SITE FOR HEALTH DEPT, DRUG STORES
2,49 hec
LEGEND
TO KAPPATHURAI
MAIN ROAD
CAN TRACK
STREAM
ROAD
RESERVATION
THE SITE IS BETWEEN 152nd 153 MILE POST

Page 38
VAYIRIUTTU
TOTRINCOMALEE
THE GOVERNMENT OF NORTH EAST PROVINCE TRINCOMALEE, (LOCATION PLAN FOR ) HEALTH, EDUCATION, FOOD & FISHERIES MINISTRIES
ODOOD SCHOOL O
60m
153rd & THE SITE IS BETWEEN 154th MILE POST:
50m
60M
TO KANTALÀI
1,35 ha HEALTH MINISTRY
40m
40m
1,35 ha EDUCATION MINISTRY
1,35 ha FOOD . MINISTRY
FISHER

\
. 1,35 ha
...ES MINISTRY
-----
----.----- -- -
53m
----- -- --- -- --
---------
------------
-- -- --

Page 39
- 18
PRIMARY HEALTH CARE CENTRES (GRAMOD
The accent on Health Activities for 'Let us talk Health'. We can talk Community, through the Primary Heal Hence the North-East Provincial Gov commitments to fulfil the task of c Health Care Centres to obtain optim Preventive Health Care Services.
Progress Review on the Construction Centres (Gramodaya Health Centres)
(A) Batticaloa Division - Construct
Commissioned for Functioning
. Eruvil 2. Kurumanveli 3. Mahiloor 4. Thuraineelawanai 5. Theetativu Construction of Building Comple Being Obtained
1. Periyakallar 2. Kottaikallar 3. Onthachimadam 4. Kaluthawalai (1) 5. Kaluthawalai (2)
Sub Divisional Primary Health O started functioning
1. Cheddi palayam 2. Kaluwanchikudy 3. Periyakallar
(B) Trincomalee Division (Funded by
for Refugees (UNHCR).
Construction of Building Comple for Functioning
Manalchenai (Kiliveddy)

AYA HEALTH CENTRES)
1989 is declared as petter Health with the th Care Workers. t. has shown its total onstructing Primary um result in providing
of Primary Health Care Year - 1989
ion Completed and Stations
ted/Equipments
are centres which have
United Nations High Commissioner.
ted and Station Commissioned •

Page 40
Primary Health Care Centres Under
Sambaltiu Mollipttanai
Thiriyai 4. Echchantivu
Kadakaraichenai
(C)
Jaffna Division (Fumdedby UNHCR)
Jaffna District G.H. cc Buildings C
Annaikoddai 2.
Thavady Atcinelu
Maruvanpulam 5. Karugampanai
Arrangements are being made to con: of M.O.H. Manipay, Kopay, Chavakacl by Donors.
Kilinochchi District - Tenders cal finalised for G.H.CC Construction a
1. Bara
Barathi puram 2.
Pallavarayankattu. 3. Murasumodai 4. Iyakachchi
(D)
Vavuniya Division (Funded by Asian Buildings P.H.C. Centres Completed
Mannar District
1. Erukalampiddy 2. Arlkattively
3. Arippu.

Construction during 1989
ompleted
struct 4 G.H.CC, in the areas acheri and Kankesanthurai
Led and arrangements
at:
Development Bank).

Page 41
20
Mullaitivu District
1. Ampalapperumalkulam 2. : Puththuvettuvan 3. Kumulamunai 4. Vannivilankulam 5. Vattarpalai
Thanniyottu 7. Alampil 8.. Mullivaikkal 9. Kanukkerny . 10. Thanduvan
P.H.C.Centres - Buildings under
Mannar District
Potkerny
Paraeppukkadanthan 3. Periyapandivirichan
Vavuniya District 1. Kanagarayankulam 2. Sannasipparanthan 3. Unchalkaddy
P.H.C.Centres under Proposal fo:
Mullaitivu District
1. Muthaiyankattu (Right Bank) 2. Udaiyarkaddu
Olumadu
Puthukkudieruppu
Vavuniya District
12.
1. Echchankulam 2. Maruthankulam 3. Kulavichuttan 4. Irapperiyakulam 5.
Puthukkulam 6. Nedunkerny
Cheddikulam 8. Andiyapuliyankulam 9. Rajendrankulam 10.
Muthaliyakulam 11. Nedunkulam East
7.

Construction
Construction
Kannatti

Page 42
--2
In addition to the above centres to establish 30 Primary (Gramoda (5) R.D.H.SS Divisions at a tota financed from the North-East. Pro 3,000,000/= has already been al Trincomalee to commence work. 800 susrii Health centres in the next 15 years.
Following sites have been select Primeury Health Care Centres by
Amparai Division:
Batticaloa Division
Trincomalee Division
ܩ ܢܺܘ ܢ ܫܼܲ ܪ ܢ ܢ ܩ ܩܼܲ ܪ ܢܽ ܇ܢ ܩܼܿ ܩܼܿ ܪ ܢܽܘ ܢ ܩܼܿ ܩܼܿ ܒܼܿ ܪ . ܇ܢ
Vavuniya Division
Jaffna Division

, action has been initiated 1) Health Centres in the five l cost of Rs. 10 Million' to be vincial funds. A sum of Rs. 5. ocated to Director, Buildings, NEP Attempts will be made to, construct orth-East Province over the
ed for the construction of these he despective RDHSS.
Nawi thanweli. Udanga (Sennelkiramam). Mangalagama Serankadai Vinayagapuram Kannakipuram
Rugam Sittandy Miravoday Kannankudah Ampilanthurai. Oddamawady
· Periyawilankulam Vellaimanal Maharoof Village (Kinniya Kumburupiddy Mavadichenai Echchilampattai Talaimannar Puthukudieruppu Velankulam Iranai Illupukulam Nanattan Periyamadu
- Mallakam Area - Punnalaikadduwan
Kulamankal Evenai Alaveddy North Chavakaddu Navaly Usan
Ariyalai

Page 43
Construction of Primary Health Care C in the Ensuring Years
A sum of Rs. 10 million has been esti of another 30 Primary Health Care Cen This proposal has been included in th of funds by the North-East Provincial Every endeavour would be made to soli of the funding agencies/NGOO to make of Primary Health Care Centres contin goal.
will take an active rose in rena in the North-East. The Ministry from the Chief Secretary's Secr concerted effort in finding way Reconstruction and Rehabilitati or non- Governmental Organisati received, agreed, and /or under respective assistance programme Occupation of Health Institutior Security forces and Militant gro the Rehabilitation and Reconstri A sum of Rs. 1,000,000/= has bee C.D.Kokulai and R.M.P.'s Quarter cannot start due to the fact the prohibited one. As a result aj for the undermentioned Institut Mullaitivu District to divert th Puthukudiruppu RH & Qrs. Rs.
Mankulam C.D.
Rs.

