Health Summit 2005 Wayamba

MAP OF SRI LANKA SHOWING NORTH WESTERN PROVINCE. Source: Department of Census & Statistics- Sri Lanka Census Population & housing -2001

Basic Information in NWP

Population by District -2001 Source: Department of Census & Statistics- Sri Lanka Census Population & housing -2001

Population Density by District -2001 Source: Department of Census & Statistics- Sri Lanka Census Population & housing -2001

DIVISIONAL SECRETARIES DIVISIONS OF THE NWP Existing secretariat divisions showing this map, But according to norms MOH office should 1 per Divisional Secretariat Division or 1: 60,000 population

DDHS Areas & Population In NWP Kurunegala Puttlam Source: Estimated population mid year 2004

(Estimated population mid year 2004)

Percentage of population under 5 years - 2001 Source: Department of Census & Statistics- Sri Lanka Census Population & housing -2001

Percentage of population 65 Years and above - 2001 Source: Department of Census & Statistics- Sri Lanka Census Population & housing -2001

Distribution of Health Care Institutions in NWP Category Kurunegala Puttlam 01 Provincial Hospital 02 Base Hospitals 03 District Hospitals 15 04 Peripheral Units 13 05 Rural Hospitals 06 CD & MHs 07 MOHs 18 09 08 CDs 49 19 Source: Five Year Development Plan PDHS – NWP 2006-2010

Curative Health Care Service - 2004 Source: Administrative Report 2004 PDHS - NWP

Preventive Health Care Service Provisions MOH(Special programmes): MCH, School health Special campaigns:- Malaria, Filaria, Rabies, STD, TB, Mental health rehabilitation Dental health care

No. of deliveries in 2004 – 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 Source: Administrative Report 2004 PDHS - NWP

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

Source: Administrative Report 2004 PDHS - NWP

Distribution of Medical officers - 2001 Source: Annual Health Bulleting –2001 Department of Health Services – Sri Lanka 2004 Kurunegala Medical officers Per 100,000 Population 28 Puttlam Medical officers Per 100,000 Population 32 Source: Estimated mid year population 2004

Distribution of Specialists - 2001 Source: Annual Health Bulleting -2001

Source: Estimated mid year population 2004 Distribution of Nurses - 2001 Source: Annual Health Bulleting -2001 2004 Kurunegala Nurses Per 100,000 Population 85 Puttlam Nurses Per 100,000 Population 51 Source: Estimated mid year population 2004

Major health problems in the NWP One hospital for 57 km2 in North Western Province Major health problems in the NWP * Non communicable diseases Accidents. Suicides/poisonings Flurosis Renal disease * Communicable diseases Malaria ? Dengue * High consumption level of alcohol

mental and spiritual development VISION To build a healthier population in north western province that contributes the nation in its social, economic, mental and spiritual development 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

living in North Western Province. GOAL A Strengthened health system that strives for excellence to improve the health outcomes of the people living in North Western Province.

Organizational chart of the Department of Health Services -NWP

Health Sector Programmes in North Western Province Administrative Sector Curative Sector Preventive Sector Health Care Services Curative & Rehabilitation Preventive & Health Promotive

Key issues identified in management and administrative sector in Department of Health-NWP Accessibility to health care services for poor & rural population. Service gap in service provision for specific health conditions and special groups Quality assurance in service provision in health sector. Stakeholder participation in health policy making & implementation. Need based more rational resource allocation system. Disparity in resource utilization. Management problems in infrastructures and supportive services. Man power shortages. Lack of coordination between public & private sectors. Legal frame work.

Thank You!