A Community‐based Project in Rural Sri Lanka

2010 ◽  
pp. 143-150
Author(s):  
Shalini Felicity Gomesz
Keyword(s):  
Sri Lanka ◽  
Community Based

scholarly journals Cataract among elderly in Sri Lanka

2019 ◽  
Author(s):  
A.A. Nilanga Nishad ◽  
S.A. Hewage ◽  
K. Arulmoly ◽  
M.S. Amaratunge ◽  
J de Silva ◽  
...  
Keyword(s):  
Sri Lanka ◽  
Screening Programme ◽  
National Level ◽  
Age Groups ◽  
Cross Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Future Studies ◽  
Factors Associated ◽  
Younger Age

AbstractOut of 39 billion people who are blind around the world, 20 billion (51.3%) is due to cataract, which is preventable. This study intended to assess the prevalence and factors associated with cataract among elderly in a divisional secretariat area in Sri Lanka. This community based cross sectional study assessed randomly selected470 adults over 60 years of age. Diagnosis of cataract was made by a slit lamp examination by medical officers, and classified according to Oxford Lens Opacity Classification system (LOCS III). Majority was between 60-69 age groups and 71% was females. The prevalence of cataract was estimated to be 80.6% including operated eye and 73.6% excluding the operated eye, with a female preponderance in lower age categories. Commonest type of cataract was the nuclear type (n=422; 44.9%), with a majority in grade 2 (218; 23.2%). The prevalence of cataract surgery in the diseased population was as low as 7%. Cataract leading to blindness is very prevalent among adults over 60 years of age in the studied area. Females tend to develop the disease at an early age than males. These findings warrant screening programme for elderly at community level, targeting females at a younger age than males. Future studies are recommended to assess the coverage and barriers for cataract surgeries at national level, which would be immensely useful in planning and improving health services.

scholarly journals Knowledge of Leptospirosis among community-based rural residents in Kandy, Sri Lanka: Implications for intervention

2010 ◽  
Vol 14 ◽  
pp. e390 ◽  
Author(s):  
C. Nwafor-Okoli ◽  
S. Kularatne ◽  
C. Gamage ◽  
R. Rajapaske ◽  
Y. Obayashi ◽  
...  
Keyword(s):  
Sri Lanka ◽  
Community Based ◽  
Rural Residents

Problems encountered in the community-based production of leaf concentrate as a supplement for pre-school children in Sri Lanka

1993 ◽  
Vol 44 (2) ◽  
pp. 123-132 ◽  
Author(s):  
David N. Cox ◽  
Sita V. Rajasuriya ◽  
Priyani E. Soysa ◽  
Jean Gladwin ◽  
Ann Ashworth
Keyword(s):  
Sri Lanka ◽  
School Children ◽  
Community Based

scholarly journals Patient experiences of access to NCD medicines in Sri Lanka: Evidence of the success story towards universal coverage

2019 ◽  
Vol 3 ◽  
pp. 239920261987322
Author(s):  
BMR Fernandopulle ◽  
Nalika Gunawardena ◽  
SHP de Silva ◽  
Chinta Abayawardana ◽  
LK Hirimuthugoda
Keyword(s):  
Sri Lanka ◽  
Communicable Disease ◽  
Household Survey ◽  
Universal Coverage ◽  
Patient Experiences ◽  
Community Based ◽  
State Sector ◽  
Government Hospitals ◽  
Almost All ◽  
Non Communicable Disease

