Antenatal & Postnatal Care Unit

Functions of the Unit

  • Development and revision of strategies, guidelines, protocols, circulars on maternal care incorporating current scientific evidence with collaboration of professional organizations and development partners
  • Provision of technical support on issues related to maternal care at the national, provincial and district levels
  • Development / adaptation of training materials for capacity building of public health staff on maternal care
  • Capacity Building of public health staff on maternal care
  • Development of BCC material on maternal care
  • Ensure the logistic support for the maternal care programme (micronutrients, equipment, printed material etc.)
  • Convene advisory committee on maternal care chaired by DDG PHSII
  • Undergraduate and Postgraduate teaching (MSc Community Medicine, MSc Medical administration, Diploma In Reproductive Health etc)
  • Monitoring and evaluation of the maternal are programme with monitoring and evaluation unit
  • Conduction of operational research on issues related to maternal care with the research unit

Reasources

Publications
  • Em ONC Country Report - 2012
  • Em ONC Provincial Reports - 2012
  • A Booklet on Antenatal Classes
  • A Booklet on Exercises During Pregnancy and post partum period
  • Booklet for Pregnant Women with Diabetes - (Sinhala)
  • Booklet for Pregnant Women with Diabetes - (Tamil)
  • Hand Book for Pregnant Women - (Sinhala)
  • Hand Book for Pregnant Women - (Tamil)
  • Institutional Maternity Care - Norms for Services, Equipment and Drugs
  • LBW Preventive Startegies
  • Maternal Care Package (A Guide to Field Healthcare Workers) - (Sinhala)
  • Maternal Care Package (A Guide to Field Healthcare Workers) - (English)
  • National Guideline for Maternalcare - (1)
Guidelines / Circulars
  • Antenatal Care circular - (Sinhala)
  • Antenatal Care Circular - (English)
  • Antenatal Care circular - (Tamil)
  • Guideline on Prevention of Anaemia During Pregnancy
  • Guideline on Screening for diabetes During Pregnancy
  • List of Items Needed for PHM to Provide Domicilliary Care
  • Micronutrient Supplementationfor Lactating Woman
  • Post Natal Care Circular - (Tamil)
  • Post Partum Care Circular - (English)
  • Post Partum Care Circular - (Sinhala)
  • Reporting of Antenatal Morbidities and Postpartum Complications
  • Supply of Folic acid 1mg Tablet for Maternal Health Programme
  • Use of Routine Antenatal anti D Prophylaxis for Rhesus negative pregnant women

Staff

Name Designation Telephone (Official)
Dr. Irosha Nilaweera Consultant Community Physician

+94 712 055 801
Dr. Nuwan Noopahewa Medical Officer +94 112 696 970
Dr. Samantha Jayasinghe Medical Officer +94 112 696 970
Mrs. Kalpana Chaturangani Programme Officer +94 112 696 970

Intranatal and Newborn Care Unit

Functions of the Unit

Intranatal and newborn care unit of the Family Health Bureau is the focal point for the intranatal & Newborn Care Component of the National Maternal and Newborn Care Program, and its goal is to reduce maternal and neonatal morbidity and mortality.

The medium term strategies are to;

  • Ensure that Intranatal and Newborn Care is adequately addressed within the MCH/FP policy
  • Ensure provision of quality Intranatal and Newborn care to all women and newborns at institutional and field levels
  • Ensure implementation of essential service delivery packages on Intranatal Care and Essential and Advanced Newborn Care
  • Ensure availability of uniform, updated national evidence based technical guidance and direction to improve Intranatal and Newborn Care
  • Strengthen the infrastructure for provision of Intranatal Care and Basic and Advanced newborn care
  • Strengthen supportive services (laboratory, radiology, blood transfusion, high dependency and intensive care) to improve Intranatal and Newborn Care
  • Strengthen existing Management Information System on Intranatal and Newborn Care
  • Improve knowledge, skills and competencies of health staff on Intranatal Care and Essential and Advanced newborn care
  • Ensure effective implementation of the Baby Friendly Hospital Initiative
  • Strengthen collaboration and partnership with all stakeholders working towards improving Intranatal and Newborn Care at all levels