entres .,
mated for the construction treş. during the year 1990. e estimates for provision
Govt. in 1990. cit the active support the programme of construction ues to achieve the desired
abilitating tae ailing dealth sector
with the rapport and strong support atariat did not and does not spare 3 and means in seeking resources for on from whatever sources - Government ons, foreign and local. Aids already consideration are indicated under
B.
.8, Quartersof Staff etc., by the ups has hampared the progress of .ction work of certain Institutions. :n allocated for the Reconstruction of 's in June 89. But reconstruction work .t this area has been declared a »proval of the PRSC/NBSC has been sought .ons in the RDHS Vavuniya Division/ is allocation.
400,000/= 200,000/=

Page 44
ܩܰܪ ܒ݁ܰܪ ܢܽܘ ܝܺܢ ܪ ܇ܢ ܩܶ ܩܿ ܃ ܃ ܝܼܿܢ ܩܼܿ ܩܼܿ ܒܼܿ ܪ |
Jaffna Division
Vavuniya Division
Trincomalee Division

Sittandy Miravoday Kannankudah Ampilanthurai Oddamawady Periyawilankulam Vellaimanal Maharoof Village (Kinniya Kumburupiddy Mavadichenai Echchilampattai Talaimannar Puthukudieruppu
Velankulam Iranai Illupukulam Nanattan Periyamadu
Mallakam Area - Punnalaikadduwan
Kulamankal
Evenai Alaveddy North Chavakaddu Navaly Usan
Ariyalai

Page 45
- 23 -
REHABILITATI CN AND RECONSTRUCTION.
Normally the Ministry would mai its energy to expand activities provided to the people for stat health status by providing the services for Curitive Care, (wii where required) Preventive ani unfortunately from the first bı had to be vastly directed and ( and Rehabilitation. High prior: and Reconstruction activities. as 142 Institutions in the Nor damaged and / or affected ( On Adampan) due to militant activ , a sum of Rs.160 million was and Rehabilitation. It is regr rupees has been allowed under Reconstruction Programme and t hoped that the National Minist will take an active role in re in the North-East. The Ministr from the Chief Secretary's Sec concerted effort in finding wa Reconstruction and Rehabilitat or non- Governmental Organisat received, agreed, and /or under respective assistance programo Occupation of Health Instituti Security forces and Militant g the Rehabilitation and Reconst A sum of Rs. 1,000,000/= has b C.D.Kokulai and R.M.P.'s Quart cannot start due to the fact t prohibited one. As a result for the undermentioned Institu Mullaitivu District to divert Puthukudiruppu RH & Qrs. Rs Mankulam C.D.
Re

.nly concern itself and direct E and improve the services sed goal of attaining better
needed facilities and Eh Surgical interventions a Primary Health care. But ceath, the Ministry's energy Bevoted to the task of Reconstruction ity had to be given to Rehabilitation
In view of the fact that as many th-East Province were severely a completely : District Hospital ities or Security Forces operations estimated in 1987 for Reconstruction etted that only a sum of Rs.10 million the Emergency Rehabilitation and
hat too from June, 1989. It is ry of Reconstruction and Rehabilitation habilitating the ailing Health sector y with the rapport and strong support retariat did not and does not spare ys and means in seeking resources for ion from whatever sources - Government ions, foreign and local. Aids already
· consideration are indicated under les.
ons, Quartersof Staff etc., by the 'oups has hampared the progress of ruction work of certain Institutions. een allocated for the Reconstruction of ers in June 89. But reconstruction work 1at this area has been declared a ipproval of the PRSC/NASC has been sought tions in the RDHS Vavuniya Division/ his allocation. . 400,000/= . 200,000/=

Page 46
-24 -
REHABILITATION AND REX
A total sum of Rs. 16t Reconstruction and Rel affected Health Instii of the North-East Pro
Rs Rs
Jaffna Vavuniya Trincomalee Batticaloa Amparai
TOTAL R!
NORAD AID
Norad has provided 3 I and Rehabilitation of A sum of Rs. 1,277,00 The balance work is b Action is being taken 22 'Health Institution estimated cost of Rs.
·PRSC/NRSC is already
Names of Institutions
01. RDHS's Office, Ba 02. RDHS's Bungaloa 03. AMO's 'Office Bat 04. Kattankudy New H 05. Kattankudy P.U. 06. Kattankudy P.U.
Chettipalayam C. 08. Kaluwanchikudy M 09. Kaluwanchikudy F
10. Palugamam C.D. 11. Mandur C.D.

CONSTRUCTION
5.3 million has been requested for habilitation of the damaged and Eutions in the 05 R.D.H.S.Divisions since as shown hereunder:-
60,893,810 24,559,000 61,378,000
9,270,500
10, 190,000 5._166.2911310
OIL
JIO
IIU
IO
{
NVI
million Rupees for the Reconstruction
the General Hospital, Batticaloa. D/= has already been spent in 1988. eing continued during this year.
to rehabilitate and reconstruct s in Batticaloa District at a total
4,840, 400/= and the approval of the indicated.
Total Estimated Cost
Rs.
tticaloa Batticaloa ticaloa ospital Govt. Qrs.
302,000 84,600 89,000 283,000 356,000 240,000
65,800 57,200 266,000 89,200 65,000
D.
OH's Office .U.

Page 47
25.
Names of Institutions
12. Periyakallar RH :13. Thuraineelavanai CD
14. Eravur PU 15. Chenkalady RH 16. Unnichchai CD 17. Santhi vely CD 18. Valaichchenai GH 19. Meeravodai CD 20. Mankerny CD 21. Vaharai PU 22. Kathiravely
Negotiations are underway additional improvements to in Batticaloa District at under the Norad assistance
New Buildings proposed at
01. G.H. Batticaloa 02. D.H. Valaichchenai 03. P.U.
Eravur 04 P.U. Vaharai 05. New Kattankudy 06. P.U. Kaluwanchikudy 07. C.D.
Bakkielai
TOTAL
SWISS AID Government of Swizerland following Rehabilitation
(1) MANNAR BASE HOSPITAL
Work in Mannar Hospi Rs. 10 Million for c for equipment is in part of work is comp the balance work is

Total Estimated Cost
Rs. 114,600
:30,000 375,000 285,000 529,000
33,900 184,500 114,700 132,000 929,000 215,000
Total
Rs. 4,840,500
for the construction of the ) the undermentioned hospitals
a cost of Rs.42.59 million
2.
29.7 million
3.89 " 4.95 | 1.65 1 1.35 0.12 0.93 "
_42.59.-
UMI
nas under-taken to do the and Reconstruction work.
tal at an estimated cost of onstruction and Rs. 5 Million progress. Up to now one third leted and the progress regarding going on satisfactorily.

