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AYUBOWAN

AYUBOWAN. WELCOME TO SRILANKA. DR. VIPULA WICKRAMASINGHE DR. NIMALA SAMARADIWAKARA JICA TRAINEES 2009. SRI LANKA IN BREIF.

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  1. AYUBOWAN WELCOME TO SRILANKA DR. VIPULA WICKRAMASINGHE DR. NIMALA SAMARADIWAKARA JICA TRAINEES 2009

  2. SRI LANKA IN BREIF The island of Sri Lanka lies in the Indian Ocean, to the southwest of the Bay of Bengal and to the southeast of the Arabian Sea. It is separated from the Indian sub continent by the Gulf of Mannar and the Palk Strait

  3. HISTORY OF SRILANKA • TWO THOUSAND YEARS OF RULE BY LOCAL KINGDOMS • FROM 1505 – 1850 PARTS OF THE SRILANKA WERE COLONIZED BY THE PORTUGAL AND THE DUTCH • FROM 1815 – 1948 BRITISH CONTROLLED THE ENTIRE COUNTRY • IN 1948 POLITICAL INDIPENDENCE WAS GRANTED BY THE BRITISH AFTER PEACEFUL NEGOTIATION • SRILANKA IS KNOWN AS CEYLON BEFORE 1972 • IN 1972 SRILANKA OBTAINED HER TOTAL SOVERNITY FROM THE BRITISH

  4. ABOUT SRILANKANS • POPULATION 21,128,773 AND THE DENSITY 319/km² • SRILANKA IS A MULTI ETHNIC AND MULTI RELIGIOUS NATION • SINHALA COMMUNITY FORMS THE MAJORITY OF THE POPULATION WITH THE TAMILS ,MOORS, BURGHERS AND MALAYS • 78% OF THE POPULATION FOLLOWING BUDDHISM AND REST FOLLOWS HINDUISM, CHRISTIANITY AND ISLAM • LITERACY RATE OVER 96%

  5. GOVERNANCE • SRILANKA, OFFICIALY THE DEMOCRATIC SOCIALIST REPUBLIC OF SRILANKA HEADED BY THE EXCUTIVE PRESIDENT • LEGISLATION, THE PARLIMENT COMPRISED OF 225 MEMBERS HEADED BY THE PRIME MINISTER • JUDICIARY HEADED BY THE CHIEF JUSTICE

  6. SRILANKA IN BRIEF Life expectancy: Males 72, Females 76 Literacy ratio: over 96%

  7. ECONOMY OF SRILANKA • TOTAL GDP $ 84,992 billion AND PER CAPITA INCOME $ 4264 • FAMOUS PRODUCTION AND EXPORTS ARE TEA, COFFEE, COCONUTS, RUBBER AND GEMS • SRILANKA IS A WORLD FAMOUS TOURIST DESTINATION • SRILANKANS ENJOY THE PRIVILAGE OF FREE HEALTH AND FREE EDUCATION

  8. OUR ORGANIZATION MINISTRY OF HEALTH CARE AND NUTRITION DEPT. OF HEALTH DEPT. OF NUTRITION DIRECTOR GENERAL OF HEALTH SERVICES DDG DDG DDG DDG DDG DDG DDG DDG DDG MEDICAL PUBLIC FINANCE NURSING DENTAL ADMIN PLANNING ETR INT.HEALTH SERVICES HEALTH SERVICES DIRECTOR (CURATIVE) DIRECTOR (PREVENTION) ALL CONSULTANTS AND DENTAL SURGEONS ALL CONSULTANTS AND DENTALSURGEONS IN - NATIONAL HOSPITAL OF SRILANKA IN - EPIDEMIOLOGY UNIT - PROVINCIAL GENERAL HOSPITALS - FAMILI HEALTH BUREAU - PROVINCIAL HOSPITALS - RDHS OFFICES - BASE HOSPITALS - MOH OFFICES - RURAL HOSPITALS - COMMUNITY DENTAL CLINICS - CENTRAL DISPENSERIES - ADOLESCENT DENTAL CLINICS - MATERNITY HOMES - SPECIALISED UNITS eg; CANCER INSTITUTE

  9. TASKS • To empower community for maintaining and promoting their health. • To improve comprehensive health services delivery and health action. • To strengthen stewardship and management of functions. • To improve the management and human resources for health. • To improve health finance, mobilization, allocation and utilization

  10. DISTRIBUTION OF DENTISTS IN SRILANKA • Dentists in Governmental organizations Department of Health , Ministry of Health Care and Nutrition - 1150 • Armed Forces - 60 • University, Ministry of Higher Education - 140 • Dentists in Private Organizations - 650 TOTAL - 2000 “Ratio - 21128773/2000 = 10564.39”

  11. DENTISTS IN GOVERNMENT ORGANIZATIONS • CONSULTANT ORAL & MAXILLOFACIAL SURGEONS • CONSULTANT ORTHODONTISTS • CONSULTALT RESTORATIVE DENTISTS • CONSULTANT COMMUNITY DENTISTS • DENTAL SURGEONS IN HOSPITALS AND COMMUNITY CLINICS

  12. ARMED FORCES • ARMY • NAVY • AIR FORCE • POLICE CONSULTANT DENTAL SURGEONS AND DENTAL SURGEONS

  13. UNIVERSITY- MINISTRY OF HIGHER EDUCATION • FACULTY OF DENTAL SCIENCES, UNIVERSITY OF PERADENIYA - THE DEAN - PROFESSORS - SENIOR LECTURERS - LECTURERS - DEMOSTRATORS

