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AAnnnnuuaall RReeppoorrtt

National Institute of Health Sciences

Sri Lanka

www.nihs.gov.lk

Annual Report

2012


Sri Lanka

Vision

The centre of excellence in training and development of public health

staff in the South East Asia Region in the new Millennium

Mission

Training and development of competent, independent and interdependent

public health workforce for service delivery

to gain Millennium Development Goals (MDG) at National level

Motto

Sri Lankan Pride in Global Health

Foreword

This Annual report has grown directly out of the analysis of statistics of the National Institute of

Health Sciences for the year 2012.

“Failing to plan is planning to fail” is a well known saying. Proper planning is essential in

developing any institution. Statistics play an integral part in planning. It is important to have

correct statistics to understand the present situation and to plan for the future.

Any organization shall analyze their statistics periodically to decide on its performance and as a

monitoring and an evaluation mechanism. Collection, analysis, interpretation and documentation

of such data give an indication as to where the organization stands.

When comparing with the performance of 2011 with that of 2012 it clearly shows remarkable

improvement in all the sections of NIHS. The first ever WHO Collaborative center of NIHS was

officially inaugurated on 15th

of Oct 2012, which was a great achievement of NIHS. We were

able to improve the quality of our training programmes and even open them for international

community with the technical support of WHO.

Hence, with stepping on to the international training, NIHS has taken Sri Lankan health sector

training to a new height. This Annual report was prepared collecting performance data for the

year 2012. We have made every possible effort to include all the major areas at NIHS into this

report. However if we have missed any area of service unwittingly, you are welcome to send us

your suggestions.

My particular thanks are due to two deputy directors, all the heads of teaching departments and

all the members of NIHS for their commitment to make this a success.

I extend my gratitude to Dr. Y.D. N. Jayathilaka, Secretary of Health, Dr. P.G. Pmaheepala,

Director General of Health Services and Dr. Sunil De Alwis, Deputy Director General (ET&R)

for their continuous leadership, guidance and assistance for all the improvements and

development activities of our institute during the year 2012.

I thank the WHO SEARO, WHO country office, GAVI HSS project, for the support extended to

improve the quality of our services.

I appreciate the effort of the officials at the Planning Unit and the computer unit - NIHS in

preparation of this report.

I hope the entire staff of NIHS will dedicate further in shaping the institute to the art and science

of the practice of public health during the years to come.

Dr. L. T. Gamlath

Director


Kalutara, Sri Lanka

March 2013

Contents

Vision, Mission and Motto

Foreword

List of Tables

Abbreviations

Executive Summary

1.0 Introduction ……………………………………………………………………… 1

2.0 Objectives of NIHS ……………………………………………………………… 2

3.0 Organizational Structure ………………………………………………………… 3

4.0 General Administrative Functions ……………………………………………… 4

5.0 Training Faculty and WHO Collaborating centre …………..…………………… 7

6.0 Some of the structural and functional developments completed during 2012…… 25

7.0 Field Services ……………………………………………………………………. 30

8.0 Laboratory Services ……………………………………………………………… 51

9.0 Productivity Unit & Medical Centre.……………………………………..……… 54

10.0 Planning & Information Unit ……………………………………………………. 55

11.0 Financial Statement ……………………………………………………………… 56

Way Forward

Challenges

Acknowledgement

List of Tables

Table 1 : Information on NIHS Staff Cadre - Year 2012……………………………………………………………………………… 06 Table 2 : Information on Training Faculty Cadre- Year 2012……………………..…………………………................... 10

Table 3 : Staff Profile of the Training Faculty – Year 2012………………………..…………………………….................... 10 Table 4 : Information on Training Programmes offered by NIHS………………………………………………………………. 13 Table 5 : Performance of the Training Faculty - Year 2012……………………………………………………………………….. 14 Table 6 : New training Programmes Started in Year 2012……………………………………………..…………………………. 17 Table 7 : Information on Staff Development Programmes - Year 2012………………………………………….….…….. 17 Table 8 : Information on research & curriculum development – Year 2012………………………………….….………. 18 Table 9 : Training Faculty: Curriculum development revisions– Year 2012……………………………………………….. 20 Table 10 : Activities in the terms of reference under the agreed work plan (WHO CC)-Year 2012……….…….. 22 Table 11 : School of Nursing: Student Intake - Year 2012…………………………………………………………………………… 24 Table 12 : Staff Development Programmes : School of Nursing - Year 2012……………………………………………….. 24 Table 13 : General statistics of the field service area – Year 2012………………………………………………………………. 31 Table 14 : Staff cadre of the field service area – Year 2012………………………………………………………………………… 32 Table 15 : Staffs Profile of the field service area –Year 2012………………………………………………………………………. 33 Table 16 : Pregnant mothers registered by PHMs - 2008-2012 ……………………………………………....................... 34 Table 17 : Percentage of pregnant mothers visiting antenatal clinics at least once and average

number of clinic visits since 2008………………………………………………………………………………………………. 36 Table 18 : Percentage of pregnant mothers who were screened at the antenatal clinics–Year 2012…………. 36 Table 19 : Percentages of antenatal mothers protected with Rubella and Tetanus –Year2012……………….…. 36 Table 20 : Percentages of pregnant mothers who were visited at least once and average

number of home visits paid to them by PHMs–Year 2012………………………………………………….……… 37 Table 21 : Pattern of deliveries reported by PHMs –Year 2012………………………………………….………………………. 38 Table 22 : Postpartum visits made within the first 10 days of delivery –Year 2012…………………………………….. 38 Table 23 : Percentages of estimated number of infants and children under care –Year 2012……………………… 39 Table 24 : Field and clinic care performance –Year 2012………………………………………….................................... 39 Table 25 : Percentages of LBW, underweight, overweight infants and preschoolers –Year 2012……………….. 39 Table 26 : Mortality rates and percentage of infant deaths investigated –Year 2012………………………………… 39 Table 27 : Information on Family Planning - Year 2012…………..………………………………………………………………….. 40 Table 28 : Performance of Well Women Clinic Services - Year 2012…………………………………………………………… 40 Table 29 : Performance of Immunization Services - Year 2012…………………………………………………………………… 40 Table 30 : Performance of School Health Services - Year 2012…………………………………………………………………… 41 Table 31 : Performance of Communicable Diseases Control Services - Year 2012………………………………………. 42 Table 32 : Information on Control of communicable diseases - Year 2012……………………………………………….... 42 Table 33 : Rabies Control Activities - Year 2012………………………………………………….......................................... 42 Table 34 : Performance of Environmental Health Services - Year 2012………………………………………………………. 42 Table 35 : Performance of Food Safety Activities - Year 2012…………………………………………………………………….. 43 Table 36 : Performance of Food Sampling Activities - Year 2012………………………………………………………………… 43 Table 37 : Information on Prosecutions–Year 2012……………….…………………………………………………………………… 43 Table 38 : Information on seizure of food items –Year 2012……………………………………………………………………… 43 Table 39 : Activities related to the Drugs, Cosmetics & Devices Regulations - Year 2012…………………………… 44 Table 40 : Prosecutions under the Drugs Act –Year 2012…………………………………………………………………………… 44 Table 41 : Community Dental Care Services –Year 2012…………………………………………………………………………….. 44 Table 42 : Information on counseling sessions conducted at District Hospital Beruwala–Year 2012…………… 46 Table 43 : Information on counseling sessions conducted at Community Support center NIHS–Year 2012… 46 Table 44 : Information on counseling sessions conducted at MOH Office Beruwala–Year 2012…………………. 46 Table 45 : Post partum mothers screened for Depression using Edinburgh Depression Scale –Year 2012….. 46 Table 46 : Other special programmed by MH unit–Year 2012……………………………………………………………………. 46 Table 47 : Information on Non- Communicable Disease Prevention Programmes–Year 2012………..………….. 47 Table 48 : Monitoring and Evaluation of Health Care Services –Year 2012………………………............................ 47 Table 49 : Information on In-Service Training programmes and other awareness programmes

carried out in the field.–Year 2012…………………………………………………………………………………..………… 48 Table 50 : Profile of participations in consultative meetings–Year 2012…………………………………………………..... 49 Table 51 : Profile of participations in other workshops/programmes–Year 2012……………………………………….. 49

Table 52 : Profile of participations in training Programmes–Year 2012……………………………………………………… 49 Table 53 : NIHS Field Services: Contributions made to training programmes - Year 2012…………………………… 50 Table 54 : Other training faculty activities participated by field staff–Year 2012……………………………………….. 50 Table 55 : Information on cadre of the service laboratory- Year 2012……………………………………………………….. 51 Table 56 : Information on staff profile of the service laboratory -Year 2012………………………………………………. 52 Table 57 : Performance of the Service Laboratory - Year 2012………………………………………………..…………………. 52 Table 58 : Performance of the Food Chemistry Laboratory –Year 2012……………………………………………………… 53 Table 59 : Activities conducted by the Productivity Unit - Year 2012………………………………………………………….. 54 Table 60 : Performance of the Medical Centre - Year 2012………………………………………………………………………… 54 Table 61 : Performance of the Planning & Information Unit - Year 2012……………………………………………………. 55 Table 62 : Information on Capital Expenditure of NIHS- Year 2012…………………………………………………………….. 56 Table 63 : Information on Recurrent Expenditure of NIHS- Year 2012…………………….…………………………………. .56 56 Table 64 : Utilization of Funds from International Organizations - Year 2012…………………………………………….. 57

Abbreviations

AMOH Additional Medical Officer of Health

AV OFFICER Audio Visual Officer

BA Bachelor of Arts

BSc Bachelor of Science

CPMA Chief Public Management Assistant

DD(FIELD SERVICES) Deputy Director (Field Services)

DD(TRAINING) Deputy Director (Training)

DDG(ET&R) Deputy Director General (Education, Training and Research )

DGHS Director General of Health Services

DPT Diphtheria, Pertussis and Tetanus

DS Dental Surgeon

DoPH Department of public health (Public Health Training)

DoES Department of education sciences

DoR Department of research

DoM Department of management

DoMS Department of medical sciences

F&DI Food & Drug Inspector

FP Family Planning

FHB Family Health Bureau

GAVI Global Alliance for Vaccine and Immunization

GIC Government Information Centre

HELLIS Health Literature Libraries and Information Services

PMA Public Management Assistant

ICT Information Communication Technology

LANKAPHEIN Sri Lanka Public Health Education Institutes Network

LBW Low Birth Weight

MBBS Bachelor of Medicine, Bachelor of Surgery

MD Doctor of Medicine

MLT Medical Laboratory Technologist

MMR Mumps, Measles and Rubella

MO Medical Officer

MOH Medical Officer of Health

MOMCH Medical Officer - Maternal and Child Health

MOMH Medical Officer - Mental Health

MONCD Medical Officer - Non Communicable Diseases

MSc Master of Science

NIHS National Institute of Health Sciences

NO Nursing Officer

NTS Nurses Training School

NWSDB National Water Supply and Drainage Board

PHC Primary Health Care

PHI Public Health Inspector

PHLT Public Health Laboratory Technologist

PHM Public Health Midwife

PHN Public Health Nursing

PHNS Public Health Nursing Sister

PPA Programme Planning Assistant

RDS Regional Dental Surgeon

RE Regional Epidemiologist

RMO/AMO Registered Medical Officer / Assistant Medical Officer

RN Registered Nurse

RSPHNO Regional Supervising Public Health Nursing Officer

SDT School Dental Therapist

SEARO South East Asia Regional Office

SLCM Sri Lanka College of Microbiologists

SLIDA Sri Lanka Institute of Development Administration

SLR Sri Lankan Rupees

SPHI Supervising Public Health Inspector

SPHID Divisional Supervising Public Health Inspector

SPHM Supervising Public Health Midwife

UNF United Nations Fund

UNFPA United Nations Fund for Population Activities / United Nations Population Fund

UNICEF United Nations International Children's Emergency Fund / United Nations Children's Fund

WHO World Health Organization

WHO CC World Health Organization Collaborating Centre

Main task of the NIHS is to produce PH professionals of high caliber to successfully take the

health challenges of the country and the region.

Training activities: The number of new trainees absorbed into different training programmes

every year is steadily increasing (1262 and 1683 in the year 2011 and 2012 respectively).In order

to cater to this ever rising demand for Public health training, NIHS is in the process of

introducing new training technologies and strengthening the existing training programmes with

necessary revisions of teaching modules and by providing the optimal teaching learning

atmospheres. In the year 2012 several new training programmes were conducted and currently

several others are being developed such as Training of Estate Medical Assistants and PHIs in

underserved districts. New programmes such as Health system research for all PH staff, Skill

development training programmes for PH staff and training on NCD surveillance will be

launched in the year 2013.

With a view to further reinforce the existing training programmes, NIHS has started a process of

revising the relevant prospectus. The working committee on training affairs under the strategic

plan 2012 is in the process of upgrading them to support and streamline the future training

activities. Further they got off the ground in 2012 to prepare the manuals on code of conducts for

trainees and trainers at NIHS in order to enhance quality, equity, and fair play.

To improve the trainer/examiner capacity, NIHS has planned and conducted series of workshops

on curriculum development, proposal writing, research methodology, teaching methodologies

and evaluation methods which will help the training activities in the future.