Introduction: In Sri Lanka in 2013, 16 medicines were identified as priority to manage non-communicable disease (NCD), and in 2017, 48 NCD medicines were price-regulated. Objective: The aim of the present study was to describe the experiences on availability of drugs and out-of-pocket expenditure (OOPE) for drugs among patients with NCDs in Sri Lanka. Methods: This community-based, household survey was conducted in nine districts of the country. The survey included 1100 adults (aged 50 years and above) with a diagnosis of NCD for 5 years. They were interviewed by trained pharmacy students. Results: Approximately 66%, 49% and 21.6% suffering from hypertension, diabetes and ischaemic heart disease, respectively, with a majority having more than one NCD. The evidence showed that prescribers align to drugs that have been recognized to be made more available and more affordable. Of all, 14% had prescriptions with all NCD medicines classified in the list, while 40% had only one or two of the drugs prescribed which are not in the list. Most of the prescribed drugs were also included in the price regulation – with 29% having all medicines included, while 31.6% having only one or two drugs prescribed out of the list. Approximately, two-thirds (64.2%) had exclusively used government hospitals for NCD care during the past 5 years. A majority (58.3%) had all prescribed drugs available at the last visit to the state sector clinic, while almost all of the others (35.7%) had some of the drugs available. Conclusion: The study concluded that patient experiences in Sri Lanka showed good availability and access to NCD medicines in Sri Lanka.

Community-based rice ecosystem management for suppressing vector anophelines in Sri Lanka

2006 ◽  
Vol 100 (11) ◽  
pp. 995-1006 ◽  
Author(s):  
Junko Yasuoka ◽  
Richard Levins ◽  
Thomas W. Mangione ◽  
Andrew Spielman
Keyword(s):  
Sri Lanka ◽  
Ecosystem Management ◽  
Community Based ◽  
Rice Ecosystem

scholarly journals Hyperglycaemia in Pregnancy and Anthropometric Parameters in the Offspring at 10 Years: A Community-Based Retrospective Cohort Study in Sri Lanka

2020 ◽  
Vol 2020 ◽  
pp. 1-11
Author(s):  
Himali P. Herath ◽  
Rasika P. Herath ◽  
Rajitha Wickremasinghe
Keyword(s):  
Cohort Study ◽  
Waist Circumference ◽  
Sri Lanka ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Skinfold Thickness ◽  
Anthropometric Parameters ◽  
Community Based ◽  
Triceps Skinfold Thickness ◽  
In Pregnancy

Background. Studies of developmental origins of health and disease have highlighted the possible role of intrauterine hyperglycaemia, increasing the future risk of obesity, diabetes, and cardiovascular diseases in the offspring. There is limited evidence from South Asian populations for risk estimates for childhood obesity that are attributable to maternal diabetes in utero. Objective. The aim of this study was to determine the association between hyperglycaemia in pregnancy (HIP) and anthropometric parameters in the offspring at 10-11 years of age. Methods. A community-based retrospective cohort study was conducted in Colombo district, Sri Lanka. In the first stage, children born in 2005 were identified, and the availability of antenatal records was assessed. In the second stage, the exposure status of participants was ascertained based on antenatal records and predefined criteria. In the third stage, height, weight, waist circumference, and triceps skinfold thickness (TSFT) of eligible participants were measured to ascertain the outcome status. Background characteristics were collected by interviewing mothers. A 24-hour dietary recall and a 3-day diet diary were recorded. Results. 159 children of mothers with HIP (exposed) and 253 children of mothers with no HIP (nonexposed) participated. Mean ages (SD) of exposed and unexposed groups were 10.9 (0.3) and 10.8 (0.3) years, respectively. The median BMI (17.6 vs 16.1, p<0.001), waist circumference (63 cm vs 59.3 cm, p<0.001), and triceps skinfold thickness (13.7 mm vs 11.2 mm, p<0.001) were significantly higher in the exposed group. Offspring of women with HIP were more likely to be overweight (aOR = 2.6, 95% CI 1.4–4.9) and have abdominal obesity (aOR = 2.7, 95% CI 1.1–6.5) and high TSFT (aOR = 2.2, 95% CI 1.06–4.7) at 10-11 years than children who were not exposed after adjusting for maternal BMI, maternal age at delivery, and birth order. Conclusions. Intrauterine exposure to HIP is a significant determinant of overweight, high TSFT, and abdominal obesity in the offspring.

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