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Health Summit Health Summit 20052005

WayambaWayamba

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MAP OF SRI LANKA SHOWING NORTH WESTERN PROVINCE.

Source: Department of Census & Statistics- Sri Lanka

Census Population & housing -2001

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Basic Information in NWP

Population in NWP

67%

33%Kurunegala

Puttlam

Land Extend in NWP

61%

39% Kurunegala

Puttlam

District DDHS Areas Population % Land extend(km2) %Kurunegala 18 1491313 67.3 4816 61Puttlam 9 743979 32.6 3072 39Total 27 2235292 100 7888 100(Estimatied population mid year 2004)

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Population by District -2001

Source: Department of Census & Statistics- Sri Lanka

Census Population & housing -2001

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Population Density by District -2001

Source: Department of Census & Statistics- Sri Lanka

Census Population & housing -2001

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DIVISIONAL SECRETARIES DIVISIONS OF THE NWP

Kurunegala District1 Pannala 23 Kotaw ehera2 Narammala 24 Maho3 Alaw w a 25 Polpithigama4 Polgahaw ela 26 Galgamuw a5 Kurunegala 27 Giribaw a6 Mallaw apitiya Puttlam District7 Maw athagama 28 Naw agaththegama8 Rideegama 29 Anamaduw a9 Ibbagamuw a 30 Pallama10 Ganew atta 31 Mahakumbukkadaw ala11 Wariyapola 32 Karuw alagasw ew a12 Maspotha 33 Wanathaw illuw a13 Weerambugedara 34 Puttlam14 Katupotha 35 Kalpitiya15 Kuliyapitiya W 36 Mundalama16 Kuliyapitiya E 37 Arachchikattuw a17 Udabaddaw a 38 Chilaw18 Bingiriya 39 Madampe19 Hettipola 40 Mahaw ew a20 Kobeigane 41 Naththandiya21 Nikaw eratiya 42 Wennappuw a22 Rasnayakapura 43 Dankotuw a

Existing secretariat divisions showing this map,

But according to norms MOH office should

-1 per Divisional Secretariat Division

or 1: 60,000 population

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DDHS Areas & Population In NWP

Kurunegala PuttlamDDHS Area PopulationBingiriya 57175Galgamuwa 101243Ibbagamuwa 115573Kuliyapitiya 120699Kurunagala 157471Maho 72072Mawathagama 58239Narammala 111996Nikaweratiya 108793Paduwasnuwara 90147Pannala 117235Polgahawela 91095Polpithigama 68951Rideegama 82564Udubaddawa 49452Wariyapola 88608Total 1491313

DDHS Area PopulationAnamaduwa 66539Arachchikattuwa 49296Chilaw 109291Dankotuwa 136492Kalpitiya 84599Karuwalagaswewa 34854Marawila 111589Mundalama 59097Puttlam 92222Total 743979

Source: Estimated population mid year 2004

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District Below 19 Above 20 TotalPuttlam 302984 440995 743979Kurunegala 534635 956678 1491313Total 837619 1397673 2235292

Age Structure in Population - 2004 NWP

Age Structure in population 2004 - NWP

37% Below age 19

63% Above age 20

Age Structure in population 2004 - NWP

63% Above age 20

37% Below age 19

(Estimated population mid year 2004)

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Percentage of population under 5 years - 2001

Source: Department of Census & Statistics- Sri Lanka

Census Population & housing -2001

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Percentage of population 65 Years and above - 2001

Source: Department of Census & Statistics- Sri Lanka

Census Population & housing -2001

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No Category Kurunegala Puttlam

01 Provincial Hospital 01

02 Base Hospitals 02 03

03 District Hospitals 15 03

04 Peripheral Units 13 04

05 Rural Hospitals 15 06

06 CD & MHs 02 05

07 MOHs 18 09

08 CDs 49 19

Distribution of Health Care Institutions in NWP

Source: Five Year Development Plan PDHS – NWP 2006-2010

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Hospital ICU OperationBlood Bank

