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A Fulfilment of the Report for Application for ORAL HEALTH SCIENCE EDUCATION, JFY 2008 Training Course in Japan. COUNTRY REPORT SRI LANKA. Type: Trainers Training No. J08-00737 From April 23,2008 to August 9, 2008. By Dr. S.I. Bangamuarachchi Sri Lanka Ministry of Health. - PowerPoint PPT Presentation
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COUNTRY REPORT SRI LANKAA Fulfilment of the Report for Application for ORAL HEALTH SCIENCE EDUCATION, JFY 2008 Training Course in Japan
Type: Trainers Training No. J08-00737From April 23,2008 to August 9, 2008By Dr. S.I.
BangamuarachchiSri Lanka Ministry of Health
Country Report - Sri LankaDate - 15th May 2008Name of the Training Course - Oral Health Science EducationName of the Applicant - Senadhi Indrajith
Bangamuarachchi BDS (Sri Lanka) , DHDP
(Colombo)Home Address - 339/A , New Kandy Road,
Kothalawala, KaduwelaPhone No - +94 (0)714012584Office Address - Community Dental Clinic
Central Dispensary Waga
Phone No - +94 (0)714012584
General Information1.1 Basic facts Sri lanka is an island in the Indian Ocean with
approximately 65,654 square km, which starch maximum 435km length and 225km width.
Agricultural country, rich with natural beauty , cultural heritage and sandy beaches.
The per capita GDP was 1,355 US $ with growth rate of 6% .
Official Currency Rupee (Rs.) and govern byParliamentary democratic system while Colomboremains as capital.
1.2 Population Total population 21.1 million with an annual growth rate of 1.7 .
72.2% of the population live in rural areas while 21.5% live in urban areas.
Main Ethnic Groups (%)
Indian Tamils 5.5%
Others 0.8%
Moors 7.1%
Sinhalese 74%
SriLankanTamils 12.6%
Religions Commonly Practised (%)
Hinduism 15.5%
Christianity 7.6%
Islam 7.5%
Buddhism 69%
1.3 Vital Statistics ( According to the Annual Health Bulletin )
Crude birth rate - 17.3% (rate per 1000)
Crude death rate - 6% (rate per 1000)
Maternal mortality rate - 0.23% (rate per 1000 births)
Infant mortality rate - 16.3% (rate per 1000 births)
Life expectancy at birth - 70.7 years (male)75.4 years (Female)
Literacy rate - 90.1% (age 5yrs and above)
1.4 Health Service
Health care service provide by both public sector which covers the 60% of the population and privet sector.
95% of in-patient care given by public sector , through the network of Teaching, Provincial, Base, District, Peripheral Unit, Rural Hospital, Central Dispensaries & Maternity Home throughout the Island.
The Board aim of Health policy of Sri Lanka, Increase life expectancy and improvement in quality of life.
5.6% of the national expenditure accounted for health services and funded by Sri LankaGovernment and NGO’s (WHO, UNICEF, JICA etc..).
1.4 Health Service (cont..)
Doctor : Population ratio 1 : 2739
Medical officers and dental surgeons trained through University curriculum leading to a bachelor degree and the post graduate institute of medicine provides specialist training.
Department of health provide various in-service training and refresher courses for other health care workers.
In addition international establishments offer training courses off shore.
0 500 1000 1500 2000 2500 3000
Traumatic Injuries
Diseases of the respiratory system, excluding diseases of upperrespiratory tract, influenza and pneumonia
Viral diseases
Symptoms, signs and abnormal clinical and laboratory findings
Diseases of the gastrointestinal tract
Intestinal infectious diseases
Direct and indirect obstetric causes
Diseases of the urinary system
Diseases of the musculoskelital system and connective tissue
Diseases of the skin and subcutaneous tissue
Hypertensive diseases
Leading Causes of Hospitalization
Cases per 100,000 population
Excludes single spontaneous delivery, false labour and those admitted and discharged before delivery.
Annual Health Bulletin – Source : Medical Statistics Unit
0 5 10 15 20
Ischaemic heart disease
Diseases of the gastrointestinal tract
Cerebrovascular disease
Pulmonary heart disease and diseases of pulmonary circulation
Neoplasms *
Diseases of the respiratory system, excluding diseases of upperrespiratory tract, influenza and pneumonia
Toxic effects of pesticides
Symptons, signs and abnormal clinical and laboratory findings
Zoonotic and other bacterial diseases
Traumatic injuries
Pnemonia
Leading Causes of Hospital Deaths
Deaths per 100,000 population
* Includes details reported (not classified by type of neoplasm) from Cancer Institute, Maharagama.