Public health field services: NIHS is very unique in possessing its own field training area. In

achieving the above targets, the services of the field practice area of NIHS become crucial. At

present, facilities of the field are extensively utilized for training purposes. The need for

improved facilities in the field has been identified and ways and means of achieving this are

being explored. There is an urgent need of carefully selected field staff along with well equipped

field training centers to support the present training programmes and to introduce new PH

training programmes in the years to come.

Executive Summary

Laboratory services: With an ever increasing demand for public health laboratory services at

NIHS and the need to accommodate the support services for these activities in mind NIHS has

initiated the activities to streamline its laboratory services. Implementation of SOPs and safety

procedures in the laboratory management system was introduced in 2012 and they are evaluated

systematically throughout the given year. Plans are on the way to establish a well sophisticated

public health laboratory at the NIHS under the guidance of WHO.

Research: In order to develop a healthy research culture in the field of Public Health, all

training programmes have been incorporated with research training component. An ethics review

committee was established to support research activities. The ICPHI 2013, the successor of the

NCPHI 2011, will provide a platform for trainers and trainees to disseminate their research

findings at a wider forum.

Infrastructure development: With ever expanding training activities and the unmet need of

supportive services for training activities keeping in mind, NIHS has planned a new building

project, which will provide more teaching learning facilities and much needed expansion of

teaching departments, a skill and demonstration laboratory and an examination department.

Permanent teaching staff and training facilities: In fulfilling above targets the service of a

permanent teaching staff selected nationally become a must. NIHS has already proposed this

need to the ministry and discussions are on the way to decide the criteria for the recruitment.

Role of WHO collaborating centre (CC) for PH training and development: WHO CC

established in 2012 is in its infancy at present and there is no doubt that this will continue to

grow in the future and engaged in mutually beneficial activities to further strengthen the bond

between the Ministry of Health and WHO.

Since its inception some 86 years ago, NIHS has grown to become a national agency providing

training facilities to cater to the Sri Lanka’s public health care needs. It will strive to explore new

avenues to achieve its mission “Training and development of competent, independent and

interdependent public health work force for service delivery to gain Millennium Development

Goals and targets (MDG) at National level”. This document shows where we are now and will

be a baseline to measure our improvements in future.

Annual Report 2012 : National Institute of Health Sciences – Kalutara, Sri Lanka 1

The National Institute of Health Sciences (NIHS) is the premier training Institute of the Ministry

of Health (MoH) for training of human resources for the Primary Health Care (PHC) programme

in Sri Lanka. The origin of the Institute dates back to 1st July, 1926, when the first Health Unit

in the South East Asia was established in Kalutara.

In 1966 with the assistance of the Ministry of Health, Australian government, WHO and

UNICEF, training facilities of the health unit was improved and this centre was upgraded as the

Institute of Hygiene with a director in-charge who had the administrative responsibilities for

training, laboratory services and field preventive health services.

Later in 1979 Ministry of Health decided to upgrade the Institute of Hygiene to a national status

and to rename it as the National Institute of Health Sciences. The aim of this upgrade was to

make it the Premier Public Health training center for the Ministry of Health, with the ultimate

vision of establishment of a multidisciplinary training institution to cater to the training needs of

the PHC workforce of this country. It was also envisaged that this institute after fulfilling its

national role, could then share its resources as a regional training center for the South East Asian

countries in primary health care workforce training.

Several basic and in-service training programmes were conducted during the year 2012 in order

to achieve this objective. In addition to the usual national level public health training

programmes conducted in 2012, the NIHS was able to cater to selected international training

programmes specially targeting SARRC countries during the same year.

Strength of NIHS in doing these programmes was due to the dedicated faculty staff and the

availability of its’ own catchment area for field training activities.

In addition to the funding by the state, the inputs and financial assistance extended by the donor

agencies such as WHO,UNFPA and GAVI HSS have immensely contributed to the performance

of the NIHS.

With this national and international experience, NIHS has taken initiative in achieving the state

of WHO collaborating centre in 2012.WHO accredited Collaborating Centre of NIHS initiated

its maiden work on 16.10.2012.With this status our institute has now achieved its major

objectives.

1.0 Introduction


2.0 Objectives of NIHS

To develop health manpower in Sri Lanka and to advise the Ministry of Health in its

policy relating to health manpower development.

To co-ordinate health manpower development activities in Sri Lanka between the

education and other health service agencies.

To design and undertake training programmes for members of the PHC team with a view

to multidisciplinary approach to training.

To initiate and undertake continuing education of the PHC staff.

To provide primary health care services to the community in the field practice area of

NIHS namely Kalutara and Beruwala.

To conduct health system research and research on human resource management and

provide advocacy on health system research for the health workers.

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3.0 Organizational Structure of NIHS

Director NIHS

Deputy Director Training

Deputy Director Field Services

Accountant Administrative

Officer Principal

NTS

Microbiologist Chief Chemist

Teaching

departments

Medical science

Education science

Research

Management

managementman

agement

Public health

Library

Computer Lab

Health Learning

Material Development

Unit

Service

Laboratory

Food

Laboratory

Establishment

Branch NTS Field Services

Office

MOH

Kalutara&Ber

uwala

Planning &

Information

Unit

Tutors Medical Officers

MLT

Chemists

Medical Officer

CPMA

PMA

Other Staff

RE

MO-MCH

Tutors

MOH/AMOH

RSPHN

O F & D I

SPHID

DS

Health Education Officer

Assistant Information

Technology &

Communication

PPA

Librarian

AV Officer

Office Staff

Medical Officer

MO-MH

MO-NCD

RDS

Medical Officers

PHNS SPHI DA SDT

SPHM PHI

PHM

Finance

Branch

Social Services Officer

Office Staff

Medical

Centre

Hostels


4.0 General Administrative Functions

NIHS functions under the DDG (ET&R) in the department of health services. The total administrative and

financial authority of NIHS is under the Director, NIHS. This is facilitated by the services of two

Deputy Directors. The administration of the training faculty is handled by the Deputy Director

(Training) while the administration of the field services is under the Deputy Director (Field

Services).

Administrative and financial activities of the NIHS are supported by the establishment and financial

branches of the institute. These two branches are managed by the Administrative officer and the

Accountant respectively.

4.1 Facilities available at NIHS

1. The library of NIHS is a member of the HELLIS network. Apart from reference and lending

facilities, it also provides access to web resources.

2. Computer Laboratory which has 10 computers for staff and students.

3. Food Laboratory is responsible for testing the quality of food and water.

4. Service Laboratory serves hospitals in Kalutara district and also helps in health research.

5. Audio visual unit of NIHS provides the services related to development of AV Teaching

materials and publications.

6. NIHS possesses the accommodation facilities for trainees.

7. The cafeteria of NIHS is situated in a refreshing environment catering to the needs of the

trainees and the staff.

8. A transport facility consists of a fleet of buses and other small vehicles.


4.2 Information on NIHS Staff Cadre

No Staff Category

Approved Cadre

Number Available

1 Medical Administrator (Senior Grade)

1 1

2 Medical Administrator(Deputy Grade)

2 0

3 Medical Consultants

11 4

4 Consultant Dental Surgeon

1 0

5 Medical Officer

36 38

6 Dental Surgeon

6 6

7 RMO/AMO

0 4

8 Accountant

1 1

9 Assistant Director (Programme& Planning)

1 0

10 Administrative Officer

1 1

11 Chemist

4 4

12 Principal - MLT School

1 1

13 Senior Tutor MLT

1 1

14 Tutor MLT

5 5

15 Principal - Nursing

1 1

16 Tutor Nursing

10 9

17 Principal - Pharmacy School

1 1

18 Senior Tutor Pharmacist

1 1

19 Principal - PHI School

1

20 Senior Tutor Public Health Inspector

1 0

21 Tutor Public Health Inspector

9 5

22 Senior Public Health Nursing Tutor

1 0

23 Tutor Public Health Nursing Sister

9 4

24 Senior Tutor PH laboratory Technician’s School

1 0

25 Tutor PHlaboratory Technician’s School

2 1

26 Food & Drug Inspector

1 1

27 RSPHNO

1 1

28 Public Health Nursing Sister

21 6

29 SPHI

2 2

30 SPHM

6 3

31 Medical Laboratory Technologist

13 13

32 Special Grade Midwife

2 0

33 Special Grade PHI

1 0

34 Special Grade School Dental Therapist

1 0

35 Midwife

88 74

36 Public Health Inspector

21 17

37 School Dental Therapist

11 7

38 Public Health Laboratory Technician

1 0

39 Health Education Officer

1 1

40 Medical Record Officer

4 0

41 Community Health Social Work Officer

1 1


Staff Cadre Information: contd...

No Staff Category

Approved Cadre

Number Available

42 Librarian

3 3

43 Statistical Officer

0 0

44 Development Assistant

7 7

45 Planning and Programme Assistant

0 1

46 Psychiatric Social Worker

2 0

47 Public Management Assistant

41 25

48 Audio Visual officer

1 0

49 Cinema Operator

1 0

50 Cinema Technician

1 0

51 Dispenser

3 3

52 House Warden

12 11

53 Medical Supplies Assistant

2 0

54 Information & Communication Technology Assistant 1 1

55 Health Driver

15 16

56 Electrician

1 1

57 Artist

1 0

58 Attendant

5 5

59 Carpenter

1 1

60 Hospital Overseer

1 1

61 Lab Orderlies

8 7

62 Plumber/Pump Machine Operator

4 0

63 Telephone Operator

1 1

64 Book Binder

0 1

65 Duplicating / Ronio Machine Operator

1 1

66 KKS

8 4

67 SaukyayaKaryaSahayaka - Janitor

14 16

68 SaukyayaKaryaSahayaka - Ordinary

44 44

TOTAL 461 363

Table 1 : Information on NIHS Staff Cadre - Year 2012


5.0 Training Faculty

NIHS is the premier health training institute in Sri Lanka. The training programmes conducted by the

NIHS are mainly coordinated by the Training Faculty which includes a highly competent staff

consisting of Consultants, Medical Officers, Principals, Tutors and PHC workers. The training

programmes include basic, post-basic, In-service and international trainings.

5.1 Vision of the Training Faculty

To be a nationally and internationally recognized center of distinction producing health professionals

of the highest quality to meet the health needs of Sri Lanka, and the world.

5.2 Mission of the Training Faculty

To plan & develop, implement, monitor and evaluate health training programmes required to

produce health professionals of the highest quality who are capable of delivering health services with

competence, compassion and care.

5.3 Objectives of the Training Faculty

To extend its services as the premier health training institute in the Ministry of Health, Sri

Lanka and to advise the Ministry in its policy related to Health Manpower Development.

To initiate and undertake continuing education for Primary Health Care staff and other

relevant categories of health staff to optimize their service delivery.

To perform as a world renowned Public Health Training Center.

The provide technical leadership to a number of other training centers in Sri Lanka including

Regional Training Centers and Part II Training Centers.

To perform as a National Institute that is dedicated for educational performance excellence.

To conduct research related to health services and manpower development and to undertake

collaborative research with other national and international agencies.

To function as an agency protecting human subjects in health research and to facilitate ethical

research through its Ethics Review Committee.

To facilitate NIHS to extend its affiliations to other national and international agencies.


To undertake post graduate training for trainees of Post Graduate Institute of Medicine, Sri

Lanka and other national and international post graduate training institutions.

To function as a Collaborating Centre for World Health Organization and to function as an

international training center for WHO and other affiliated institutions.

To initiate and undertake training programmes for ‘non-health’ sector staff with a view to

multidisciplinary approach to health.

To plan and conduct training programmes for Community Leaders and other lay personnel

and to function as a center of excellence in training lay people, in adopting methods of

participatory training, participatory research and participatory programme management.

To function as a center of excellence in health sciences going beyond the paradigms defined

by medical education, health education, health training where a number of experts from

different disciplines interact with ‘health’ professionals in designing and delivering health

programmes to improve the overall health of the people.

5.4 Teaching departments of the Training Faculty

After becoming a WHO Collaborating Centre in 2012, the structure of the Training Faculty was

modified to optimize the training work. The training departments as at the start of 2012 were as

follows:

1. Family Health Teaching Unit (FHTU)

2. Environmental and Occupational Health Teaching Unit (E&OHTU)

3. Epidemiology Teaching Unit (ETU)

4. Health Education Teaching Unit (HETU)

5. Evaluation and Research Unit (ERU)

6. Health Planning and Management Teaching Unit (HP&MTU)

7. Bio Medical Science Teaching Unit (BMTU)

8. Educational Sciences Teaching Unit (ESTU)


As at present, the training departments are as follows:

1. Department of Public Health Training (DoPH): This was established combining FHTU,

E&OHTU, ETU and HETU in the earlier organizational structure. The PHI School

functions within the DoPH.

2. Department of Management(DoM)

3. Department of Research (DoR)

4. Department of Educational Sciences (DoES)

5. Department of Medical Sciences (DoMS): This includes the School of Medical

Laboratory Technology and the School of Pharmacy.

WHO Collaborating Centre for Public Health Workforce Development (WHO CC for PHWD)

consists of Department of Public Health Training, Department of Management and Department of

Research.

