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Sri Lankan Perspective Dr Nihal Abeysinghe

Ministry of Health, Nutrition & Welfare. Place of ICTs in achieving MDGs. Sri Lankan Perspective Dr Nihal Abeysinghe M.B.,B.S., MSc, M.D. (Community Medicine) Chief Epidemiologist. Ministry of Health, Nutrition & Welfare. MDGs related to MCH care. Infant mortality rate

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Sri Lankan Perspective Dr Nihal Abeysinghe

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  1. Ministry of Health, Nutrition & Welfare Place of ICTs in achieving MDGs Sri Lankan Perspective Dr Nihal Abeysinghe M.B.,B.S., MSc, M.D. (Community Medicine) Chief Epidemiologist

  2. Ministry of Health, Nutrition & Welfare 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

  3. 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

  4. 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

  5. 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%

  6. District Maternal Mortality Rates - 2001

  7. Ministry of Health, Nutrition & Welfare MDGs related to MCH care • Prevalence of Underweight children < 5 years Benchmark (1990) 32.3% Current Situation (2001) 29.4% Target (2015) 15%

  8. 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%

  9. 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%

  10. 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

  11. 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

  12. 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%

  13. Ministry of Health, Nutrition & Welfare Maternalcare • Maternal nutrition • Antenatal care • Clinic care • Domiciliary care • Intra natal care • EmOC • Quality • Standard guidelines • Post natal care

  14. 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

  15. 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

  16. Ministry of Health, Nutrition & Welfare

  17. 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

  18. 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

  19. Ministry of Health, Nutrition & Welfare Thank You

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