1. Sri Lankan Perspective Dr Nihal Abeysinghe M.B.,B.S., MSc, M.D. (Community Medicine) Chief Epidemiologist Ministry of Health, Nutrition & Welfare Place of ICTs in achieving MDGs

2. MDGs related to MCH care  Infant mortality rate Benchmark(1990)19.3/1000 LB Current Situation(2001) 12.2/1000 LB Target (2015) 9/1000 LB Ministry of Health, Nutrition & Welfare

3. MDGs related to MCH care  Under 5 mortality rate Benchmark(1991)22.2/1000 LB Current Situation(1999) 16.8/1000 LB Target (2015) 11/1000 LB Ministry of Health, Nutrition & Welfare

4. MDGs related to MCH care  Maternal mortality ratio Benchmark(1996) 92.0/100 000 LB Current Situation (2002) 53.3/100 000 LB Target (2015) 36.0/100 000 LB Ministry of Health, Nutrition & Welfare

5. MDGs related to MCH care  % Births attended by skilled health personnel Benchmark (1990)98% Current Situation(2001) 97% Target (2015) 99% Ministry of Health, Nutrition & Welfare

6. District Maternal Mortality Rates - 2001

7. MDGs related to MCH care  Prevalence of Underweight children < 5 years Benchmark(1990)32.3% Current Situation(2001) 29.4% Target (2015)15% Ministry of Health, Nutrition & Welfare

8. MDGs related to Immunization  % of 1 year-old immunized against measles Benchmark(1990)79.7% Current Situation (2001) 88.2% Target (2015) 99% Ministry of Health, Nutrition & Welfare

9. MDGs related to HIV/AIDS  HIV prevalence among 15-24 year old pregnant women Benchmark(1990) No cases Current situation (2004)12 cases Target(2007)keep less than 0.01% Ministry of Health, Nutrition & Welfare

10. MDGs related to Malaria  Prevalence and death rate associated with Malaria Benchmark(1990)279,172 cases 14 deaths Current situation(2003)10,510 cases 4 deaths Target(2015)Eliminate National Target Eliminate Local Transmission of Malaria in Sri Lanka by 2015 Ministry of Health, Nutrition & Welfare

11. MDGs related to Tuberculosis  Death rates associated with TB Benchmark (1990)2.4/100,000 cases Current Situation(2001)1.8/100,000 cases Target(2015)0.7/100,000 cases Ministry of Health, Nutrition & Welfare

12. MDGs related to Tuberculosis  % of TB cases detected and cured under directly observed treatment short course (DOTS)  Population coverage Bench Mark(1990)introduced in 1997 Current Situation(2001)74% Target(2015)85% Ministry of Health, Nutrition & Welfare

13. Maternal care  Maternal nutrition  Antenatal care Clinic care Domiciliary care  Intra natal care EmOC Quality Standard guidelines  Post natal care Ministry of Health, Nutrition & Welfare

14. Natal care  Provision of EmOC facilities in hospitals  Improved quality of care  Infection control  Supply of life saving equipments  Adhere to procedures and guidelines Ministry of Health, Nutrition & Welfare

15. New born care How to reduce newborn mortality and morbidity?  NICU facilities in major institutions  Resuscitation facilities  Infection control  Availability of drugs and equipment  Adherence to Procedures, Standards and Guidelines Ministry of Health, Nutrition & Welfare

17. Our strategies ………….  Improve ambulatory care  Concentrate on Non Communicable diseases  Integrated disease surveillance  Rehabilitation in the community  Promote healthy lifestyles  Ensure equity  Explore IT for improving Efficiency & Effectiveness

18. Ministry of Health, Nutrition & Welfare Why We Need a MIS based on ICTs  Present manual system is not efficient  Sometimes incomplete  Behind time  Not very accurate  Varying quality data  Not user friendly  No utilization at the level of service delivery

20. Thank You Ministry of Health, Nutrition & Welfare