Resources

Publications Guidelines Training Manuals
Pregnancy Child Birth Postpartum and
Newborn Care Guide (Sinhala)
Building and other guidelines
  • Neonatal Intensive Care Units
  • Special Care Baby Units
  • Mother Baby Centers
WHO Essential Newborn Care Course
Trainer Manual (Sinhala and Tamil)
Pregnancy Child Birth Postpartum and
Newborn Care Guide (Tamil)
Labour Room Management
Guide (Sinhala and Tamil)
WHO Essential Newborn Care Course Participant Manual (Sinhala and Tamil)
Report of the external review of maternal and newborn health Sri Lanka - 2007   Breastfeeding Counselling:
A training course – Trainer Manual
Stakeholder analysis report on maternal and newborn health and female carcinoma - 2007   Breastfeeding Counselling:
A training course – Participant Manual(Sinhala & Tamil)

Report on the needs assessment survey of the neonatal intensive care units, special care baby units and lactation management centers in the teaching, general and base hospitals in Sri Lanka - 2007

National Strategies Plan on Maternal & Newborn Health(2012-2016)

Newborn care standards (2012)

Breastfeeding Five Booklets -
  • To breastfeed successfully
  • Problems encountered by breastfeeding mothers and solutions
  • Caesarian section and breastfeeding
  • How to express breast milk
  • Breastfeeding for working mother
  • National Guidelines for Newborncare Volume1volume2volume3 

 Cave of the Sick Newborn Baby Friendly Hospital limitations

Training Manuals (Sinhala& Tamil)

Flash Cards    
To support breastfeeding    

Staff

Name Designation Telephone (Official)
Dr. Dhammica Rowel Consultant Community Physician National Programme Manager (Intranatal and Newborn Care) +94 11 2699149
+94 71 8099970
Dr. Rajika Savanadasa Perera Medical Officer +94 11 2699149
Dr. Nilundima Wijeekoon Medical Officer +94 11 2699149
Ms. T. Theja Gamage Planning & Programme Assistant +94 11 2699149

Family Planning Unit

Functions of the Unit

Family planning unit is the focal point for the National Family Planning Program, and its goal is to enable all couples to have a desired number of children with optimal spacing whilst preventing unintended pregnancies.

The medium term strategies are to;

  • Ensure the availability and accessibility to quality modern family planning services
  • Address the unmet need for contraception to reduce abortions and teenage pregnancies
  • Ensure availability of male & female sterilization services in hospitals
  • Establish an appropriate system for post-abortion care
  • Ensure the uninterrupted availability of contraceptive commodities [Reproductive Health Commodity Security (RHCS)].
  • Strengthen, rationalize & streamline services for sub-fertile couples.

The activities are to;

  • Provide technical guidelines to service providers on contraceptive use & councelling materials
  • Train master trainers in districts on contraceptive technology & councelling        
  • Register and provide equipment to family planning clinics
  • Make reccomendations on registration of contraceptives marketed in Sri Lanka
  • Monitor & evaluate FP services & contraceptive availability in districts
  • Monitor contraceptive failures, complications & poor quality products and take appropriate action

Resources

Publications Guidelines
Flash Cards for Family Planning Counseling
- English, Sinhala, Tamil
Guidelines for Service providers on the use of COC & DMPA - English, Sinhala, Tamil
Subfertility, Manual for the Primary Health Care workers - English Guidelines for Service providers on the use of IUD – English
Family Planning Counseling booklet
– English, Sinhala, Tamil
Medical Eligibility Criteria Wheel for Contraceptive use (adapted for Sri Lanka) 2013 - English
Report on Fertility change and its implications on Maternal & Child Health - English  
Postnatal care guide  

Staff

Name Designation Telephone (Official)
Dr. Sanjeeva S.P. Godakandage Consultant Community Physician +94 11 2665717
Dr.S.A.Wickramasinghe Registrar in Community Medicine +94 11 2665717
Dr.D.M Jayatissa Medical Officer +94 11 2665717
Dr. C.j.Hapudeniya Medical Officer +94 11 2665717
Mrs. D.M.Dayananda Management Assistant +94 11 2665717

Child Nutrition Unit

Functions of the Unit

Child Nutrition Unit is responsible for uplifting nutrition status of children under the age of 5 years in Sri Lanka. This encompasses a spectrum of activities spanning development of policies, strategies, provision of technical guidance etc at national level to implementation at grass root level through the National MCH programme.

