Sri Lanka stands out as a country that has achieved much in the field of health with small means and despite a 30-year civil war.
The achievements in Sri Lanka’s health sector are exceptionally commendable in comparison to comparable developing countries. The emphasis placed on social welfare and the availability of free healthcare and education are mainly responsible for these achievements.
The success in terms of low mortality statistics, mainly infant, child and maternal mortality rates has been largely attributed to the maternal and childcare programme implemented across the country as an integral component of PHC.
Ministry of Health (MoH) of Sri Lanka has recognised the need for improved quality of health care services targeting chronic NCDs in view of the rapidly increasing number of diabetics especially in the lower socio-economic groups.
Out of a population of 13,7 million, 1,16 million adults have diabetes and another 0,6 are undiagnosed with diabetes.
Developing a comprehensive, cost-effective and holistic national model for prevention and control of diabetes and other cardiovascular diseases (CVD) risk factors in order to strengthen and support the existing primary health care systems of Sri Lanka.
The project will implement the first phase of a national level diabetes programme with focus on capacity building of primary level in all 25 districts of Sri Lanka.
The programme builds on the successful completion of WDF projects WDF09-411 and WDF12-683.
This project includes the following components:
Organisation of various national, regional and district level workshops to strengthen collaboration between maternal and child health services, primary health centres and government established healthy life style clinics in detecting and managing diabetes, diabetic foot and GDM.
Capacity building of tertiary, secondary and primary health facilities and healthy life style clinics by providing equipment and training of health care professionals, including midwives and orthopaedic technicians, in order to improve delivery of diabetes care, foot care services and GDM. Establishment of regional training centres and regional GDM centres is part of this capacity building.
Roll out of screening, care and referral of diabetes, including foot and GDM at tertiary, secondary and primary level and with linkages to community level health promotion.
Implementation of awareness and prevention activities through sensitisation of key stakeholders and expansion of health promotion at schools, workplaces and communities, including launch of social media activities using blogs, web and mobile platforms and school health interventions.
- 40 ToTs, 1,350 medical officers (MO), 1,500 nurses, 25 NCD medical focal persons trained in diabetes care and management
- 900 MOs, 30 orthopaedic technicians, 10 private cobblers trained in foot care
- 60 MOs, 25 midwives trained in GDM care
- 100 data clerks trained; 20 health promotion facilitators, 10 physical fitness trainers and 200 volunteers, 25 MOs trained in health promotion
- Strengthening of 260 primary health centres representing all districts in Sri Lanka; establishment of 15 regional training centres and five regional GDM centres
- Sensitisation and advocacy of more than 2,000 government officials (MoH and MoE), key stakeholders and academia representing national, regional and district levels.
- 216,000 people screened for diabetes
- 40,000 pregnant women with GDM educated, 7,500 mothers with GDM treated
- 100,000 diabetic foot patients treated/educated, 100,000 pieces of footwear manufactured
- 20 health promotion activities conducted per month in 10 districts and linked to primary health centres and followed up through SMS services
- 5,000 educational tools on diabetes, NCD management protocols and leaflets on foot care produced and 700 guidelines on GDM produced