Publications by authors named "L F Senanayake"

Article Synopsis
  • Sri Lanka has a rich history of health practices and policies that have significantly improved maternal health over the past 75 years, influenced by sociodemographic changes and global medical advancements.
  • The establishment of trained midwives and health units, along with support from WHO, marked a pivotal shift from traditional birth methods to safer, more structured maternal care.
  • Initiatives like the Family Planning Association and the Maternal Death Surveillance and Response system have played essential roles in reducing maternal mortality and fertility rates, showcasing effective collaboration among government and health organizations.
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This study aimed to obtain an overview of survivors of gender-based violence GBV who seek care, different types and consequences of (GBV), their modes of referral, factors associated with GBV, characteristics of the perpetrators, health-seeking behavior of the care-seekers and the service provided by GBV Care Centers in two tertiary care settings A retrospective cross-sectional study was conducted from January 2017 to December 2019 at two GBV care centers in a Women's Hospital and a General Hospital in Colombo, Sri Lanka. Sociodemographic details of care-seekers, referral methods, types of violence experienced and their consequences, factors associated with GBV, characteristics of the perpetrator, health seeking behavior of those seeking care, and the services provided, were obtained from the hospital records.  Records from all care seekers (n=495 women, no men) were obtained, and 488 were suitable for analysis.

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Introduction: Abortion is legally permitted in Sri Lanka, only if it is performed to save the mother’s life. However, it is estimated that a large number of induced abortions take place in Sri Lanka. Knowledge and attitudes towards induced abortion in the society are key issues influencing the policy response towards changes in the law.

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Sri Lanka, a non-industrialized country with limited resources, has been able to achieve a maternal mortality ratio that is markedly lower than the ratios of similar countries. Many factors have contributed to Sri Lanka's success story. A political commitment to the cause and implementation of clear policies through well-structured and organized community-based and institutional healthcare services--expanded to cover the whole country and provided free of charge--have been the foundation of maternal and child health (MCH) services in the country.

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