Hospital Practice 1 Health Services in Sri Lanka
![Hospital Practice 1. Health Services in Sri Lanka Hospital Practice 1. Health Services in Sri Lanka](https://slidetodoc.com/presentation_image/a57583e3edf3a7dbad52ff9fddfd4264/image-1.jpg)
![Organization of health Service § Health care is provided by both § Public Sector Organization of health Service § Health care is provided by both § Public Sector](https://slidetodoc.com/presentation_image/a57583e3edf3a7dbad52ff9fddfd4264/image-2.jpg)
![Public sector health care § The Department of Health Services and the Provincial Health Public sector health care § The Department of Health Services and the Provincial Health](https://slidetodoc.com/presentation_image/a57583e3edf3a7dbad52ff9fddfd4264/image-3.jpg)
![Private Sector Health care § The private sector provides mainly curative care § Nearly Private Sector Health care § The private sector provides mainly curative care § Nearly](https://slidetodoc.com/presentation_image/a57583e3edf3a7dbad52ff9fddfd4264/image-4.jpg)
![Inpatient care § 95% of inpatient care is provided by the public sector § Inpatient care § 95% of inpatient care is provided by the public sector §](https://slidetodoc.com/presentation_image/a57583e3edf3a7dbad52ff9fddfd4264/image-5.jpg)
![Systems of Medicine § § § Western Ayurvedic Unani Siddha Homeopathy The public sector Systems of Medicine § § § Western Ayurvedic Unani Siddha Homeopathy The public sector](https://slidetodoc.com/presentation_image/a57583e3edf3a7dbad52ff9fddfd4264/image-6.jpg)
![Accessibility § Sri Lanka possesses an extensive network of health care institutions § The Accessibility § Sri Lanka possesses an extensive network of health care institutions § The](https://slidetodoc.com/presentation_image/a57583e3edf3a7dbad52ff9fddfd4264/image-7.jpg)
![National Health Policy § The broad aim of the heath policy is to § National Health Policy § The broad aim of the heath policy is to §](https://slidetodoc.com/presentation_image/a57583e3edf3a7dbad52ff9fddfd4264/image-8.jpg)
![Concern of the Government § § § To address health problems like Inequities in Concern of the Government § § § To address health problems like Inequities in](https://slidetodoc.com/presentation_image/a57583e3edf3a7dbad52ff9fddfd4264/image-9.jpg)
![Thrust areas for implementation § Improve hospitals to reduce inequities § Expand the services Thrust areas for implementation § Improve hospitals to reduce inequities § Expand the services](https://slidetodoc.com/presentation_image/a57583e3edf3a7dbad52ff9fddfd4264/image-10.jpg)
![Health Administration § The health services function under a Cabinet Minister. § With the Health Administration § The health services function under a Cabinet Minister. § With the](https://slidetodoc.com/presentation_image/a57583e3edf3a7dbad52ff9fddfd4264/image-11.jpg)
![Central Government Ministry of Health § MH /DGHS is primarily Responsible for the protection Central Government Ministry of Health § MH /DGHS is primarily Responsible for the protection](https://slidetodoc.com/presentation_image/a57583e3edf3a7dbad52ff9fddfd4264/image-12.jpg)
![Provincial Ministries of Health § PMHS /PDHS are responsible for management and effective implementation Provincial Ministries of Health § PMHS /PDHS are responsible for management and effective implementation](https://slidetodoc.com/presentation_image/a57583e3edf3a7dbad52ff9fddfd4264/image-13.jpg)
![PDHS , DPDHS, MOH/DDHS PDHS DPHS MOH/DDHS PDHS , DPDHS, MOH/DDHS PDHS DPHS MOH/DDHS](https://slidetodoc.com/presentation_image/a57583e3edf3a7dbad52ff9fddfd4264/image-14.jpg)
![Ministry of Health & the Department of Health Services § In 1999, the Ministry Ministry of Health & the Department of Health Services § In 1999, the Ministry](https://slidetodoc.com/presentation_image/a57583e3edf3a7dbad52ff9fddfd4264/image-15.jpg)
![Department of Health Services DDHS DDG(PHS)1 Director P 1 DDG(LS) Director P 2 DDG(PHS)2 Department of Health Services DDHS DDG(PHS)1 Director P 1 DDG(LS) Director P 2 DDG(PHS)2](https://slidetodoc.com/presentation_image/a57583e3edf3a7dbad52ff9fddfd4264/image-16.jpg)