Page 48
26 .
SWISS AID
NURSES' QUARTERS AT BASE I
(2)
(3)
REHABILITATION OF KUCHCHI THAMPALAKAMAM RURAL HOSPI GOMARANKADAWELA RURAL HOS TRINCOMALEE DISTRICT
The above two (Nos. 2 & : approval of the National The work referred to in { Rs. 11,120,000/= includir initiated to commence wo1
ITALIAN AID
A team of Technical officers from Trincomalee in March 1989 and ag and Reconstruction of Base Hospit Muttur and other Health Instituti negotiation.
FUNDS ALLOCATED BY REHABILITATION The Rehabilitation Ministry, Nort allocation of Rs. 9,895,000/= fou Vavuniya, Mullaitivu and Amparai Institutions are appended below.
Institutions in Vavuni ya
C.D. Neriyakulam RMP Quarters Neriyakulam CD & MH Pavatkulam AMP,Quarters Pavatkulam Midwife's Quarters Pavat! MOH's Quarters RDHS Office
Total

HOSPITAL . VAVUNIYA
AVELI RURUAL HOSPITAL ETAL AND SPITAL IN
3) projects have received the
Rehabilitation Steering Committee. 3) above is estimated to cost ng equipment. Action is being ck in the Rural Hospital, Kuchchaveli.
the Italian Embassy visited ceed to attend to the Rehabilitation cal, Trincomalee and District Hospital .ons. This Aid is still under
I MINISTRY
th-East Province has granted an
· Health Rehabilitation work in Districts. Details of these
District
Amount (Rs)
500,000 350,000 30,000 35,000 150,000 50,000
5,000
1,170,000
culam
Ezzzzzzzzz

Page 49
- 27 .
Institutions In Mullaiti
D.H. Mullaitivu ; MO's Quarters Mullaitivi
CD Kokulai & RMP 's Quarte PU Mallawi CD & RMP Quarters Mulla CD Thunukai & RMP Quarter CD Oddusuddan
Total
Institutions in Amparai ]
CD Annamalai & AMP Quart.
CD & MH Thirukovil
MOH Office Thirukovil MOH/MO/AMP Quarters
Total
Summary Vavuniya Mullaitivu Amparai
Grand Total
Approval of the PRSC/NRS of the undermentioned Ho Districts at a total cos Jaffna District BH Point Pedro DH Tellipallai DH Chavakachcheri DH Kayts DH Pungudutivu DH Delft
Total
Mannar District PU Pesalai Port Health Office Talai RH Vidataltiu CD Peri yapandi viri chan GHC Alkadi veli BH Madhu Road CD Vellankulam
Total

u District
:rs
Amount (Rs)
50,000
50,000 1,000,000
700,000 150,000 225,000 50,000
niyawalai
·s
2,225,000
UN
District
гrs
1,500,000
5,000,000 6,500,000
1,170,000 2,225,000 6,500,000
9,895,000
C is awaited for the Rehabilitation spitals in the Jaffna & Mannar t of Rs. 5,516,500/=
Amount (Rs)
684,000 1,260,000
889,000 343,000 536,500 139,000
3,851,500
mannar
400,000 125,000 90,000 50,000 150,000
50,000 800,000
1,665,000

Page 50
Programme of work during 199
01. The Ministry will contin
progress in Rehabilitati work and in providing ba institutions to make the maximum possible 'Health
02.
Efforts will be continue vacate the buildings and, tutions as quickly as po Institutions fully funct
03. Improve preventive healt
available resources.
04. Ensure the curative serv
available to the public.
05. Organise the services an
06. Ensure the intra sectoral
with Governmental and N.
07. Review and monitor perfo:
08. Pay attention to the main
dings, equipments, vehic.
09. Organise collection and i
10. Organising for establishi
Institute for Radiograph. gists, Pharmacists and P)
11. Organising and Establishi
Service Unit for North-E
12. Continue attempts to obt:
abroad through Governmen goodwill to overcome acu Personnel.
13. Obtain the assistance of
the Public Service Commi. to fill vacancies of pari Health care staff.
14. Activate the process of I
rehabilitative care to er economic life as quickly

8 -
le its efforts to achieve optimum on and Reconstruction work, repair sic facilities to the existing 1 fully functional to provide the
Care' cover to the people.
1 to get security forces to release/ lor premises of the Medical Instissible with a view to make those ional.
1 to the extent feasible within the
ices of acceptable level are made
1 provide supplies and equipments.
and intersectoral Co-ordinations G.00.
rmances.
ntenance of Capital assets - builles and other utility services.
maintenance of statistical data.
ment of a Para-Medical Training ers, Medical Laboratory Technolo
hysiotherapists.
nent of a Bio-Medical Engineering ast Province at Trincomalee.
ain services of Specialists from cal and N.G.00. assistance and te shortage of Senior Medical
the State Ministry of Health and ssion of the North-East Province
-medical, preventive, Primary
ehabilitation of those requiring able them to resume their socioas possible.

Page 51
- 29 BASIC DATA - INDEX ==..=
=
=
=
=
=
=
TABLE - 1 - Population Age & Sex !
TABLE - 2
-do
TABLE
-do
TABLE - 4
-do
1
y J F N
! ! ! ! !
TABLE -
-do
-do
TABLE - 6 TABLE - 7 - TARLE - 8 -
-do
-do
TABLE - 9 - Fopulation Urban/Rural
TABLE. - 10 - topvlation by M.C.H. A
TARLE - 11 - Analysis of idealth sta
TABLE - 12 - Performance of Incloor
TABLE - 13 - Health Status and Serv
TABLE - 144 - Leadin:; Causes of Hosr
TABLE - 15 - Leiding Cnuses of Hos

istribution - Amparai
Batticaloa
Trincomalee
Vavuniya
Mannar
Mullaitivu
Jaffna
Kilinochchi
District Wise
rca
t.us District wise
Facilities by Districts
ice provision Indicators
-italization by Districts
vital Deaths by Districts

Page 52
AMPARAI DISTRIK
Table: 1. Population - Age and
Population. - 1981 % Distribution.
Male.
Female
Tot
134
451
510 517 461
Under 1 year 1 - 4 years 5.- 9 years 10 -14 years 15 - 19. years 20 - 34 years 35 -49 years 50 -59 years 60 -69 years 70 years over
6453 25777 26321 26709. 23599 51553 27253 10263 5831 3466
7037 23561 24687 25079 22510 45993 22860 7775 3421 2838
975
501
180
92
Total
203025
185761.
3887
========================================
Note:
. To calculate 1990 populati the total mid year populat and caldulate the populati grouping given above using distribution.