5.5 Regional Training Centers of NIHS

Regional training centers are directly under the technical guidance of NIHS.

Regional Training centers

Galle

Kadugannawa

Batticaloa

Kurunegala

Jaffna

Following training centers facilitates PHM Part II training (Part II Centres).

Rathnapura

Badulla

Panadura

Anuradapura

Moratuwa

Homagama


5.6 Information on Training Faculty cadre

No Category Cadre In position Existing vacancy

1. Medical Administrator-Deputy Grade 2 2 0

2. Medical Consultants 11 6 5

3. Medical Officers 36 36 0

4. Principal, MLT School 1 1 0

5. Principal, Pharmacy School 1 1 0

6. Senior PHNT 1 1 0

7. Principal PHI School 1 0 1

8. Special Grade PHI 1 2 -1

9. Senior Tutor, PHLT School 1 0 1

10. Tutor PHN 9 6 3

11. Senior Tutor MLT 1 0 1

12. Senior Tutor Pharmacy 1 0 1

13. Tutor MLT 5 0 5

14. Tutor Pharmacy 0 0 0

15. Senior Tutor PH 1 1 0

16. Tutor PH 9 10 -1

17. Senior Tutor PHLT 1 0 1

18. Tutor PHLT 2 0 2

19. Librarian 3 3 0

Table 02: Information on Training Faculty cadre – Year 2012

5.7 Staff Profile of the Training Faculty

No Name Designation Qualifications Place of work/

Section / Department

1. Dr.K.D.A.RUWAN FERDINANDO

Deputy Director (Training), Consultant Community Physician

MBBS, MSc (Com Med), MD (Com Med), MA (Sociology), Advanced

Dip. in Psychology, Advanced Dip. Psychological Counseling &

Psychotherapy, MBCS

DD(T) Office

2. Dr.SAMANMALEE V. GUNASEKARA

Consultant Microbiologist

MBBS, Dip (Medical Microbiology) MD (Medical Microbiology)

DoMS

3. Dr.LAKMINI N. MAGODARATHNA

Consultant Community Physician

MBBS, MSc (Com Med) , MD (Com Med)

DoPH

4. Dr.SUMAL NANDASENA Consultant Community Physician

MBBS, MSc (Com Med), MD (Com Med)

DoR

5. Dr.N.K.CHINTHA GUNARATHNE

Senior Registrar in Community Medicine

MBBS, MSc (Com Med), MD (Com Med)

DoPH

6. Dr.NANDALAL M. WIJESEKARA

Registrarin Community Medicine

MBBS, MSc (Com Med) DoM


Staff profile : contd..

7. Dr.U.SAMAN H. GAMAGE Registrar in Community Medicine

MBBS, MSc (Com Med) DoM

8. Dr.W.M.P. ASANTHI FERNANDO

Registrar in Community Medicine

MBBS, MSc (Com Med) DoPHT

9. Dr.R.B.B.SAMANTHA RAMACHANDRA

Registrar in Community Medicine

MBBS, MSc (Com Med) DoR

10. Dr.ANOMA MANNADI Grade I – MO MBBS,MSc(Com Med) DoPH

11. Dr.KAMANIL . WIJESEKARA

Grade I – MO MBBS, MSc (Com Med) DoPH

12. Dr.CHANDIMA P. ABEYSINGHE

Grade I – MO MBBS, MSc (Com Med) DoPH

13. Dr.RUCHITH PRIYANANDA Grade II – MO MBBS, PgCert (Medical Education), Personal Trainer Specialist (Canada)

DoES

14. Dr. J.NISHAN JAYAMUNI Grade II – MO MBBS DoPH

15. Dr. Dr.N. C. LENADORA Grade II – MO MBBS DoPH

16. Dr.W.L.D.Y.GAYANI IMBULANA

Grade II – MO MBBS, Dip (Disaster Management) DoM

17. Dr.M.S.M.FOWZY SHERIFF Grade II – MO MBBS DoMS

18. Dr.RAJITHA SUWARIS Grade II – MO MBBS DoMS

19. Dr.CHAMINDA SENAVIRATHNA

Grade II – MO MBBS DoR

20. Mr.D.M.R.D. DHANAPALA Principal, School ofMLT

Dip. in MLT, BSc, MSc,PG(Dip) in Edu

DoMS

21. Mr.N.G. PREMACHANDRA Principal, School of Pharmacy

Dip. in Pharmacy DoMS

22. Mr.P.S.C.K. DE SILVA Principal, School of PHI

Dip. in Public Health DoPH

23. Mrs.J.A.T. JAYAKODY Senior Tutor PHN

RN,RM, Dip. Public Health Nursing, Dip .Tutor (P.H.)

DoPH

24. Mrs. B.M.N.K. BALASOORIYAMANIKE

Principal NTS BSc (Nsg), BA, RN, RM, Dip. in Teaching and Supervision, Dip. in

Ward Management, Dip. in Health Promotion

NTS

25. Mr.Y.R.K. DE SILVA Tutor PHLT Dip. in PHLT DoMS 26. Mrs.D.N. KOTTAHCHCHI Senior Tutor

Pharmacy Dip. in Pharmacy DoMS

27. Mrs.U.D.J. PERERA Tutor Pharmacy Dip. in Pharmacy DoMS 28. Mr.H.A.D.W. NIDANGODA Tutor Pharmacy Dip. in Pharmacy,Dip. in Health

Promotion-EMA DoMS

29. Mr.G.T.G.K. KUMARA Tutor Pharmacy Dip. in Pharmacy DoMS 30. Mrs.N.Y.R .FERNANDO Senior Tutor MLT Dip. in MLT DoMS 31. Mrs.W.T.D.T. DAYANI Tutor MLT Dip. in MLT DoMS 32. Mrs.W.G.N. UDAYANGANI Tutor MLT Dip. in MLT, BSc (Agriculture) DoMS 33. Mrs.U.G.D.M.KARIYAWAS

AM Tutor MLT Dip. in MLT DoMS

34. Mr.S.M. KAGGODAARACHCHI

Senior Tutor PH Dip. in Public Health DoPH

35 Mr.D.D.N. KARUNARATHNA

Tutor PH Dip. in Public Health DoPH

36. Mr.I.G. MANGALA Tutor PH Dip. in Public Health , BSc, Dip. in Counseling

DoPH


Staff profile: contd...

37. L Mr..P.W.N. PATHIRAGE PHI Dip. in Public Health DoPH 38. Mrs.I.H.L. DE SILVA Tutor PHN RN, RM, Dip. Public Health Nursing,

Dip .Tutor (P.H.) DoPH

39. Mrs.M.R.C. DE SILVA Tutor PHN RN, RM, Dip. Public Health Nursing, Dip .Tutor (P.H.)

DoPH

40. Mrs.R.L.S. RAJAPAKSHA Tutor PHN RN, RM, Dip. Public Health Nursing, Certificate in Community Health,

BSc Nursing

DoES

41. Mrs.CHANDRA GEEKIYANAGE

Tutor PHN RN, RM, Dip. Public Health Nursing, Dip .Tutor (P.H.)

DoES

42. Mrs.P.D. KUSUMALATHA Tutor PHN RN, RM, Dip. Public Health Nursing, Dip .Tutor (P.H.), BSc Nursing

DoES

43. Mrs.I.D.T.N.K. THILAKARATHNE

Nursing tutor BSc (Nsg), RN, RM, Dip. in Teaching and Supervision

NTS

44. Mrs.M.D.N.P. KUMARI Nursing tutor BSc (Nsg), RN, RM, Dip. in Teaching and Supervision

NTS

45. Mrs.I. WEWALWELA Nursing tutor BSc (Nsg), RN, RM, Dip. in Teaching and Supervision

NTS

46. Mrs.P.B.J.K. JAYARATHNA Nursing tutor RN, RM, Dip. in Teaching and Supervision

NTS

47. Mrs.D.A.P.S. WIMALASIRI Nursing tutor RN, RM, Dip. in Teaching and Supervision, Dip. in Counseling

NTS

48. Mrs.K.K.S.P.KUMARI Nursing tutor RN, RM, Dip. in Teaching and Supervision, Dip. in Counseling,Dip.

in English

NTS

49. Miss.S.D.A.N. PREMATHILAKA

Nursing tutor BSc (Nsg), RN, RM, Dip. in Teaching and Supervision, Dip. in English

NTS

50. Mrs. W.K. PERERA Nursing tutor RN, RM, Dip. in Teaching and Supervision

NTS

51. Mrs. W.D.A.N. KUMARI Nursing tutor Bsc (Nsg), RN, RM, Dip. in Teaching and Supervision

NTS

52. Mrs.D. W. L. DE ALWIS Nursing tutor Bsc (Nsg), RN, RM, Dip. in Teaching and Supervision

NTS

Table 03: Staff Profile of the Training Faculty– Year 2012

5.8 Facilities available at the training faculty

Library facilities with internet access

Audio visual facilities

Laboratory facilities

The Auditorium, Lecture Halls / Seminar Rooms

Medical Center

Sports and recreation facilities

Canteen

Official Quarters and Hostel facilities

Public Health Museum

Demonstration and skill laboratory


5.9 Training Programmes offered by NIHS

Training Programmes Responsible Department

Basic Training

1 Diploma in Medical Laboratory Technology Department of Medical Sciences

2 Diploma in Public Health Inspector Department of Public Health Training

3 Public Health Midwife Part II Training Department of Public Health Training

4 Diploma in Pharmacy Department of Medical Sciences

5 Training of TB Assistants on Sputum Microscopy Department of Medical Sciences

6 Diploma in Public Health Laboratory Technology Department of Medical Sciences

Post Basic Training

5 Tutor Training Diploma in Educational Sciences for Public Health Nursing Sisters

Department of Educational Sciences

6 Training on Ward Management for Nurses Department of Public Health Training

7 Diploma in Public Health Tutor for Public Health Nursing Sisters Department of Public Health Training

8 Community Health orientation course for Post Basic Nurses Department of Public Health Training

9 Certificate training on Midwifery for Nurses Department of Public Health Training

10 Tutor Training Diploma in Educational Sciences for Trainers in Health Training Schools


In-service Training

11 Pre-placement training on public health for Post Intern Medical Officers (AMOH training)

Department of Public Health Training

12 Training programme on Water Quality Surveillance for PHC staff Department of Public Health Training

13 Training on Public Health for trainees in MSc (Biomedical Informatics)


14 Training for PHNS & RSPHNO on supervision & management Department of Public Health Training

15 Training on Health System Research (HSR)for Senior Paramedical Staff

Department of Research

16 Orientation of MD (Pediatrics) trainees on Community Medicine Department of Management

17 Practical Orientation on Community Health Development for MSc (Community Medicine)Trainees


18 Orientation on Management of Community Health for MOOH / REE/ MOO (MCH)& MOO (PH)


19 Seminar on Health Information Resources : HELLIS User Awareness programme

Library

20 Training on Health System Research (HSR)for Medical Officers Department of Research

21 Workshop on Training Technology for PHC Trainers Department of Educational Sciences

22 Training of Trainers programme for the field trainers in the part II training centers


23 In-Service Training Programme for the Estate Medical Assistants



Training Programmes offered: contd..

International Training Programmes

25 Diploma in Primary Health Care for Maldivian PHC trainees Department of Public Health Training

26 Advanced Certificate in Primary Health Care for Maldivian PHC

trainees


27 Health System Research Training Programme Department of Research

28 Training course in Basic Medical Record Practice Department of Management

29 Training course in ICD – 10 Department of Management

30 Orientation in Community Health Management Department of Management

31 Community Health Orientation for International Nursing students Department of Public Health Training

32

Training Medical Record Documentation Department of Management

33 Training Course of death certification Department of Management

Table 04: Information on Training Programmes offered by NIHS – Year 2012

5.10 Performance of the Training Faculty

No. Training Programme Number

Conducted Number Trained

Programme Coordinator

Basic Training

1 Diploma in Medical Laboratory Technology 1 35 Mrs. T.Dayani

2 Public Health Midwives’ Part II Training 2010A

1 66 Mrs. H.L.Desilva

3 Public Health Midwives’ Part II Training 2010B

1 82 Mrs.C.R.Desilva

4 Diploma in Pharmacy 1 88 Mrs. D. N. Kottachchi

Post Basic Training

5 Nursing Tutor (PH) Diploma Course

1 31

Dr.R.D.S.Ranasinghe

6 Tutor Training Diploma (Educational Sciences) for Trainers in Health Training Schools

1 35 Dr. Ruchith Priyananda


Performance of the training:contd..