![Health Facilities Consists of a Network of curative care institutions § Primary care Institutions Health Facilities Consists of a Network of curative care institutions § Primary care Institutions](https://slidetodoc.com/presentation_image/a57583e3edf3a7dbad52ff9fddfd4264/image-17.jpg)
![Number of hospitals & beds § 15 teaching hospitals – 14, 695 beds in Number of hospitals & beds § 15 teaching hospitals – 14, 695 beds in](https://slidetodoc.com/presentation_image/a57583e3edf3a7dbad52ff9fddfd4264/image-18.jpg)
![The National Hospital of Sri Lanka § In 2000 – 2, 881 patient beds The National Hospital of Sri Lanka § In 2000 – 2, 881 patient beds](https://slidetodoc.com/presentation_image/a57583e3edf3a7dbad52ff9fddfd4264/image-19.jpg)
![Provincial hospitals and Base Hospitals § § In 2000 There were 6 Provincial hospitals Provincial hospitals and Base Hospitals § § In 2000 There were 6 Provincial hospitals](https://slidetodoc.com/presentation_image/a57583e3edf3a7dbad52ff9fddfd4264/image-20.jpg)
![Specialties at provincial hospitals § § § § § General medicine Surgery Obstetrics Gyneacalogy Specialties at provincial hospitals § § § § § General medicine Surgery Obstetrics Gyneacalogy](https://slidetodoc.com/presentation_image/a57583e3edf3a7dbad52ff9fddfd4264/image-21.jpg)
![District Hospitals, Peripheral Units and Rural Hospitals § The distinction between DH, PU, and District Hospitals, Peripheral Units and Rural Hospitals § The distinction between DH, PU, and](https://slidetodoc.com/presentation_image/a57583e3edf3a7dbad52ff9fddfd4264/image-22.jpg)
![Preventive Services § 252 Health Units (MOH offices) headed by Medical Officers of Health, Preventive Services § 252 Health Units (MOH offices) headed by Medical Officers of Health,](https://slidetodoc.com/presentation_image/a57583e3edf3a7dbad52ff9fddfd4264/image-23.jpg)
![Health Manpower § § § Medical officers – 7, 963 Persons per doctor – Health Manpower § § § Medical officers – 7, 963 Persons per doctor –](https://slidetodoc.com/presentation_image/a57583e3edf3a7dbad52ff9fddfd4264/image-24.jpg)
![Health Manpower Training Basic Training § Universities § NIHS -Kalutara § Training Schools Post Health Manpower Training Basic Training § Universities § NIHS -Kalutara § Training Schools Post](https://slidetodoc.com/presentation_image/a57583e3edf3a7dbad52ff9fddfd4264/image-25.jpg)
![End of Lesson 1 End of Lesson 1](https://slidetodoc.com/presentation_image/a57583e3edf3a7dbad52ff9fddfd4264/image-26.jpg)
- Slides: 26
![Hospital Practice 1 Health Services in Sri Lanka Hospital Practice 1. Health Services in Sri Lanka](https://slidetodoc.com/presentation_image/a57583e3edf3a7dbad52ff9fddfd4264/image-1.jpg)
Hospital Practice 1. Health Services in Sri Lanka
![Organization of health Service Health care is provided by both Public Sector Organization of health Service § Health care is provided by both § Public Sector](https://slidetodoc.com/presentation_image/a57583e3edf3a7dbad52ff9fddfd4264/image-2.jpg)
Organization of health Service § Health care is provided by both § Public Sector (for nearly 60% of population) & § Private Sector
![Public sector health care The Department of Health Services and the Provincial Health Public sector health care § The Department of Health Services and the Provincial Health](https://slidetodoc.com/presentation_image/a57583e3edf3a7dbad52ff9fddfd4264/image-3.jpg)
Public sector health care § The Department of Health Services and the Provincial Health Sector encompass the entire range of § Preventive § Curative § Rehabilitative health care provision
![Private Sector Health care The private sector provides mainly curative care Nearly Private Sector Health care § The private sector provides mainly curative care § Nearly](https://slidetodoc.com/presentation_image/a57583e3edf3a7dbad52ff9fddfd4264/image-4.jpg)
Private Sector Health care § The private sector provides mainly curative care § Nearly 50% of the outpatient care of the population § Largely concentrated in the urban and suburban areas ?