Broad areas of work:

  • Infant and young child feeding (breastfeeding and complementary feeding)
  • Growth monitoring and promotion
  • Nutrient supplementation of children under the age of five years
  • Managing nutritional problems of children under the age of five years
  • Child (0-5 years) nutrition during emergency

Under above broad areas following activities are conducted;

  • Develop, implement and monitor strategic plans, annual implementation plans on child nutrition based on the MCH policy
  • Advocacy to relevant stake holders on the above areas
  • Technical guidance to health staff and other relevant stake holders – develop and implement standards, guidelines and protocols
  • Capacity building of health staff
    • Development/adaptation of resource material
    • Training of resource personnel
  • Programme communication targeting behavoural change of the community
  • Logistics and supportive services – assess requirement, procurement and distribution of supplies
    • Vitamin A megadose, therapeutic food for nutrition rehabilitation, multiple micronutrients (MMN)
    • Anthropometric equipment for growth monitoring (weighing scales, length/ height measuring equipment, standard weight sets)
    • Revision, printing, procurement and distribution of Child Health Development Record (CHDR)
  • Monitoring, evaluation and supervision of above activities
    • Annual “Nutrition Month” activities
    • Convene Maternal and Child Nutrition subcommittee (chaired by DDG PHS II) – a subcommittee of the Nutrition Steering Committee chaired by Secretary – Health
    • Convene Breastfeeding Code monitoring committee (chaired by Secretary – Health)

Resources

Publications Guidelines & Circulars
Child Health Development Record
(male and female books)
Protocol on Managing Nutritional Problems Among under five children in the community
Participant’s Manual on Infant and Young Child Feeding Counseling
(in Sinhala and Tamil. Adapted from WHO manual)
Guideline on Infant and Young Child Feeding
Participent's Manual on Child Growth Assessment (Who new child growth standards) Guideline for feeding infants and preschool children including orphans and those not living with mothers during an emergency situation
Manual on Integrated Nutrition Package
(in all 3 languages)
Vitamin A circular (Circular No. 01-05/2009)
Flash cards on Complementary Feeding
(in Sinhala and Tamil)
Support and ensure appropriate and adequate Infant and Young Child Feeding during emergencies (General Circular No. 01-11/2009)
Flash cards on Growth Charts
(in Sinhala and Tamil)
Provision of Multiple Micronutrients to infants and young children
(General Circular No. 01-34/2007)
Leaflet on Complementary Feeding
(in Sinhala and Tamil)
Guidelines on de-worming children and pregnent women in community setting: 2013 - 2016
(General Circular Letter No. 02-172/2012)
  Zn supplimentation in managing Diarrhoea among children under five years of age (General Circular No. 02-161/2013)
  Promotion of Milk powder within Health institutions under the Ministry of Health and Nutrition (General Circular No. 02-12/2009)
  Promotion of milk powder within Health institution under the Ministry of Health care and Nutrition
(General Circular No. 02-12/2009)
  Guideline on Growth Monitoring and Promotion
  Sri Lanka code for promotion protection and support for breast feeding and marketing of designation products

Staff

Name Designation Telephone (Official)
Dr. (Ms) H.S.Jayawickrama Consultant Community Physician +94 11 2693934
Dr. N.A.A.S Thilakaratna Medical Officer +94 11 2693934
Dr. W.A.S.N.Senanayake Medical Officer +94 11 2693934
  Supervising Public Health Nursing Officer (Special Grade) +94 11 2693934
Ms. Jamuna Nimalan Development Assistant +94 11 2693934

Child Development & Special Needs Unit

 Functions of the Unit

The principal functions of Child Development and Special Need Unit (CDSNU) include:

  • Ensuring the monitoring and promotion of physical, socio emotional, cognitive and language and psychosocial development of children in Sri Lanka,
  • Sustaining a regular screening and early intervention programmes to identify and cater for the needs of the children with developmental delays and disorders.

Currently the unit engages in restructuring and scaling up of national early child development programme and pilot testing a community based care programme for the children with special needs.

The overall functions of the unit include:

  • Situation monitoring and identification of policy concerns related to child development and special need concerns and providing guidance and advocacy to relevant policy makers and stakeholders.
  • Selecting, adapting, piloting and scaling up of child development and special need programmes.
  • Analyzing the burden and trends related to child development concerns.
  • Monitoring and evaluation of national efforts related to unit focus.

CDSNU functions as the central level technical body that provides relevant technical guidance on child development and special needs. It collaborates with the other national level stakeholders such as Ministry of Education, Ministry of Social Services, in order to ensure holistic approaches. The provincial health, educational and social service institutions are the main implementers of interventions related to the child development and special needs programmes.