Sex Distributions
Population Estimated for 1990
cal
Male
Female
Total
----
490
-88
* * * * * * * * *
9890 28490 35268 34543 31754 66801 36205 14505 9106 6215
9774 28865 33580 32552 30426 59038 29854 10474 6268 4452
19664 57295 68848 67095 62180 125839 66059 24979
13
15374
10667
86
272777
245223
518000
=SEESEEEEEEEE|
on estimates obtain ion (in thousands) on by age and sex
the 1981 percentage

Page 53
BATTICALOA DISTRICT
Table: 2 Population - Age and
Population 1981 % Distribution.
Male
Female
Tota
Under 1 year
1.85 1 - 4 yrs.
5.95 5 - 9yrs.
7.11 10 - 14 yrs.
6.91 15 - 19 yrs.
5.45 20 - 34 yrs.
11.79 35 - 49 yrs.
4.33 50 - 59 yrs.
4.53 60 - 69 yrs.
1.77 70 yrs. &.overf 0.79
1.78 5.90 6.92 6.63
5.67 12.84 4.38
ܒ ܪ ܗ ܣ ܢ : ܢ ܪ
3.90
1.40 0.79
Total
50.48 |
49.12
100.
EEEEEEESS=======
=====
=E==
Note:
To calculate 1990 popula total mid year populatie the population by age an using the 1981 percentag

Sex Distributions.
Population estimated for 1990
Male
Female
Total
53
54
12
7441 24574 29364 28538 22509 48693 17683 18709 7310 3263
7351 24367 28580 27382 23417 53029
· 18089 16107 5782 3263
14992 48941 57944 55920 45926 101722
35972 34816 13092 6526
63
43
17
58
00
"205627
207373
413,000
----
===
S=SEEEEEEEEEE
.tioh estimates obtain the
n ( in thousand ) and calculate d sex grouping given above je distribution.

Page 54
TRINCOMALEE D.
'TABLE:3 Population - Age and sex Distribut
Population 1981 % Distribution.
YEARS
MALE
FEMALE
2.7 9.8 11.3 11.4
· 10.7
· Under 1 year 1 - 4 year. 5 - 9 year 10 - 14 years 15. - 19 years 20 - 34 years 35 - 49 years 50' - 59 years 60 - 69" .years 70 years and
Over
2.7 9.8 11.5 11.4 10.9 26.8 14.4 6.2 3.8 2.5
26.0 14.5
6.7.
4.2 2.7
TOTAL.
100.0
100.0
NOTE:To calculate 1990 population estimat
(in thousands) and calculate the por - using the 1981 percentage distribut

ISTRICT.
Fion.
Population Estima for 1990.
TOTAL
MALE
FEMALE
TOTAL
5.4 19.6 22.8 22.8 21.6 52.8 28.9 12.9 .8.0 5.2
4239 *
. 4239
, 8478'. 15386
15386
30772 17841:
18106.35947.". 17898
17898 : " 35796* , :16799
17113. . 40820
. 42078:
· 82898 22765..
22608 .
45373 10579.
9734
20313 6594
5966
12560 4239 |: 3850
.8089
33912..
00.0
157091
156909.
314000.
es obtain the total mid year population -ylation by age and sex grouping above -ion.

Page 55
VAVUNIYA DIS? TABLE :- 4 - POPULATION -
POPULATION -
% DISTRIBUTION:-
• II
*========
||
====================
=
=
=
=
* YEARS
112
II - Il 

Page 57
JAFFNA DISTRICT. Table: 7 Population - Age and Sex Distri
Population 1981 - 733096 Distribution
..
=======
:=======
=T=================
YEARS
MALE
FEMALE
TOTA
=====sssssssssss======
-
|1
11
=
st
• II
=
=
Under 1 years 10070
| 9547 1-4 years
36982
34672 5-9years
43307
42288 10-14 years
43477
40943 15-19 years
41159
42255 20-34 years
83736
93134 35-49 years
47901
53573 50-59 years
24535
26789 60-69 years
18002 |
17342 70 years over| 12327
11057
1961 7165 8559 8442 834a 17687 10147 5132
3534
2338
TOTAL
361496 | 371600
73309
Note: To calculate 1990 population esti
population (in thousand) and calo grouping given above using the 19

butions
Population Estimated
· for 1990 8; 80000.
=======================================
333333
=
=
SSS
MALE
FEMALE.
TOTAL
=======================================
11981
20659
. 32640 43989
41242
| 85231. 51511
50290
101801 51713
48801
100514 48857
50260:
99117. 99596
110776
210372 56971
63715
: 120686. 29186
31877
61063 21415
20629 14665
13157.
27822 :
42044
*
429239.
450761
880000
mates obtain the total mid year. :ulate the population by age, and sex 181 percentage distribution."


Page 58
KILINOCHCHI DISTRIK
Tablo : 8.:Population - . Age and sex Distrit
Population 1981 Distribution:
il
BI
1:1
_E_SESSSSSSSE3===
SEEFEES: YEARS
MALE
FEMALE ============================::=--======:
Under 1 year
1274
1274
1-4 years:
4900
4606
5-9 years
5684
5586
10-14 years
5684
5390
15-19 years
5586
5488 11858
20-34 years
12250
35-49 years
7448
8526
50-59 years
2352
2548
60-69 years
2352
2156
70 years and over
1666
1372
=
SSSSSSSSSSSSS:::::* -
-- :S
=
il
= ==
===T=
TOTAL
48706
49294
===S=
ES===========S=
=
========
=
S
=
=
NOTE: To calculation 1990 population es
population (in thousand) and calc given above using the 1981 percen

ution.
population estimated for 1990 1, 19000.
11943.
SSESSISSESESSERSEESSSSSSSSFES==F=====SESSE
TOTAL
MALE
FEMALE TOTAL ::=======================================
2548
1547
1547
31094 : 9506
5950
5593
11270
6902
6783
13685. 11074
'6902 :
6545
13447 11074
6664
-8683
15347 24108
14399
14875.
29274:
15974
9044
10354
19398
4900
2856
*5559
4508
2856
3094 2618 1666
- 5474
3038
2023
3684 ==========='Is*s============
: : :
98000
58188
| 60812
199000
II
II
S
MI
U
=
IN
=
SSSSSS
ESSES
=============
:imates, obtained' ther.total mid year. ilate the population by age and sex grouping :age distribution.


Page 59
MANNAR DISTRIC'r,
Table:- 5 Population - Age
Population 1981 % Distribution.
Il
IL
.J.
-
1)
18
-
!
li
========
II., II.
li u 1!
II
Years
M
IIP IL
||
1
=
e
=
=
Ezzzzzzzzz
=
||
II
S
il
Under 1 Year
1.76
1.75
1-4 Years. .
5.90
5.78
5-9 'Years.
6.43
6.17
10-14 Years
6.25
5.76
15-19 Years.
.6.16
5.46
20-34 Years.
14.15 6.81 3.02
12.15 5.45
35-49 Years
2.17
50-59 Years. 60-69 Years.
1.22 .
70 Years and
Over..
II
II
=====
16
=
il
||
=
S
S
S
S
==
11
*
II
11
- TOTAL
53.39
|46.51
II
SSS::::
II
/*
!I
Il
il
II
11
II
::::-
Note - To calculate 1990 popul
Population (in thousands sex grouping civen abov

and · Sex Distribution.
Population Estmated for 1990.
....
IH
IL
4
Il
H
=========
=
E====
-----+l) and 'calculate the population by age and ! using the 1981 percentage distribution. .