![Inpatient care 95 of inpatient care is provided by the public sector Inpatient care § 95% of inpatient care is provided by the public sector §](https://slidetodoc.com/presentation_image/a57583e3edf3a7dbad52ff9fddfd4264/image-5.jpg)
Inpatient care § 95% of inpatient care is provided by the public sector § Services are provided by § Department of Health Services § Provincial councils § Local Authorities & Service provisions especially for § Armed forces § Police personnel § Estate population
![Systems of Medicine Western Ayurvedic Unani Siddha Homeopathy The public sector Systems of Medicine § § § Western Ayurvedic Unani Siddha Homeopathy The public sector](https://slidetodoc.com/presentation_image/a57583e3edf3a7dbad52ff9fddfd4264/image-6.jpg)
Systems of Medicine § § § Western Ayurvedic Unani Siddha Homeopathy The public sector comprises Western & Ayurvedic systems. Western medicine is the main sector catering to the needs of the people.
![Accessibility Sri Lanka possesses an extensive network of health care institutions The Accessibility § Sri Lanka possesses an extensive network of health care institutions § The](https://slidetodoc.com/presentation_image/a57583e3edf3a7dbad52ff9fddfd4264/image-7.jpg)
Accessibility § Sri Lanka possesses an extensive network of health care institutions § The majority of the population has easy access to a reasonable level of healthcare facilities § Any health care unit can be found not further than 1. 4 km from any home § Free government western type health care services are available within 4. 8 km from home
![National Health Policy The broad aim of the heath policy is to National Health Policy § The broad aim of the heath policy is to §](https://slidetodoc.com/presentation_image/a57583e3edf3a7dbad52ff9fddfd4264/image-8.jpg)
National Health Policy § The broad aim of the heath policy is to § Increase the life expectancy § Improve the quality of life § This is to be achieved by § Controlling preventable diseases § Health promotion activities
![Concern of the Government To address health problems like Inequities in Concern of the Government § § § To address health problems like Inequities in](https://slidetodoc.com/presentation_image/a57583e3edf3a7dbad52ff9fddfd4264/image-9.jpg)
Concern of the Government § § § To address health problems like Inequities in health service provision Care of elderly and disabled Non-communicable diseases Accidents and suicides Substance abuse and malnutrition
![Thrust areas for implementation Improve hospitals to reduce inequities Expand the services Thrust areas for implementation § Improve hospitals to reduce inequities § Expand the services](https://slidetodoc.com/presentation_image/a57583e3edf3a7dbad52ff9fddfd4264/image-10.jpg)
Thrust areas for implementation § Improve hospitals to reduce inequities § Expand the services to areas of special needs (e. g. the elderly, disabled, victims of war and conflict, occupational health problems, mental health, estate health services) § Develop health promotional programmes § Reforms of organizational structure to improve efficiency and effectiveness § Resource mobilization and management The government has taken efforts To maximize the financial allocations on health development
![Health Administration The health services function under a Cabinet Minister With the Health Administration § The health services function under a Cabinet Minister. § With the](https://slidetodoc.com/presentation_image/a57583e3edf3a7dbad52ff9fddfd4264/image-11.jpg)
Health Administration § The health services function under a Cabinet Minister. § With the implementation of the provincial councils act the services were devolved to § Ministry of Health at the national level (Central) § Provincial Ministries of Health at the eight provinces (now nine)
![Central Government Ministry of Health MH DGHS is primarily Responsible for the protection Central Government Ministry of Health § MH /DGHS is primarily Responsible for the protection](https://slidetodoc.com/presentation_image/a57583e3edf3a7dbad52ff9fddfd4264/image-12.jpg)
