Love Affairs, Dating and Sexual Behaviour among Unmarried Youth: A Qualitative Investigation Carried Out Immediately Prior to The Covid-19 Pandemic in Sri Lanka

2021 ◽  
Vol 2 (6) ◽  
pp. 26-45
Author(s):  
Malith Kumarasinghe ◽  
W. Indralal De Silva ◽  
W. S. M. Goonatilaka

Initiation and continuation of healthy relationships among youth critical for the long-term wellbeing of the youth. Present socio-cultural environment presents numerous pitfalls which inhibit such relationships. Aim of this qualitative investigation was to describe the current status, trends and patterns of love affairs, dating and sexual behaviour among unmarried youth in Sri Lanka. Case studies, key informant interviews and focus group discussions were selected as methods of data collection. Thematic analysis was used. Four themes were generated, namely initiation of love affairs; dating and sexual behaviour, preferences, pattern and places; phycological, physical and sexual issues and violence related to love affairs and dating behaviour; assistance and advice on issues, problems in love affairs, dating and sexual behaviour. One of the key issues identified was lack of reliable person to seek advice for issues related to love affairs, dating and sexual behaviour among youth. Unmarried youth should be desensitized of the norms that inhibit the communication of love affairs, dating, sexuality and reproduction. Furthermore, a mechanism to identify high risk youth groups: those who have multiple love affairs, youth with inadequate knowledge of STIs, youth with casual sex, victims of sexual harassment need be designed and implemented

Author(s):  
Umesh Jayarajah ◽  
Anuruddha M. Abeygunasekera

Abstract Background The burden of cancer in Sri Lanka is on the rise. The overall incidence of cancer in Sri Lanka has doubled over the past 25 years with a parallel rise in cancer-related mortality. Cancer has become the second commonest cause of hospital mortality in Sri Lanka. In this review, we aim to provide an overview of the current status and future direction of cancer care in Sri Lanka. Main body In Sri Lanka, cancer services are predominantly provided by the state sector free of charge to the general public. With the establishment of national cancer policy on cancer prevention and control, there has been a commendable improvement in the cancer services provided island-wide. An increasing number of breast, oropharyngeal, thyroid, oesophageal, colorectal, lung, and gastric cancers are being diagnosed and treated annually. Primary prevention measures include restrictions in tobacco and HPV vaccination. Screening programs for selected cancers such as breast, oral and cervical cancers are delivered. Medical oncology units with facilities for systemic therapy and adequately supported by surgical, pathology, and radiology departments have been established in each district general hospital island-wide. Although the current progress is commendable, future changes are necessary to overcome the current limitations and to cater the ever increasing burden of cancer. Measures are necessary to enhance the coverage of Sri Lanka Cancer Registry. Timely high-quality research and audits are essential. Community participation in planning strategies for cancer prevention and treatment is minimal. Community-based palliative care facilities and radiation and other systemic therapy should be made available in all provinces. A culture of multi-disciplinary care with proper referral pathways would help to improve the current setting. Conclusion In conclusion, Sri Lanka has a reasonably balanced and continuously expanding program for prevention, screening, and treatment of cancers. Emphasis on preventive strategies related to reducing tobacco smoking, chewing betel, and obesity, making cancers a notifiable disease, involving the community in planning cancer care and prevention strategies, conducting research to evaluate cost-effectiveness of existing treatment and increasing radiotherapy facilities would further improve the cancer services in Sri Lanka.


Author(s):  
Sachiko Ogawa ◽  
Yoshinori Takahashi ◽  
Misako Miyazaki

Background: Although interprofessional education (IPE) has come to be considered essential in health and social care education programs, most IPE programs in Japan focus on clinical settings. However, following the 2011 Great East Japan Earthquake, IPE programs are considered essential for community development, especially in disaster-affected areas. To identify key issues for the development of IPE, we aimed to clarify the current status of IPE programs and problems in their implementation using an original questionnaire. Methods and Findings: The targets were 865 undergraduate courses that qualify students to take national registered health/social care examinations. Effective responses were received from 284 targets. Of these 284 respondents, 103 respondents had already implemented an IPE program and 181 respondents had not. Among the 103 respondents who had already implemented an IPE program, we found a tendency to collaborate with partners in clinical settings or in social settings. Furthermore, respondents who had implemented or were planning to implement an IPE program had difficulty with ‘interdisciplinary and/or extramural collaboration’ and ‘educational factors’. Conclusions: These difficulties could be considered barriers to developing effective IPE programs for community-based collaboration between health and social care professionals. Future research should investigate more specific solutions to these problems.


