Dr.Sheelani Gunarathne

MO- NCD

MBBS(SL)

IMG_0671

Dr.Rubi Perera

Addtional MO- NCD

MBBS(SL)

District MO NCD duty list

1 Background

Currently, chronic non-communicable disease (NCDs) are overtaking communicable diseases as the dominant health problem, and are now the leading causes of mortality, morbidity, and disability. It has led to an increase in use of health resources. Aging of the population, urbanization and lifestyle changes are the key factors behind this epidemiological transition.

 

1.1 current situation of chronic NCDs in Sri Lanka

The following major chronic NCDs have a significant disease burden in Sri Lanka; cardiovascular diseases(including coronary heart diseases [CHD], cerebrovascular diseases [CVD] and hypertension), diabetes mellitus, chronic respiratory diseases, chronic renal diseases and cancers.

 

In 2001 chronic NCDs accounted for 71% of all deaths in Sri Lanka, compared with 18% due to injuries, and 11% due to communicable diseases, and maternal and perinatal conditions.

 

1.2 Major risk factors for chronic NCDs

There are few risk factors shared among all major chronic NCDs, namely smoking, unhealthy diet, physical inactivity and harmful alcohol use. Prevalence of these risk factors at population level has a major influence on morbidity and mortality due to NCDs.

 

Smoking

The prevalence of (current) smokers among adult male is 22.8% while among female is less than 1% (Ministry of Health, 2008)

 

Unhealthy diet

Unhealthy food could be defined as foods that contain high-salt content, high-sugar content, high trans-fatty acids and saturated fat. High consumption of fruits and vegetable is strongly associated with better health outcomes.

Physical inactivity

Moderate level physical activity is a protective factor against many NCDs.

Alcohol consumption

Percentage of current drinkers is significantly higher in males (26.0%) compared to females (1.2%). However, less than five percent of male population take alcohol more than 4 days per week.

Other risk factors-

Stress

Air pollution – Air pollutants consist of gaseous pollutants, odours and suspended particulate matter.

The government of Sri Lanka acknowledge that the prevention and control of chronic NCDs is a priority issue in the national health agenda and the National Health Master Plan 2007 – 2016 as these lower the quality of life, impair the economic growth of the country and place a heavy and rising demand on families and national budgets.

 

2 Policy Vision

A country that is not burdened with chronic non- communicable diseases (NCDs), deaths and disabilities.

3 Policy Goal

The overall goal of the National NCD Policy of Sri Lanka is to reduce the burden due to chronic NCDs by promoting healthy lifestyles, reducing the prevalence of common risk factors, and providing integrated evidence-based treatment options for diagnosed NCD patients.

 

4. Key Strategies

  1. Implement a cost-effective NCD screening program at community level with special emphasis on cardiovascular diseases
  2. empower the community for promotion of healthy lifestyle for NCD prevention and control
  3. Enhance human resource development to facilitate NCD prevention and care

5. NCD Screening programme 

Primary health care facilities at the door step of the community has been strengthened by establishing sustainable screening programme through Healthy Lifestyle Centers (HLCs) and initiating availability of essential generic drugs and technologies to manage NCDs and other NCD related risk factors.

NCD screening programme implemented through the NCD unit consists of 3 strategies.

  1. To screen people in HLCs
  2. To conduct workplace screening
  3. To conduct mobile screening

Ministry of Health has taken an initiative to establish HLCs throughout the island to screen normal people. The target group to screen at Healthy Lifestyle Centers are people who are between 40 to 65 years. Main aim of screening is to identify both behavioural and intermediate risk factors early in view of preventing pre mature deaths due to NCDs.

 

HLCs have been mainly established in health institutions. Wherever there is no health institution to establish HLC, approval has been given to establish HLCs in MOH office and field clinics. There are 71 Healthy Lifestyle Centers in Gampaha district.

Information about Healthy Lifestyle Centers in Gampaha district
RDHS Office Gampaha 2018