Resources

Publications Guidelines
Training Manuals on ECD programme in both Sinhala and English  
Training manuals of special need programme in both Sinhala and English  
Survey on health status of IDPs  
National guidelines on the development screening (Being Developed)
  • Early child developmental standards
  • Sri Lankan child developmental index
 

Staff

Name Designation Telephone (Official)
Dr. Neil Thalagala Consultant Community Physician
National Programme Manager
+94 11 2686976
Dr. A.P Hewamalage Registrar of Community Medicine +94 11 2686976
Dr. J.H. Dassanayaka Registrar of Community Medicine +94 11 2686976
Dr. R.L. Aluthwalage Medical Officer +94 11 2686976
Ms.D.M. Nadeeshani Ekanayaka  Programme Assistant +94 11 2686976

School Health Unit

Functions of the Unit

  • Develop policy & strategic plan on School Health and Adolescent Health.
  • Provide technical guidance on School and Adolescent Health to Ministry of Health and Ministry of Education.
  • Provide technical expertise in improving quality of school and adolescent health activities through development of guidelines, standards, protocols ect.
  • Provide technical guidance in surveillance,monitoring and supervising activities with regard to School and Adolescent Health.
  • Coordinate all the activities conducted by national stake holders of school health program and provincial authorities.
  • Develop and implement training programs to build the capacity of Public Health Staff, Education Staff, Children and Parents on School and Adolescent Health.
  • Procurement and distribution of anthropometric equipments and micronutrients for school health program.
  • Monitor and evaluate schools and adolescent health program.
  • Develop supplementary books on health related tropics and IEC materials for adolescents teachchers and parents to facilitate health promomotion of school children and adolescents.
  • Convene National Coordinating committee on School health meetings (chaired by DDG/PHSII)

Resources

Publications Guidelines
Training Manual on Life Skills (in Sinhala & Tamil) Guideline on School Health Program
Suplementary booklet for parents on mental health promotion of adolescents
(Sinhala & Tamil)
Guideline on Health promoting Schools
(Sinhala & Tamil)
Supplementary booklet for teachers on mental health promotion of adolescents
(Sinhala & Tamil)
Circular on Medical Inspection of School Children & referrals to hospitals
(Gen Circular Letter: 02-32/2002)
Supplementary booklet for adolescents on mental health promotion of adolescents
(Sinhala & Tamil)
Circular on Monitoring of the quality and safety of the School Midday Meal Program
(Gen Circular: 01-18/2006)
Nawa Yown Asiriya Circular on Adolescent Health Responsible organization within the Ministry of Health
(Gen Circular: 01/07/2007)
Assessment of Nutritional Status - Growth chart book Circular on Special Program for Iron Folate supplementation of adolescent school
children-year 2009
(Gen Circular: 01-06/2009)
Training manual on Adolescent Friendly Health Services
(Sinhala & Tamil)
Circular on Adolescent health care in the field
(Gen Circular: 01-36/2010)

Asthma Pdiththo

Staff

Name Designation Telephone (Official)
Dr. Ayesha Lokubalasuriya Consultant Community Physician +94 11 2692746
Ms. B.M.N.D Batugedara Public Health Nursing Sister  
Dr. H.L.H Chinthika Medical Officer  
Mr. R.P. Nuwan Sameera PHI +94 11 2692746
Mr. Anil Karunathilaka Development Assistant +94 11 2692746

Adolescent and Youth Health Unit

Adolescent and Youth Health  

Functions of the Unit

  1. Develop strategic plans to achieve the strategic objectives of adolescent health program
  2. Advocate the policy makers and stakeholders at central & provincial level on the importance of improving adolescent health and establishing adolescent friendly health services 
  3. Networking with the education, social service and youth sectors on the multidisciplinary issues related to adolescent and youth health promotion.
  4. Develop/adopt  and pilot test evidence based health interventions on improving adolescent and youth health and integrate those  in to existing service models
  5. Pilot test different interventional models on improving health among out of school adolescents 
  6. Conduct assessment/operational research  on the adolescent and youth  health issues
  7. Build the capacity of health and other officers on the needs of adolescent and youth and making the existing services friendly
  8. Provide technical expertise on adolescent and youth health related matters in intra and inter sectoral planning, implementation, monitoring and evaluating of various programs/ activities at different levels.
  9. Advocate & contribute to the Family health MIS system  to monitor and evaluate the adolescent and youth health activities
  10. Develop Communication materials  pertaining to  adolescent and youth health
  11. Promote /provide opportunities to share best/innovative  practices in providing adolescent and youth health services
  12.  Convene Technical Advisory Committee on Young Person’s Health chaired by the DGHS

Resources

Publications  & IEC Materials

Guidelines

Nawa Yown Asiriya

Circular on Adolescent Health- Responsible organization within the Ministry of Health(Gen Circular No:01/07/2007 dated 18.02.2007)

