Non-Communicable Disease Burden in the Western Province, Sri Lanka

World Bank

World Bank, Washington, DC

关键词: NONCOMMUNICABLE DISEASE;    HEALTH SERVICES;    DISEASE CONTROL;    HYPERTENSION;    OBESITY;   

RP-ID  :  ACS23224

学科分类：社会科学、人文和艺术（综合）

来源: World Bank Open Knowledge Repository

【 摘 要 】

With its impressive maternal and childhealth outcomes and control of communicable diseases, SriLanka is often depicted as a success story. The primaryobjectives of this study are to examine the prevalence anddistribution of non-communicable disease (NCDs) and riskfactors across socioeconomic and demographic groups (in theWestern province of Sri Lanka) and assess the performance ofthe health system with regards to NCDs. The focus is onadult health. The study also looks at patterns of healthcare use, the choice of public versus private care, and theuse of primary level facilities. While the study is focusedon the Western province, recommendations apply to thecountry as a whole. In addition, the study presents data bysocio-economic groups, which can allow for tailoredapproaches to address the growing burden of NCDs. Suchdisaggregated data are not available in the national healthinformation system and most administrative data systems.This study attempts to fill those gaps. The report isorganized as follows: chapter one gives introduction.Chapter two examines the population’s health status and thephysiological risk factors for NCDs. Chapter three exploresbehavioral and environmental risk factors. Chapter fourreports patterns of health care use. In chapter five, theamount and distribution of out of-pocket payments isexplored. Chapter six examines gaps in the existing healthsystem in terms of delivering effective care for NCDs.Finally, chapter seven presents conclusions and recommendations.