A5045399499- Healthcare Policy and Management
- Health Systems, Economic Evaluations, Quality of Life
- Autopsy Techniques and Outcomes
- Health disparities and outcomes
- Healthcare Systems and Reforms
- Global Maternal and Child Health
- Stroke Rehabilitation and Recovery
- Occupational Health and Safety Research
- Child Nutrition and Water Access
- Gastric Cancer Management and Outcomes
- Maternal and Neonatal Healthcare
- Vitamin D Research Studies
- Adolescent Sexual and Reproductive Health
- School Health and Nursing Education
- Blood Pressure and Hypertension Studies
- Global Health Workforce Issues
- Data-Driven Disease Surveillance
- Urological Disorders and Treatments
- HER2/EGFR in Cancer Research
- Pharmaceutical Economics and Policy
- Sex work and related issues
- Pediatric Urology and Nephrology Studies
- HIV/AIDS Research and Interventions
- Cardiac Health and Mental Health
- Global Public Health Policies and Epidemiology
KVG Medical College & Hospital
2024
The University of Melbourne
2019-2023
Ministry of Health, Nutrition and Indigenous Medicine
2019-2023
Office of the Director
2018-2023
University of Colombo
2014-2023
The George Institute for Global Health
2023
Western Cape Department of Health
2023
Pathwest Laboratory Medicine
2021
National Hospital of Sri Lanka
2021
Weatherford College
2019
Abstract Background Accurate and timely cause of death (COD) data are essential for informed public health policymaking. Medical certification COD generally provides the majority in a population is an component civil registration vital statistics (CRVS) systems. completion medical certificate (MCCOD) should be relatively straightforward procedure physicians, but mistakes common. Here, we present three training strategies implemented five countries supported by Bloomberg Philanthropies Data...
Abstract Background The majority of low- and middle-income countries (LMICs) do not have adequate civil registration vital statistics (CRVS) systems to properly support health policy formulation. Verbal autopsy (VA), long used in research, can provide useful information on the cause death (COD) populations where physicians are available complete medical certificates COD. Here, we report application SmartVA tool for collection analysis data several as part routine CRVS activities. Methods...
Studies across the world have shown that parent-adolescent SRH communication can prevent unhealthy sexual and reproductive health (SRH) practices among adolescents promote their health. Parents ability to provide individualized sex education suit needs of children, families, societal values. The fact children more opportunities in family, makes parent-based sexuality a better approach Sri Lankan context.To explore mother's perceptions concerns over sharing information with daughters...
Stroke is a leading disease accounting for burden of chronic NCDs especially in lower and lower-middle income (LMI) settings. Quality Life (QOL) considered as an important facet determination success patient management. EQ-5D-3L generic QOL tool. It provides index score amalgamating responses five descriptive questions visual analogue scale (VAS) value.To assess the validity reliability stroke patients Sri Lanka, which LMI setting.A cross sectional study was done among 100 survivors whom 50...
The treatment modality of gastric adenocarcinoma (GCA) depends on the stage disease at clinical presentation. Long delays are probably an unfavorable factor for patient's prognosis. A prospective longitudinal, study involving 145 consecutive GCA was conducted National Hospital Sri Lanka (NHSL). overall delay (in weeks) recorded each patient and divided into four periods-patient, endoscopy, pathology treatment. median Interquartile Range (IQR) duration were calculated differences explored...
Objective EQ-5D-3L is a generic QOL tool used mainly in economic evaluations. Burden of Chronic Kidney Disease (CKD) rising Sri Lanka. Assessing the validity tools creates new opportunities their utilization among patients with CKD. Methods A cross-sectional study was conducted 1036 CKD patients, selected using simple random sampling technique. The tested six a-priori hypotheses. These included construct assessments, evaluating convergent and performing known group comparisons. EQ-5D-3L,...
Pre-event Quality of Life (QOL) reflects the true social circumstances in which people live prior to onset myocardial infarctions. It is believed be a predictor post-event QOL. The aim this study was describe pre-event QOL and its influence on among patients with ST elevation (STEMI) Non-ST infarctions (NSTEMI) using Short Form-36 (SF-36), generic tool 8 domains. Documented literature rare regard Sri Lanka, lower-middle-income country. A cross-sectional 28-day post-discharge follow-up...
Abstract Background Sexual violence among adolescents has become a major public health concern in Sri Lanka. Lack of sexual awareness is reason for adverse outcomes This study was intended to explore the effectiveness worksite-based parent-targeted intervention improve mothers’ knowledge, and attitudes on preventing their adolescent female offspring mother-daughter communication prevention with family. Methods “My mother my best friend” an designed based previous research behavioral...
Burden from ischemic heart disease is rising in Sri Lanka due to the demographic and epidemiological transitions. Documented literature scarce on quality of life, financial burden its determinants relation myocardial infarction (MI). This study was done describe among survivors MI managed only with drugs (i.e. those who did not undergo Percutaneous Coronary Intervention or Artery Bypass Graft) association selected social (SDHs) life (QOL).A cross sectional 13 hospitals premier province...
Abstract Background Good quality cause of death (COD) information is fundamental for formulating and evaluating public health policy; yet most deaths in developing countries, including the Solomon Islands, occur at home without medical certification (MCCOD). As a result, COD data such contexts are often limited use policy planning. Verbal autopsies (VAs) cost-effective way generating reliable populations lacking comprehensive MCCOD coverage, but this method has not previously been applied...
Background Correct certification of cause death by physicians (i.e. completing the medical certificate or MCCOD) and correct coding according to International Classification Diseases (ICD) rules are essential produce quality mortality statistics inform health policy. Despite clear guidelines, errors in common. This study objectively measures impact different upon selection underlying death. Methods A sample 1592 error-free MCCODs were selected from 2017 United States multiple data. The ten...
The majority of deaths in the Philippines occur out-of-facility and require a medical certificate cause death by Municipal Health Officers (MHOs) for burial. MHOs lack standardised certification process when no records are available, certify high proportion ill-defined causes death. We aimed to develop introduce SmartVA Auto-Analyse, verbal autopsy (VA) based electronic decision support tool order assist certifying deaths.We conducted stakeholder consultation, mapping pre-test assess...
Cause of death data are essential for rational health planning yet not routinely available in Papua New Guinea (PNG) and Solomon Islands. Indirect estimation cause patterns suggests these populations epidemiologically similar, but such assessments based on direct evidence.
Abstract Objective Occupational hazards is an area where many countries have begun to pay more emphasis as it affects the health of particularly in developing countries. However, documented literature scarce this regard although occupational are common workplaces. The study was carried out with objective describing physical and control measures adopted formal medium large-scale industrial sector Sri Lanka. Results Of 69 units 25 factories, detected workplaces were; excessive noise (78.3%),...
Accurate prediction of reference ranges renal lengths facilitates clinical decision making. Currently a single renal-length-reference chart is used for both kidneys, which solely based on the age child without adjusting anthropometrics. Objective study to assess length morphologically-normal kidneys ultrasonically and build models predict children presenting at Radiology Department Lady Ridgeway Hospital Children.A descriptive cross sectional was done among 424 with 233 males 191 females...
Background: Setting public health policies and effectively monitoring the impact of interventions requires accurate, timely complete cause death (CoD) data for populations. In Sri Lanka, almost half all deaths occur outside hospitals, with questionable diagnostic accuracy, thus limiting their information content policy. Objectives: To ascertain whether SmartVA is applicable in improving specificity out-of-hospital hence enhance value these routinely collected informing policy debates....