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Commonwealth Health Partnerships 2015

per cent and seven per cent to total mortality, respectively (2012). Injuries accounted for 14 per cent of deaths in 2012. Communicable diseases along with maternal, perinatal and nutritional conditions accounted for an estimated 11 per cent of all mortality in Sri Lanka in 2012. The prevalence of HIV in Sri Lanka, as a percentage of people aged 15–49 years, was less than 0.1 per cent in 2012. In 2012 there were 23 reported cases of malaria in the country, a significant decline from 684 reported cases in the year 2010. There has been no reduction in the estimated incidence of tuberculosis (TB) in the period 1990–2013, during which time this has stood at 66 cases per 100,000 people; overall estimated mortality (when mortality data excludes cases comorbid with HIV) from the disease has remained consistent at 5.9 deaths per 100,000 in the period 2007–13. There is a lack of data on which to base figures for the most commonly diagnosed mental illness in Sri Lanka. Health systems: In the most recent survey, conducted between 1997 and 2010, there were 68 doctors, and 164 nurses and S r i L a n k a midwives per 100,000 people. Additionally, in 2013, 99 per cent of births were attended by qualified health staff and in 2013, 99 per cent of one-year-olds were immunised with one dose of measles. In 2012, 94 per cent of people were using an improved drinking water source and 92 per cent had access to adequate sanitation facilities. The most recent survey, conducted in the period 2000–11, reports that Sri Lanka has four pharmaceutical personnel per 100,000 people. Health and medical services in Sri Lanka are provided by both the public and private sector. The provision of public health service in Sri Lanka takes place at the central, provincial, district and divisional levels. Most people live within 5 km of a health facility. There is a large network of government-funded hospitals throughout the island. Private sector health services also play an important role, with a relatively low-cost private health care sector. There are some pharmaceutical manufacturing facilities in the country, although the vast majority of pharmaceutical requirements are imported. A mental health policy was approved in 2005. Health MDGs: The Millennium Development Goals (MDGs) mature in 2015, but monitoring of progress is ongoing due to the time it takes to collect and analyse data from each country. For Sri Lanka to achieve its targets for the reduction of child mortality, which form MDG 4, it should have reduced under-five deaths per 1,000 live births to seven and increased measles Commonwealth Health Partnerships 2015 271 Under-five mortality 25 20 15 10 1990 1995 2000 2005 2010 2015 Under-five mortality per 1,000 live births 2015 MDG 4 target 5 Life expectancy 1980 1990 2000 2013 Life expectancy Life expectancy in years 80 70 60 Mortality by cause of death (% of all deaths), 2012 Injuries Communicable diseases, maternal, perinatal and nutritional conditions Non-communicable diseases Tuberculosis: Incidence and mortality 1990 2000 2010 Mortality excluding cases comorbid with HIV (per100,000 people) Incidence of tuberculosis (per 100,000 people) – including cases comorbid with HIV 80 70 60 50 40 30 20 10 0


Commonwealth Health Partnerships 2015
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