Weekly Iron Folate supplementation for adolescents  -Leaflet (Sinhala / Tamil)

Circular on Adolescent health care in the field(Gen Circular No:01-36/2010 dated 01.10.2010)

Teenage Pregnancy Prevention –Leaflet for teens & Parents (Sinhala / Tamil)

Circular on Provision of Reproductive Health Services to teenagers  (Gen Circular No:02-29/2011 dated 07.03.2011)

Training manual on Adolescent  Friendly Health Services (Sinhala & Tamil)

Circular on  Youth health -Responsible organization within the Ministry of Health(Gen Circular:02-93/2014 dated 19.06.2014)

National Strategic Plan on Adoelscent health (2013-2017)

 

Staff

Name

Designation

Telephone (0fficial)

Dr Chiranthika Vithana

Consultant Community Physician

+94112692746

Dr. Jacintha Baranasuriya

Medical Officer

+94112692746

Mrs. BMND Batugedara

Public Health Nursing Officer

+94112692746

Gender & Women’s Health Unit

Gender & Women’s Health unit is the focal point of the National Gender & Women’s Health Programme under the Ministry of Health.

Functions of the Unit

  • Advocate on matters relevant to Women’s Health including policy formulation.
  • Provide guidance and technical expertise on Women’s Health.
  • Direct, guide, coordinate and support the peripheral MCH Programme Managers on matters related to Women’s Health.
  • Provide technical and managerial guidelines on Gender & Women’s Health.
  • Capacity building.
  • Develop programme specific training materials.
  • Forecast, estimate, procure, store & distribute equipment, chemicals and supplies for National Well Women Clinic Services & Cervical Cancer Screening Programme.
  • Mobilize funds and other support from GOSL and international sources.
  • Monitor and evaluate Women’s Health programme.
  • Maintain surveillance systems with regards to Women’s Health.
  • Establish and maintain partnerships.

New Initiatives

  • A package on Pre-Conception care.
  • Basic and In-service training of PHC staff / Hospital staff on Gender & Gender Based Violence.
  • A package to address MCH related needs of Migrant Workers and their Families.
  • Establishment of GBV centre’s in selected Hospitals.

Related Links

Resources

Publications Guidelines
Booklet for Newly Married Couples (“Sonduru Kedellakata Suwahasak Subapathum”) Guidelines for PHC staff on Pre Conception Care
Check list for Risk Factors for Newly Married Couples Guidelines for PHC staff on Reproductive Health of Migrant Workers & their Families
Body Mass Index Calculator Guidelines for Cervical Cytology screening
Booklet for Migrant Workers & their Families (Vides Gathawana Obata)  
Hand book for Health Staff on Well Women Clinics  

Staff

Name Designation Telephone (Official)
Dr. Nethanjalie Mapitigama Consultant Community Physician – National Programme Manager Gender & Women’s Health +94 11 2692744
Dr. Eranga Rajapaksha Medical Officer +94 71 4439804
Dr. Chitrangani Perera Medical Officer +94 11 2692744
Ms. I.U. Lekamarachchi Gender Focal Point Officer +94 11 2692744
Ms. Shermila Krishanthi Development Officer +94 11 2692744

Planning, Monitoring & Evaluation Unit

Planning, Monitoring and Evaluation (PME) unit is responsible for monitoring & evaluation of Family Health Programme, coordinating PME activities across different technical units of Family Health Bureau and implementation of PME related activities at provincial, district and divisional level in Sri Lanka.

Functions of the Unit

  • Management of the Reproductive Health Management Information system (RH-MIS) ensuring information availability for decision making - routine collection, processing, interpretation and dissemination of RH data, periodic review and revision of Management Information System (MIS), preparation of guidelines, circulars and manuals on MIS implementation and logistics management of printed forms
  • Development of result framework and impact indicators at the programme level for monitoring and evaluation of the Family Health Programme
  • Improve knowledge, skills and competencies of health staff on RH-MIS management
  • Development and maintenance of the RH data base
  • RH programme monitoring through annual district reviews and short programme reviews and provision of relevant technical support
  • Development of standard tools for performance evaluation of the field health staff and conduct periodic national evaluations  
  • Establishment and management of web based RH-MIS in corporating GIS
  • Preparation of annual Report, Quarterly newsletters, progress reports, feedback letters and other documents relevant to Family Health Programme
  • Development and update of tools on supervision and training of the field staff on Supervision  
  • Overall coordination of the Family Health Programme planning and National MCH policy and strategic plan preparation and ptovision of technical support for these
  • Training of the staff on methods of programme planning and evaluation
  • Formulation of relevant duty lists and guidelines for  Public Health Staff
  • Assessment of Human resource availability and need for human resource management and advocacy 

