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Trends in Sri Lankan Cause-Specific Adult Mortality

Sri Lanka is low to middle income country with rapidly growing public health care system. Its economy has shown some signs of growth in the past few years but not enough not to alleviate the situations of poverty that are prevalent in the country. Despite most of the burden of health care is take up by the government WHI still regards the Sri Lanka government of not being able to bridge the gap between the demand for services versus the supply of services. It is system that is inherently fragmented with lot of room for improvement in quality.

The disparities in the Sri Lankan cause-specific adult mortality by gender and age group are clearly visible for 1950–2006. Though Female mortality ,declined while male mortality saw both increase and stagnation. Among males aged 15–34 years this coincides with periods of civil conflict over 1970–2000. Among males aged 35–64 years the increased mortality from non-communicable disease and external causes are the main reasons for stagnation in all-cause mortality since the 1970’s. Percentage decreases in rates of mortality have been highest for infants and children. Rapidity of improvement has been greater for females especially after 1960s (Dissanayake, 1987).

Only because of the changes in the structure of the underlying population the mortality rate became age standardised. But weakness in data collection resulting from under-registration, particularly during periods of civil conflict has hampered the collection of complete knowledge in the country.

References for NCDs and the Epidemiological Transition

Chapman, A. R., & Dharmaratne, S. D. (2019). Sri Lanka and the possibilities of achieving universal health coverage in a poor country. Global Public Health, 14(2), 271-283.

Vithana, C., Linhart, C., Taylor, R., Morrell, S., & Azim, S. (2014). Trends in Sri Lankan cause-specific adult mortality 1950–2006. BMC Public Health, 14(1), 644.

Wanigasuriya, K. P., Peiris-John, R. J., Wickremasinghe, R., & Hittarage, A. (2007). Chronic renal failure in North Central Province of Sri Lanka: an environmentally induced disease. Transactions of the Royal Society of Tropical Medicine and Hygiene, 101(10), 1013-1017.

Jayasumana, M. A. C. S., Paranagama, P. A., Amarasinghe, M. D., Wijewardane, K. M. R. C., Dahanayake, K. S., Fonseka, S. I., ... & Senanayake, V. K. (2013). Possible link of chronic arsenic toxicity with chronic kidney disease of unknown etiology in Sri Lanka. J Nat Sci Res, 3(1), 64-73.

Löe, H., Anerud, A., Boysen, H., & Morrison, E. (1986). Natural history of periodontal disease in man: rapid, moderate and no loss of attachment in Sri Lankan laborers 14 to 46 years of age. Journal of clinical periodontology, 13(5), 431-440.

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