ayubowan welcome to srilanka dr. vipula wickramasinghe dr. nimala samaradiwakara jica trainees 2009...
TRANSCRIPT
AYUBOWAN
WELCOME TO SRILANKA
DR. VIPULA WICKRAMASINGHE DR. NIMALA SAMARADIWAKARA
JICA TRAINEES 2009
SRI LANKA IN BREIF
6o-10o North Latitude
80o-82o East longitude
Maximum Length 432Km
Maximum Breadth 224Km
Land Area-excluding Inland Waters
65,525 Sq.km62,336 Sq.Km
Highest Water fall Bambarakanda 241 meters
Highest Peak Pidurutalagala 2524 meters
Longest River Mahaweli 335 k. meters
The island of Sri Lanka lies in the Indian Ocean, to the southwest of the Bay of Bengal and to the southeast of the Arabian Sea. It is separated from the Indian sub continent by the Gulf of Mannar and the Palk Strait
HISTORY OF SRILANKA TWO THOUSAND YEARS OF RULE BY LOCAL KINGDOMS
FROM 1505 – 1850 PARTS OF THE SRILANKA WERE COLONIZED BY THE PORTUGAL AND THE DUTCH
FROM 1815 – 1948 BRITISH CONTROLLED THE ENTIRE COUNTRY
IN 1948 POLITICAL INDIPENDENCE WAS GRANTED BY THE BRITISH AFTER PEACEFUL NEGOTIATION
SRILANKA IS KNOWN AS CEYLON BEFORE 1972
IN 1972 SRILANKA OBTAINED HER TOTAL SOVERNITY FROM THE BRITISH
ABOUT SRILANKANS
POPULATION 21,128,773 AND THE DENSITY 319/km²
SRILANKA IS A MULTI ETHNIC AND MULTI RELIGIOUS NATION
SINHALA COMMUNITY FORMS THE MAJORITY OF THE POPULATION WITH THE TAMILS ,MOORS, BURGHERS AND MALAYS
78% OF THE POPULATION FOLLOWING BUDDHISM AND REST FOLLOWS HINDUISM, CHRISTIANITY AND ISLAM
LITERACY RATE OVER 96%
Ethnicity (%)Sinhala 74Tamil 18Moors 7Others 1
Religion (%)Buddhism 69Hinduism 15Christianity 8Islam 7
GOVERNANCE
SRILANKA, OFFICIALY THE DEMOCRATIC SOCIALIST REPUBLIC OF SRILANKA HEADED BY THE EXCUTIVE PRESIDENT
LEGISLATION, THE PARLIMENT COMPRISED OF 225 MEMBERS HEADED BY THE PRIME MINISTER
JUDICIARY HEADED BY THE CHIEF JUSTICE
SRILANKA IN BRIEF
LanguagesSinhala & Tamil (official)English (Intrenational)
Life expectancy: Males 72, Females 76
Literacy ratio: over 96%
ECONOMY OF SRILANKA
TOTAL GDP $ 84,992 billion AND PER CAPITA INCOME $ 4264
FAMOUS PRODUCTION AND EXPORTS ARE TEA, COFFEE, COCONUTS, RUBBER AND GEMS
SRILANKA IS A WORLD FAMOUS TOURIST DESTINATION
SRILANKANS ENJOY THE PRIVILAGE OF FREE HEALTH AND FREE EDUCATION
OUR ORGANIZATION MINISTRY OF HEALTH CARE AND NUTRITION
DEPT. OF HEALTH DEPT. OF NUTRITION
DIRECTOR GENERAL OF HEALTH SERVICES
DDG DDG DDG DDG DDG DDG DDG DDG DDGMEDICAL PUBLIC FINANCE NURSING DENTAL ADMIN PLANNING ETR INT.HEALTH SERVICES HEALTH SERVICES
DIRECTOR (CURATIVE) DIRECTOR (PREVENTION)
ALL CONSULTANTS AND DENTAL SURGEONS ALL CONSULTANTS AND DENTAL SURGEONSIN - NATIONAL HOSPITAL OF SRILANKA IN - EPIDEMIOLOGY UNIT - PROVINCIAL GENERAL HOSPITALS - FAMILI HEALTH BUREAU - PROVINCIAL HOSPITALS - RDHS OFFICES - BASE HOSPITALS - MOH OFFICES - RURAL HOSPITALS - COMMUNITY DENTAL CLINICS - CENTRAL DISPENSERIES - ADOLESCENT DENTAL CLINICS - MATERNITY HOMES - SPECIALISED UNITS eg; CANCER INSTITUTE
TASKS To empower community for maintaining and
promoting their health.