Resources

Publications Policy/Guidelines
Research study on Assessment of workload of PHMs MCH policy
Study on home deliveries Guidelines on MIS
Annual report on Family Health Essentials on MCH
Medium Term Strategic plan on MCH 2011-2013  
Annual MCH Plan 2011  


Tools

  • Tools for supervision of Public Health Midwife
  • Tools for supervision of SPWM and PHNS

Staff

Name Designation Telephone (Official)
Dr.Kaushalya Kasturiaratchi Consultant Community Physician-Monitoring & Evaluation +94 11 2692743
Dr.Nethmini Thenuwara Act.Consultant Community Physician  
Dr.Priyanga Senanayaka Medical Officer Health Informatics This email address is being protected from spambots. You need JavaScript enabled to view it.
Dr.Mathan Jude Medical Officer  
Dr.L.P.A.I.Gunasoma Medical Officer  
Ms. M.L.A.P.Gunasekara Senior Statistician  
Mr.Jayaram Joseph Hariyaram Information & Communication Technology Officer   
Ms. A.D.L.Kumararathna Public Health Nursing Sister +94 71 4450690
Ms. Lasantha Hapuarachchi Planning & Programme Assistant +94 71 8004887
Mr. A.G. Chitrananda Development Assistant  
Ms. W.M. Malani Information & Communication Technology Assistant  
Mr. T.S. Lantra Information & Communication Technology Assistant  
Ms. Nilmini De Zoysa Information & Communication Technology Assistant  
Ms. R.M.V.K. Ranasinghe Information & Communication Technology Assistant  
Ms. Nalika Perera Information & Communication Technology Assistant  

Oral Health Unit

This unit is established in 2007 aiming to “Promote oral health of mothers and children (0-18years) and thereby the family through existing MCH programme, thus achieving sustainable oral health improvements and quality of life of Sri Lankan population”.

Basically, the scope of the unit covers the monitoring & evaluation of existing School Dental Services and the MCH component of Community Dental Services.

Main Functions

Main functions of the unit are related to provision of the oral healthcare services for mothers and children by:

  • Advocating on oral health policy formulation
  • Providing technical expertise for planning & implementation of oral healthcare services at Provincial, Regional and Divisional level
  • Developing guidelines
  • In-service training of relevant staff
  • Monitoring and evaluation
  • Providing logistic support
  • Encouraging & conduction of operational research
  • Improving partnership with other relevant government and non governmental agencies

Resources

Publications Guidelines
Dental Caries(Sinhala-Tamil) Oral Health Care During Pregnancy
Periodontal Disease (Sinhala) Circular-School Dental services 2011
Periodontal Disease (Tamil)  

Staff

Name Designation Telephone (Official)
Dr.Dilip de Silva Consultant in Community Dentistry +94 11 2690195
Dr. Shanika Muththathri Registar Medical  Dental Officer
Dr. Sumangalee Perera Medical Dental Officer
Dr.Suraj Colombathanthri Medical Dental Officer "
    "

Maternal & Child Morbidity, Mortality Surveillance Unit

Scope of Work

Key Areas

  • Maternal morbidity & mortality surveillance
  • Child morbidity (Care for the sick children / immunization)
  • Child environmental health / child injuries
  • Feto-infant & child morbidity & mortality surveillance

Major activities

Maternal, Feto-infant & child morbidity & mortality surveillance

  • Ensure that all maternal, feto-infant and child deaths notified, investigated and reviewed at national and sub-national levels
  • Maintain a national level data bases on maternal, feto-infant and child deaths
  • Periodically analyse data on maternal, feto-infant and child deaths
  • Develop and implement “confidential” enquiry into maternal deaths
  • Establish and implement surveillance on severe acute maternal morbidity (SAM)
  • Establish a system to notify reproductive age female deaths
  • Strengthen the existing surveillance system to monitor antenatal and postnatal morbidity
  • Establish and implement child morbidity surveillance system including childhood malignancies
  • Establish and implement surveillance on birth defects
  • Develop linkages with other data bases such as Registrar General’s office / Medical Statistics unit to strengthen maternal, feto-infant and child mortality and morbidity surveillance
  • Web-based and other electronic devices are used to get faster and more complete reporting from communities and to initiate response based on morbidity and mortality surveillance and response systems
  • Morbidity and mortality surveillance and response systems are reviewed annually in terms of completeness of surveillance and quality of the response, including actions to improve quality of care