In-service Training

7 Pre placement training for Post Intern Medical

Officers (AMOH)

1 06 Dr. S.Amarasinghe

8 Teacher Training Programme for Public Health

Trainers

5 140 Dr. R. Priyananda

9 Orientation on management of community

Health for MOOH/RE/MOMCH

2 57 Dr. C.P.Abesinghe

10 TOT for field PHM (RTC- Kurunegala) 1 48 Mrs. J .A.T..Jayakody

11 TOT for field PHM (RTC- Kurunegala) 1 36 Mrs. J .A.T..Jayakody

12 TOT for field PHM (NIHS) 1 64 Mrs. J .A.T..Jayakody

13 Stage 1 training programme for Community

Pediatrics-day realese programme

2 27

Dr.I.Weerasinghe

14 Training of District Public Health staff on

Occupational Health


15 Training on Public Health for Forces PHIs 1 37 Mr.I.G.Mangala

16 Short duration placement for BSc. Food Science

& Nutrition Undergraduates

1 02 Dr.I.Weerasinghe

17 Awareness on the Medical Certification of cause

of death for hospital doctors

1 43 Dr. S.Gamage

18 Health System Research for Post Basic

Midwifery Training

1 35 Dr. SRamachandra

19 MSC (Community Medicine) PGIM Trainees- 2012

1 35 Dr. S.Gamage

20 Assignment of Post Intern Medical officers 1 30 Dr. S.Amarasinghe

21 MSC (Biomedical informatics ) PGIM – 2012 1 19 Dr. S.Amarasinghe

22 Orientation of management of community

Health for MOOH/REE/ MOO(MCH) MOO(PH)

Sep 2012


23 Maintenance of office records related to

divisional level public health programmes for

the PHII working in the Northern and Eastern

Provinces in Sri Lanka

1 35 Mr. Saliya de Silva

24 Training Course on International Classification

of diseases ICD-10

2 60 Dr. S.Gamage


Performance of the training:contd..

25 In-service Training Programme for the

Dispensers

4 160 Mr. N.G.Premachandra

26 In-service Training Programme for the Medical

Laboratory Technologists on Microbiology

1 30 Mr.M.D.Danapala

27 In-Service Training Programme on Body Fluid

Analysis for the Medical Laboratory

Technologists

1 33 Mr.M.D.Danapala

28 In-Service Training Programme for the Estate

Medical assistants

1 54 Dr.Gayani Imbulana

International Training

29 Maternal and Child care training for Nursing

students from Finland

1 03 Dr.N.C.Lenadora

30 Training for Nursing students of Kristianstad

University of Sweden

1 02 Dr.K.L.Wijesekera

31 PHC Trainees –Faculty of Health Sciences

Maldives

1 12 Dr.K.L.Wijesekera

32 Advanced Certificate in Primary Health Care for

Maldivian Health Managers and Workers

1 15 Dr.N.C.Gunarathna

33 Training for Nursing student of Kymenlaakso

University of Applied Sciences, Finland

1 01 Dr.W.M.P.A.Fernando

34 Training on Educational Science for Trainees of

Disaster Management from Bangladesh

1 14 Dr.Gayani Imbulana

Table 05: Performance of the training faculty – Year 2012


5.11 Training Programmes Started in 2012

No Name of the Training Progrmme

Number of Training

Programmes Conduct

Number of Trainees

Name of the Conductor

01. In-Service Training Programme on Body Fluid

Analysis for the Medical Laboratory

Technologists

1 33 Mr. M. D. Danapala

02.

In-Service Training Programme for the Estate Medical Assistants

1 54 Dr. Gayani Imbulana

03. Training on Educational Science for Trainees

of Disaster Management from Bangladesh

1 14 Dr. Gayani Imbulana

04 Maintenance of office records related to

divisional level public health programmes for

the PHII working in the Northern and Eastern

Provinces in Sri Lanka

1 35 Mr. Saliya De. Silva

Table 06: New training Programmes Started in 2012

5.12 Staff Development Programmes of the Training Faculty

No Training Programme Target Audience Number

participated Resource

agency Funding agency

01. Principles, Techniques & tools for

evaluation of trainees(3 days)

MOO, Tutors on Public

Health/ Teaching

14 NIHS Resource

team

WHO

02. Vital Registration –the Public

Health perspective & assessment

MOO, Tutors on Public

Health/ Teaching

30 NIHS Resource

team

WHO

03. HSR for senior paramedical staff

(Once a week programmefor12

weeks with an ongoing research )

Midwifery trainee nurses

and tutorial staff of NIHS

45 Department of

Research

Non-

funded

04. Training Programme on Lesson

Plan Preparation

For the TB Assistants

Training

12 Department of

Educational

Sciences

Ministry

of Health

05. Training programme on

Educational Sciences

Tutors of the training

faculty

10 Ministry of

Health

Ministry

of Health

06. Training programme on Revision

of the content in Health

Education and Health Promotion

Module

Tutors of NIHS and other

Regional Training Centers

40 NIHS Resource

team

Ministry

of Health

Table 07: Information on staff development programmes – Year 2012


5.13 Research & Curriculum Development

Primary Research

No. Research Title Principal Researcher

01. Review of existing curriculum of Orientation on Management of Community Health for Medical Officers of Health in comparison to hypothesized universe of content

Dr. L.T. Gamlath, Dr. Padmal de Silva, Dr. RuwanFerdinando, Dr. C. Abeysinghe, Dr. S. Ramachandra, Dr. SumalNandasena

02. Knowledge, attitudes and practices of school teachers in Gampaha District on climate change

Dr. SumalNandasena, Ms. M. Lipsitz, Dr. S. Meegasvila, Prof. A. Pathmeswaran,Prof. A.R. Wickremasinghe,

Dr. N. Sathiakumar 03. Geographical variations of goiter prevalence in

Sri Lanka Prof.R. Fernando, Prof. A. Pathmeswaran,

Dr. S. Nandasena,Prof. A. Haque

04. Review of socio demographical and epidemiological transition to identify the current public health challenges and training needs in Sri Lanka

Dr. Padmal de Silva, Dr. S. Nandasena, Dr. L.T. Gamlath, Dr. U.K.D. Piyaseeli,Dr. L.C. Rajapaksa

05. Experience of a re-awaking giant- “National Institute of Health Sciences – The Sri Lankan Pride in Global Health”

Dr. L.T. Gamlath, Dr. U.K.D. Piyaseeli, Dr. RuwanFerdinando,Dr. S. Ramachandra,

Dr. Padmal de Silva, Dr. S. Nandasena 06. National Emergency Obstetric and Neonatal

Care Assessment

Prof. L.C. Rajapaksa, Dr. L Senanayake, Dr. Padmal de Silva

07. Effectiveness of a nutrition counseling intervention for pregnant women on increasing gestational weight gain in the Kalutara District

Dr. S. Ramachandra, Dr. UpulSenarath

08. Accuracy of cause of death reporting by doctors and effect of using the international form of cause of death certificate and an educational intervention to improve the accuracy of death certification in selected hospitals in a District of Sri Lank

Dr. SamanGamage, Prof. RajithaWickramasinghe

09. Effectiveness of an Educational and Technical Skill Development Intervention among the Adolescent School Girls in the District of Kalutara

Dr. Asanthi Fernando, Prof. PushpaJayawardana

10. Knowledge and attitudes related to medical record documentation among medical officers in a district of Sri Lanka and an assessment of quality of documentation and effectiveness of an educational intervention to improve quality of documentation

Dr. NandalalWijesekera, Dr. NalikaGunawardana

11. Quality of the services provided by Public Health Midwifes in monitoring weight gain during pregnancy in selected Medical Officer of Health areas in the Kalutara District

Dr. Padmal de Silva, Dr. R.B.B.S Ramachandra, Dr. L.T Gamlath, Dr. C.P.G. Liyanage, Dr. K.A.D.L. Kumari


Research and Curriculum Development:contd..

12. Air pollution and public health in developing countries: Is Sri Lanka different?

Dr. Sumal Nandasena, Prof. A. R.Wickremasinghe, Prof. N. Sathiakumar

13. Fine particle air pollution due to secondhand smoke in selected public places in Colombo: A Cross-sectional Study.

Dr. Sumal Nandasena, Prof. A. R.Wickremasinghe, Prof. N. Sathiakumar

14. A Profile of Biomass Stove Use in Sri Lanka. Mr. Myles Elledge, Mr. Michael Phillips, Ms.Vanessa Thornburg, Ms. Kibri Everett,

Dr. Sumal Nandasena

15. Biomass Fuel Use for Cooking in Sri Lanka: Analysis of Data from National Demographic Health Surveys

Dr. Sumal Nandasena, Prof. A R Wickremasinghe, Prof.N. Sathiakumar

16. Effects of ambient air pollution to indoor air quality and children’s respiratory health in Colombo

Dr. Sumal Nandasena, Prof. Rajitha Wickramasinghe,Prof. N Sathiakumar

17. A comparative Study of Biomass Cook: Stove Exposure in Sri Lanka

Dr. C. Rodes, Mr. J. Thornburg, Dr. Sumal Nandasena, Mr. M. Phillips, Mr. M. Elledge, Ms. V. Thornburg,

Dr. P. Mosquin, Ms.K. Bronstein, Ms. K. Everett

18. Health Status of Children from Two Different Air Pollution Exposure Settings of Sri Lanka: A Cross-sectional Study

Dr. Sumal Nandasena, Prof. Rajitha Wickramasinghe, Prof. N. Sathiakumar

19. Capacity Building in Environmental and Occupational Health in Sri Lanka

Prof. Rajitha Wickramasinghe, Prof. R. J. Peiris, Dr. Sumal Nandasena, Dr. M Tipre, Prof. E Delzell

20. Public Health Training need Assessment among Medical Officers of Health

Dr. Sumal Nandasena, Dr. Padmal de Silva, Dr. Lakshman Gamlath, Dr. Ruwan Ferdinando,

Dr. Samantha Ramachandra, Dr. Chaminda Seneviratne

21. Impact Evaluation of existing training programs at National Institute of Health Sciences – Public Health Nursing Sister Diploma course

Dr. Samantha Ramachandra, Dr. Sumal Nandasena, Dr. Padmal de Silva, Dr. Chaminda Seneviratne,

Dr. Lakshman Gamlath, Dr. Ruwan Ferdinando

22. Impact Evaluation of existing training programs at National Institute of Health Sciences – Orientation and Management of community health for MOOH/ Re/ MOMCH/ MOPH

Dr. Sumal Nandasena, Dr. Padmal de Silva, Dr. Samantha Ramachandra, Dr. Chaminda Seneviratne,

Dr. Lakshman Gamlath, Dr. RuwanFerdinando

23. Review of Infant and Maternal Motility reduction in Sri Lanka

Dr. Lakshman Gamlath, Dr. Sumal Nandasena, Prof. Richard Taylor, Dr. Husna Razee,

Prof. Siranda Torvaldsen

24. Prenatal Exposure to Solid Fuel Smoke and Birth Outcomes in Sri Lanka

Dr. Sumal Nandasena, Prof. Rajitha Wickramasinghe, Prof. Nalini Sathiyakumar

25. Characterization of indoor and personnel air pollution exposure from selected biomass cook stove types in Sri Lanka

Dr. Sumal Nandasena, Dr. Charles Rhodes, Mr. Myles Elledge, Mr. Michael Phillips,

Ms.Vanessa Thornburg 26. The social determinants of diabetes mellitus

and selected risk factors in Sri Lanka

Dr. Padmal de Silva, Dr. S.H.P. de Silva, Prof. L.C. Rajapaksa, Prof. S. Jayasinghe


Research and Curriculum Development:contd..

27. Quality of life among the young elderly population in Kalutara, Sri Lanka

Dr. Padmal de Silva, Dr. A.P. de Silva , Prof. L.C. Rajapaksa, Dr. A. de Silva

28. Health seeking behavior of the young elderly population in Kalutara, Sri Lanka – 2010

Dr. Padmal de Silva, Dr. A.P. de Silva, Prof. L.C. Rajapaksa, Dr. A. de Silva

29. Prevalence of selected NCD based on previous diagnosis among the young elderly population in Kalutara, Sri Lanka

Dr. Padmal de Silva, Dr. A.P. de Silva, Prof. L.C.Rajapaksa , Dr. A. de Silva

30. Quality of coding final diagnosis in medical records and some of the coder factors influencing quality of coding in a selected sample of hospitals in the District of Kalutara, Sri Lanka

Dr. Anoma Mannadi, Dr. Kamanie Wijesekera, Dr. U. Saman H. Gamage, Dr. Nandalal M. Wijesekera,

Dr. Sampath Amarasinghe

31. Evaluation of Tutor Training Diploma (Educational Sciences) Curriculum using SPICES model

DrRuchith Priyananda

32. Assessment of Completeness of Birth & Death Registration in Maldives

Dr. SamanGamage

33. Review of Medical Records to validate cause of death data generated through Vital Registration System in Maldives

Dr. Saman Gamage

34. Review of Medical Records to validate cause of death data generated through Vital Registration System in Sri Lanka

Dr. Rasika Rampatige, Dr. Saman Gamage, Prof Alan Lopez

35 Assessing the Production, quality and use of national vital statistics – A case Study for Sri Lanka

Dr. Saman Gamage, Dr.Rasika Rampatige, Dr.Lene Mikkelsen,Dr.EindraAung, Dr.Janaki Samarakoon,

Ms.Susantha Ranadheera

Table 08: Information on research curriculum development – Year 2012

5.14 Curriculum Revisions

No Name of the activity Curriculum Development/ Revision Responsibility

01. PHM Part II Curriculum Revision Department of Public Health

02. Review and revision of the MOH Curriculum with other stakeholder institutions

Department of Public Health

03. Revision of the MLT Curriculum DDG ETR, Ministry of Health

04. PHM Part I Curriculum Revision DDG ETR, Ministry of Health

05. SPHM Curriculum Revision Department of Public Health

06. Revision of Lesson Plans in TB Assistants Training

MLT School

07. Revision of Curriculum of Tutor Training (Educational Science)Diploma


Table 09: Training Faculty: Curriculum development revisions –Year 2012


5.15 Ethics Review Committee

NIHS Ethics Review Committee (ERC) was established in 2012 according to the guidelines of forum

of Ethics Review Committees Sri Lanka (FERCSL) with due composition of members. The

committee meets every month and provides innumerable services to researches in the Sri Lanka by

providing review, recommendation and guidance with regards to ethical issues of research proposals

submitted to the committee. The NIHS ERC is recognized as member ERC in Ministry of Health

(MoH) Sri Lanka and Sri Lanka Medical Association (SLMA) and it was recently awarded the

Federal-wide Assurance (FWA) for the Protection of Human Subjects with the FWA No: 00019922

which is valid for next 5 years.