2009 ◽  
Vol 1 (1) ◽  
pp. 28-35
Author(s):  
Deepal Warakagoda ◽  
Udaya Sirivardana
Keyword(s):  

2020 ◽  
Author(s):  
Thilini Chanchala Agampodi ◽  
Neerodha Kithmini Dharmasoma ◽  
Iresha Sandamali Koralagedara ◽  
Thushari Maduwanthi Menike Dissanayake ◽  
Janith N. Warnasekera ◽  
...  

Abstract Background Sri Lanka was named as the first-ever 'Green' breastfeeding (BF) nation status by the World Breastfeeding Trends Initiative (WBTi) in January 2020. However, capacity exists for improvement. This study aims to identify barriers and facilitators for early initiation of breastfeeding (EI) and exclusive BF (EBF) for 6 months in rural Sri Lanka. Methods We conducted in-depth interviews with 16 mothers with infants, who had been unable to practice EI and/or EBF, in six child-welfare clinics in Anuradhapura, Sri Lanka. Three focus group discussions were held with public health midwives (PHMs). Initial thematic analysis that built upon force field and social learning theories was performed. Results Main barriers for EBF were clustered at three time periods; during the first 2-3 days, 2-3rd week, and 4-5 months post-partum. Early barriers included cesarean section pain, poor latch, maternal exhaustion, Suboptimal maternity ward environment, lack of support for BF led to maternal stress. Around 2-3 weeks postpartum mothers introduced water or infant formula due to social norms and poor support. On-demand feeding was poorly practiced. Around 4 and 5 months EBF ended due to return to work. PHMs reported heavy workload impede support for BF. Conclusion Interruption of EBF are due to specific barriers corresponding to specific periods within first six months. Sri Lanka should focus on strengthening policies for reducing the excessive rates of cesarean section, better postnatal ward facilities, demand feeding, support for working mothers and reducing the work load of PHMs in order to optimize EBF.


2017 ◽  
Vol 40 (4) ◽  
pp. 399-403
Author(s):  
Samantha C. Karunarathna ◽  
Peter E. Mortimer ◽  
Jianchu Xu ◽  
Kevin D. Hyde

According to recent estimates the mycota of Sri Lanka is highly diverse, yet it has been relatively little studied and remains poorly understood. Sri Lanka may contain up to 25,000 species of fungi, of which only a little more than 2000 are presently known, and this estimate does not take into account the large number of exotics introduced along with food, plantation, and ornamental plants. Mycological research in Sri Lanka has been limited to certain parts of the country, and the available information is widely dispersed, difficult to access, and plagued by synonymy. Commercially cultivable mushrooms were first introduced to Sri Lanka in 1985, and today both endemic and non-native species are cultivated. This paper addresses the current status of Sri Lankan mushroom research, and suggests measures which are needed to support the future development of Sri Lankan mycology.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Amrita Rao ◽  
Sandip Patil ◽  
Pranali Pramod Kulkarni ◽  
Aheibam Sharmila Devi ◽  
Suryakant Shahu Borade ◽  
...  

Abstract Background Ending AIDS by 2030 is a global target, to which India is a signatory. HIV-self-test (HIVST) coupled with counselling and AIDS-care, including antiretroviral therapy, has the potential to achieve this. However, national programs are at varying stages of acceptance of HIVST, as discussions around its introduction spark controversy and debates. HIV-self-test, as yet, is not part of the AIDS control program in India. Against this backdrop, we explored acceptability of an HIV oral self-test (HIVOST) among truckers and young men and women. Methods A qualitative investigation with 41 in-depth-interviews and 15 group discussions were conducted in the district of Pune, in the western state of Maharashtra, India. These interactions were built around a prototype HIVOST kit, helped in taking the discussions forward. The software N-vivo (version 11.0) was used to manage the volumes of data generated through the aforementioned process. The study was conducted during June through December, 2019. Results While the truckers belonged to the age bracket 21–67 year, the youths were in the age group 18–24 year. ‘Ease of doing HIVOST’ and ‘fear of needle pricks’ were the reasons behind acceptance around HIVOST by both the study groups. Truckers felt that HIVOST would encourage one to know one’s HIV status and seek help as appropriate. Accuracy of HIVOST result and disposal of the kits following use were concerns of a few. Most of the participants preferred saliva over blood as the specimen of choice. Instructions in local language reportedly would enable test-use by self. The truck drivers preferred undertaking HIVOST at the truckers-friendly ‘Khushi clinics’ or in the vehicle, while youths preferred the privacy of home. Some of the young men mis-perceived the utility of HIVOST by referring to doing a test on a partner immediately prior to sexual encounter. On the other hand, a few truckers had wrong information on HIV cure. Conclusions Overall, the study communities expressed their acceptance towards HIV-self-test. The National AIDS Control Program, India would benefit by drawing upon the findings of the current investigation. Existing myths and misconceptions around HIV test and treatment require program attention.