Child morbidity (Care for the sick children)
(Care for the sick infants and children up to the age of 12 years, excluding the neonatal period)

  • Ensure availability of uniform, updated national evidence based technical guidance and direction to manage sick children
    • Adopt internationally accepted current interventions and incorporate them in to the childhood illness management protocols on a regular basis
    • Develop guidelines for management of common childhood illnesses
    • Train relevant healthcare workers on management of sick children with the collaboration of relevant professional bodies
    • Implement, monitor and evaluate Integrated Management of Common Childhood Illnesses (IMCI) strategy
    • Establish a sustainable effective mechanism to update existing circulars, guidelines and protocols on management of sick children
    • Monitor implementation of guidelines, protocols as appropriate in all institutions both field and hospital
  • Ensure a functioning quality assurance system for the service delivery to sick children
    • Develop and implement standards on management of common childhood illnesses
    • Contribute for the development and implementation of an appropriate, sustainable, clinical quality assurance system on management of sick children for the country in collaboration with existing 5 S system
    • Contribute to develop an inbuilt system for regular monitoring of the quality of care delivered to sick children at healthcare institutions
    • Train all maternal care providers through pre service and in-service training programmes to ensure quality service provision
  • Strengthen supportive services (laboratory, radiology, blood transfusion, high dependency and intensive care) to manage sick children
    • Establish norms for supportive care services to manage sick children
    • Assess the availability and functioning of the supportive services for 24 hours 7 days to manage sick children
    • Upgrade and monitor the supportive services with horizontal linkages to provide basic, essential and emergency care for sick children
  • Strengthen Logistics Information Management System (LIMS) and supportive services in relation to management of sick children
    • Provision of technical support to develop and implement a referral and back referral system for shared care and specialized care with clear catchments area for a defined referral institution
    • Develop, implement and conduct regular monitoring of specific criteria and guidelines for emergency transfers for sick children including effective communication between institutions and dedicated transport facilities
    • Establish community referral system for geographically disadvantaged groups
    • Create awareness among general practitioners and public on the referral system to minimize delays in seeking appropriate care for sick children
  • Improve coverage and quality of Child Health Care services for special target groups (internally displaced, urban slums, geographically disadvantaged, marginalized, vulnerable and plantation sector populations etc)
    • Introduce GIS mapping system to identify the geographical locations of special groups and their service availability (Planning Unit)
    • Implement strategies and specific activities to improve care service availability, accessibility, utilization and quality of services for marginalized groups in all operational plans at all levels
    • Strengthen the monitoring mechanism to identify the gaps in service delivery to special target groups
  • Strengthen existing Management Information System on care for the sick children
    • Provision of technical support for the periodic revision of the HMIS and inclusion of new indicators
    • Strengthen the mechanism to monitor care related trends (eg. Case fatality rates, management outcomes, complications, infection rate etc) and  performance of different levels of healthcare institutions
  • Generate evidence based information through Operational Research to improve Care for the sick children
    • Identification of research needs and promote conduction of operational research regularly with the research unit
    • Encourage and guide post graduate research on care for the sick children
    • Mobilize resources for research activities
      Use of research findings to improve the care for the sick children in the country
    • Disseminate and incorporate research findings for policy formulation, programme planning and designing interventions
    • Periodic costing of the care packages and interventions and ensure cost effectiveness
  • Ensure the inter-sectoral coordination and collaboration in activities related to care delivered to sick children
    • Maintain linkages with other programs
    • Establish and maintain a close collaboration with relevant professional bodies according to the national policies
    • Development and maintenance of technical relationship with development partners such as WHO, UNICEF, UNFPA and WB
    • Participation and provision of technical guidance in the relevant consultative meetings conducted by other institutions within and outside the MOH

Childhood Immunization

  • To act as the nodal point at Family Health Bureau in relation to childhood immunization
  • To liaise with Epidemiology Unit in the implementation of National EPI

Child environmental health / Childhood injuries

  • Advocate and create awareness child environmental health issues to policy makers and general public
  • Develop, implement and monitor preventive strategic plans to mitigate child environmental health issues including childhood injuries
  • To work in collaboration with all relevant agencies in activities related to child environmental health including childhood injuries
  • Generate evidence based information through operational Research
  • Maintain linkages with other programs in the addressing child environmental health concerns and childhood injuries