5.16 WHO collaborating centre for public health work force development

Designation of the Collaborating training centre of the World Health Organization and

Medical Exhibition 2012

National Institute of Health Sciences, Kalutara in association with the Ministry of Health

successfully conducted a Medical Exhibition 2012 to commemorate 60 years of World Health

Organization in Sri Lanka. The medical exhibition commenced on 16th October 2012 following the

designation of National Institute of Health Sciences as the newest collaborating centre of the World

Health Organization in the South East Asian Region.

The exhibition was conducted for four days from 17th to 20th October 2012 with the full partnership

of all stakeholders island-wide. It comprised forty exhibition stalls in addition to the variety of trade

stalls accommodated within the dimension of 18 acres of the exhibition venue of NIHS.

There are 08 activities in the terms of reference in the agreed work plan signed by the secretary of

health with WHO. These activities are to be completed within the given period of time. Further, all

these activities are not the usual duties that NIHS performs. One such example is the organization of

international conference on public health innovations 2013.


Activities in the terms of references

TOR No.

Activity ID Description of Activity Responsible officer Deadline

01 16036 Development of a training program/Module on community health orientation for primary health care staff (Generic course)

Dr. Indrani Malwenna, Dr. Lakmini

Magodaratna

June 2013

02 16037 Training course in international classification of diseases 10

Dr. USH Gamage 2 programs 2012&2013

16038 Training course in community health management (Immunization, FP, Safe motherhood)

Dr.Ruwan Ferdinando 2programs 2012&2013

16039 Training on Health system research for public health staff(Curriculum )

Dr. Sumal Nandasena, Dr. Padmal de Silva

01 program each year

16040 Orientation courses on public health for primary care staff

Dr. Ruwan Ferdinando 1 program before 2015

03 16041 Developing a web based knowledge sharing network and a discussion forum for the public health staff of Sri Lanka with NIHS as the focal point

Dr. L.T Gamlath Dec. 2012

16042 Conduct research on service availability knowledge and skills of public health workforce and post training behavior and impact evaluation on the public health training conducted by NIHS

Dr. Sumal Nandasena, Dr. Padmal de Silva

Dec. 2013

16043 Organize and conduct academic session at NIHS on an important public health theme for all public health workers of the country and the region to participate and share their research and innovative and novel experiences

Dr. L. T Gamlath 2 programs within 2 yrs

Other Biennium Activities

Development of library information system

Dr. L. T Gamlath 31.12.2013

In-service training Programme on maintenance of office records related to divisional level public health progress of PHI’s etc. working underserved districts in Sri Lanka

Mr. Saliya de Silva 31.12.2013

Table 10: Activities in the terms of reference under the agreed work plan (WHO CC) – Year 2012


5.17 PHI School

The PHI School at NIHS is the only PHI School in Sri Lanka. The first training programme,

undertaken at the forerunner of the NIHS, was the Training of PHII. In Sri Lanka, this training was

commenced in the year 1913 at Ceylon Medical College with 6 trainees. This training was formerly

called as Sanitary Inspectors Training. Premier Health Unit at Kalutara (i.e. the NIHS, as it was

formerly designated) which was administered by the Chief Medical Officer of Health took over the

training of PHII in 1945. Although the period of training was confined to 3 months at the inception,

it had been gradually extended up to 1 year in 1962.With the expansion of the Community Health

Services of the Department, there was a need to make the training more comprehensive and hence

the period of training was further extended to 1 ½ years in 1988.

The PHI School is managed by a Principal. The year 2012 was a landmark in the history of PHI

School. The School was incorporated into the WHO Collaborating Centre for Public Health

Workforce Development (WHO CC for PHWD) as part of the Department of Public Health

Training. It extended its training programmes in 2012 and even carried out an in-service training on

“Maintenance of Office Records Related to Divisional Level Public Health Programmes for the PHII

Working in the Northern and Eastern Provinces in Sri Lanka”. Developing this concept, it wishes to

carry out a regular in – service training programme on “Development of Competencies of Public

Health Inspectors in Providing Safe Food, Promoting Environmental Health and Enforcing Public

Health Legislation” which contains the essentials to improve the functioning of the working PHII in

Sri Lanka in the year 2013. The staff and the other activities carried out by the PHI School are given

above.

5.18 MLT School

The MLT School at NIHS is one out of the three MLT Schools in Sri Lanka. It was established in

1988 as the second such School in Sri Lanka. It is managed by a Principal. In 2012 it conducted a

number of newly developed in-service training programmes including ‘Body Fluid Analysis’ and

‘New Developments in Microbiology’. It composed the guide book for MLT training named ‘Guidelines for

Diploma Training of Medical Laboratory Technology’ in collaboration with the Ministry of Health. It got involved in

a major curriculum revision in 2012. It has planned a number of training programmes and workshops

including ‘Laboratory Management Review Workshop’, ‘Development of Standard Operating

Procedures on Lab Safety and Emergency Management’, ‘Middle Level Management Programme

for Supra MLTT’, ‘Workshop for MLTT on Haematology – Reticulocyte Count’, ‘Student guide for


MLT/MLS trainees on Medical Lab Technology’, ‘Teacher Training for MLT Bench Trainers’,

‘Training on Laboratory Cleaning/ Disinfection of Glassware’, ‘Laboratory Safety Training’,

‘Consumables, Lab Inventories and Annual Estimations’ to be conducted in the year 2013.

5.19 Pharmacy School

School of Pharmacy was started in 1988 at the National Institute of Health Sciences Kalutara with

two fulltime tutors and two visiting lecturers.

The 1st batch consisted of 32 pharmacy students and up to now about 1000 pharmacists have been

trained by the school. It is managed by a principal.

5.20 School of Nursing School of Nursing, Kalutara at NIHS is one of the government nursing schools in Sri Lanka. It was

established in 2007. Currently, School of Nursing, Kalutara is only the nursing school in Sri Lanka

which is under an institute of international repute. It is managed by a principal. During last six year

period, the school has produced two batches of nursing students and 3 batches of midwifery students.

At present, there are three nursing batches been trained at the School of Nursing, Kalutara.

School of Nursing

No Name of

the Batch

Year of

commencement

Year of

Completion

No. of

Students Chief Coordinator

01. 2009A 2010 2013 107 Mrs. I.D.T.N.K.Thilakarathne

02. 2009B 2010 2013 83 Mrs. K.K.S.P.Kumari

03. 2011 2012 2015 84 Mrs. P.B.J.K. Jayarathna

Table 11: School of Nursing: Student Intake - Year 2012

Staff Development Programmes – School of Nursing

No Training Programme Target

Audience Number

participated Resource

agency Funding agency

01. Workshop on Research in Nursing Nursing tutors 03 SLNA Ministry of health

02. Training of Trainers (Basic midwifery curriculum related gender issues)

Nursing tutors O1 ET&R unit Ministry of health

03. Presentation skills & Language Development

Nursing tutors 02 SLIDA Ministry of health

04. Training of trainers Nursing Tutors 02 NIHS Ministry of Health

Table12: Staff Development Programmes: School of Nursing - Year 2012


6.0 Some of the structural and functional Developments completed during 2012

BEFORE AFTER


Frontage

Cafeteria

Tutor Rooms

BEFORE AFTER


Teaching Units

Corridors

Auditorium

BEFORE AFTER


Inauguration of the WHO collaborating centre at NIHS by the Hon. Minister of Health

Opening the Medical exhibition at NIHS to commemorate 60 years of WHO in Sri Lanka

Collaboration with National Institute of Health and Family welfare in New Delhi, India.

New training programs to upgrade the knowledge and skills of the office staff at NIHS


New in-service training programs for PHIs, Pharmacists, MLTs and Estate Medical assistants

Western Band of NIHS

International Training opportunities for Academic staff

Development and implementation of a three year strategic plan to improve the quality of services.


7.0 Field Services

The NIHS field practice area is located in Kalutara district with an area of 138.4 km2 and a

population of approximately 312,456. It comprises of two Medical Officer of Health (MOH) areas

namely Kalutara & Beruwala.

Deputy Director (Field services) is responsible for the health care provided within the NIHS field

practice area and is supported by the Medical Officer Maternal & Child Health(MOMCH),

Regional Epidemiologist (RE), Regional Dental Surgeon (RDS), MO(Non communicable

diseases), MO(Mental Health), Regional Supervising Public Health Nursing Officer (RSPHNO),

Health Education Officer (HEO), Community Health Social Work Officer(CHSWO),Food &

Drug Inspector (F&DI) and Divisional Supervising Public Health Inspector (SPHID).

At community level, the primary health care services are carried out by the MOH team under the

administrative supervision of Deputy Director Field Services. A team of public health personnel

comprising Public Health Nursing Sisters (PHNS), Supervising Public Health Inspectors (SPHI),

Public Health Inspectors (PHI), Supervising Public Health Midwives (SPHM) and Public Health

Midwives (PHM) support the Medical Officer of Health (MOH) for health care provision in the

MOH area. For provision of dental health care services, there are Community Dental Surgeons

and School Dental Therapists (SDT) attached to a MOH office and they also work under the

administrative supervision of the MOH. NIHS also delivers curative care services via a single

central dispensary and six mobile dispensaries managed by Registered Medical Officers (RMO).

MOH is the leader and Manager of the health team. MOHs are assisted by Additional Medical

Officer of Health (AMOHs) for technical and administrative supervision of the public health

team.

Public Health Midwife (PHM) and Public Health Inspector (PHI) are the domiciliary level

primary health care workers. A PHM is given a well demarcated area with a population ranging

from 2000-6000.PHMM are responsible in providing clinic based maternal health, child health,

family planning and well women clinic services. They also provide domiciliary care by visiting

households of mothers and children under her care.

A PHI covers an area with a population of approximately 15,000. PHII are principally held

responsible for school and adolescent health programmes, Environmental and occupational health

activities including control of communicable disease, sanitation and food & water safety, and also


non communicable diseases prevention activities. In the field, PHI visits households to trace

patients with notifiable diseases, refer contacts for investigations and treatment, locate the

potential source of infection and take control measures to prevent further spread of diseases in the

community. They supervise the water supplies, food establishments, factories, slaughter houses,

etc. in the area.

MOH is assisted by Public Health Nursing Sisters (PHNS) and Supervising Public Health

Midwife (SPHM) for supervision of PHMM while Supervising Public Health Inspector (SPHI) is

supposed to supervise PHII.PHNS is also supposed to supervise SPHM. These interim level

supervisors (PHNS, SPHI, and SPHM) are directly responsible for the MOH.MOH staff includes

clerical and other supportive staff such as drivers and health assistants.

General statistics of the field service area

NIHS Field Practice area Total

Population 312456

Extent [Square/ (km)] 138.4

PHNS Areas 21

PHI Areas 21

PHM Areas 88

Table 13: General statistics of the field service area – Year 2012

7.1 Objectives

To facilitate the training faculty in the development of field competencies of public health

trainees, while providing total primary health care for the community within its field practice area

7.2 Facilities available

The following services are provided by the MOH Office:

Family health services

- Maternal care : Antenatal, natal and postnatal

- Infant and child care : Immunization, Nutrition, Growth & Development


- Care of schooling children

- Family planning

- Women’s reproductive health

Water and sanitation

Environmental & occupational health

Food hygiene

Epidemiological surveillance

Prevention of communicable & non communicable diseases

Mental health services

Health promotion of the community

Enforcing public health legislation

Soliciting inter-sectoral collaboration

Care of adolescents

Care of elderly population

7.3 Staff cadre

No Category Cadre In position Existing vacancy

1 DDFS 01 - 01

2 RE 01 01 01

3 MOMCH 01 01 _

4 MONCD 01 01 _

5 MOH 02 02 _

6 AMOH 07 06 _

7 MO MH 03 02 01

8 RDS 01 01 _

9 DS 06 05 _

10 HEO 01 - 01

11 RSPHNO 01 01 _

12 SPHI-D 01 01 _

13 F& DI 01 01 _


Staff cadre: contd...

