Excellencies,
Ladies and Gentlemen
UNFPA is delighted that Sri Lanka is moving ahead with
its peace building efforts since the signing of the peace
accord in 2002. We recognize that significant achievements
and progress have already been made within a relatively
short period of time. We are also aware that this is still
a fragile process – one that needs the continued
strong support and attention of the international community.
The conflict has affected all parts of the country and
all communities. In particular, the suffering of women
and children during the conflict, both as a direct result
of war and loss of lives among their families and communities,
as well as in many cases, a loss of access to the most
basic social services, has been immense. Now that peace
efforts are firmly underway, there are many challenges
ahead of us. There is not only a need to reconstruct and
rehabilitate the physical infrastructure, there is also
a need to reconstruct communities and rehabilitate individuals
and their families.
We in UNFPA are ready to play our part in the peace-building
process, in close collaboration with all our national
and international partners. Our recent involvement in
post-conflict situations, such as in Afghanistan, Timor
Leste, Sierra Leone, and in Kosovo have established UNFPA
as a critical partner in those situations. The focus of
our work in post-conflict situations has been primarily
in four areas: (i) the reestablishment of quality reproductive
and health data collection and analysis; and (iv) advocacy
and support for the full participation of women in peace-building
efforts.
UNFPA’s special attention to the needs of women
and girls reflects the strong commitment of the United
Nations to the gender considerations of conflict and reconstruction,
as exemplified by the Security Council Resolution 1325.
UNFPA’s partnership with the Government of Sri
Lanka goes back to 1969-the year UNFPA was established.
Much has changed since. Most importantly, remarkable progress
has been made in reducing maternal and infant mortality,
promoting safe motherhood, and advancing gender equity
and equality.
Despite these achievements, some serious gaps remain
in access to and quality to reproductive health services.
Several population groups still have limited access to
reproductive health services, such as adolescents and
youth, women working in free trade zones, plantation workers
as well as those living in the conflict affected areas
of the North East.
In the North East, UNFPA has supported various reproductive
health interventions since 1995 using different modalities
of operation. Our assistance has been delivered through
the national service delivery mechanisms of the Ministry
of Health as well as local municipal councils and district
authorities and local NGOs. Overall, and as a result of
this support, reproductive health services are more widely
available in the North East.
Several bilateral donors contributed to these initiatives
and we take this opportunity to thank the governments
of Japan, the Netherlands and Australia for their generous
support for these critical programme areas.
The impact of conflicts on women and girls’ reproductive
and sexual health cannot be underestimated. Women are
extremely vulnerable to a whole range of abuses and injustices,
including sexual violence and exploitation, during conflict
situations. Their physical, psychological and emotional
well-being is often severely compromised. We know from
our experiences that incidence of unwanted pregnancies,
abortions and sexually transmitted diseases increases
quite significantly during conflict situations. In addition,
essential medical facilities, on which women heavily depend
for their well-being, are greatly disrupted. Although
information and data are incomplete, most health indicators
in the North East are far worse than the average for the
country. For instance, maternal mortality ratio is 80
deaths per 100,000 live births in the North East compared
to 58 per 100,000 in the rest of the country; unattended
home deliveries range between 19 per cent to 41 per cent
in some districts in the North East compared to 4 per
cent in the rest of the country; and contraceptive prevalence
is estimated to be around 36 per cent while it is 70 per
cent in the rest of the country. Other indicators such
as maternal morbidity, malnutrition and fertility including
among adolescents, are also reported to be considerably
higher.
It is estimated that due to the conflict situation, female-headed
households have risen to 19 per cent in the North East,
of which 41 per cent are headed by widows – most
of them young. Such demographic changes need to be better
understood through data collection, analysis and research
efforts, so that appropriate policies and programmes can
be initiated, especially for the female-headed households.
And when these policies and programmes are being planned
– they need to be guided by an understanding of
the specific needs of women and girls who have lived under
the conflict and with full recognition of their human
rights, including the rights to have full and equal access
to reproductive health services. Equally important is
that women do participate fully in decision-making processes
at every level of the post-conflict phase, since it is
critical for the success of the reconstruction, rehabilitation
and resettlement efforts.
UNFPA, as part of the UN system and Multilateral Group
in Sri Lanka, supported the preparation of the Assessment
of Needs in the Conflict Affected Areas. This was a participatory
process involving the Government of Sri Lanka and the
Liberation Tigers of Tamil Eelam, as well as wide range
of stakeholders on the ground to arrive at a consensus
on the rehabilitation and reconstruction needs of the
North East.
In addition, UNFPA undertook an in-depth review of the
current situation in the areas of reproductive health,
population and gender, and identified several critical
gaps that need to be addressed on a priority basis. These
include:
(i) Ensuring safe motherhood: provision of family planning
services; prevention and treatment of sexually transmitted
diseases and HIV/AIDS, especially among adolescents and
young people, the deployment of mobile clinics; the provision
of reproductive health commodities; the training of health
providers and a wide range of health promotional interventions.
(ii) There is an urgent need also to collect and analyse
demographic and health information for policy-making,
planning and programming, and at the same time to develop
further the national capacity for survey and census taking.
(iii) Special attention needs to be given to addressing
gender-based violence through incorporating care and counseling
of survivors reproductive health services as well as through
efforts to raise awareness of the issue.
The impact of the conflict on women is an area that calls
for gender-sensitive and multi-faceted interventions that
will address the whole range of social, economic, political
and cultural factors that affect women’s health
and well-being. UNFPA stands ready to support the Government
in these efforts. We would like to take this opportunity
to call on the donor community to give the peace-building
process its unequivocal support and to provide the necessary
means to facilitie the reconstruction and development
efforts in Sri Lanka.
Thank you.