Central Government Ministry of Health § MH /DGHS is primarily Responsible for the protection and promotion of people’s health. Its Key functions are § Setting policy guidelines § Medical and paramedical education § Management of teaching and specialized medical institutions § Bulk purchase of medical requisites
![Provincial Ministries of Health PMHS PDHS are responsible for management and effective implementation Provincial Ministries of Health § PMHS /PDHS are responsible for management and effective implementation](https://slidetodoc.com/presentation_image/a57583e3edf3a7dbad52ff9fddfd4264/image-13.jpg)
Provincial Ministries of Health § PMHS /PDHS are responsible for management and effective implementation of health services in the respective provinces § To manage the Provincial, Base and District Hospitals, Peripheral Units, Rural Hospitals, Maternity Homes and outpatient facilities such as central dispensaries and Visiting Stations
![PDHS DPDHS MOHDDHS PDHS DPHS MOHDDHS PDHS , DPDHS, MOH/DDHS PDHS DPHS MOH/DDHS](https://slidetodoc.com/presentation_image/a57583e3edf3a7dbad52ff9fddfd4264/image-14.jpg)
PDHS , DPDHS, MOH/DDHS PDHS DPHS MOH/DDHS
![Ministry of Health the Department of Health Services In 1999 the Ministry Ministry of Health & the Department of Health Services § In 1999, the Ministry](https://slidetodoc.com/presentation_image/a57583e3edf3a7dbad52ff9fddfd4264/image-15.jpg)
Ministry of Health & the Department of Health Services § In 1999, the Ministry of Health was restructured resulting the separation of the Department of Health Services from the Ministry of Health. § The Director General of Health Services heads the Department and has the immediate support from Deputy Directors general, each incharge of a special programme area. They have a number of Directors responsible for different programmes and organizations
![Department of Health Services DDHS DDGPHS1 Director P 1 DDGLS Director P 2 DDGPHS2 Department of Health Services DDHS DDG(PHS)1 Director P 1 DDG(LS) Director P 2 DDG(PHS)2](https://slidetodoc.com/presentation_image/a57583e3edf3a7dbad52ff9fddfd4264/image-16.jpg)
Department of Health Services DDHS DDG(PHS)1 Director P 1 DDG(LS) Director P 2 DDG(PHS)2 DDG(MS 1) DDG(ET&R) Director Training
![Health Facilities Consists of a Network of curative care institutions Primary care Institutions Health Facilities Consists of a Network of curative care institutions § Primary care Institutions](https://slidetodoc.com/presentation_image/a57583e3edf3a7dbad52ff9fddfd4264/image-17.jpg)
Health Facilities Consists of a Network of curative care institutions § Primary care Institutions § Central Dispensaries, Maternity Homes, Rural Hospitals, Peripheral Units, District Hospitals § Secondary care Institutions § Base Hospitals, Provincial Hospitals § Tertiary care institutions § Teaching Hospitals, Special Hospitals
![Number of hospitals beds 15 teaching hospitals 14 695 beds in Number of hospitals & beds § 15 teaching hospitals – 14, 695 beds in](https://slidetodoc.com/presentation_image/a57583e3edf3a7dbad52ff9fddfd4264/image-18.jpg)
Number of hospitals & beds § 15 teaching hospitals – 14, 695 beds in 2000 § Total beds in all hospitals – 57, 027 in 2000 § Ratio of beds per patients – 2. 9 per 1000 patients
![The National Hospital of Sri Lanka In 2000 2 881 patient beds The National Hospital of Sri Lanka § In 2000 – 2, 881 patient beds](https://slidetodoc.com/presentation_image/a57583e3edf3a7dbad52ff9fddfd4264/image-19.jpg)
The National Hospital of Sri Lanka § In 2000 – 2, 881 patient beds § Provides for number of specialties including subspecialties like neurology, cardio-thoracic surgery but excluding paediatrics, obstetrics, opthalmology and dental surgery. § Has a well equipped accident service and several intensive care units § The specialties not found in NHSL are provided by the two maternity hospitals, children’s hospital , eye hospital and the dental institute.
