sri lankan perspective dr nihal abeysinghe m.b.,b.s., msc, m.d. (community medicine) chief...

Sri Lankan Perspective

Dr Nihal Abeysinghe

M.B.,B.S., MSc, M.D. (Community Medicine) Chief Epidemiologist

Ministry of Health, Nutrition & Welfare

Place of ICTs in achieving MDGs

MDGs related to MCH care

Infant mortality rate

Benchmark (1990) 19.3/1000 LB

Current Situation (2001) 12.2/1000 LB

Target (2015) 9/1000 LB

Ministry of Health, Nutrition & Welfare

MDGs related to MCH care

Under 5 mortality rate

Benchmark (1991) 22.2/1000 LB

Current Situation (1999) 16.8/1000 LB

Target (2015) 11/1000 LB

Ministry of Health, Nutrition & Welfare

MDGs related to MCH care

Maternal mortality ratio

Benchmark(1996) 92.0/100 000 LB

Current Situation (2002) 53.3/100 000 LB

Target (2015) 36.0/100 000 LB

Ministry of Health, Nutrition & Welfare

MDGs related to MCH care

% Births attended by skilled health personnel

Benchmark (1990) 98%

Current Situation (2001) 97%

Target (2015) 99%

Ministry of Health, Nutrition & Welfare

District Maternal Mortality Rates - 2001

14.86

15.34

22.32

26.39

27.93

34.1

35.9642.48

60.2567.75

72.45

75.15

116.1

167.85

29.17

73.62

93.65

52.78

55.05

59.47

31.7833.26

44.7546.88

0 20 40 60 80 100 120 140 160 180

ColomboPolonnaruwa

PuttalamKegalle

RatnapuraAnuradhapura

AmparaHambantotaKurunegalaGampaha

Galle Matale

Sri LankaBadullaKalutara

KandyTrincomaleeMoneragala

Vavuniya + MannarMatara

KalmunaiJaffna + Kili + Mullati

BatticoloaN' Eliya

MDGs related to MCH care

Prevalence of Underweight children < 5 years

Benchmark (1990) 32.3%

Current Situation (2001) 29.4%

Target (2015) 15%

Ministry of Health, Nutrition & Welfare

MDGs related to Immunization

% of 1 year-old immunized against measles

Benchmark (1990) 79.7%

Current Situation (2001) 88.2%

Target (2015) 99%

Ministry of Health, Nutrition & Welfare

MDGs related to HIV/AIDS

HIV prevalence among 15-24 year old pregnant women

Benchmark (1990) No cases

Current situation (2004) 12 cases

Target (2007) keep less than 0.01%

Ministry of Health, Nutrition & Welfare

MDGs related to Malaria

Prevalence and death rate associated with Malaria

Benchmark (1990) 279,172 cases

14 deaths

Current situation (2003) 10,510 cases

4 deaths

Target (2015) Eliminate

National Target

Eliminate Local Transmission of Malaria in Sri Lanka by 2015

Ministry of Health, Nutrition & Welfare

MDGs related to Tuberculosis

Death rates associated with TB

Benchmark (1990) 2.4/100,000 cases

Current Situation (2001) 1.8/100,000 cases

Target (2015) 0.7/100,000 cases

Ministry of Health, Nutrition & Welfare

MDGs related to Tuberculosis

% of TB cases detected and cured under directly observed treatment short course (DOTS)

Population coverage

Bench Mark (1990) introduced in 1997

Current Situation (2001) 74%

Target (2015) 85%

Ministry of Health, Nutrition & Welfare

Maternal care

Maternal nutrition

Antenatal care

• Clinic care

• Domiciliary care

Intra natal care

• EmOC

• Quality

• Standard guidelines

Post natal care

Ministry of Health, Nutrition & Welfare

Natal care

Provision of EmOC facilities in hospitals

Improved quality of care

Infection control

Supply of life saving equipments

Adhere to procedures and guidelines

Ministry of Health, Nutrition & Welfare

New born care

How to reduce newborn mortality and morbidity?

NICU facilities in major institutions

Resuscitation facilities

Infection control

Availability of drugs and equipment

Adherence to Procedures, Standards and Guidelines

Ministry of Health, Nutrition & Welfare

Ministry of Health, Nutrition & Welfare

Ministry of Health, Nutrition & Welfare

Our strategies …………. Improve ambulatory care

Concentrate on Non Communicable diseases

Integrated disease surveillance

Rehabilitation in the community

Promote healthy lifestyles

Ensure equity

Explore IT for improving Efficiency & Effectiveness

Ministry of Health, Nutrition & Welfare

Why We Need a MIS based on ICTs

Present manual system is not efficient

Sometimes incomplete

Behind time

Not very accurate

Varying quality data

Not user friendly

No utilization at the level of service delivery

Thank You

Ministry of Health, Nutrition & Welfare