Page 60
Table - 10
POPULATION BY M.O.H AREA (
M.o.h Area / District
Jaffna Tellipalai Корау. Point Pedro Manipay Kayts Chavakachcheri 3
XXXXXXXXXXU
Jaffna
Kilinochcchi
Kilinochchi
Mannar.
-
Mannar
Vavuniya
Vavuniya
"Mullaithivu
- . Mullaithivu
Trincomalee
Trincomalee
Amparai Kalmunai Thirukkovil Sandunpura
Amparai
Batticaloa Kalwanchikudy Valaichenai
Batticaloa
XXXX
North - East Province

NORTH - EAST PROVINCE )
1989 ( Estimated ) Mid Year
137571
146571 133571. 115751 122751
96034 100751
853,000
117000
117,000
127000
114000
127,000 114,000
93,000 308,000
93000
308000
162325 177325 124325 46025
510,000
135095 98470 171840
406,000
2,528,000 2,528,000


Page 61
Table-11
ANALYSIS OF HEALTH STATUS - DISTRICT WISE - NORTH EAST PROVINCE
1987
1988
INDICATOR
Amparai
Batticaloa
Trincomalee
Vavuni ya
Mannar
Mullathi nu
Jaffna
Kilinochchi
Aparai
- . ninha
Batticaloa
Trincomalee
Vavuniya
Mannar
MullatKivu
Jaffna
Kilinochchi
|1. Crude Birth Rate
22.0
18.7 21.56||
23.1
20.7.
27.0
20.9
21.5
14.5
20.09. 17 | 22.0
| 26.5
12. Crude Death Rate
6.0
4.1 | 5.0 |
4.0
3. 174.2
Not
avail
-able
4.7
4.4
\O
5.2 |2.22

|p. Infant Mortality Rate
15.1
7.73
14.5
26.24||
19.2
3.3
6.2
20
25.0
23
15. Maternal Mortality Rate
1.5
0.8
2.1
2.5
1.34
1.4
0.9
0.6
2.5
NIL
2.2 2.5


Page 62
VAVUNIYA
17590
189
64530
74.0
| 1215 | -21 1056
51.15.
356562
'TOTAL
|211750
2563 |
88.06 4788
1119358
487.6
24882
| .694 |26136
256.15
1015
4159304
|ES====
====
=======
=============
======================
====
==SSSSSSSSSSSSS
(a) Hospital Death Rate - No.of Deaths x 1000 .
No.of Discharges
(b) Bed Occupancy Rate - No.of Bed Days x 100
No.of Beds
365
(c) No.of Still Birth Bate - No.of Still Births x 1000
Total Births

Table-12
HOSPITALS
NO.OF DISCHARGES
DEATHS NO
| RATE(a)
PERFORMANCE OF INDOOR FACILITIES BY DISTRICTS - 1988.
NORTH - EAST PROVINCE NO.OF
NO.OF
BED
BIRTHS
STILL BEDS
BED'. DAYS
OCCUPANCY | NO: LIVE STILL TOTAL
BIRTH RATE(b)
BORN "|BIRTH
RATE(c)
MATERNITY BEDS
TOTAL OPD VISITS
42029
C235
. 47.2
6282
6443.
24.9
327
JAFFNA G.H(T) JAFFNA
*235543 334730
161 203
1288889 603443
50237
1214
90.3
5381
5584
36.3.
142
| KILINOCHCHI
9699
128
42573
44.1
1341
1401
42.8
114
294145
5.6
1367 24.2
1015. 13.1
264 3.26||
356 3
180 7.18||
925
MANNAR
15342
123
68218
52.5
1829
1870
22.42
367052
**
MULLAITIVU
9377
78
· 43165
753
780
34.0
208353
BATTICALOA
44363
212
226100
65.0 49.7 64.8
5354
118
5432
21.6
168
553515
TRINCOMALEE
23113
384
16.6
442
104499
2727
63.
2790
23.0
487345


Page 63
Table-13
}
HEALTH STATUS AND HEALTH SERVICES PROVISION INDICATORS - DISTRICT WISE
NORTH - EAST PROVINCE
JAFFNA KILINOCHCHI TRINCOMALEE
MANNAR
VAVUNIYA
IMULLAITIVU
S.NO
BATTICALOA
AMPARAI
INDICATOR
1987
1988
1987 - 1988 - 1987
1988
h987
1988
1987
1988
1987
1988
1987
1988
1987
1988
HOA
12648 14906 | 3105 | 3287 15.48 ||
22.g 27.0
| 5640 | 6520 | 2830| 2492 | 2329 1609 | 18.1 21.5
21.54 14.
2055
23.1
1545 18540
* 22.0|
20.0g
8333
20.g
2409
280 1238 1433
4.1 4.7
54
No.0f live Births.... 1.2|Crude Birth Rate... |(No.0f live births per 1000
Population) 1.5 |No.0f Deathsi ...... . 1.4 |Crude Death Rate........
|(No.of deaths per 1000
Population ) 1.5 (No.of Infants deaths .... 1.6 |Infand Mortality rate
(NO.of infant deaths per
492
2.04
2.4
292
847 2335
3.11
5.0
4.4
6.0
29
25
22
332
2624
371
25.
164
| 25 |
34.2
23.3
10
36 |
6.3 3.3|
18 |
32 10 | 32 | 31 7.7 6.2 14.5||
19.2
Anna 5: --- L: --)

1.7 No.of deaths od children
91-5) years
3
O4
N. 97
Datas not
available
0.5 ,
.01
0.3
2.2
ろ
1.8 |child Mortality rate..... |(No.of deaths of children
between 1 and 5 years (per 1000 children of the same
age) 1.9 No.of Maternal deaths .....
17
5 |
O4
0.3 NIm 14
10
42 | 0507 | 05 | 04 | 03| 05 2.4.7 | 6.5 0.8 |
0.6)
1.84
2.1
2.3
2.3 NI 1.5
0.9
1.1ą Maternal mortality rate..
( No.of Maternal deaths
1000 live births)
sp/ra


Page 64
>
Cu
|2.4
155
60
15
Public Health Midwives - Number
No. per 1000 Population
• 18
2.5
35
Public Health Inspectors= Number
No. per 1000 Population
a w 2 \ & & &
! ! * g : !
a ! !
| 27 | 23 |
41.
| 11 | 04 06 | 12 | 11 |0.09.0.08 0.110.140.140.100.03 0.04 0.13
|0.12 | 10 | 10 | 20 | 22 | 02 | 01 | 05 |
| 05
| 02
| 02 .04 þ.03 |0.03 |0.05 0.05 | .02 0.01 0.04| 0.04 |.03
.02 | 01 | 01 | 0 | 0
NIL NIL
00
.04
12.6
Public Health Nursing Sisters
Number No. per 1000 Population
8 8 3 3 8 8
.003
p.003| 0.003 o o
00
sp/ra

