Sri Lanka has achieved exceptional progress in reducing maternal mortality, which has been an exemplary role model to other developing countries. It has a strong maternal death investigation procedure with one of the best maternal death surveillance systems in the developing world. However, Sri Lanka does not have a maternal morbidity surveillance system. Data on maternal morbidity is limited to hospital returns. The quality of data and the validity of information in the curative health sector in Sri Lanka is questionable and usually not widely accepted. As a developing country with limited resources, further reduction of maternal mortality is a huge challenge for Sri Lankan maternal care health services. It is evident that for every maternal death, at least ten more mothers go through severe life threatening stages. Understanding of the burden of disease during pregnancy and postpartum period and Investigation of maternal morbidity and its determinants are of utmost important in further reduction of maternal mortality. Further, evaluation of economic impact of maternal morbidity is essential to plan cost effective intervention programs in resource poor settings in Sri Lanka.
First Stake holderes meeting was held on 9th July 2010, with stakeholders from the university, hospital, field and public health administraters
Project workshop on "Productivity cost and Health economics" was held in January 2011. IMMPACT tool investigator Dr.Davis Newland conduct the workshop.
The department of Community Medicine, Faculty of Medicine and Allied Sciences of the Rajarata university of Sri Lanka is the leading academic institute for community health for the North Central province. Rajarata University of Sri Lanka , located in the North Central Province of the country, was established in 1996. It envisages to highlight the city, Mihintale, which marks the inception of the Sri Lankan social development, as a most prominent centre of the present academic arena in the Sri Lankan history.The faculty of Medicine and Allied Sciences was established in 2006 and currently functioning as the research hub for health research in the north central and north provinces of the country. The department of Community Medicine was established in 2009 with two permanent academic staff members, three temporary academics and an invited professor. Department staff were involved in maternal mortality investigations, safe motherhood programs, community based neonatal care programs and various other community based MCH programs since 2006. They were team members of a quality improvement project on maternal mortality investigation in 2006 and provided reproductive health clinical services as co-coordinators of a youth friendly health services project. Further, the project team members were engaged in policy-oriented research related to MCH for the last 4 years, which produces several journal articles.
MCH related publications in peer reviewed journals, by the project team
Agampodi SB, Agampodi TC, Chandrasekara P. Family planning prevalence among post partum mothers attending child welfare clinics, Indian Journal of Community Medicine. 2009;34:265-6.
Agampodi SB, Agampodi T, Use of exclusive breast feeding definitions; a call for action! Sri Lanka Journal of Child Health, 2009; 38: 77-78. http://www.srilankacollegeofpaediatricians.com/pubs/Correspondence%20June%202009.pdf
Agampodi SB, Agampodi TC, Piyaseeli UKD. Adolescents’ perception of reproductive health care services in Sri Lanka. BMC Health Service Research 2008; 8:98. http://www.biomedcentral.com/1472-6963/8/98
Agampodi SB, Agampodi TC and Piyaseeli UKD. Breastfeeding practices in a public health field practice area in Sri Lanka: a survival analysis. International Breastfeeding Journal 2007; 2:13. http://www.internationalbreastfeedingjournal.com/content/2/1/13
Agampodi SB, Agampodi TC. Effect of low cost public health staff training on Exclusive Breastfeeding. Indian Journal of Paediatrics. 2008;75:1115-9. http://www.springerlink.com/content/725610405wv07311/
Two members of the project team has been awarded full scholarships to participate in GMH conference
The "Maternal Morbidity Project"
The "Disease Burden and the Economic Impact of Maternal Morbidity in Sri Lanka is the first project of its' kind undertaken by the Department of Community Medicine, Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka. The project is a subward by Engender Health, Inc., a New Jersey corporation located at 440 Ninth Avenue, New York, New York 10001, USA.