MOH area

Name of the Health institution

Day

Time

TP NO

AttanagallaBase Hospital WathupitiwalaTuesday 08.00 am – 12.00 pm0332280261/2
PMCU  ThihariyaThursday 08.00 am – 12.00 pm
PMCU  BemmullaThursday08.00 am – 12.00 pm
PMCU VeyangodaWednesday08.00 am – 12.00 pm
PMCU AlawalaFriday08.00 am – 12.00 pm0335678287
PMCU UrapolaMonday08.00 am – 12.00 pm
BiyagamaDivisional Hospital BiyagamaMonday08.00 am – 12.00 pm0112487524
MOH Office BiyagamaSaturday08.00 am – 12.00 pm
DompeDistrict Hospital DompeSaturday08.00 am – 12.00 pm0112409544
Divisional Hospital RadawanaMonday08.00 am – 12.00 pm0332267261
PMCU MithirigalaWednesday08.00 am – 12.00 pm0332267161
PMCU MandawalaWednesday08.00 am – 12.00 pm
PMCU MalwanaThursday08.00 am – 12.00 pm
PMCU PugodaThursday08.00 am – 12.00 pm0112405262
PMCU AnuragodaThursday08.00 am – 12.00 pm
DivulapitiyaDistrict Hospital DivulapitiyaMonday08.00 am – 12.00 pm0312246261
Divisional Hospital AkaragamaFriday08.00 am – 12.00 pm0312269261
PMCU Halpe KatanaFriday08.00 am – 12.00 pm
PMCU KotadeniyawaMonday08.00 am – 12.00 pm0312246262
PMCU DunagahaThursday08.00 am – 12.00 pm0312246262
PMCU WekadaFriday08.00 am – 12.00 pm
PMCU Halpe MirigamaDaily08.00 am – 12.00 pm
PMCU BadalgamaDaily  (except Sunday )08.00 am – 12.00 pm
GampahaDistrict General Hospital GampahaDaily  (except Sunday )08.00 am – 12.00 pm0332222261
PMCU WeliweriyaMonday08.00 am – 12.00 pm –
PMCU GanemullaThursday08.00 am – 12.00 pm
MCH Clinic Makevita3rd Saturday08.00 am – 12.00 pm
PMCU KalagedihenaWednesday08.00 am – 12.00 pm
JaelaDistrict Hospital JaelaMonday08.00 am – 12.00 pm
MCH Clinic clinic Gallawatta (Ekala)4th Tuesday08.00 am – 12.00 pm
MCH Clinic clinic Kandana2nd Saturday

 

 

08.00 am – 12.00 pm
KatanaPMCU AndiambalamaMonday , Thursday08.00 am – 12.00 pm
PMCU Kandawala KatanaTuesday08.00 am – 12.00 pm
KatunayakaPMCU KatunayakaDaily  (except Sunday )08.00 am – 12.00 pm
KelaniyaBase Hospital KiribathgodaWednesday08.00 am – 12.00 pm0112911493
PMCU SinharamullaTuesday08.00 am – 12.00 pm
PMCU PeliyagodaSaturday, Monday08.00 am – 12.00 pm
PMCU HunupitiyaThursday08.00 am – 12.00 pm
MaharaDivisional Hospital UdupilaMonday08.00 am – 12.00 pm
PMCU KadawathaThursday08.00 am – 12.00 pm
Divisional Hospital MalwathuhiripitiyaSaturday08.00 am – 12.00 pm0332279261
MirigamaBase Hospital MirigamaSaturday08.00 am – 12.00 pm0332273261
PMCU KaleliyaWednesday08.00 am – 12.00 pm
PMCU AmbepussaFriday08.00 am – 12.00 pm
PMCU MuddaragamaWednesday08.00 am – 12.00 pm
PMCU PasyalaWednesday08.00 am – 12.00 pm0332285780
PMCU BokalagamaWednesday08.00 am – 12.00 pm0332270283
PMCU WeweldeniyaWednesday08.00 am – 12.00 pm
PMCU MaligathennaThursday08.00 am – 12.00 pm
PMCU MaladeniyaTuesday08.00 am – 12.00 pm
PMCU NambuluwawaWednesday08.00 am – 12.00 pm0332285794
PMCU PallewelaMonday08.00 am – 12.00 pm
PMCU Halpe MirigamaEvery week days08.00 am – 12.00 pm
MinuwangodaDistrict Hospital MinuwangodaTuesday08.00 am – 12.00 pm0112295261
PMCU KorasaFriday08.00 am – 12.00 pm0332290542
PMCU DewalapolaTuesday08.00 am – 12.00 pm
PMCU MadelgamuwaWednesday08.00 am – 12.00 pm
NegomboDistrict General Hospital NegomboDaily  (except Sunday )08.00 am – 12.00 pm0332222261
PMCU ThalahenaMonday08.00 am – 12.00 pm0312233176
PMCU KochchikadeWednesday08.00 am – 12.00 pm
RagamaMCH Clinic Kurukulawa4th Wednesday08.00 am – 12.00 pm
MCH Clinic Batuwatta3rd Saturday08.00 am – 12.00 pm
SeeduwaPMCU SeeduwaTuesday08.00 am – 12.00 pm
Vijaya Kumarathunga Memorial Hospital SeeduwaTuesday08.00 am – 12.00 pm
PMCU RaddolugamaTuesday08.00 am – 12.00 pm
PMCU Madawala MinuwangodaThursday08.00 am – 12.00 pm
WattalaDivisional Hospital PamunugamaFriday08.00 am – 12.00 pm0112236622
PMCU UswetakeiyawaWednesday08.00 am – 12.00 pm
PMCU HendalaFriday08.00 am – 12.00 pm0112933212
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6. Monitoring and evaluation of the NCD programme

  1. District level review meetings
  • Quarterly review meetings
  • NCD steering committee meetings
  • Safe community meetings 
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  1. Field level
  • Supervisory visits to HLCs by District MO NCD
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Acute NCD

The focal point for injury prevention in the Ministry of Health is the Non Communicable Disease (NCD) unit. It involves in planning programmes, developing guidelines and polices in preventing almost all types of injuries which could occur during one’s lifetime from the date of birth to the death covering all ages from infancy to the adulthood.

NCD unit is working in collaboration with other stakeholders in view of integrating injury prevention in to everyday life of people across homes, schools, working places and roads in Sri Lanka.

Injury surveillance

NCD unit has established an injury surveillance system recently.