Table-13 Contd...
HEALTH DTATUS AND HEALTH SERVICES PROVISION INDICATORS DISTRICT WISE
NORTH - EAST PROVINCE
S.NO
INDICATOR
JAFFNA | KILINOCHCHI TRINCOMALEE BATTICALOA
VAVUNIYA
MANNAR
MULLAITIVU 1987 1988 1987 | 1988 | 1987).1988 | 1987 | 1988 | 1987 | 1988 | 1987 1988 1987 1988
AMPARAI 1987
1988
|2.1
HEALTH MANPOWER (as on 31st December)
2.1
Doctors - Number
No. per 1000 Population
121
112
. 14
01 | 07 İ 05 | 28 |
2) | 5 |
4 | 03 0.01 0.008 0.02 0.01|0.07 | 0.070.05 0.034 0.03 0.03 0.03
. 13
03 0.03
2.2
| AMP/RMP -Number
No. per 1000 Population
56
62
.06
.07
| 16 | 20
23
| 27 | 30
12 0.140.13 p.06 | 0.08 0.04 0.06 |0.07 |0.27 10.02 0.04 10.09
12 0.09
|2.3
39 o 29
311
Para Professional health personnel Nurse 308
Number No. per 1000 Population
| 123 | 21
3 & & & & ? % R 3 G & & is
| 27 | 28 | 08
- 3 - 2 & y - 3 : 3 & N 38 :-
• 37
3 3 2 3
3 #5 is &
48
Pharmacists - Number Dispensers - Number
þ.12 F 0.1 |0.26 |0.29 |0.05
|0.06$ 0.06| 0.05 |0.05 | 5 | 03 | 03 | | 27 | 06 | 14
05
02
38
*
m


Page 65
Table-13 Contd...
HEALTH STATUS AND HEALTH SERVICES PROVISION
NORTH-EAST PROVINCE
S. NO
JAFFNA KILINOCHCHI TRINCOMALEE BATTICALO VAVUNIYA | MANNAR MULLITIVU
AMPARAI
1987 1988 | 1987 | 1988
1987 | 1988 | 1987 1988 1987 1988 1987 1988 1987 1988 1987 '1988
INDICATOR
HEALTH FACILITIES
3.1
2366
2366
498
Hospital beds - Number
No. per 1000 Population
3.2
2.8
**
* $ $ !
1.65
3.2
469
469
114
88
Maternity beds - Number
No. per 1000 Population
| 114
.9
402 899 925 1239 239 357 357 - 1;: 1.3 |2.3 2.3 12.06 2.06 | 3.1 p.9 2.02 1.97 88 | 168 168 | 75 | 75 | 60 | 60 52 52 0.29| 0.430.42
|0.50 | 0.48 0.58 0.58 - 17769 18867 15003 12982 9370
.57
.55 1.0
0.29
3:3
180378 !92266 | 9446 | 9692
Inpatients - Total Number
af discharges No.of discharges per bed
33.97
63.67\ 35.7 136.7 |
63.0
48.2 48 94.43 80.4
ON
91.2 65
Births (Total Institutional Births) | 13238 | 12027 1641 1401 2332 2411 5239 5334 1497 1214 1665 1829

3.4
Bed Occupancy Rate
55.68
65.591
41:7 44.1
62.5
59 : 94.43 77.7 59.56
3.5
1468
1449 | 76 | 128
225
304 768
| 2.16 | 1.97 244 123 105 78
Hospital deaths - Number
No. per 1000
Inpatient
discharges
18.26
15.78.0 13.2 | 7.0
13.117.5!
10.24 1.5 12.9 8.7 8.088
3.6
Total No.of out patient visits
2162287 1892332 36294 294145
| 603347
628796
694953
| 553515 47o227 383231...
349867
! 495635
481547.
258353


Page 66
29.9 DU, 1
! 1
1 !
| 1
4.4
367.
355 · s
u a
458
458 499
-
Estate Food Establishments - Total number
440 Number examined
363 % of tatal
82.5 Immunization Infants (12-15 months fully immunized)
Number fully immunized Total in age group % Fully immunized
365
302
206 66.5
379 | 235
458 62.0
102 102 100
458|| 100
129| 129
70| 62 54.348.06||
93.75
100
4.5
184
57.0
11297 18445
61 157.2
1439 | 3197 56.7. 9078 ho192 5.8 31.36 | -
|-
1638 2329
2234 61.2 55.97
1091 791 2055| 1545
Cartd.........cz.

Table-13 Contd. .
HEALTH STATUS AND HEALTH SERVICE PROVISION INDICATORS- DISTRICT WISE NORTH-EAST PROVINCE
S.No.
INDICATOR
JAFFNA KILINOCHCHI TRINCOMALEE (BATTICALCA
VAVUNIYA
MANNAR MULLAITIVU
AMPARAI 1987
1988 |1987 |1988
|1987 1988 1987 | 1988 | 1987 1988 1987 1988 1987 | 1988 | 1987 | 1988
Community Health
4.1
416
679
189
Percentage of Notified cases investigated -
Number notified
· % investigated Percentage. of households with adequate latrine facilities
Rural
457|| 92.3
1227 86.3
152| 294
35
23
111 6.3
59
45.9 100
4.2
51.6 72.1 |
38.1 59.6
26.3 50.5|
P A .
Urban
& & .
II I
III.
III
| |
4.3
Estate Percentage of households with availability
Rural
! ! ! !
51.2| r. o I
61.34
05| 08 | 28 | 28.2|-
78.1
na a
co o


Page 67
Table-13 Contd...
- 02 -
S.No.
INDICATOR
JAFFNA KILINOCHCHI TRINCOMALE BATTICALOA 1987 I 1988 71987 1988 11987 1988
|1987 | 1988
VAVONIA
MANNAR MULLAITIVU
AMPARAI
1987 | 1988 | 1987 | 1988 1987 I 1988
| 1987 | 1988
2518
1067| 633 9128 8500| 8333||
3073
27.3 70
20.6
I I. I
1441
898
2877||
2163
50.08| 41.51
4.6
Pregnant women protected with Tetanun Toxoid
Number protected
6612 9647 780
852 1776
Ext.total pregnancies
9608 15800 | 2712 |
2670| 9056
% protected
33.72
28.74 30.8 | 19.6
Pregnanties Registered Number registered
11398 | 16114
1618 1637
| 2068
Ext. Total pregnancies
19608 15800
271 2760 | 9056
% registered
58.12
102 | 59.66 59.31 18
Pregnant women receiving clinic are Number of first visits
11728
14978 1721 1844 1635
Ext.Total pregnancies
19608
1580 271 2760 9036
8333||
330d 6160 6558||
13131 1651 1190 1043 1778| 883
9128 8500
3073| 2830| 2492 2877| 2163 |
36.1 72
5.4 42.0 #1.85| 61.8040.82
78
4.7
8500
2837 5648||
8005||
9128
8333||
234 2480| 2089||
1898 601||
82.6 59.9
2877| 2113|

