ဖော်ပြချက်/အကြောင်းအရာ:
Executive Summary: "This report reveals that the health of populations in conflict-affected areas of eastern Burma, particularly women and children, is amongst the worst in the world, a result of official disinvestment in health, protracted conflict and the abuse of civilians..."Diagnosis: Critical" demonstrates that a vast area of
eastern Burma remains in a chronic health
emergency, a continuing legacy of longstanding
official disinvestment in health, coupled with
protracted civil war and the abuse of civilians. This
has left ethnic rural populations in the east with
41.2% of children under five acutely malnourished.
60.0% of deaths in children under the age of 5 are
from preventable and treatable diseases, including
acute respiratory infection, malaria, and diarrhea.
These losses of life would be even greater if it were
not for local community-based health organizations,
which provide the only available preventive and
curative care in these conflict-affected areas.
The report summarizes the results of a large scale
population-based health and human rights survey
which covered 21 townships and 5,754 households
in conflict-affected zones of eastern Burma. The
survey was jointly conducted by the Burma Medical
Association, National Health and Education
Committee, Back Pack Health Worker Team and
ethnic health organizations serving the Karen,
Karenni, Mon, Shan, and Palaung communities.
These areas have been burdened by decades of civil
conflict and attendant human rights abuses against
the indigenous populations.
Eastern Burma demographics are characterized by
high birth rates, high death rates and the significant
absence of men under the age of 45, patterns more
comparable to recent war zones such as Sierra
Leone than to Burma?s national demographics.
Health indicators for these communities, particularly
for women and children, are worse than Burma?s
official national figures, which are already amongst
the worst in the world. Child mortality rates are
nearly twice as high in eastern Burma and the
maternal mortality ratio is triple the official national
figure.
While violence is endemic in these conflict zones,
direct losses of life from violence account for only
2.3% of deaths. The indirect health impacts of the
conflict are much graver, with preventable losses
of life accounting for 59.1% of all deaths and malaria
alone accounting for 24.7%. At the time of the
survey, one in 14 women was infected with Pf
malaria, amongst the highest rates of infection in
the world. This reality casts serious doubts over
official claims of progress towards reaching the
country?s Millennium Development Goals related to the health of women, children, and infectious
diseases, particularly malaria.
The survey findings also reveal widespread human
rights abuses against ethnic civilians. Among
surveyed households, 30.6% had experienced
human rights violations in the prior year, including
forced labor, forced displacement, and the
destruction and seizure of food. The frequency and
pattern with which these abuses occur against
indigenous peoples provide further evidence of the
need for a Commission of Inquiry into Crimes
against Humanity. The upcoming election will do
little to alleviate the situation, as the military forces
responsible for these abuses will continue to
operate outside civilian control according to the
new constitution.
The findings also indicate that these abuses are
linked to adverse population-level health outcomes,
particularly for the most vulnerable members of
the community—mothers and children. Survey
results reveal that members of households who
suffer from human rights violations have worse
health outcomes, as summarized in the table above.
Children in households that were internally
displaced in the prior year were 3.3 times more
likely to suffer from moderate or severe acute
malnutrition. The odds of dying before age one was
increased 2.5 times among infants from households
in which at least one person was forced to provide
labor.
The ongoing widespread human rights abuses
committed against ethnic civilians and the blockade
of international humanitarian access to rural
conflict-affected areas of eastern Burma by the
ruling State Peace and Development Council (SPDC),
mean that premature death and disability,
particularly as a result of treatable and preventable
diseases like malaria, diarrhea, and respiratory
infections, will continue.
This will not only further devastate the health of
communities of eastern Burma but also poses a
direct health security threat to Burma?s neighbors,
especially Thailand, where the highest rates of
malaria occur on the Burma border. Multi-drug
resistant malaria, extensively drug-resistant
tuberculosis and other infectious diseases are
growing concerns. The spread of malaria resistant
to artemisinin, the most important anti-malarial
drug, would be a regional and global disaster.
In the absence of state-supported health
infrastructure, local community-based organizations
are working to improve access to health services in
their own communities. These programs currently
have a target population of over 376,000 people in
eastern Burma and in 2009 treated nearly 40,000
cases of malaria and have vastly increased access
to key maternal and child health interventions.
However, they continue to be constrained by a lack
of resources and ongoing human rights abuses by
the Burmese military regime against civilians. In
order to fully address the urgent health needs of
eastern Burma, the underlying abuses fueling the
health crisis need to end."
ရင်းမြစ်:
The Burma Medical Association, National Health and Education Committee, Back Pack Health Worker Team
Date of Publication:
2010-10-19
Date of entry:
2011-09-05
Grouping:
- Individual Documents
အကြောင်းအရာ/အမျိုးအစား:
Language:
Burmese, English, Thai
မှတ်တမ်း:
ပုံစံ:
pdf
အရွယ်အစား:
5.32 MB