![Provincial hospitals and Base Hospitals In 2000 There were 6 Provincial hospitals Provincial hospitals and Base Hospitals § § In 2000 There were 6 Provincial hospitals](https://slidetodoc.com/presentation_image/a57583e3edf3a7dbad52ff9fddfd4264/image-20.jpg)
Provincial hospitals and Base Hospitals § § In 2000 There were 6 Provincial hospitals 36 Base hospitals with 9, 865 patient beds The provincial hospitals at Kalutara, Ratnapura, Matara and Badulla and Base hospitals at Kegalle and Gampola are under the Department of Health Services § Only in few base hospitals have basic specialties
![Specialties at provincial hospitals General medicine Surgery Obstetrics Gyneacalogy Specialties at provincial hospitals § § § § § General medicine Surgery Obstetrics Gyneacalogy](https://slidetodoc.com/presentation_image/a57583e3edf3a7dbad52ff9fddfd4264/image-21.jpg)
Specialties at provincial hospitals § § § § § General medicine Surgery Obstetrics Gyneacalogy Opthalmology ENT Paediatrics Radiology Pathological laboratories & other auxiliary services
![District Hospitals Peripheral Units and Rural Hospitals The distinction between DH PU and District Hospitals, Peripheral Units and Rural Hospitals § The distinction between DH, PU, and](https://slidetodoc.com/presentation_image/a57583e3edf3a7dbad52ff9fddfd4264/image-22.jpg)
District Hospitals, Peripheral Units and Rural Hospitals § The distinction between DH, PU, and RH is made on their size and the range of facilities provided. DHs are the largest § The total care available in DHs and Pus is superior to RHs because the availability of nursing personnel § In 2000 were 156 DHs, 93 Pus (4, 586 beds), 167 RHs (4, 382 beds)
![Preventive Services 252 Health Units MOH offices headed by Medical Officers of Health Preventive Services § 252 Health Units (MOH offices) headed by Medical Officers of Health,](https://slidetodoc.com/presentation_image/a57583e3edf3a7dbad52ff9fddfd4264/image-23.jpg)
Preventive Services § 252 Health Units (MOH offices) headed by Medical Officers of Health, carry out preventive services. § The staff include PHIs, PHNs & Midwifves
![Health Manpower Medical officers 7 963 Persons per doctor Health Manpower § § § Medical officers – 7, 963 Persons per doctor –](https://slidetodoc.com/presentation_image/a57583e3edf3a7dbad52ff9fddfd4264/image-24.jpg)
Health Manpower § § § Medical officers – 7, 963 Persons per doctor – 2431 Number of Nurses per 100, 000 population – 76 § There was a shortage of Radiographers, Physiotherapists, Medical Laboratory Technicians, Pharmacists and ECG Recordists
![Health Manpower Training Basic Training Universities NIHS Kalutara Training Schools Post Health Manpower Training Basic Training § Universities § NIHS -Kalutara § Training Schools Post](https://slidetodoc.com/presentation_image/a57583e3edf3a7dbad52ff9fddfd4264/image-25.jpg)
Health Manpower Training Basic Training § Universities § NIHS -Kalutara § Training Schools Post Basic Training § PGIM § Abroad - Fellowships § PBS- Nursing § In-service Training Programmes
![End of Lesson 1 End of Lesson 1](https://slidetodoc.com/presentation_image/a57583e3edf3a7dbad52ff9fddfd4264/image-26.jpg)
End of Lesson 1
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