59.8
% alleULIG LITHIC Deliveries -
95 63.45 66.81| 18.0|
31 661 96|| - | 7.6 | - | - |65.97| 27.78
4.8
10791 815| 978| 3033 | 2928 5239| 6289 1639| 1226 1717 2072 771 780|| 11597 839 1087 3640 6598 - | - | 2329 2195||
2055| 1545||
93 97.13 89.97| 53.7
44.3 62 751 70.37\ 56.26 72.4 83.7|37.5150.48||
4.9
Number of deliveries conducted by trained personnel
8062
Total deliveries
9023 % Conducted by trained personnep89.34 Post Natal Care
Number of mothers receiving Postnatal care
No. of Births
9211
% of mothers receiving post natal care
74.3
R. 8
3 2 1
6809
9439
796 997| 580| 8391 1562 8640
14906
2625 4175| 5108|| 529|558 700 870 638|| 909|| 852 8500| 8333| 1733 1238| 2371 2492| 2055| 1545||
&
63 | 94,87 63.8 10.2
40. 49 61| 30.53 95.1| 29.5| 34.9|31.05||
5.8||
Contd.........03


Page 68
15432
26258 782| 1185 389|| 911 96 1155| 491| 1703 853| 901|| - ||
597|| 70666 | 101379|10212|11558|45300|45300 580o 65000 |15950 (16240 (17690|1798013650 13950| 35.26
26: 4.6|10,16| 6.8 || 8.6
| 25|| 3.07 10.5 | - | 5
| 4.42
4.13
15.6
methods of FP. Number of Eligible couples % of eligible couples using
family planning. Percentage of Malnourished children seen at clinics pre-school. (1-2 years) - Number weighed
Number below 3rd percentile % Malnourished
12963 46799
|1034| 2284 2665| 1333| -
1096 | 2252
1732 | 5480
436
1
2930 | 16713 22.6
36
42.1
665| 1062
702 29.1||
39.8|52.6
938 | 1396 188.58 61.98
100 | 1692 5.77 Bo.87
/,
Cortd......, 0.04.

Table-13 Contd...
- 03 -
S.No.
INDICATOR
JAFFNA KILINCCHCH TRINCOMALE
BATTICALOA 1987 | 1988 |1987 1988 1987 1988
|1987 1988
VAVUNIYA
MANAR MULLAITIVU
AMPARAI 1987 | 1988 | 1987 | 1988 1987 | 1988 | 1987 | 1988
4. 10
669
11698 19608 59.65
13978| 2092 1319 2368 3509| 7476 | 6218|| - | 749| 1035| 1077| 1479 16028| 2712 2760 7040 6553| 8500| 8333| 2509| 2313| 2830||
| 2492 2145| 2136 87| 77.13| 47.7| 33.5| 33.5| 88| 75|| -. 32.38||
29
36.5
43.2
4.11
Infant Care
Number of infants registered Estimated births
% of infants registered Pre-Schoòl Care
Number or Pre-School children first visit to clinic Estimated number of pre-school children % of Pre-school children seen
at clinics. Family Planning - New Acceptors
Number of new acceptors of permanent methods
11908
13579| 1384| 1405| 1942 2056| 3461 | 2239|
229
614|83.
832 464
320|
76516
64112| 11074 1380031396 29596 6400 36400| 10193 | 13536|11656| 1488 13350 |10324||
15.56
211 12.49|10. 18|| 6.1 6.9 9.5| 6.1 | - | 1.50! -
5.6
3.8
3
4.12
5387
973
698||
897| 2183 2335
40
792


Page 69
Table-13 Contd...
( 4 )
S.No.
INDICATOR
JΑΞΕΝΑ KILINOCHCH TRINCOMALE BATTICALOA
VAVOHIYA
MANNAR MULLAITIVU
AMPARAI 1987 I 1988 1987 1988 1987 1988 1987 | 1988 | 1987 || 1988 | 1987 | 1988 1987 | 1988 1987 | 1988
1348
7785| 16784
967
1567| 4839
485
20.12||
29 |
50.1
1595
369 | 2346| 968 38.39 34.8 60.6
1238
1104
89.18
772
I I
2043 5023
384 1351
18.8 26.89
57.20
20
30d 08
|Pre-School (2-5) Years
Number weighed Number below 3rd percentile
% Malnourished 4.14 volunteer Health Workers
Number trained Number in positions % of VHW in positions
out of total required 4.15 School Health
School Taken up for EMI % of total schools Number of School children
2347 1374
4073
1568
25 60
55 20 46
46
105
151 340| 105 151|
II 1 1 1
318
L. I. : I = 0
279 08
123
57.62 49.74 | 341 | 32
35 | 38.7||
45 7.98
06 |
67
226||
288 39 | 49 42.72 64.71| 43.0| 55.6
| 18
2.8|8.4
! 3
08
8.8

18374
22138
2392| 79.4
1278| 3431
| 6.8 | 19.0
6027 4389
17 1a -
427 423
53.2 27.9
438 640
65.7 64
examined
% of total number eligible 4,16 |school Dental Health
Number screened by School Dental Therapist % of total number to be screened.
6418
Data not
available
3500 350
! !
$ $ ! ! !
| 11
44.2
1 1 1
! ! !
|
er i
' .
Contd....


Page 70
Number positive Total attendance at clinics
| 1
5.4
LEPRASY Number of new cases registered
41
35
Datal not available
96
99.
w & 3 3 . . w o 8 9
Total cases under treatment Number released from Contril
S.T.D Number of cases investigated Number positive. Syphyllis
! ! ! o 0 1 1
! 1 !! 2 o 1 !
102
.225
5.5
721
199
1 1 1
| 11
19
75

Table-13 Contd...
HEALTH STATUS AND HEALTH SERVICE PROVISION INDICATORS DISTRICT WISE
NORTH - EAST PROVINCE
S.No.
5.1
INDICATCP.
JAFFNA KILINOCHCHI TRINCOMALE|BATTICALCA JAFFNA
VATINI IA
MANAR MULLAITIVT
AMPARA 1987 I 1988 1987 1988 1987 1988 1987 | 1988 || 1987 | 1988 1987 | 1988 1987 19E8| 1987 | 1988 SPECIALISED CAMPAIGNS MALARIA Number of slides examined
27690
38832
6915 po829
8603 | 43629 39494 14197 2020$ 6129| 11868 899| 4951 Number of slides positive for malaria 1517 | 3729 | 873 | 7156
|-
| 4896 9154 | 7789| 1535| 3463 1224 2309 NIL | 831 Number of Houses sprayed
14785 | 25387 $5374 p5905
33578||
| 34151| 87194 77351 21120 60728 32778 596p2 39213 28505 Number of Causes of malaria
1402
34751 | 873 þ7665 | 86259| 59339154 | 7789| 1535|40873| 46219 15883 15|
52 Number of deaths
|- | 0 | 0
NIL NIL
5.2
13
TUBERCULOSIS Number of new cases:Degistered Total cases under treatment Number of deaths
318 325
& & *
! = & S
& 1
Så
A
! ® &
2 &
18
! 5
3 è
을
NIL
FILARIASIS
-
5.3
Number of persons examined