14 CHSWO 01 01 _

15 PHNS 21 10 11

16 SPHI 02 02 _

17 SSPHM 01 _ 01

18 SPHM 06 03 03

19 PHI 21 18 03

20 PHM 88 80 08

21 SSDT 01 _ 01

22 SDT 11 07 05

Table 14: Staff cadre of the field service area – Year 2012

7.4 Staffs Profile

No Name Designation Qualification

1 Dr. R D S Ranasinghe DDFS MBBS,MSc,MD (Com Med) 2 Dr.T.P.Weerasuriya RE MBBS 3 Dr.Shiromalee Renuka MOMCH MBBS 4 Dr.T.Y.Kulatunga MO-NCD MBBS 5 Dr.W.M.M.S.De. Alwis RDS BDS(Cey),DGDP(Col) 6 Dr.Udaya Paranamana MOH-Kalutara MBBS 7 Dr.Pradeep Fernando MOH-Beruwala MBBS 8 Dr.Zayana Cardar MO-MH MBBS 9 Dr.J.A.D.C.Sanjeewa MO-MH MBBS,PG Dip (Psy) 10 Dr.S.T.Vas Gunawardana MOH Kalutara MBBS 11 Dr.K.W.M.D.Thamalee AMOH MBBS 12 Dr.A.A.N.D.S.Waidyaratne AMOH MBBS 13 Dr.D.V.V.Kaluarachchi AMOH MBBS 14 Dr.Prasanna Gamage MO(SH) MBBS 15 Dr.N.M.Bazeer MOH Beruwala MBBS 16 Dr.P.V.N.P.Amarasinghe AMOH MBBS 17 Dr.Chandana Rathnasiri AMOH MBBS 18 Dr.Jayampika Wijewardana AMOH MBBS 19 Dr.Pradeep C. Fernando AMOH MBBS 20 Dr.A.P.N.M.V.Gunawardana DS BDS 21 Dr.D.G.M.Senarath DS BDS 22 Dr.H.K.S.S.Randunu DS BDS 23 Dr.N.P.V.Wickramasooriya DS BDS 24 Dr.Sajeewa Lakmini DS BDS

25 K.A.S.Perera RSPHNO Certificate in 3 yrs General Nursing, Dip. In Public Health Nursing Sister,

26 Mr.Sarath Kaludewa F&DI Dip. In Public Health 27 Mr.R.J.Singhabahu SPHI/D Dip. In Public Health 28 Mrs.M.A.V.C.Amarasena CHSWO BA,MA(Sociology),Dip in HRM 29 Mrs. Nilmini Kumari PMA G.C.E. (A/L)

30 Mr.Prasad Samarasinghe DA B.Sc( Physical Science)

31 Mr.Sumith Dilhara Health Assistant

Table 15: Staff Profile of the field service area –Year 2012


7.5 Performance of Public Health Programmes

Antenatal Care

Antenatal care begins with the registration of pregnant mothers by PHMM either at field or

clinic setting. Following registration, clinic and domiciliary care services are offered to every

pregnant mother. Registration before 8 weeks is considered as early registration and the

percentage of pregnancies that are registered early in the NIHS field practice area has

increased over the time. (Table 01)

Pregnant mothers registered by PHMs 2008-2012

No Indicator

2008

2009 2010 2011

2012 National Figure

2012

Target / Estimated

Population Number Percen

tage

1 % of pregnant mothers registered out of estimated pregnancies

103.4 105.8 103.3 106.7 5569 6028 113.48 91.5

2 % of pregnant mothers registered before 8 week out of registered pregnancies

71.27 77.22 80.76 83.36 - 4981 82.6% 75.2%

3 % of pregnant mothers registered before 8-12 weeks out of registered pregnancies

22.96 17.45 14.54 13.69 - 800 13.28

Table 16: Pregnant mothers registered by PHMs 2008-2012


Figure 01- Pregnant mothers registered by PHMs 2008-2012

Clinic care

Clinic care includes preliminary clinical assessment of pregnant mothers, screening for risk

factors, monitoring of maternal and foetal wellbeing, referral for specialists care, tetanus

immunization, vitamin and “Thriposa” supplementation, providing health education and

counseling and oral health care for pregnant mothers.

Following registration a pregnant mother should receive clinic antenatal care as soon as

possible. During a clinic visit, every mother is screened for BMI, Hb, VDRL and blood

grouping and Rh status.


Percentage of pregnant mothers visiting antenatal clinic at least once and average number of

clinic visits since 2008

Table 17: Percentage of pregnant mothers visiting antenatal clinics at least once and average number of clinic visits since 2008

Percentage of pregnant mothers who were screened at the antenatal clinics

Table 18: Percentage of pregnant mothers who were screened at the antenatal clinics–Year 2012

Percentages of antenatal mothers who were protected with Rubella and Tetanus

Table 19: Percentages of antenatal mothers protected with Rubella and Tetanus– Year 2012

No Indicator 2008 2009 2010 2011 2012 National

Figure 2012

Number Percentage

1

% of pregnant mothers making

at least one clinic visit out of

registered pregnancies

91 97 96.4 94 3754 95.46 95.2

2 Average no of clinic visits per

mother

6.97 6.93 6.79 6.86 3753 6.27 6.8

No Indicator 2008 2009 2010 2011 2012

Number Percentage

1 % of pregnant mothers tested for

VDLR at the time of delivery out of

reported deliveries

99.87 99.88 99.92 99.94 - 99.98

2 % of pregnant mothers whose

blood is tested for grouping & Rh

at the time of delivery out of

reported deliveries

99.87 99.94 99.98 100 5012 100

3 % of pregnant mothers whose BMI

is assessed before 12 weeks out of

total clinic attendance

84.6 85.2 89.3 86.6 5045 87.6

No Indicator 2008 2009 2010 2011 2012 National

Figure 2012

Number Percentage

1 % of pregnant mothers

protected for Rubella out of

registered pregnancies

94.88 99.53 96.38 97.65 6028 98.05 90.2

2 % of pregnant mothers

protected for Tetanus out

of reported deliveries

99.86 99.76 99.92 99.86 5100 99.96 5


Figure 02: Screening and vaccination coverage of antenatal mothers– Year 2012

Domiciliary care

Domiciliary care is provided by PHMM during home visits. Three routine home visits should

be done for pregnant mothers without any risk condition. Number of home visits need to be

increased according the relevant risk factor for high risk mothers.

Percentages of pregnant mothers who were visited at least once and average number of

home visits paid to them by PHMs

Table 20: Percentages of pregnant mothers who were visited at least once and average number of home visits paid to them by

PHMs–Year 2012

Percentage of pregnant mothers who had different

types of screening carried out at antenatal clinic and Rubella & Tetanus coverage

No Indicator 2008 2009 2010 2011 2012

Number Percentage 1 % of registered pregnant mothers

visited at least once at home by PHM

99.0 98.4 96.7 97.2 5719 94.88

2 Average number of PHM field visits per mother

5.1 4.89 4.78 4.71 24289 4.0

Screening and Vaccination coverage of antenatal mothers


Pattern of deliveries reported by PHMs

Table 21: Pattern of deliveries reported by PHMs–Year 2012

Postpartum visits made within the first 10 days of delivery

A PHM is responsible to pay 4 post partum home visits to a mother who had an institutional

delivery and 5 visits for a mother who had a home delivery.

Table 22: Postpartum visits made within the first 10 days of delivery– Year 2012

Infant and Child Care

The PHM is supposed to provide basic domiciliary care and clinic care to new born and

children under 5 years of age. Immunization according to the National EPI schedule,

assessment for general health, weighing, nutritional assessment, assessment for growth and

development status, vitamin and thriposa supplementation, health education and health

promotion are the services given by PHMM for the infants and children under her care.

No Indicator 2008 2009 2010 2011 2012

1 Estimate number of pregnant mothers 5890 5417 5508 5569 5312

2 Pregnant mothers registered by PHM 6091 5733 5690 5941 6028

3 % of deliveries reported out of total estimated pregnancies

92 93 88 90 96

4 % of deliveries reported out of total registered pregnancies

89 87 85 84 85

5 % of institutional deliveries out of total reported deliveries

99.95 99.98 99.96 99.94 99.95

6 % of home deliveries out of total reported deliveries .04 .02 .05 .06 .04

7 % of LSCS deliveries out of total reported deliveries 39 44 39 41 39

8 % of untrained deliveries out of total reported deliveries

.02 - - - .04

No Indicator 2008 2009 2010 2011 2012

Number Percentage 1. At least 1

st visit during 1

st days out

of estimated deliveries 82.99 82.8 78.27 81.4 4805 90.46

2. At least 1st

visit during 1st

days out of reported deliveries

90.0 89.4 88.7 90.5 - 94.18

3. Average number of visits during 1

st 10 days

1.82 1.85 1.82 1.83 8637 1.8

4 At least 1st

visit during 11th

to 28th

days out of reported deliveries

9.7 9.4 8.8 9.6 491 9.6

5 Postpartum visits by PHM at or around 42 days out of reported deliveries

74.58 77.1 75.9 74.7 4053 79.44


Percentages of estimated number of infants and children under care

Table 23: Percentages of estimated number of infants and children under care – Year 2012

Field and clinic care performance

Table 24: Field and clinic care performance–Year 2012

Percentages of LBW, underweight, overweight infants and preschoolers

No Indicator 2009 2010 2011 2012

1. % LBW 12.25 12.50 12.88 9.0

2. % moderately under weight infants 8.2 7.5 9.5 8.0

3. % moderately underweight preschoolers 2nd

year 16.8 12 11.4 10

4. % moderately underweight preschoolers2-5 yrs 27 22.5 17 13.8

Table 25: Percentages of LBW, underweight, overweight infants and preschoolers–Year 2012 (Source: 509 & nutrition month data)

Mortality rates and percentage of infant deaths investigated

Table 26: Mortality rates and percentage of infant deaths investigated–Year 2012

No Indicator 2008 2009 2010 2011 2012

Number Percentage 1. % infants under care 92 95 89 89.7 5031 94.7 2. % pre scholars under care -2

nd year 98.6 103.7 97.4 96.1 5054 95.2

3. No of pre scholars under care -2-5 year

15112 15778 16283 16166 15592 -

No Indicator 2008 2009 2010 2011 2012

Number Percentage 1. % of infants having at least 1

st

home visit after 42 days out of registered infants

78.7 79.7 76.6 63.2 5431 69.5

2. Average number of home visits per infants

6 6 6 5 24886 5

3. Average number of weighing per an infant during a year

0.8 0.8 0.8 0.8 0.8

4. % of expected infant weighing 80.4 82.9 82.9 82.2 4280 85.1

No Indicator 2008 2009 2010 2011 2012

Number Percentage

1. Neonatal mortality rate(1000 live births)

5.5 4.2 5.5 8.4 24 4.7

2. Post Neonatal mortality rate(1000 live births)

3 3 3 3 13 2.6

3. Infants mortality rate(1000 live births)

9 9 10 13 46 9.0

4. Peri natal mortality rate(1000 live births)

10.6 7.6 12 12.4 65 12

5. Number of infant deaths reported

49 45 52 66 46 -

6. % of reported infants deaths investigated

97.9 91.1 88.5 72.7 36 78.3


Family Planning

Oral contraceptive pills (OCP), Depo-Provera injections, intra Uterine Devices (IUD),

implants and condoms are the modern contraceptive methods offered for families under care.

Table 27: Information on Family Planning –Year 2012

Well Women Clinic Services

Screening for breast and cervical malignancies and non- communicable diseases are carried

out in these clinics. PHMM are supposed to recruit the women in 35 year age cohort in the

area for well Women clinic screening. However screening is not restricted to this age group.

Performance of Well Women Clinic Services

Table 28: Performance of Well Women Clinic Services–Year 2012

Immunization (EPI coverage)

No Vaccine Kalutara

MOH Coverage

Beruwala MOH

Coverage NIHS Coverage

1. Pentavalent Vaccine 1st

dose 2134 96.64 % 3210 114.64 % 5344 106.70

2. DPT 4th

dose 1928 87.31 % 3137 112.03 % 5065 101.13

Table 29: Performance of Immunization services - Year 2012

No Indicator 2008 2009 2010 2011 2012

Number Percentage

1. % of eligible couples registered 102.4 103.6 102.8 102.4 51721 103.4

2. % of current users of FP method 63.6 64.6 65.5 65.9 34046 65.6

3. No of new acceptors of FP method 3168 2763 2712 2384 3392 -

4. % Modern methods 49.6 50.6 51.5 51.9 26766 51.7

5. % Traditional 14.0 14.0 14.0 14.0 7280 14.0

6. % of Unmet need 8.9 7.5 6.5 5.5 2427 4.7

No Indicator 2008 2009 2010 2011

2012 National Figure

2012 Number

Percentage

1. Age-35 yrs Coverage 300 269 420 1167 1127 - -

2. Target Population 2973 3008 3060 3093 3124 - -

3. Percentage Covered 10.0 8.9 13.7 37.7 - 36.0 28.1


Figure 03- Comparison of PVV1/DPT1, MR/MMR & aTd immunization– Year 2012

School health

The MOH is responsible for implementation of the school health programme in collaboration

with the Zonal educational officers and school principals and teachers. In Kalutara MOH area,

School Medical Officer (SMO) implements the school health progarmme while MOH and

AMOOH attached to Beruwala MOH area are responsible for implementation of school health

activities.