Annual Health Bulletin – Source : Medical Statistics Unit
1.5 Dental Services
Dental services are provide through both public and privet sector.
National level coordinated by Deputy Director General Dental Services and each district by a regional dental surgeon.
Dental health man power
Dentist population ration - 1 : 22,000
Operator population ratio - 1 : 15,725
1.5 Dental Services (Cont..)
Dental health man power
Consultant Dental & Maxillotacial surgeons - 20Consultant orthodontics - 08Consultant in restorative dentistry - 03Dental public health consultants - 06Dental surgeons in public sector -
1100Dental surgeons in private sector - 300School Dental therapists - 400Dental technician in the public sector - 38Dental technician in the private sector - 40Unqualified practitioners - 120
1.5 Dental Services (cont..)
Dental Health care providing institution in Sri Lanka
(A) Hospital dental services -Services mainly curative and free except for nominal fee
for orthodontic and prosthetic appliances.
(B) School dental services - Completely free and mainly focus on preventive care.
(C) Community dental services -Provide both curative and preventive care.
(D) Dental services in armed forces -Free dental care to service personal and their immediate families.
(E) University dental services
(F) Private dental services
1.6 Present situation and trend of the dental diseases
In year 1983/84 and 1994/95 respectively first and second national oral health surveys had been conducted with aid of WHO.
Periodontal Disease - Escalate toward major dental health problem in Sri Lanka.
Dental Caries - 2nd most common problem in Sri Lanka.
Oral Cancer - Is the commonest cancer seen among the Sri Lankan Population.
Dental Fluorosis - Mild to severe types were seen 2.5% - 6 years olds 5.6% - 12 years olds 0.7% - 35-44 years olds
Dentotacial Anomalies - Emerging problem in Sri Lanka
Traumatic Dental Injuries - Very common among children and young adults groups
1983/84 1994/95Health Gums 12 % 13.4 %Those who with Periodontitits % with bleeding gums only 9 % 29.7 % % with bleeding & calculus only 75.5 % 54.1 % % with bleeding calculus & pocketing 3.5 % 2.9 %
Table I - 12 years old Periodontal Status
Table II
Age group/Type of teeth Prevalence 83/84
Prevalence 94/95
DMFT 83/84
DMFT 94/95
6 year old/deciduous teeth 78 % 76.42 % 4.4 4.16 year old/permanent teeth 14 % 9.61 % 0.2 0.1712 year old/permanent teeth 67 % 53.17 % 1.9 1.415 year old - 69.71 % - 2.535-44 year old 92 % 91.16 % 9.2 10.165-74 year old 64.65 % - 22.5
Comparison of prevalence and DMFT in different age groups in two national surveys.
Fig 1 : Prevalence of Periodontal Disease % of various indicators in Sri Lanka
0102030405060708090
100
6 12 15 35-44 65-74Age in Years
Healthy Bleeding Calculus Shallow Pocket Deep Pocket
%
Prev
alen
ce
Fig 2 : Treatment Needs for Periodontal Disease
0
20
40
60
80
100
6 12 15 35-44 65-74Age in Years
No Treatment D.H.E. only Prophylaxis only Complex care
% R
equi
ring
Tr
eatm
ent
Fig 3 : Distribution of Treated & Active Caries Percentage of Persons in Sri Lanka
0102030405060708090
100
6 Deci 6 12 15 35-44 65-74Age in Years
Active Caries Treated Caries
%
Dis
trib
utio
n
Fig 4 : DMFT of Subjects in Sri Lanka
0
5
10
15
20
25
6 D 6 P 12 15 35-44 65-74Age in Years
Decayed Missing Filled
DM
FT
0
20
40
0 6 7 8 9 10 11 12 13 14 15Age in years
% of Children with tramatized
anteriorFemale Male
Distribution curve of incidence of traumatized anterior teeth according to their ages.
Distribution of types of accidents
Road-traffic Acc. 9.18%
Impacts with persons 3.06%
Impact with Objects 24.5%Unknow 1.02%
Falls of Pushes 51.02%Sports 11.22%
This chart clearly illustrated the distribution of type of accidents in traumatic dental injuries.
Organization Chart of The Ministry of Health
Dr. Senadhi I. Bangamuarachchi BDS (Sri Lanka), DHDP (Colombo) Sri Lanka Ministry of Health