Page 71
Table-13 Contd...
HEALTH STATUS AND HEALTH SERVICE PROVISION INDICATORS DISTRICT WISE
NORTH - EAST PROVINCE
S.NO.
INDICATOR
JAFFNA KILINCCHCH TRINCOMALE BATTICALCA
| YATSIYA
MANAR MULLAITIVU
AMPARAI
1987 | 1988 1987 1988
1987 |1988 |1987 I 1988
| 1987 | 1988 | 1987 I 1988 1987 I 1988T 1987 I 1988
S.T.D
Gonorrhoea
Number treated
**
2
RABIES
5.6
No.0f dogs eliminated No.of dogs vaccinated No.of cases of Human Rabies
749 350
977
10830
05
O '
III
| | |
a ! !
*
- o o
:
N 1' 1



Page 72



Page 73
· Table:/4
LEADING CAUSES OF HOSPITALIZATION BY DISTRICTS 1988 NORTH - EAST PROVINCE
NO OF CASES
DISEASES
Amparai
Batticaloa
Trincomalee
|- Vavuniya
Mannnar
Mullaitivu
Jaffna
Kilinochch
1. Normal delivary
2689
2366
1093
1475
2.
9320
6338
517
7831
1219
1322
1653
Malaria Diseases of the skin & subcutaneous tissue Open wounds and injuries to blood vessles
7388
1274
304
4913
471
775
1870
980
4279
550
312
531
292.
Asthma
Fractures 7. Other symptoms signs & ill defined conditions
Anaemia
IS)
3585
3475
3446
2047
527
436
468
ALLA . ...:
..

alla --JI. OU UUT LJUULI PLIC LIOTIS LI UUla
1888
444
627
1019
458
1746
1162
642
563
496
857
10] Ill defined intestinal infection 11] Acute branchities 12other direct obsectivic 'cases 13. Abdominal pain
14.
15. Other viral diseases 16. Other diseases of the respiratory system 17. Other diseases of the urinary system . 18. Traumatic injuries 19. Influenza 20. Diseases of the gastro intestinal tract 21. Diseases of the mascules skeletal system and connective
tissue
22. Diseases of the female genital orgams
516
468
198
2056
1699
1342
299
| 1362
: 754
.....(2)


Page 74
03
23.
22. Encephalities
Internal infection due to other specified organisms
Acute bronchitis amd branchitis 25. Pulmonary T.B
Cerebro vascular disease
24.
• 07
09
26.
09
27.
Jo In
07
38
24
29.SLO
22
Chronic liver disease and cirrhoesis 28.|Ischaemic heart diseases
Slow fetal growth fetal malnutrution & Immaturity 30.| Diseases of the gastro intestinal tract 31.
Traumatic injuries
Pesticide poisoning 33.
Diseases of the urinary system 34. Diseases of the upper respiratory tract 35.|Other Isclaeminid heart disease
32.
36• Diseases of blood and blood forming organs
UN TO

Table:/5
LEADING CAUSES OF HOSPITAL DEATHS BY DISTRICTS 1988
NORTH - EAST PROVINCE
NO OF CASES
DISEASES
Amparai
Batticaloa
Trincomalee
Vavuniya
Mannar
Mullaitivu
Jaffna
Kilinochchi
15. Chronic liver diseases 16. Asthma 17. Typhoid 18. Senility without mention of psychasis 19. Hypertension diseases
O4
O4
20. Injuries and early complications of trauma 21. Poisoning toxic effects
07 | 49
04


Page 75
Table :15 Contd.
LEADING CAUSES OF HOSPITAL DEATHS BY DISTRICTS 1988
NORTH - EAST PROVINCE
NO OF CASES
DISEASES
Amparai
Batticaloa
Trincomalee
Vavuniya
Mannar
Mullaitivu
Jaffna
Kilinochchi
Acute Mycordial infarction
125
Septicaemia
79
Cerebro Vascular diseases
74
I stil
Chronic Fever diseases and cirrosis
60
5.
Ill-defined intestinal'infection
N

6. Other diseases of pulmonary circulation and other farms of heart deseases
45
53
Other symptoms signs and ill-difined conditions
46
Hypoxia, birth, asphyxia and other respiratary conditions & other diseases of:
digestive system
39
Organophosphate and carbonate
16
10.
Branche pueimonia
18
12
Snake bite
16
Open dounds of injuries :
10
Shigallasis
18
Malaria
..... (2)


Page 76
===========================
||||||||||
위키 | | ||
============================
리 8위 이 이 이 | 이.
| 이 이 이
##
####"
45
| 비
102
나0
==
HHHHHH什l
22
15
-89
========"|-
===
O/
i 343
t==================뉴=:
THE
3 4|=3| 1 |
| | 2.
==
55 287
02
1162
======
lls IeaSLES
12. Tuberculosis
3. Polio 14, Diptheria 15. Chicken box 16. Mumps 17. Other(specify) 18. Continued fever 19. Food poisoning, 20, Malaria

Table; 16
INCIDENCE OF SELECTED NOTIFIABLE DISEASES (NOTIFIED TO M.00.H) DISTRICT WISE
NORTH -EAST FROVINCE
NO.OF CASES
!
NOTIFIAABL
IMA
I JAFFNA
KILINOCHCHI I BATTICALOA ! • TRINCOMALEE VAVUNIYA
MANNAR HMULLAITIVU
.U.AMPARAI I 1987 I 1988 1987 | 1988 I 1987 | 1988 1987 1988 1987 1988 1987
1988"H"1987 | 1988"1987.
| 198
150
N
H
286
68
II
110
551
Il
| 96
EFESASEAFEEE"
. ON FIr
705
480
1 o -
3e la B
| B |%
stsetsetssts=*st=
84
1. Cholera
2. Diarrhoea and dysentry .3. Typhoid
4. Infectious Hepatitis | 5. Human Rabies
6. Encephalitis 7. Acute Pajiemylitis 8. Tetanus 9. Neanatal Tetanus 10. Whooping Cough
105
/
R 0 G
한 이 의
Jo Jo | | lo | lo |
=========================
Il
01
01
02.
07
01.
IL
05
H 01
o


Page 77



Page 78