Performance of School Health Services

No. Service Component/Activity Target /Estimated

Population Number Percentage

1. No. of schools covered by the School Health Programme

78 78 100

2. No. of defects identified - 12697 -

3. No. of defects corrected 12697 6289 49.5

Table 30: Performance of School Health Services –Year 2012

5425

4870 4837 5053

5344 5187

5339 5251 5255 5193

3759

1091

2331

3742 3958

0

1000

2000

3000

4000

5000

6000

2008 2009 2010 2011 2012

Comparison of PVV1/DPT1, MR/MMR & aTd immunization performed from 2008-2012 in NIHS Area

DPT/PVV

MR/MMR

atd


Disease Surveillance and Control of Communicable diseases

No. Service Component/Activity

Number Percentage

1. No. of notifications received 817 -

2. No. investigated within seven days 662 81

3. No. untraceable 50 6.1

4. Other MOH area 51 6.2

5. Non notifiable diseases 119 14.5

Table 31: Performance of Communicable Diseases Control Services - Year 2012

Control of Communicable Diseases -2012

No. Service Component/Activity No reported No confirmed No deaths

1. Dengue 550 407 02

2. Leptospirosis 52 42 04

Table 32: Control of Communicable Diseases - Year 2012

Rabies Control Activities-2012

No. Kalutara Beruwala NIHS

1. No of human Rabies cases 00 00 00

2. No. of dogs vaccinated 419 363 782

3. No.of dogs eliminated 00 00 00

4. No. of female dogs sterilization 511 355 866

5. No. of Depovaccinated 00 00 00

Table 33: Rabies Control Activities- Year 2012

Environmental Health



1. No. of households registered in the sanitation register

60520 49193 81.2

2. No. of houses with safe drinking water supply

60520 43554 88.5

3. No. of houses with sanitary latrines 60520 46062 93.6

4. No. of houses with sanitary waste disposal method

60520 30498 61.0

5. No. of houses with adequate ventilation 60520 39356 80.0

6. No. houses practicing home gardening 60520 15742 32.0

Table 34: Performance of Environmental Health Services - Year 2012


Food Safety



1. No. of food handling establishments registered

2022 1899 93

2. No. of food samples collected 432 497 115

3. No. of food samples found unsatisfactory

497 111 22

Table 35: Performance of Food Safety Activities - Year 2012

Food Sampling

No. Service Component/Activity No taken No

satisfactory No

unsatisfactory

No of reports pending

1. Food samples 402 95 99 108

2. Informal samples 95 71 12 12

Table 36: Performance of Food Sampling Activities - Year 2012

Prosecution

No Area under consideration No of

prosecution

No convicted

Fines imposed

Imprisonments No of reports pending

1. Under the food act 87 73 549500 - 108

2. Food labeling & advertisement 2005

21 21 61000 - -

3. Bottle or packeted food items - - - - -

4. Iodized salt 2005 6 5 17500 - -

5. Food hygiene regulations 26 23 175000 - -

Table 37: Information on Prosecutions–Year 2012

Seizure of food items

No Description No

1. Items seized 572

2. Destroyed 514

3. Prosecuted 52

Table 38: Information on seizure of food items–Year 2012


Activities related to the “Drugs, Cosmetics and Devices” Regulations

No Pharmacy Type No. of Pharmacies

Available No. of Registered

Pharmacies

1. Retail 65 63

2. Wholesale 17 17

Table39: Activities related to the Drugs, Cosmetics and Devices Regulations–Year 2012

Prosecutions under the Drugs Act

No Description No. of

1. Prosecutions 05

2. Convicted 05

3. Amount of Fines 95000.00

Table 40: Prosecutions under the Drugs Act–Year 2012

Oral Health

School dental services are delivered by school dental therapists (SDT) to students of grades 1,

4, and 7 in schools with more than 200 students and all students below the age of 13 years in

schools with less than 200 students.

Dental surgeons attached to Adolescent Dental Clinics provide preventive and curative oral

health care services for school children of grades 8, 10 and 12 and also provide treatment for

children referred by SDTs.

Community Dental Surgeons attached to Community Dental Units also provide curative and

preventive oral health services to the public. They mainly concentrate on preventive aspects

on high risk groups such as pregnant and lactating mothers and elderly.

Community Dental Care Services

No Type of Service Sessions Conducted

1. Mobile Dental Clinic Sessions 143

2. School Dental Clinic Sessions 477

3. Community Dental Clinic Sessions 126

4 Others 104

Table 41: Community Dental Care Services –Year 2012


Special oral health care activities

Screening, treatment and follow up care for pregnant mothers attending antenatal

clinics

Provision of oral health services for Children in Child Development Centers in NIHS

field Practice area

Screening, treatment and follow up care for prisoners in Prison in Kalutara has been

provided through 4 mobile clinics in 2012.

In commemoration of National Oral Health Day 2012, a special health education

programme and a screening programme for pre-cancerous lesions for 500 three wheel

drivers was conducted and 6 persons with pre cancerous lesions were identified and

referred for further care.

An oral health promoting stall was organized for the WHO CC exhibition held in

NIHS. Health education sessions for pre scholars, children, pregnant mothers and

general public, screening for oral pre cancerous lesions and a street drama on oral

cancer prevention were organized by the oral health unit.

Community Mental Health Services

A focal point of Mental Health & Community Support Center was started at NIHS in 2007 for

provision of mental health care services to NIHS field practice area.

The main activities carried out by this unit are;

Providing first contact services to individuals with psychosocial problems in the

community

Mental health promotion and prevention of mental illnesses

Diagnose patients with mental illnesses and referral

Conduct psychiatric clinics

Providing counseling services

Follow up of patients

Maternal and child mental health services

Community awareness on mental health and related issues

Services extending to elderly homes, prison, child development centers.

School mental health services and preschool child care.


Counseling sessions Conducted at District Hospital Beruwala

No Program/Activity No

1. Number of clinic sessions held (outreach) 49

2. Number of patients 1388

Table 42: Information on counseling sessions conducted at District Hospital Beruwala–Year 2012

Counseling sessions conducted at the Community Support Center (NIHS)


1. Counseling sessions 371

2. New clients 248

3. Follow up visits 123

Table 43: Information on counseling sessions conducted at the Community Support center (NIHS)–Year 2012

Counseling sessions conducted at MOH office Beruwala


1. Clinic sessions 40

2. Counseling sessions 304

3. New clients 177

4. Follow up visits 127

Table 44: Information on counseling sessions conducted at MOH Office Beruwala–Year 2012

Post partum mothers screening for Depression using Edinburgh Depression scale


1. No of mothers 52

2. No of counseling session 57

Table 45: Post partum mothers screened for Depression using Edinburgh Depression Scale–Year 2012

Other special programmes Conducted by Mental Health Unit


1. Sessions conducted for Parents ,Teachers, Students, Newly married couples, Children, senior citizen , newly recruited graduate

22

2. Lecture sessions conducted 15

3. Sessions participated as Resource persons 5

4. Home visits 14

5. Prisoners screened 65

Table 46: Other special programmes conducted by MH Unit–Year 2012


Non communicable diseases

There are two “healthy life styles centers” in NIHS filed practice area for screening, health

education, treatment and to follow up patients having NCDs. These centers are conducted

by the RMO attached to two MOH areas. Any person preferably 35 to 65 years and

previously undiagnosed for NCDs will be eligible for screening. Public Health staff

attached to NIHS Field Practice area and health volunteers refer patients to these centers.

MO (NCD) coordinates all NCD activities in the NIHS field practice area.

Prevention Programmes related to Non-Communicable Diseases.

No Service Component/Activity No of programmes

1. Community Awareness on NCD control & prevention 24

2. Institutional Awareness on NCDs 5

3. School Health Programmes on nutritional life skills development

4

4. Community screening for NCDs 6

5. NCD project by PHM students with PHC staff 6

6. Coordinations related on NCD 2

Table 47: Information on Non- Communicable Diseases Prevention Programme-Year 2012

Monitoring and Evaluation of Health Care Services

No Meeting/ Review Programme No. Planned No. Conducted

1. Monthly conferences ( Kalutara & Beruwala) 24 24

2. Common conference 06 06

3. Monthly Supervisors meetings 12 12

4. Quarterly MCH review 02 02

5. Annual EPIreview 01 01

6. Annual MCH review 01 01

7. Annual Mental health, Oral Health, Environmental & Occupational Health and Heath Education Review

01 01

8. District Maternal Death Review 01 01

Table 48: Information on Monitoring and Evaluation of Health Care Services –Year 2012


In-service training programmes and other awareness programmes carried out

in the field

Name of the Activity/ Programme Target Audience Number

Participated Capacity building of Health care staff on prevention and control of common cancers in Sri Lanka

MO,DS,SDT 50

Capacity building of public health staff on cold chain monitoring & immunization

Field staff 120

One day training programme on office management for MOH staff

MOH,MA,DA 13

National Oral Health day programme (Awareness programme & screening for pre cancer /oral cancers)

Three wheeler driver 750

Clinical management of non communicable diseases MO 43

Adolescent Health & life skills programme Field staff 80

Training programe on Maternal care for PHC staff at NIHS field

Field staff 54

TOT on revised maternal care model and package Field & hospital staff 28

GM foods Fruit ripening and food safety MOH/AMOH/PHII/Lab staff 30

Awareness programme on diabetes for world diabetes day

Field staff 120

Awareness programme on depression ( for world mental health day)

Field staff 110

First aid programme-Gamagoda Pre school teachers, government officers, Volunteers

55

Leptospirosis awareness programme School children/teachers, farmers People close to lagoons and rivers, Volunteer Others

5582 1159

501 409

1679 Dengue awareness programme School children/teachers,

Volunteer Others

31976 4696

28477 Supportive supervision MOH/AMOH/RSPHNO/SPHI-

D/PHNS/SPHI/SPHM 23

Introduction to Standard operating procedures (SOP) Field development committee members 10

Volunteer training programme Volunteers in NIHS area 48

Awareness programme on Drug Regulations Pharmacy owners , pharmacist and assistant

245

Health education programme on food safety

• Owners of food handling establishments,

• Field officers, • community/consumer

societies/mothers • students

2013 20

1584 4505

Helping families with Alcohol related problems • Monthly conference –Kalutara MOH staff

65

Table 49: Information on In-Service Training programmes and other awareness programmes carried out in the field.–Year 2012


Participations in consultative meetings

No Consultative meeting Name of the officer

1. Integrating mental health in to PHC system Dr. J.A.D.C. Sanjeewa

2. Revision of the duty list Dr. M.G. SajeewaLakmini

3. Revise the equipment list for field midwives Dr. R. D.S. Ranasinghe

4. Basic training evaluation process of public health inspectors Dr. R. D.S. Ranasinghe

Table 50: Profile of participations in consultative meetings–Year 2012

Participations in other workshops/programmes

No Name of the workshop Officer participated

1. Workshop on quality enhancement to achieve MDG 5 DDFS/MOMCH/MOH

Kalutara/AMOH Beruwala

2. CPD Programme CCPSL & college of ophthalmologists "How should we respond to the increasing burden of vision impairment resulting from population ageing and the NCD epidemic in Sri Lanka?"

DDFS

3. Workshop on epidemic control (for volunteers) organize DDFS/RE/AMOH Beruwala

4. Workshop on guidelines of non communicable diseases DDFS/MONCD

5. Basic midwifery training –part II field training DDFS

6. Multi sectoral approach to improve nutritional status in Sri Lanka DDFS

7. Update on nutrition month DDFS/RSPHNO

Table 51: Profile of participations in other workshops/programmes–Year 2012

Participations in training progarmmes

No Activity Venue Name of the officer

1. Clinical management on NCD NIHS Dr. T.Y.Kulatunga

2. Teacher training programme NIHS Mrs. Chaturani Amarasena Dr. R.D.S.Ranasinghe

3. Teacher training programme, In-service training & In-service training with SDTT

NIHS FHB

Dr. W.M..M.S.De. Alwis

4. Nutrition research programme Introduction of an electronic PH information system Preparing new duty list SPHI-D

MRI MoH MoH

Mr. R.J.Singhabahu

5. Workshop on mental health TOT on Adolescent health Master training in Adolescent mental health

NCMH-Shanaya FHB FHB

Dr. J.A.D.C.Sanjeewa

6. Workshop on mental health TOT on Adolescent health

NCMH-Shanaya FHB

Dr. ZayanaCader

7. In service training with SDTT FHB Dr. M.G.Sajeewa

Table 52:Profile of participations in training Programmes –Year 2012


Filed training activities conducted by the NIHS Field staff

No. Training Programme Lectures Project & group work

presentation/ Supervision

Field Training

Basic Training

1 PHM training 2010 B X X X 2 PHM training 2010 B (4) X X X

In-service Training

1 Orientation on Management of Community Health for MOOH / REE/ MOO (MCH)& MOO (PH)

X X X

2. Pre-placement training for Post Intern Medical Officers (AMOH)-Aug

X X X

3 Teacher training programme for Public Health Trainers

X X

4 Stage 1 training (Pediatrics) programme X X

5 Practical Orientation on Community Health Development for MSc (Community Medicine)Trainees

X X X

6 Review on Orientation on Management of Community Health for MOOH / REE/ MOO (MCH)& MOO (PH)

X X X

7 Training programme for the Estate Medical Assistants

X X

International Training

1 Training for the elective nursing students of Kristianstad University Sweden

X X

2 Ten weeks PHC training programme for Nursing student from –Finland

X X X

3 Advanced certificates in PHC for PHC trainees of Faculty of Maldives

X X X

Table 53: NIHS Field Services: Contributions made to training programmes- Year 2012

Other training faculty activities participated by the field staff

No Activity Officer involved

1. Module development – PHM DDFS/MOMCH/RDS/MONCD/MOMH/CHSWO/HEO/RSPH

NO

2. PHM projects DDFS/MOOH/MONCD/CHSWO/RSPHNO /HEO

3. Developing common guideline for programme coordinator

CHSWO

Table 54: Other training faculty activities participated by the field staff–Year 2012


8.0 Laboratory Services

Performance of the Service Laboratory – NIHS

8.1 Introduction

Service Laboratory at NIHS functions as a central facility to provide microbiology laboratory

services to health care centers in its catering area. .