2021 ◽  
Vol 6 (2) ◽  
pp. 17-41
Author(s):  
Ondicho Machuki ◽  
Joan Mutua

Purpose: The study sought to examine the influence of mobile phone use on sexual behaviour of university students: a case study of Jomo Kenyatta University of Agriculture and Technology, Kenya. The study specifically, sought to examine the effect of characteristics of mobile phones users, uses and gratification of mobile phones and the frequency of using mobile phones on sexual behaviour of university students in Jomo Kenyatta University of Agriculture and Technology, Kenya. Methodology: The research design that was adopted was descriptive in nature. The study also used both quantitative and qualitative data obtained from the respondents using questionnaires and Focus Group Discussions (FGDs) guides. Quantitative data was collected using questionnaires while qualitative data was collected using Focus Group Discussions. The study adopted a stratified random sampling technique to select the sample size from the three strata, which are the various Faculties in JKUAT. The study then used Fisher’s formula to arrive at an adequate scientific sample size of 384 students who were targeted using convenient sampling, that is those that are ready to respond to the questionnaires and the Focus Group Discussions (FGDs). The quantitative data in this research was analyzed using descriptive statistics and inferential statistics using SPSS v22.0. Results: It was concluded that male students are more likely to use protection consistently compared to female students. In addition, the findings imply that consistency in condom use is a factor that is dependent on the age of the individual. In addition, relationship status is a contributor to the behaviour of the students sexually. For those that are in serious relationships, their use of protection declines due to the build-up of emotional and intimate trust towards each other. The findings likewise indicate that the student’s usage of mobile phones correlates significantly with the consistent use of protection for safe sex. Those students who have had their phones since they joined Campus are more likely to practice safe sex. In addition, heavy users of mobile phones are likely to practice safe sex including those who browse the internet for news updates. Unique contribution to theory, policy and practice: The study recommends the media practitioners need to step up the production of morally acceptable media content and offer a platform for advertising and campaigning for sexual conduct by encouraging and stressing the use of protection. The Ministry of Health and Ministry of Education should actively involve the undergraduate students in reproductive information awareness campaigns for ensuring positive attitudes towards responsible sexual behaviour and promoting best sexual practices.         


2009 ◽  
Vol 13 (2) ◽  
pp. 171-190 ◽  
Author(s):  
Gayani Karunasena ◽  
Dilanthi Amaratunga ◽  
Richard Haigh ◽  
Irene Lill

Disasters cause substantial damage around the world. This causes serious environmental and economic burden on normal living conditions, reconstruction and general waste collection processes. Within this context, waste management has emerged as a critical issue in responding to a disaster. Thus, this paper addresses post disaster waste management strategies adopted in developing countries and applicability of best global practices in respect of challenges encountered. Comprehensive literature review and field survey among national level institutes in Sri Lanka were conducted to gather information and semi‐structured interviews were used as a method of data collection. The findings revealed that strategies, issues and challenges are varying according to type of disaster, magnitude, location, country etc. Further, poor implementation of prevailing rules and regulations; poor standards of local expertise and capacities, inadequate funds, lack of communication and coordination are identified as key issues encountered. Santruka Stichines nelaimes visame pasaulyje pridaro daug žalos. Tai labai pasunkina aplinkosaugine ir ekonomine situacija iprastomis gyvenimo salygomis, atstatant aplinka ir vykdant bendruosius atlieku rinkimo procesus. Šiame kontekste atlieku tvarkymas išryškejo kaip esmine problema, reaguojant i stichine nelaime. Taigi šiame darbe nagrinejamos atlieku tvarkymo po stichiniu nelaimiu strategijos, taikomos besivystančiose šalyse, ir geriausiu pasauliniu praktiku taikymas, imantis kilusiu iššūkiu. Siekiant surinkti informacija, išsamiai apžvelgta literatūra ir tiesiogiai ištirtos Šri Lankos valstybines institucijos, o duomenims rinkti pasitelktas pusiau struktūriniu interviu metodas. Iš rezultatu aišku, kad strategijos, problemos ir iššūkiai skiriasi priklausomai nuo stichines nelaimes pobūdžio, masto, vietos, valstybes ir pan. Be to, nustatyta, kad pagrindines problemos yra prastas visuotiniu taisykliu ir reglamentu taikymas, prasti vietines patirties standartai ir menkos galimybes, lešu trūkumas, komunikacijos ir koordinavimo trūkumas.


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