scholarly journals (P2-4) Prehospital System Development in Jaffna, Sri Lanka

2011 ◽  
Vol 26 (S1) ◽  
pp. s136-s136
Author(s):  
P. Bollinger ◽  
J. Zimmerman ◽  
K. Bertermann ◽  
R. Nominathan ◽  
D.R. Woodyard

IntroductionThis case study presents the development of a prehospital system in Jaffna, Sri Lanka. The case then outlines the development of the system, examines its first year of operations, and investigates possible reasons for the results of the development of the prehospital system in Jaffna. Finally, the case discusses the continued operations of the system.MethodsThis case study qualitatively researches the development of the Jaffna prehospital care system by looking at indicators of success in human resources, technical knowledge and community awareness. The case study also quantitatively examines the utilization and financial performance of the system during its first year of operation.ResultsAccording to indicators, the implementation of the model and its functioning can arguably be considered successful in terms of utility, and in many regards financial stability. The system has already responded to over 2,000 emergency calls in its first eleven months of operation. The main ambulance and call center has managed to operate at only a $13.50 USD loss during its first twelve months of operation. It has established quality standards by utilizing trained Emergency Medical Technicians (EMT) and ambulances featuring basic life saving equipment. The system has also integrated itself as a part of the overall health system of the community it is serving.ConclusionsThe system's success in development should be examined as a potential model for implementing prehospital care in a developing and middle-income country setting, while keeping in mind factors outside of the system that were integral to its developmental success.

2013 ◽  
Vol 28 (5) ◽  
pp. 509-516 ◽  
Author(s):  
John R. Zimmerman ◽  
Kecia M. Bertermann ◽  
Paul J. Bollinger ◽  
Donnie R. Woodyard

AbstractIntroductionThe building of prehospital emergency medical care systems in developing and lower middle-income countries (as defined by the World Bank) is a critical step in those countries’ efforts to reduce unnecessary morbidity and mortality. This case report presents the development of a prehospital care system in Jaffna District, Sri Lanka and provides the results of the system's first year of operations, the likely reasons for the results, and the prospects for sustained operations of the system. The goal of this report is to add to the literature surrounding Emergency Medical Services (EMS) in developing countries by providing insight into the implementation of a prehospital emergency care system in developing and lower middle-income settings.MethodsThe level of utilization and the financial performance of the system during its first year of operation were analyzed using data from the Jaffna Regional Director of Health Services (RDHS) Call Center database and information from the implementing organization, Medical Teams International.ResultsThe system responded to >2000 emergency calls in its first 11 months of operation. The most utilized ambulance of the system experienced only a US $13.50 loss during the first 12 months of operation. Factors such as up-front support, a systematic approach, and appropriateness contributed to the successful implementation of the Jaffna prehospital EMS system.ConclusionThe implementation of a prehospital EMS system and its functioning were successful in terms of utility and, in many regards, financial stability. The system's success in development may serve as a potential model for implementing prehospital emergency medical care in other developing and lower middle-income country settings, keeping in mind factors outside of the system that were integral to its developmental success.ZimmermanJR, BertermannKM, BollingerPJ, WoodyardDR. Prehospital system development in Jaffna, Sri Lanka. Prehosp Disaster Med. 2013;28(5):1-8.


10.31355/70 ◽  
2020 ◽  
Vol 4 ◽  
pp. 001-007

NOTE: THIS ARTICLE WAS PUBLISHED WITH THE INFORMING SCIENCE INSTITUTE. Aim/Purpose...................................................................................................................................................................................................... The goal of this study was to investigate the financial management practices of SMMEs operating in under developed regions as a challenge facing SMMEs operating in underdeveloped regions using former Transkei Homelands in Eastern Cape Province as a case study. Background......................................................................................................................................................................................................... In South Africa, the works of Cameron and Miller (2008) highlights that South Africa is ranked among top countries in the world with high failure rates of SMMEs during the first year of establishment. This calls for continues research works to identify factors that could be impeding the progress of SMMEs in South Africa. According to Jayansankaran, (1999) proper financial management practices are among the key deciding factors when it comes to the survival of SMMEs. Mostly SMMEs in underdeveloped regions are owned and managed by one person, the lack of financial management competence on the side of the SMMEs owners or managers in turn could bring serious consequences to the financial stability and grow of the SMMEs. It is against this background that this study focuses on financial management practices among SMMEs entrepreneurs operating their businesses in former Transkei Homelands where survival of SMMEs are critical for economic development of the region. Methodology....................................................................................................................................................................................................... The researcher in this study uses both quantitative and purposive sampling approaches to design an exploratory study to sample 68 SMMEs owners/managers based in the various towns of the selected region. Contribution........................................................................................................................................................................................................ This research will add to the growing knowledge about identifying factors that may be impeding survival of SMMEs. Findings .............................................................................................................................................................................................................. The major findings of the study revealed that 95.59% of the owners/managers have no financial management/accounting skills as well as 58.82% of the internal system of recording financial transactions are not audited. Recommendations for Practitioners................................................................................................................................................................. In view of the findings it is recommended that agencies charged with looking after SMMEs provide training in the area of financial management skills for the SMMEs owners/managers. Recommendation for Researchers.................................................................................................................................................................... Future studies can include the other four principles of financial management principles highlighted by Armstrong (2001). Impact on Society............................................................................................................................................................................................... The research will assist to highlight to funders of SMMEs, policy makers and business support agencies the need for educating SMMEs entrepreneurs especially those operating their businesses in underdeveloped regions in proper financial management practices in order to curve the problem of cash flow faced by SMMEs which leads to SMMEs failure. Future Research................................................................................................................................................................................................. Exploring the skills of the SMMEs entrepreneurs’ to prepare, understand and interpretation of financial statements are critical in this context.


