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Poorest Still Go Hungry
Written By: Amantha Perera/ipsnews
Posted Date: 1/26/2012 9:55:12 AM
Experts agree that Sri Lanka's free pre and postnatal clinics across the island nation have helped bring infant mortality down to 15 per 1,000 live births and the under-five mortality rate to 21 per 1,000 live births.

But, beneath that general picture of success lie pockets of vulnerability where poverty and lack of awareness are causing high levels of malnutrition in this country, classified as a middle-income country by the International Monetary Fund in 2010.

According to a November 2011 paper released by the Institute of Policy Studies, a semi-government research body, a fifth of children under the age of five suffer from malnourishment, as also every sixth newborn.

"This is a fairly high rate," Angela de Silva, lecturer at the Colombo University and a vice-president of the Nutrition Society of Sri Lanka, told IPS. She said the high rates of malnourishment were primarily "due to certain pockets with high levels of underweight."

"Overall, there has been an improvement in underweight over the years and, for most areas, underweight is not a huge problem. But the government’s (most recent) demographic and health survey (2006-2007) indicated that certain areas were badly off," de Silva said.

One of the areas identified by the Institute’s report was the Nuwara Eliya district, famed for its tea plantations. "Children in the estate sector are twice as likely to be underweight than children in the urban sector," said the report titled ‘Eradicating malnutrition in Sri Lanka, looking beyond health’.

Around five percent of Sri Lanka's 21 million people are from the plantation sector - descendants of workers brought from south India in the 19th century by British colonialists to work in the tea plantations.

The research paper said that one in three children under the age of five was underweight in the plantation sector and 40 percent of newborn babies had low birth weight.

The main reason for these levels of high undernourishment appears to be poverty. According to the government's indicators, at least 11 percent of the plantation population lives below the national poverty line of 27 dollars per month.

The research paper said that over 60 percent of the same population was categorised as poor.

"Evidence from many countries has proved that poverty plays a large part in malnutrition as access to resources will
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