33 research outputs found
The organization and operation of Pre- Hospital care emergency ambulance Service (Suwaseriya1990) in Sri Lanka
No full textAbstract: In 2016 Suwaseriya1990 ambulance service was launched and in 2018, Suwaseriya1990 Foundation was established by parliamentary act No.18 of 2018 to deliver high quality pre-hospital emergency health care to people of Sri Lanka. At present, Suwaseriya1990 provide island-wide, pre- hospital emergency care to all Sri Lankan free of charge at point of delivery. Objective of this study is to study the organization and operation of Pre-Hospital Care emergency ambulance service (Suwaseriya1990) in Sri Lanka
A desk review was conducted to studying the organization and operation of Suwaseriya 1990 and thematic areas were based on World Health Organization’s Health system frame work. Narrative data synthesis was done for reporting.
Thematic areas were recorded positives in leadership and governance, services delivery, information technology and work force. Gaps and opportunities for development can be seen in leadership and governance, work force and service delivery. Average response time of ambulance is less than 14.32 minute in non-Colombo area and 8.38 minute in Colombo area. Some policies like equity, quality and risk reduction and mechanism for evidence base practice is lacking. Opportunities are existed for service expansion and staff development
Improvement of Capacity of Emergency Medical Technician and strengthening of evidence base practices are recommended for further improvement of services. Further policy development of equity, quality and risk reduction is recommended
Keywords: Emergency Medical Care, Suwaseriya1990, Pre-Hospital Care, Emergency ambulance service, Emergency Medical Technician, Call center.
Title: The organization and operation of Pre- Hospital care emergency ambulance Service (Suwaseriya1990) in Sri Lanka
Author: Indika Wanninayake, Hemantha Ranasinghe
International Journal of Recent Research in Social Sciences and Humanities (IJRRSSH)
ISSN 2349-7831
Vol. 9, Issue 2, April 2022 - June 2022
Page No: 297-302
Paper Publications
Website: www.paperpublications.org
Published Date: 28-June-2022
DOI: https://doi.org/10.5281/zenodo.6773038
Paper download Link (Source)
https://www.paperpublications.org/upload/book/The%20organization%20and%20operation-28062022-6.pdfInternational Journal of Recent Research in Social Sciences and Humanities (IJRRSSH), ISSN 2349-7831, Paper Publications, Website: www.paperpublications.or
An empirical investigation of health information system failure in regional Sri Lanka
No full textPublic health decision making is critically dependant on accurate, timely and reliable information. There is a widespread belief that most of the national and sub-national health information systems fail in providing much needed information support for evidence based health planning and interventions. This situation is more acute in developing nations where resources are either stagnant or decreasing, coupled with the situations of demographic transition and double burden of diseases. Literature abounds with publications, which provide information on misguided health interventions in developing nations, leading to failure and waste of resources. Health information system failure is widely blamed for this situation. Nevertheless, there is a dearth of comprehensive evaluations of existing national or sub-national health information systems, especially in the region of South-East Asia. This study makes an attempt to bridge this knowledge gap by evaluating a regional health information system in Sri Lanka. It explores the strengths and weaknesses of the current health information system and related causative factors in a decentralised health system and then proposes strategic recommendations for reform measures. A mix methodological and phased approach was adopted to reach the objectives. An initial self administered questionnaire survey was conducted among health managers to study their perceptions in relation to the regional health information system and its management support. The survey findings were used to establish the presence of health information system failure in the region and also as a precursor to the more in-depth case study which was followed. The sources of data for the case study were literature review, document analysis and key stake holder interviews. Health information system resources, health indicators, data sources, data management, data quality, and information dissemination were the six major components investigated. The study findings reveal that accurate, timely and reliable health information is unavailable and therefore evidence based health planning is lacking in the studied health region. Strengths and weaknesses of the current health information system were identified and strategic recommendations were formulated accordingly. It is anticipated that this research will make a significant and multi-fold contribution for health information management in developing countries. First, it will attempt to bridge an existing knowledge gap by presenting the findings of a comprehensive case study to reveal the strengths and weaknesses of a decentralised health information system in a developing country. Second, it will enrich the literature by providing an assessment tool and a research method for the evaluation of regional health information systems. Third, it will make a rewarding practical contribution by presenting valuable guidelines for improving health information systems in regional Sri Lanka
Information support for health management in regional Sri Lanka : health managers’ perspectives
No full textGood management, supported by accurate, timely and reliable health information, is vital for increasing the effectiveness of Health Information Systems (HIS). When it comes to managing the under resourced health systems of developing countries, information-based decision making is particularly important. This paper reports findings of a self-report survey that investigated perceptions of local health managers (HMs) of their own regional HIS in Sri Lanka. Data were collected through a validated, pre-tested postal questionnaire, and distributed among a selected group of HMs to elicit their perceptions of the current HIS in relation to information generation, acquisition and use, required reforms to the information system and application of information and communication technology (ICT). Results based on descriptive statistics indicated that the regional HIS was poorly organised and in need of reform; that management support for the system was unsatisfactory in terms of relevance, accuracy, timeliness and accessibility; that political pressure and community and donor requests took precedence over vital health information when management decisions were made; and use of ICT was unsatisfactory.\ud
\ud