2020 ◽  
Vol 5 (1) ◽  
pp. e001818 ◽  
Author(s):  
Thayasivam Gobyshanger ◽  
Alison M Bales ◽  
Claire Hardman ◽  
Mary McCarthy

Road traffic injuries are a neglected global public health problem. Over 1.25 million people are killed each year, and middle-income countries, which are motorising rapidly, are the hardest hit. Sri Lanka is dealing with an injury-related healthcare crisis, with a recent 85% increase in road traffic fatality rates. Road traffic crashes now account for 25 000 injuries annually and 10 deaths daily. Development of a trauma registry is the foundation for injury control, care and prevention. Five northern Sri Lankan provinces collaborated with Jaffna Teaching Hospital to develop a local electronic registry. The Centre for Clinical Excellence and Research was established to provide organisational leadership, hardware and software were purchased, and data collectors trained. Initial data collection was modified after implementation challenges were resolved. Between 1 June 2017 and 30 September 2017, 1708 injured patients were entered into the registry. Among these patients, 62% were male, 76% were aged 21–50, 71.3% were motorcyclists and 34% were in a collision with another motorcyclist. There were frequent collisions with uncontrolled livestock (12%) and with fixed objects (14%), and most patients were transported by private vehicles without prehospital care. Head (n=315) and lower extremity (n=497) injuries predominated. Establishment of a trauma registry in low-income and middle-income countries is a significant challenge and requires invested local leadership; the most challenging issue is ongoing funding. However, this pilot registry provides a valuable foundation, identifying unique injury mechanisms, establishing priorities for prevention and patient care, and introducing the concept of an organised system to this region.


Earth ◽  
2021 ◽  
Vol 3 (1) ◽  
pp. 1-17
Author(s):  
Hiran I. Tillekaratne ◽  
Induka Werellagama ◽  
Chandrasekara M. Madduma-Bandara ◽  
Thalakumbure W. M. T. W. Bandara ◽  
Amila Abeynayaka

This paper investigates hydro-meteorological hazards faced by Sri Lanka, a lower-middle-income island country in Asia. It provides a case study of a major hydro-meteorological disaster incident that resulted in one of the largest landslides in the history of the country, the Post-Disaster Needs Assessment (PDNA) process, and the national disaster response. Rainfall and flood inundation data are provided for the whole country. The fact that data are held by several government agencies (namely Department of Meteorology, Department of Irrigation, and NBRO), somewhat coordinated by the Disaster Management Center (DMC) is shown. The need for more streamlined coordination of hydro-met data with online access of data for researchers is emphasized. The flood disaster situation and disaster declaration of the Western Province (which contributes nearly 40% of the GDP) is looked at, and evidence is presented to recommend a smaller governance unit for future disaster declarations, in order to bring aid to the places where it is needed and leaving other areas of the province to carry on with the normal economic activity. An example of the use of climate change scenarios in rainfall prediction is provided from a developed island nation (New Zealand). The need for Sri Lanka to increase its spending for hydro-met services (both infrastructure and skills) is highlighted (the global norm being 0.02 of GDP), as the return on such investment is tenfold.


Author(s):  
Arfan Sansprayada ◽  
Kartika Mariskhana

Abstract—The need for information system development in a company is a basic requirement that must be met by each company in order to run its business processes properly. This is the basic key in a company in order to provide maximum results to find as many profits or profits. Application development or requirements in the application also provide speed for employees to carry out their activities to work properly and optimally. The development of the era requires that companies must be productive and have innovations so that the business wheel of the company can run well. This is based on the development of technology that is so fast that it requires special expertise in its application. This research is expected to be able to help some problems that exist in a company. Where its application can make it easier for employees to carry out their respective duties and roles in order to maximize their potential. For companies, the application of this application can accommodate the company's business wheels so that they can be properly and correctly documented .   Keywords : Systems, Information, Applications


Sign in / Sign up

Export Citation Format

Share Document