To improve comprehensive health services delivery and health action.
To strengthen stewardship and management of functions.
To improve the management and human resources for health.
To improve health finance, mobilization, allocation and utilization
DISTRIBUTION OF DENTISTS IN SRILANKA
Dentists in Governmental organizations Department of Health , Ministry of Health Care and Nutrition - 1150
Armed Forces - 60
University, Ministry of Higher Education - 140
Dentists in Private Organizations - 650
TOTAL - 2000
“Ratio - 21128773/2000 = 10564.39”
DENTISTS IN GOVERNMENT ORGANIZATIONS
CONSULTANT ORAL & MAXILLOFACIAL SURGEONS
CONSULTANT ORTHODONTISTS
CONSULTALT RESTORATIVE DENTISTS
CONSULTANT COMMUNITY DENTISTS
DENTAL SURGEONS IN HOSPITALS AND COMMUNITY CLINICS
ARMED FORCES
ARMY NAVY AIR FORCE POLICE
CONSULTANT DENTAL SURGEONS AND DENTAL SURGEONS
UNIVERSITY- MINISTRY OF HIGHER EDUCATION
FACULTY OF DENTAL SCIENCES, UNIVERSITY OF PERADENIYA
- THE DEAN - PROFESSORS - SENIOR LECTURERS - LECTURERS - DEMOSTRATORS
DENTISTS IN PRIVATE SECTOR
DENTISTS IN - PRIVATE HEALTH CARE INSTITUTIONS - FULL TIME PRIVATE PRACTICE
DENTAL AUXILLARY SERVICES
DENTAL THERAPIST TRAINING SCHOOL
SCHOOL DENTAL CLINICS IN THROUGH OUT THE COUNTRY
EPIDEMIOLOGY OF DENTAL DIESEASES
6 YEARS DECIDOUS TEETH
Prevalence of caries in Sri Lanka was 76.42%
Prevalence of active caries in Sri Lanka was 73.11%
Percentage of children with all carious teeth treated in Sri Lanka was only 3.31
d.m.f.t at the age of 6 years was 4.1 Mean number of decayed teeth was 3.6 Mean number of missing teeth was 0.22 Mean number of filled teeth was 0.29
6 YEARS PERMENENT TEETH Prevalence of caries in Sri Lanka was 9.61% Prevalence of active caries in Sri Lanka was
9.21% Percentage of children with all carious teeth
treated in Sri Lanka was only 0.41 D.M.F.T at the age of 6 years was 0.17 Mean number of decayed teeth was 0.153 Mean number of missing teeth was 0.014 Mean number of filled teeth was 0.005
12 YEARS PERMENENT TEETH
Prevalence of caries in Sri Lanka was 53.17% Prevalence of active caries in Sri Lanka was
46.93% Percentage of children with all carious teeth
treated in Sri Lanka was only 6.24 D.M.F.T at the age of 12 years was 1.44 Mean number of decayed teeth was 1.16 Mean number of missing teeth was 0.11 Mean number of filled teeth was 0.17
15 YEARS PERMENENT TEETH
Prevalence of caries in Sri Lanka was 69.71% Prevalence of active caries in Sri Lanka was
65% Percentage of children with all carious teeth
treated in Sri Lanka was only 4.71 D.M.F.T at the age of 15 years was 2.58 Mean number of decayed teeth was 2.11 Mean number of missing teeth was 0.32 Mean number of filled teeth was 0.14