Catergory VP Surgent Gyn&Obs Peadatric Eye Sur Anaesthe. JMO Radiolog. Rhuema. Omf. Patholo. ENT Orthop. Theatre

BH - Chilaw √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √

BH- Kuliyapitiya √ √ √ √ √ √ X √ X √ X X X √ √ √

BH-Nikaweratiya √ X √ √ X X X X X X X X X X √ √

BH-Puttlam √ √ √ √ √ X X X X X X X X X √ √

BH-Marawila √ √ √ √ X X X X X X X X X X √ √

Availability of Consultant Services

Curative Health Care Service - 2004

Source: Administrative Report 2004 PDHS - NWP

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Preventive Health Care Service Provisions

MOH(Special programmes): MCH, School health

Special campaigns:- Malaria, Filaria, Rabies, STD, TB,

Mental health rehabilitation

Dental health care

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No. of deliveries in 2004 – NWP

Source: Administrative Report 2004 PDHS - NWP

Category of Hospitals

No of deliveries per year

No of deliveries per day

Provincial Hospital 14489 40

Base Hospitals

Kuliyapitiya 5159 14

Chilaw 4567 13

Puttlam 4138 11

Marawila 1811 05

Nikaweratiya 2628 07

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Bed Occupancy Rate in 2003 – NWP

Category of Hospitals

Rate

Provincial Hospital 105 Base Hospitals

Kuliyapitiya

Chilaw 78.76 Puttlam 78.31 Marawila 87.01 Nikaweratiya 48.56

86.47

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District

2003 2004 2003 2004 2003 2004 2003 2004

Kurunegala 311 355 292 291 94 82 12.3 11.8

Puttlam 260 266 207 191 80 72 16.5 14.9

NWP 571 621 499 482 174 78 16.3 12.9

Infant Mortality in NWP - 2004

Estimated Reported% Estimated from

Reported IMR

Source: Administrative Report 2004 PDHS - NWP

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Distribution of Medical officers - 2001

Source: Annual Health Bulleting –2001

Department of Health Services – Sri Lanka

KurunegalaMedical officers Per 100,000 Population

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PuttlamMedical officers Per 100,000 Population

32

2004

Source: Estimated mid year population 2004

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Distribution of Specialists - 2001

Source: Annual Health Bulleting -2001

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Distribution of Nurses - 2001

Source: Annual Health Bulleting -2001

KurunegalaNurses Per 100,000

Population

85

PuttlamNurses Per 100,000

Population

51

2004

Source: Estimated mid year population 2004

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Major health problems in the NWP

* Non communicable diseases

Accidents.

Suicides/poisonings

Flurosis

Renal disease

* Communicable diseases

Malaria ?

Dengue

* High consumption level of alcohol

One hospital for 57 km2 in North Western Province

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To build a healthier population in north western province that contributes the nation in its social, economic,

mental and spiritual development

VISION

MISSION

Formulate policies for improvement of the health status of the people and to implement efficient & highly quality

curative, preventive, health promotive and rehabilitative services to achieve sustainable socio economic development

in NWP

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GOAL

A Strengthened health system that strives for excellence to

improve the health outcomes of the people living in North Western Province.

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Organizational chart of the Department of Health Services -NWP

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Health Sector Programmes in

North Western Province

1. Administrative Sector

2. Curative Sector

3. Preventive Sector

Health Care Services

1. Curative & Rehabilitation

2. Preventive & Health Promotive

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1. Accessibility to health care services for poor & rural population.

2. Service gap in service provision for specific health conditions and special groups

3. Quality assurance in service provision in health sector.

4. Stakeholder participation in health policy making & implementation.

5. Need based more rational resource allocation system.

6. Disparity in resource utilization.

7. Management problems in infrastructures and supportive services.

8. Man power shortages.

9. Lack of coordination between public & private sectors.

10. Legal frame work.

Key issues identified in management and administrative sector in Department of Health-NWP

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Thank Thank You!You!