Around the globe, 1 in 6 children become vulnerable to grave physical and mental violence, hunger, sexual assaults, and exploitation of human rights due to war. These adversities are multi-dimensional, synergistic, and often subtle. This study attempted to evaluate the health and nutritional status of children aged under five years and living in the war zone of Sri Lanka, in view of improving the health services delivered to them. The study used a descriptive cross-sectional design. The study sample, 400, was based on probability proportionate and then systematic sampling drawn from IDP camps located in the Vavuniya district. Validated instruments along with hemoglobin and anthropometry measurements were administered. Among children, more than half were malnourished based on weight for height z-score (WHZ) anthropometry index (<-2 SD) One-fourth had not received age-appropriate vaccinations. More than 50% had psychological symptoms. Maternal and Child Health service gaps were observed along with deficits in the curative service. Identifying and addressing these complex health and nutritional problems in a multi-sector collaborative manner is a priority; the main focuses are nutrition, vaccination, mental healthcare, and essential maternal care.
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