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