General

  • Advocate and create awareness on the Maternal, Feto-infant & child morbidity & mortality surveillance, care for the sick children and other and areas under the scope of the unit among parliamentarians, policy makers, central and provincial administrators, programme planners, implementers, service providers , development partners, all other stakeholders and general public
  • Develop, implement and monitor five year strategic plans, annual implementation plans on Maternal, Feto-infant & child morbidity & mortality surveillance, care for the sick children and other areas under the scope of the unit
  • Mobilize regular government funding and donor agency funds to implement annual plans on the key areas under the scope of the unit
  • Promote conduct and integrate operational research on maternal, feto-infant and child morbidity, mortality and child environmental health issues
  • Disseminate and incorporate program, surveillance & research findings for policy formulation, programme planning and designing interventions
  • Represent as the National Program Manager on the key areas under the scope of the unit at relevant local (technical advisory committees and national Committee on Family Health) and international forums
  • Establish close collaboration with relevant professional bodies and other governmental and non-governmental establishments with regard to key areas under the scope of the unit
  • Training and teaching
  • Contribution to undergraduate and postgraduate training as appropriate
  • Contribution to the in-service training of MOMCH, MOH, PHNS and PH tutors
  • Contribution to the periodic curriculum revision of the basic and post-basic training curricula of public health staff

Resources

Publications Guidelines
Overview of Maternal Mortality in Sri Lanka 2001-2005  

Staff

Name Designation Telephone (Official)
Dr. Kapila Jayaratne National Programme Manager - Maternal & Child
Morbidity & Mortality Surveillance
+94 11 2692745
Dr. T.W.N Tecklani Medical Officer +94 11 2692745
Ms. Hasini Jayawardana Development Assistant +94 11 2692745
    +94 11 2692745

Research and Development Unit

Functions of the Unit

  • Identification of the research needs of the National Maternal and Child Health programme.
  • Conduction of research in order to address the research needs of the National Maternal and Child Health progarmme.
  • Commissioning and facilitation of external agencies and persons to conduct research to address the research needs of the National Maternal and Child Health programme.
  • Dissemination of the findings of research conducted or commissioned to relevant stakeholders.
  • Compilation and consolidation of locally available evidence on maternal and child health for planning and other programmatic needs.
  • Strengthening of partnership with other research organizations and academic institutions.
  • Improvement of research capacity of public health staff.
  • Provision of technical expertise to public health staff for conduction of research.
  • Provision of technical expertise to strengthen prefordness and response for Reproductive Health issues during emergencies (MISP)

Resources

Maternal and Child Health – National Research Priorities for Sri Lanka - 2012

Staff

Name Designation Telephone (Official)
Dr. Sapumal Dhanapala Consultant Community Physician +94 11 2696677
+94 71 4429793
Dr. Ranil Ranathunga Medical Officer +94 77 2987919
+94 71 3655642

Reproductive Health Unit

Functions

  • Assisting, conducting & providing guidance to training workshops for the service providers in
    • Family planning procedures.
    • Clinical and laboratory procedures in the treatment of sub fertility
    • conducting colposcopy and pap smears
  • Counseling, clinical assistance and providing/performing
    • Female sterilization (LRT)
    • Intra Uterine Contraceptive Device (IUCD) insertions & removals
    • Implant insertions & removals
    • DMPA injections
    • Oral Contraceptive Pills(OCP)
    • Condoms
  • Subfertility Clinic
    • Follicle induction
    • Follicle tracking
    • Tubal patency check with saline sonography
    • Seminal Fluid Analysis (SFA) & Processing
    • Intra Uterine Insemination (IUI)
  • Well Women Clinic
    • Clinical examination
    • Pap smear
    • Screening for breast cancer
    • Colposcopic Examination & LLETZ Biopsy
    • Assessment of post menopausal bleeding (with at least one bleeding after 1 year of menopause) and conducting investigations
      • Pap test
      • Endometrial assessment by TVS (This facility will be upgraded in to office hysteroscopy in near future)
      • Endometrial sampling with aspiration biopsy

Staff

Name Designation Telephone (Official)
Dr.Chaminda Mathota  Consultant Obstetrician & Gynaecologist +94 11 2690483
Dr. Sanjeewani Perera Medical Officer +94 11 2690483
Mrs. Yamuna Gamalath Nursing Officer In Charge +94 11 2690483
Mrs. Samadara Gunathilake Nursing Officer +94 11 2690483
Mrs. Dilupa Samaraweera " +94 11 2690483
Mrs. H.P. Ranjanie " +94 11 2690483
Mrs. M.T.P Dilhani " +94 11 2690483