Ceylon Medical Journal最新文献_第2页

Sri Lanka has been a success story for WHO's engagement in global public health. 斯里兰卡是世卫组织参与全球公共卫生的一个成功范例。

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Ceylon Medical Journal Pub Date : 2023-08-24 DOI: 10.4038/cmj.v68iSI1.9786

Alaka Singh

引用次数: 0

Health in Sri Lanka: building on a success story. 斯里兰卡的卫生:以成功故事为基础。

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Ceylon Medical Journal Pub Date : 2023-08-24 DOI: 10.4038/cmj.v68iSI 1.9787

Michael Marmot

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Elimination of malaria from Sri Lanka and beyond; lessons for other countries in elimination phase. 在斯里兰卡及其他地区消除疟疾;对处于消除阶段的其他国家的教训。

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Ceylon Medical Journal Pub Date : 2023-08-24 DOI: 10.4038/cmj.v68iSI 1.9750

A R Wickremasinghe

{"title":"Elimination of malaria from Sri Lanka and beyond; lessons for other countries in elimination phase.","authors":"A R Wickremasinghe","doi":"10.4038/cmj.v68iSI 1.9750","DOIUrl":"https://doi.org/10.4038/cmj.v68iSI 1.9750","url":null,"abstract":"Elimination of malaria in 2012 was a major achievement in post-independent Sri Lanka. Sri Lanka missed a golden opportunity in 1963 when only 17 cases of malaria were reported in the country, but could not sustain the momentum resulting in a major resurgence in 1967/69. With the resurgence, the then malaria eradication programme was reverted back to a control programme that lasted for another 30 years. The WHO's Roll Back Malaria Initiative launched in 1998 provided a renewed interest in malaria control and subsequent elimination. With targeted control activities, the burden of malaria started to decrease since year 2000. Although Sri Lanka had reached pre-elimination status as early as 2004, the ongoing separatist war at that time prevented a country-wide elimination drive being implemented. With cessation of hostilities in 2009 and Global Fund financing, both of which were crucial inputs, an elimination drive was launched in September 2009 which eventually eliminated indigenous malaria in November 2012 with malaria-free certification by WHO being obtained in September 2016. Since malaria elimination, the country forged on to the prevention of re-establishment phase primarily focusing on good public practice that included intensified surveillance, both parasitological and entomological; quality assured diagnostic and treatment services; and advocacy at various level including doctors. Despite these measures, an introduced case and an induced case of malaria have been reported. A new vector of urban malaria, Anopheles stephensi, was reported in December 2016. Prevention of re-establishment of malaria should be kept in the radar of public health until malaria is eradicated.","PeriodicalId":9777,"journal":{"name":"Ceylon Medical Journal","volume":"68 S1","pages":"39-45"},"PeriodicalIF":0.4,"publicationDate":"2023-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10069295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

WHO and Sri Lanka: Celebrating 75 years of partnership for public health and well-being. 世卫组织与斯里兰卡：庆祝公共卫生和福祉伙伴关系 75 周年。

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Ceylon Medical Journal Pub Date : 2023-08-24 DOI: 10.4038/cmj.v68iSI 1.9785

Poonam Khetrapal Singh

引用次数: 0

Health Financing Options for Sri Lanka: What, and Why? 斯里兰卡的医疗融资方案：是什么，为什么？

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Ceylon Medical Journal Pub Date : 2023-08-24 DOI: 10.4038/cmj.v68iSI 1.9737

Sundararajan S Gopalan

引用次数: 0

: Human resources for health in Sri Lanka over the post-independence period: key issues. 独立后时期斯里兰卡卫生人力资源:主要问题。

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Ceylon Medical Journal Pub Date : 2023-08-24 DOI: 10.4038/cmj.v68iSI 1.9733

Dileep De Silva, Madawa Chandrathilake, Nilanthi De Silva

引用次数: 0

WHO and Sri Lanka: Celebrating 75 years of partnership for public health and well-being 世卫组织和斯里兰卡:庆祝公共卫生和福祉伙伴关系75周年

Ceylon Medical Journal Pub Date : 2023-08-24 DOI: 10.4038/cmj.v68isi1.9785

Poonam Khetrapal Singh

引用次数: 0

Elimination of malaria from Sri Lanka and beyond; lessons for other countries in elimination phase 在斯里兰卡及其他地区消除疟疾;对处于消除阶段的其他国家的教训

Ceylon Medical Journal Pub Date : 2023-08-24 DOI: 10.4038/cmj.v68isi1.9750

A. Rajitha Wickremasinghe

{"title":"Elimination of malaria from Sri Lanka and beyond; lessons for other countries in elimination phase","authors":"A. Rajitha Wickremasinghe","doi":"10.4038/cmj.v68isi1.9750","DOIUrl":"https://doi.org/10.4038/cmj.v68isi1.9750","url":null,"abstract":"Elimination of malaria in 2012 was a major achievement in post-independent Sri Lanka. Sri Lanka missed a golden opportunity in 1963 when only 17 cases of malaria were reported in the country, but could not sustain the momentum resulting in a major resurgence in 1967/69. With the resurgence, the then malaria eradication programme was reverted back to a control programme that lasted for another 30 years. The WHO’s Roll Back Malaria Initiative launched in 1998 provided a renewed interest in malaria control and subsequent elimination. With targeted control activities, the burden of malaria started to decrease since year 2000. Although Sri Lanka had reached pre-elimination status as early as 2004, the ongoing separatist war at that time prevented a country-wide elimination drive being implemented. With cessation of hostilities in 2009 and Global Fund financing, both of which were crucial inputs, an elimination drive was launched in September 2009 which eventually eliminated indigenous malaria in November 2012 with malaria-free certification by WHO being obtained in September 2016. Since malaria elimination, the country forged on to the prevention of re-establishment phase primarily focusing on good public health practice that included intensified surveillance, both parasitological and entomological; quality assured diagnostic and treatment services; and advocacy at various levels including doctors. Despite these measures, an introduced case and a transfusion induced case of malaria have been reported. A new vector of urban malaria, Anopheles stephensi, was reported in December 2016. Prevention of re-establishment of malaria should be kept in the radar of public health until malaria is eradicated.","PeriodicalId":9777,"journal":{"name":"Ceylon Medical Journal","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135464691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The impact of COVID-19 on health care accessibility and financial risk protection in Sri Lanka. 2019冠状病毒病对斯里兰卡卫生保健可及性和金融风险保护的影响