35-44 YEARS PERMENENT TEETH Prevalence of caries in Sri Lanka was 91.16% Prevalence of active caries in Sri Lanka was
79.63% Percentage of 35-44 years with all carious
teeth treated in Sri Lanka was only 11.33 D.M.F.T at the age of 35-44 years was 10.08 Mean number of decayed teeth was 3.85 Mean number of missing teeth was 5.83 Mean number of filled teeth was 0.4 Edentulousness at this age in Sri Lanka was
1.64%
65-74 YEARS PERMENENT TEETH Prevalence of caries in Sri Lanka was 64.45% Prevalence of active caries in Sri Lanka was
46.49% Percentage of 65-74 years with all carious
teeth treated in Sri Lanka was only 17.96 D.M.F.T at the age of 65-74 years was 22.58 Mean number of decayed teeth was 2.07 Mean number of missing teeth was 20.35 Mean number of filled teeth was 0.06 Edentulousness at this age in Sri Lanka was
36.93%
6 YEARS Prevalence of bleeding gingival at this
age was 46.33% Prevalence of calculus at this age was
21.78% Need for oral hygiene instructions in Sri
Lanka is 68.2% Treatment need , oral prophylaxis is
needed 21.8%
12 YEARS Prevalence of bleeding gingival at this
age was 29.67% Prevalence of calculus at this age was
54.1% Need for oral hygiene instructions in Sri
Lanka is 86.6% Treatment need , oral prophylaxis is
needed 56.9%
15 YEARS Prevalence of bleeding gingival at this
age was 21.31% Prevalence of calculus at this age was
52.56% Need for oral hygiene instructions in
Sri Lanka is 67.3% Treatment need , oral prophylaxis is
needed 66%
35-44 YEARS Prevalence of bleeding gingival at this
age was 5.13% Prevalence of calculus at this age was
29.13% Need for oral hygiene instructions in
Sri Lanka is 97.9% Treatment need , oral prophylaxis is
needed 92.8% Complex treatment need is 20%
65-74 YEARS Prevalence of bleeding gingival at this
age was 0.4% Prevalence of calculus at this age was
13.59% Need for oral hygiene instructions in
Sri Lanka is 99.2% Treatment need , oral prophylaxis is
needed 98.4% Complex treatment need is 38.9%
“ NATION WIDE ORAL HEALTH SURVEYS REVEAL THAT THE PREVALENCE OF THE MAIN DENTAL DISEASES ARE ON THE DECLINING PHASE, HOWEVER UNTREATED NUMBER OF INDIVIDUALS ARE NOT ON PROPOTIONALLY LOW AS MUCH”
* ACCORDING TO THE NATIONAL ORAL HEALTH SURVEY 2004
USA DENMARK JAPAN SRILANKA
EDENTULUSNESS 26% - - 36%
HEALTHY GUMS - 2-4% - 2.1%
LOSS OF ATTACHMENT+4mm
- 82.1% 97% 98.4%
* Age between 65- 74 years
COMPARISON OF PERIODONTAL DISESASE STATUS
MAJOR ISSUES TO BE ADDERSSED PARENTAL EDUCATION TO PREVENT DENTAL
CARIES IN CHILDREN SPECIALLY AGES BETWEEN 2-5 YEARS
TO IMPROVE BEHAVIOURAL SKILLS IN YOUNG ADULTS IN RELATION TO GUM HEALTH
TO IMPROVE ORAL HEALTH AND HYGINE OF PREGNANT MOTHERS
TO IMPROVE KNOWLEDGE IN ADULTS IN ORAL CANCERS
THANK YOU