Medicine
Permanent URI for this communityhttp://repository.kln.ac.lk/handle/123456789/12
This repository contains the published and unpublished research of the Faculty of Medicine by the staff members of the faculty
Browse
2 results
Search Results
Item Teenage pregnancy in Colombo Municipal Council area(Sri Lanka Medical Association, 2011) Perera, J.A.P.S.; Kumarendran, B.; Silva, K.T.INTRODUCTION AND OBJECTIVES: To describe the distribution of teenage pregnancy (TP) in Colombo Municipal Council area. METHODS: This descriptive cross-sectional study was based on secondary data analysis from the management information system related to maternal and child care for the period of 2004 to 2009. TP is defined as a pregnant female aged <20 years. Permission was obtained from CMC officials. Results: Of the registered pregnancies during 2007, 2008 and 2009, the percentage of TP (TPP) were 10% (1043/10386), 7.9% (805 / 10194) and 7.3 (660/9036) respectively. The average incidence of registered TP over these three years was 8.5%. Of the thirteen antenatal clinics (ANC) in the CMC, TPP was higher in Maligawatte (11.5%) and Bandaranayake Mawatha (11.3%) and lower in Kirullapone (6.1%) and Wasala Road (5.4%) clinics. The percentage deviation of TP from CMC level showed higher levels in CMC districts 2A (23.5%), 2B (8.2%) and lower levels in Districts 4 (-27.1%), 5 (-12.9%), 3 (-11.8%) and 1 (-10.6%). Linear regression of population in districts with TPP was significant (R2=0.91, p = 0.003). The range of population covered by PHM (PCP) varied widely among districts (7017 to 15969). Districts with lower PCP (Districts 2A and 2B) had higher TPP. Conclusions: Despite the reducing trend, TPP in CMC is higher than national and Colombo district levels. TPP and population per PHM area in CMC districts vary widely. Cadre revision of PHM should consider service needs in the districts in addition to population per PHM.Item Socio-economic gradient in the inequality of health related risk factors among slum dwellers in Colombo Municipal Council area(Sri Lanka Medical Association, 2011) Perera, J.A.P.S.; Kumarendran, B.INTRODUCTION AND OBJECTIVES: To describe the socio-economic inequalities in selected health related risk factors among slum dwellers in Colombo Municipal Council area (CMC). METHODS: This descriptive cross sectional study included 1000 slum dwelling households (HH) selected using multistage random sampling from twenty five neighborhoods in CMC during 2009. Data were collected by data collectors using a predesigned questionnaire and analysed using SPSS software. When appropriate, comparisons were made with the findings of Census of Population and Housing, 2001. Socio-economic quintiles were obtained from a composite score comprised of 13 variables. RESULTS: There were 5375 HH members in 1000 HH. Proportion of houses with five to nine HH members was higher in slums (60.7%, n = 607) than in CMC (45.2%, n = 51812, in 2001 census). Almost one fourth (24.9%, n= 774) of those aged ^8 had only primary or no formal education. Some health risks among the participants included usage of kerosene oil (55.5%, n - 2981) and firewood (16.1%, n= 863) for cooking, no separate kitchen inside the house (45%, n =2418), metal roof (21%, n=1131) and wooden wall (13.6%, n=730). Of the males aged >18 years, 42.6% (n=1491) reported consuming alcohol and 34.9% (n=509) reported smoking. Health related risk factors (n=12) showed significant gradients along the socio-economic quintiles. CONCLUSIONS: Several health risk factors were observed in higher proportion among slum dwellers than the overall population in CMC. Significant gradient of inequalities in health related risk factors were observed among socio-economic quintiles of slum dwellers in CMC.