Healthy Lifestyle Centres: a service for screening noncommunicable diseases through primary health-care institutions in Sri Lanka.

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dc.contributor.authorMallaawarachchi, DS Virginie
dc.contributor.authorWickremasinghe, Shiranee C
dc.contributor.authorSomatunga, Lakshmi C
dc.contributor.authorSiriwardena, Vithanage TSK
dc.contributor.authorGunawardena, Nalika S
dc.date.accessioned2016-09-26T10:57:30Z
dc.date.available2016-09-26T10:57:30Z
dc.date.issued2016-09
dc.description.abstractThe Ministry of Health in Sri Lanka initiated the Healthy Lifestyle Centres (HLCs) in 2011, to address the lack of a structured noncommunicable disease (NCD) screening service through the lowest level of primary health-care institutions. The main service objective of the HLCs is to reduce the risk of NCDs of 40–65 year olds by detecting risk factors early and improving access to specialized care for those with a higher risk of cardiovascular disease (CVD). The screened clients are managed at HLCs, based on the total-risk approach to assess their 10-year CVD risk, using the World Health Organization/International Society of Hypertension risk-prediction chart. Those with a 10-year CVD risk of more than 30% are referred to the specialized medical clinics, while others are managed with lifestyle modification and are requested to visit the HLC for rescreening, based on the levels of CVD risk and intermediate risk factors. Identified challenges to date include: underutilization of services, especially by men; weak staff adherence to protocols; lack of integration into pre-existing NCD-screening services; non-inclusion of screening for all the major NCDs; and human resources. The government plans to address these challenges as a priority, within the context of the National multisectoral action plan for the prevention and control of NCDs in Sri Lanka 2016–2020. Key interventions include: extended opening hours for HLCs, outreach activities in workplaces, and integration with “well woman clinics”. Costs related to actions have been realistically estimated. Some actions have already been initiated, while others are being designed with identified funds.en_US
dc.identifier.citationWHO South-East Asia Journal of Public Health 2016;5(2): 89-95.en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/177476
dc.language.isoenen_US
dc.publisherWHO Regional Office for South-East Asiaen_US
dc.rightsWHO Regional Office for South-East Asiaen_US
dc.source.urihttps://www.searo.who.int/publications/journals/seajph/issues/seajph2016v5n2p89.pdfen_US
dc.subjectcardiovascular diseaseen_US
dc.subjectnoncommunicable diseasesen_US
dc.subjectprimary health careen_US
dc.subjectscreeningen_US
dc.subjectSri Lankaen_US
dc.titleHealthy Lifestyle Centres: a service for screening noncommunicable diseases through primary health-care institutions in Sri Lanka.en_US
dc.typeArticleen_US
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