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Ceylon Medical Journal Pub Date : 2023-08-24 DOI: 10.4038/cmj.v68iSI1.9729

Sumal Nandasena, A U Gamage, Nithershini Periyasamy, Mohammad Rismy, Kumarendran Balachandran, Kasturiratne Anuradhani

{"title":"The impact of COVID-19 on health care accessibility and financial risk protection in Sri Lanka.","authors":"Sumal Nandasena, A U Gamage, Nithershini Periyasamy, Mohammad Rismy, Kumarendran Balachandran, Kasturiratne Anuradhani","doi":"10.4038/cmj.v68iSI1.9729","DOIUrl":"https://doi.org/10.4038/cmj.v68iSI1.9729","url":null,"abstract":"Introduction: The COVID-19 pandemic negatively impacted the global economy, disrupted essential health services, and distorted social determinants of health, reducing healthcare accessibility and increasing financial risk.Aim: we aimed to assess the impact of COVID-19 on healthcare accessibility and financial risk protection in Sri Lanka.Methodology: We conducted a cross-sectional study on a representative sample (multi-stage sampling process) of 3151 households in 105 clusters representing all the districts of Sri Lanka. The data collection was conducted using an interviewer-administered questionnaire in early November 2021. This was important to classify three periods of interest, namely: (1) the pre-lockdown period (2) the nationwide lockdown period, and (3) the new normal period. (After Oct 1 to early November 2021).Results: Among 11,463 household occupants, 12.6% reported having chronic diseases, with 76.5% diagnosed prior to six months. The majority had heart disease, high blood pressure, or diabetes. Of them, 53.7% have been followed up during the lockdown, increasing to 80.8% in the new normal period. Provincial variations in expenses were observed, with the highest food expenses in the Western Province. Catastrophic health expenditures affected 9.5% and 3.4% of households at 10% and 25%, respectively.Conclusions: A considerable proportion of those having heart disease, high blood pressure, high blood sugar or diabetes mellitus were not followed up in the lockdown period and the first month of the new normal period. Antenatal care and family planning were the least affected. Participants had incurred high out-of-pocket expenditures for healthcare during the entire period.","PeriodicalId":9777,"journal":{"name":"Ceylon Medical Journal","volume":"68 S1","pages":"27-33"},"PeriodicalIF":0.4,"publicationDate":"2023-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10049192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Maternal Health in Sri Lanka: 75 years of national commitment towards excellence. 斯里兰卡的产妇保健:75年来国家对卓越的承诺。

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Ceylon Medical Journal Pub Date : 2023-08-24 DOI: 10.4038/cmj.v68iSI 1.9767

Lakshmen Senanayake, Ananda Ranathunga, Athula Kaluarachchi

{"title":"Maternal Health in Sri Lanka: 75 years of national commitment towards excellence.","authors":"Lakshmen Senanayake, Ananda Ranathunga, Athula Kaluarachchi","doi":"10.4038/cmj.v68iSI 1.9767","DOIUrl":"https://doi.org/10.4038/cmj.v68iSI 1.9767","url":null,"abstract":"Sri Lanka has a legacy of religious and cultural practices promoting health, and its rulers have been responsive to health needs of the populace. The healthcare milieu that prevailed in the pre-colonial and colonial periods favorably influenced the evolution of maternal health in the last 75 years. Since independence, maternal health in the country improved in many dimensions and directions, in the backdrop of multiple sociodemographic changes and geopolitical fluxes, while far-reaching advances in the medico-technological and communication fields were taking place at global level. By 1948, maternal health services were extensive with maternity hospitals, midwifery training school and functional health units in place. The establishment of a cadre of government-trained midwives instead of training traditional birth attendants (TBAs) was a key policy decision that brought long-term dividends. The WHO supported training primary health care workers even before opening their country office in 1952. In the early days, obstetricians relied mostly on their skills to conduct dexterous maneuvers with the generous use of rotational forceps rather than resorting to abdominal deliveries. The Family Planning Association was founded in 1953, which introduced family planning services to the country till the government took over the subject in 1958. A rigorous campaign (punchi pawla raththaran), promoting sterilization was conducted for population control in 1974 ,which resulted in the total fertility rate coming down significantly. Maternal Death Surveillance and Response system (MDSR) was established in 1981 which has been recognized globally as a success and is being upscaled to a confidential Inquiry status. Commitment and untiring efforts of the Ministry of health: Family Health Bureau, professional organizations, development partners including the WHO, have contributed for the achievements in the area of women's health.","PeriodicalId":9777,"journal":{"name":"Ceylon Medical Journal","volume":"68 S1","pages":"46-52"},"PeriodicalIF":0.4,"publicationDate":"2023-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10065353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0