HIS strengths included user-friendly paper formats, a centralised planning system and an efficient disease notification system; weaknesses were lack of comprehensiveness, inaccuracy, and lack of a feedback system. Responses of participants indicated that HIS would be improved by adopting an internationally accepted framework and introducing ICT applications. Perceived barriers to such improvements were high initial cost of educating staff to improve computer literacy, introduction of ICTs, and HIS restructure. We concluded that the regional HIS of Central Province, Sri Lanka had failed to provide much needed information support to HMs. These findings are consistent with similar research in other developing countries and reinforce the need for further research to verify causes of poor performance and to design strategic reforms to improve HIS in regional Sri Lanka
Integration of refinery flare gas system with fuel gas network for power generation
No full textThe high price of crude oil, strict environmental regulations and increasing demand for energy have made refineries adopt a more holistic approach to integrating energy, economics and environment in their design and operation. In this situation gas flaring can be considered as a major course for wasting energy in oil and gas refineries. It can be modified and use it for power generation and in-house heat generation. In this study a novel methodology is introduced to utilize the flare gas generated in a refinery through utilizing the pressure energy generated within the process. The proposed methodology uses pressure stages to regulate the pressures in predefined values and use either natural gas or LPG to makeup the gas requirement other than the gases from the process and flare system. Especial attention was given to regulate the existing FGN operation and to recover steady flow out for power generation. According to the cases analyzed with different input parameters, there was no observed variations in the vessel pressures and desired gas output flows. The gas flow from the plant values was set to vary up to 1574 g/s and the flare gas flow is varied up to 422 g/s. The profitability of using the flare gas recovered has been analyzed in 6 cases. Accordingly the total profit gain depends on the excess gases generated within the refinery, total gasses used in the process furnaces, total electricity demand and the makeup gas price. Considering LPG as a makeup gas and with the low LPG prices, there is maximum profit gain of 7,141,943 LKR in the situation where the power is generated using flare gas in the peak hours only
Evidence based healthcare planning in developing countries : an informatics perspective
No full textMost of the national Health Information Systems (HIS) in resource limited developing countries do not serve the purpose of management support and thus the service is adversely affected. While emphasising the importance of timely and accurate health information in decision making in healthcare planning, this paper explains that Health Management Information System Failure is commonly seen in developing countries as well as the developed countries. It is suggested that the possibility of applying principles of Health Informatics and the technology of Decision Support Systems should be seriously considered to improve the situation. A brief scientific explanation of the evolution of these two disciplines is included
Reasons for including multiage settings in teacher preparation
No full textTeaching is a complex and cognitively demanding exercise where teachers need to draw on their expertise in a contextually-sensitive manner. Multiage settings that comprise students with widely different abilities, ages, and cognitive and linguistics capabilities, require teachers to develop and upgrade specific pedagogic and administrative skills. Teacher education programmes offered at Australian universities however are yet to fully recognise this need. In this paper, the author develops an argument for inclusion of specific training in multiage
education in Australian teacher education programmes
ANALISIS PERTIMBANGAN HUKUM HAKIM DALAM MENJATUHKAN PIDANA MATI BAGI TERDAKWA KEKERASAN SEKSUAL TERHADAP ANAK (Studi Kasus Putusan Nomor : 86/Pid.SUS/2022/PT BDG)
No full textThis study aims to find out and analyse the judge's legal considerations in imposing the death penalty for defendants of sexual violence against children Decision Number: 86 / Pid.SUS / 2022 / PT BDG regarding the imposition of
criminal verdicts is related to the fulfilment of the principle of restorative justice for victims of sexual violence, where in the decision of the Bandung District Court Judges according to the author has not fulfilled restorative justice for victims so that the Public Prosecutor submits to the level of Appeal with the aim of asking for legal justice against a verdict that is considered inappropriate in imposing criminal sanctions on the victim who is a teacher who committed sexual violence against the victim who is a student of his own number of 12 people who are on average underage
Computer literacy among first year medical students in a developing country: A cross sectional study
No full textAbstract Background The use of computer assisted learning (CAL) has enhanced undergraduate medical education. CAL improves performance at examinations, develops problem solving skills and increases student satisfaction. The study evaluates computer literacy among first year medical students in Sri Lanka. Methods The study was conducted at Faculty of Medicine, University of Colombo, Sri Lanka between August-September 2008. First year medical students (n = 190) were invited for the study. Data on computer literacy and associated factors were collected by an expert-validated pre-tested self-administered questionnaire. Computer literacy was evaluated by testing knowledge on 6 domains; common software packages, operating systems, database management and the usage of internet and E-mail. A linear regression was conducted using total score for computer literacy as the continuous dependant variable and other independent covariates. Results Sample size-181 (Response rate-95.3%), 49.7% were Males. Majority of the students (77.3%) owned a computer (Males-74.4%, Females-80.2%). Students have gained their present computer knowledge by; a formal training programme (64.1%), self learning (63.0%) or by peer learning (49.2%). The students used computers for predominately; word processing (95.6%), entertainment (95.0%), web browsing (80.1%) and preparing presentations (76.8%). Majority of the students (75.7%) expressed their willingness for a formal computer training programme at the faculty. Mean score for the computer literacy questionnaire was 48.4 ± 20.3, with no significant gender difference (Males-47.8 ± 21.1, Females-48.9 ± 19.6). There were 47.9% students that had a score less than 50% for the computer literacy questionnaire. Students from Colombo district, Western Province and Student owning a computer had a significantly higher mean score in comparison to other students (p Conclusion Sri Lankan medical undergraduates had a low-intermediate level of computer literacy. There is a need to improve computer literacy, by increasing computer training in schools, or by introducing computer training in the initial stages of the undergraduate programme. These two options require improvement in infrastructure and other resources.</p