8.2 Objectives

1. To provide laboratory services and Microbiology for hospital.

2. Assist in public health programme by testing blood samples from the field.

3. Assist in epidemiological surveillance and outbreak control.

8.3 Facilities available

Providing microbiological diagnosis and oncological screening(cervical cytology)

Providing training for post graduate doctors and Medical Laboratory Technologists

8.4 Information on cadre

No. Category Cadre In position Existing vacancy

1. Consultant microbiologist 01 01 0

2. Medical officer 01 01 0

3. Medical Laboratory Technologist 13 08 5

4. Lab Orderly 2 02 0

5. Health Assistant 2 03 1

Table 55: Information on cadre of the service laboratory - Year 2012


8.5 Staff Profile

No Title Name with Initial

Designation Qualifications Place of work/

Unit/Section

1. Con. Microbiologist

Dr(Mrs) S.P. Gunasekara

Con. Microbiologist/ Additional Approved

food Analyst

MBBS Dip(Micro)

,MD(Micro)

Service Lab Food Lab Micro

Bio Medical Teaching unit

2. Medical Officer

DrC.D.Delpachitra Medical Officer MBBS Service Lab PHL

3. Senior MLT Mrs W S N Perera Dip in MLT Service Lab Micro

4. MLT Mr S D A Maheepala MLT Dip in MLT Service Lab Micro

5. MLT Mrs K P Lanarolle MLT Dip in MLT Service Lab Micro

6. MLT MrsU Kodithuwakku MLT Dip in MLT Service Lab PHL

7. MLT Mrs AWDS

Wijayawickrama MLT Dip in MLT Service Lab Micro

8. MLT Mr R M S H Bandara MLT Dip in MLT Service Lab Micro

9. MLT Mrs I L Nadeeka MLT Dip in MLT Service Lab

10. MLT Mrs U P N Perera MLT Dip in MLT Service Lab

11. Lab Orderly Mr K P T D Katriyawasam Lab Orderly

12. Lab Orderly Mrs Padma Peiris Lab Orderly

Table 56: Information on staff profile of the service laboratory –Year 2012

8.6 Performance of the Service Laboratory

Table 57: Performance of the Service Laboratory –Year 2012

No Name of the test Number Performed

No of Specimens No of Positive

1. Urine culture & ABST 11450 2084

2. Blood Culture & ABST 5421 306

3. CSF Culture & ABST 437 13

4. Ear and Eye Swab 144 74

5. HVS, Wound Swabs and Pus Culture& ABST 1189 704

6. Sputum culture & ABST 1895 971

7. Body Fluids ,Bronchial Wash 476 8

8. Other Swabs 81 42

9. Stool Culture & ABST 71 11

10. VDRL 10482 15

11. Pap Smears 5475 0

12. FBC 131 0

13. ESR 80 0

14. UFR 112 0

15. SFR 3 0

16. FBS 0 0

17. Lipid Profile 0 0

18. Fungal Studies 65 0

19. Dengue Antibody 0 0

Total 37512 4228


8.7 Performance of Food Chemistry Laboratory

No. Type of Sample Number of samples received

Quality of Sample

Satisfactory Unsatisfactory %Unsatisfactory

1. Cereals and flour 333 228 105 31.53

2. Pulses 174 110 64 36.78

3. Fish, Meat & Poultry products 49 30 19 38.78

4. Bread & bakery products 54 12 42 77.78

5. Fruit base products 84 80 4 4.76

6. Edible oils & fats 177 142 35 19.77

7. Milk & Milk products 54 48 6 11.11

8. Spices

(i) Chilly powder 203 183 20 9.85

(ii) Turmeric powder 185 165 20 10.81

(iii) Condiment powder 164 149 15 9.15

(iv) Whole spices 189 165 24 12.70

Total 741 662 79 10.66

9. Vinegar 10 9 1 10.00

10. Iodated salt 485 366 119 24.54

11. Sugar & Sugar products 164 163 1 0.61

12. Beverages 138 136 2 1.45

13. Potable water 225 167 58 25.78

14. Thriposha 12 12 0 0.00

15. Any other 215 200 15 6.98

16. Private samples 110 89 21 19.09

17. Court production 5 1 4 80.00

TOTAL 3030 2455 575 18.98

Table 58: Performance of the Food Chemistry Laboratory –Year 2012


9.0 Productivity Unit

The origin of the Productivity Improvement Unit in the NIHS goes back to year 2009. As per the

General Circular No. 02/100/2003 dated 8th October 2003 and General Circular letter No.

01/29/2009 dated 22th September 2009 issued by the Secretary of the Ministry of Health, this unit

was established at NIHS in order to improve the productivity and quality.

Activities carried out

No Activity/Programme Number of programme

Conducted

1. Productivity Activities held in NIHS 05

2. Productivity and Health Promotion Programmes in Schools 10

3. Productivity and Health Promotion Programmes in Educational Offices 07

4. Programmes held in Divisional Secretariats 08

5. District Level Special Programmes 05

6. Special Activity/ Programme held in Temples 05

7. Medical Campaigns and Productivity Programmes for Police & Military Services

11

8. Island wide Contributions for Disaster Management Programmes 05

9. Productivity Promotion Programmes in Hospitals 09

Table 59: Activities conducted by the Productivity Unit - Year 2012

Performance of Medical Centre

No Category of staff Number Percentage %

1. Trainees 483 41 %

2. Academic Staff 123 11 %

3. Non – Academic Staff 310 28 %

4. Security & Janitor Staff 201 20 %

5. Total 1117 100 %

Table 60: Performance of the Medical Centre - Year 2012


10.0 Planning & Information Unit

The Planning & Information unit of NIHS was established in August 2011 under the visionary

guidance of the present Director. This unit was established to serve the purpose of streamlining

and coordination of Health Planning and Health Informatics activities at NIHS.

Profile of the activities carried out by the Planning and Information Unit

Key activities carried out by the Planning and Information unit in year 2012 are summarized

below.

No Activity/Programme Status of activity/ Programme

1. Development of Human Resource Information system Ongoing process.

2. Development of Inventory Information system Ongoing process.

3. Development of medium term Strategic plan for NIHS Development of the plan Completed.

4. Conduct review meetings related to the activities of the Strategic plan for NIHS

Regular reviews are being done. Ongoing process.

5. Preparation of the annual report of NIHS Ongoing process.

6. Preparation of the News letter of NIHS Ongoing process.

7. Development of a mechanism to manage external funds Ongoing process.

Table 61: Performance of the Planning & Information Unit - Year 2012


11.0 Financial Statement

11.1 Capital Expenditure

No Object Code

Description Amount

allocated (SLR) Actual Amount

Spent (SLR)

1 2001 Building & Structures Rehabilitations & Improvement

31690570.01 37156434.18

2 2102 Furniture & Office Equipment Acquisition 7053535.00 6004694.50

3 2401 Capacity Building(Training) 87430.00 84805.00

4 2103 Plant Machinery & Laboratory Equipment 4655090.00 3685597.14

5 2002 Plant machinery equip- Rehab & Improvement

3332100.08 3092594.16

6 2102 Furniture & Office Equipment-Acquisition 1000000.00 999809.96

Total 47818725.09 51023934.94

Table 62: Information on Capital Expenditure of NIHS- Year 2012

11.2 Recurrent Expenditure

No Object Code

Description Amount

Allocated (SLR) Supplementary Allocation(SLR)

Expenditure (SLR)

1 1001 Salaries and Wages 112275510.00 96246930.19

2 1002 Overtime 6417397.00 5937860.71

1003 Other Allowances 209354800.00 188022536.56

4 1101 Domestic 1890451.00 1927488.03

5 1201 Stationery & office requisites 2077000.00 1870558.35

6 1202 Fuel 3450150.00 3426753.07

7 1203 Diets & Uniforms 0 0

8 1204 Medical Supplies 793760.00 793240.00

9 1205 Others - I 65500.00 21550.00

10 1301 Vehicles 1479000.00 1385018.15

11 1302 Plant, Machinery & Equipment 535000.00 912925.12

12 1303 Building & Structures 450000.00 147977.80

13 1401 Transport 547614.00 426190.00

14 1402 Postal & Communication 617000.00 824200.80

15 1403 Electricity & Water 12151000.00 12466379.45

16 1404 Rents & Local Taxes 1211000.00 704514.60

17 1405 Others - II 5573100.00 10733092.28

18 1502 Retirement Benefits 0 0

19 1506 Property Loan Interest to Public Servants

3672000.00 3569668.18

Total 362560282.00 329416883.29

Table 63: Information on Recurrent Expenditure of NIHS- Year 2012


11.3 Contributions from International Organizations

World Health Organization and the GAVI HSS project were the key external funders for NIHS

during the year 2012. Funds from WHO were mainly utilized to conduct training programmes,

researches in public health and to improve the library of NIHS. The pecuniary assistance extended

from the GVI HSS project was used to develop the infrastructure facilities and to acquire teaching

and learning equipments necessary to conduct Public Health training programmes at NIHS .

Organization Funds Allocated

(SLR) Funds Received

(SLR) Expenditure(SLR)

WHO 1000000.00 1140490.70 308339.65

GAVI 45800000.00 26163485.20 25052565.78

Total 46800000.00 27303975.90 25360905.43

Table 64: Utilization of Funds from International Organizations - Year 2012


The Way Forward

The NIHS has a proud history of achieving it goals. It is the premier institution within the MOH

system for the production of human resources particularly for public health. It has produced

skilled human resources that have made critical contributions in the implementation of the

successful primary health care model of Sri Lanka. Now, the country faces new challenges. The

changing demographic, epidemiologic, societal and political scenario demands new responses.

Parallel to this public health training needs in the region also demands subtle changes.

To address these needs it is very vital to have a comprehensive strategic planning for the NIHS as

it helps to evaluate and monitor the smooth function of all the components of the institute and

provides future direction for the development.

Hence it was decided to plan and implement a medium term strategic plan for the NIHS in Mid

2011 and it is on the way achieving most of the target limits.

Lecture halls and library are being improved, curricular are being revised and plans are there to

improve the field component of training.

Guidelines have been prepared on the discipline of trainees and extracurricular activities will be

introduced soon. A code of conduct for trainers is drafted and performance appraisal for staff is to

be introduced in 2013.

NIHS has achieved the status of a WHO collaboration centre in the year 2012.

The aim of all these is to provide best quality training to health professionals in the country

thereby facilitating a quality health service for the nation.


Challenges

Going higher and higher is not always easy. It’s a challenge to realize our dream because of the

following briefly described difficulties/problems and shortcomings.

Unmet basic requirements leading to poor morale of some of the staff members

Long felt unattended issues related to technical methodologies.

Lengthy departmental procedures

Financial restrictions

Lack of autonomy required for a rapid growth.

We hope these situations will improve in the next year for us to see a rapid improvement of NIHS.


Acknowledgement

Annual report 2012 of the NIHS could never have been produced without the much appreciated

support and talents of many members of our institute. Their technical savoir faire, experience,

labours and willingness to share results and information are gratefully acknowledged and their

names are mentioned in the text.

Among those who have given their leadership, encouragement and time in helping the various

drafts of the report to evolve, we particularly wish to mention: Dr. Ruwan Ferdinado, Deputy

Director(Training); Dr.(Miss.)S.Ranasinghe, Deputy Director(Field Services); Dr.(Mrs.) S.P.

Gunasekara, Head, Laboratory services; Mr. D.A.Dumendrawansa, Administrative officer and

Mr. M.L.L.S. Ranaweera, Account of NIHS.

Sincere thanks are due particularly to entire membership of the NIHS for their constant support

during the arduous stages of drafting and preparing this report.

Particular thanks are due to Dr. L.T. Gamlath, Director, NIHS, for his untiring leadership,

commitment, overall guidance and supervision of the total process of preparing the report until it

become a success.

Planning and Information unit,

National Institute of Health Sciences,

March 2013.

Planning & Information Unit


P.O. Box 28, Nagoda, Kalutara, Sri Lanka

Email- [email protected]

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