  14. DENTISTS IN PRIVATE SECTOR • DENTISTS IN - PRIVATE HEALTH CARE INSTITUTIONS - FULL TIME PRIVATE PRACTICE

  15. DENTAL AUXILLARY SERVICES • DENTAL THERAPIST TRAINING SCHOOL • SCHOOL DENTAL CLINICS IN THROUGH OUT THE COUNTRY

  16. EPIDEMIOLOGY OF DENTAL DIESEASES DENTAL CARIES

  17. 6 YEARS DECIDOUS TEETH • Prevalence of caries in Sri Lanka was 76.42% • Prevalence of active caries in Sri Lanka was 73.11% • Percentage of children with all carious teeth treated in Sri Lanka was only 3.31 • d.m.f.t at the age of 6 years was 4.1 • Mean number of decayed teeth was 3.6 • Mean number of missing teeth was 0.22 • Mean number of filled teeth was 0.29

  18. 6 YEARS PERMENENT TEETH • Prevalence of caries in Sri Lanka was 9.61% • Prevalence of active caries in Sri Lanka was 9.21% • Percentage of children with all carious teeth treated in Sri Lanka was only 0.41 • D.M.F.T at the age of 6 years was 0.17 • Mean number of decayed teeth was 0.153 • Mean number of missing teeth was 0.014 • Mean number of filled teeth was 0.005

  19. 12 YEARS PERMENENT TEETH • Prevalence of caries in Sri Lanka was 53.17% • Prevalence of active caries in Sri Lanka was 46.93% • Percentage of children with all carious teeth treated in Sri Lanka was only 6.24 • D.M.F.T at the age of 12 years was 1.44 • Mean number of decayed teeth was 1.16 • Mean number of missing teeth was 0.11 • Mean number of filled teeth was 0.17

  20. 15 YEARS PERMENENT TEETH • Prevalence of caries in Sri Lanka was 69.71% • Prevalence of active caries in Sri Lanka was 65% • Percentage of children with all carious teeth treated in Sri Lanka was only 4.71 • D.M.F.T at the age of 15 years was 2.58 • Mean number of decayed teeth was 2.11 • Mean number of missing teeth was 0.32 • Mean number of filled teeth was 0.14

  21. 35-44 YEARS PERMENENT TEETH • Prevalence of caries in Sri Lanka was 91.16% • Prevalence of active caries in Sri Lanka was 79.63% • Percentage of 35-44 years with all carious teeth treated in Sri Lanka was only 11.33 • D.M.F.T at the age of 35-44 years was 10.08 • Mean number of decayed teeth was 3.85 • Mean number of missing teeth was 5.83 • Mean number of filled teeth was 0.4 • Edentulousness at this age in Sri Lanka was 1.64%

  22. 65-74 YEARS PERMENENT TEETH • Prevalence of caries in Sri Lanka was 64.45% • Prevalence of active caries in Sri Lanka was 46.49% • Percentage of 65-74 years with all carious teeth treated in Sri Lanka was only 17.96 • D.M.F.T at the age of 65-74 years was 22.58 • Mean number of decayed teeth was 2.07 • Mean number of missing teeth was 20.35 • Mean number of filled teeth was 0.06 • Edentulousness at this age in Sri Lanka was 36.93%

  23. PERIODONTAL STATUS AND TREATMENT NEED

  24. 6 YEARS • Prevalence of bleeding gingival at this age was 46.33% • Prevalence of calculus at this age was 21.78% • Need for oral hygiene instructions in Sri Lanka is 68.2% • Treatment need , oral prophylaxis is needed 21.8%

  25. 12 YEARS • Prevalence of bleeding gingival at this age was 29.67% • Prevalence of calculus at this age was 54.1% • Need for oral hygiene instructions in Sri Lanka is 86.6% • Treatment need , oral prophylaxis is needed 56.9%

  26. 15 YEARS • Prevalence of bleeding gingival at this age was 21.31% • Prevalence of calculus at this age was 52.56% • Need for oral hygiene instructions in Sri Lanka is 67.3% • Treatment need , oral prophylaxis is needed 66%

  27. 35-44 YEARS • Prevalence of bleeding gingival at this age was 5.13% • Prevalence of calculus at this age was 29.13% • Need for oral hygiene instructions in Sri Lanka is 97.9% • Treatment need , oral prophylaxis is needed 92.8% • Complex treatment need is 20%

  28. 65-74 YEARS • Prevalence of bleeding gingival at this age was 0.4% • Prevalence of calculus at this age was 13.59% • Need for oral hygiene instructions in Sri Lanka is 99.2% • Treatment need , oral prophylaxis is needed 98.4% • Complex treatment need is 38.9%

  29. “ NATION WIDE ORAL HEALTH SURVEYS REVEAL THAT THE PREVALENCE OF THE MAIN DENTAL DISEASES ARE ON THE DECLINING PHASE, HOWEVER UNTREATED NUMBER OF INDIVIDUALS ARE NOT ON PROPOTIONALLY LOW AS MUCH” * ACCORDING TO THE NATIONAL ORAL HEALTH SURVEY 2004

  30. COMPARISON OF PERIODONTAL DISESASE STATUS * Age between 65- 74 years

  31. MAJOR ISSUES TO BE ADDERSSED • PARENTAL EDUCATION TO PREVENT DENTAL CARIES IN CHILDREN SPECIALLY AGES BETWEEN 2-5 YEARS • TO IMPROVE BEHAVIOURAL SKILLS IN YOUNG ADULTS IN RELATION TO GUM HEALTH • TO IMPROVE ORAL HEALTH AND HYGINE OF PREGNANT MOTHERS • TO IMPROVE KNOWLEDGE IN ADULTS IN ORAL CANCERS

  32. THANK YOU THANK YOU

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