TAILIEUCHUNG - Sri Lanka

Supraventricular tachycardia may be caused by abnormal conduction pathways such as the Wolf-Parkinson-White syndrome, characterised on the ECG by a short P- R interval and an abnormal delta wave on the upstroke of the QRS complex. The child may develop sudden episodes of tachycardia associated with heart rates of 240beats/min, up to 300beats/min. These appear on ECG as narrow complex rhythms. The child may feel faint and uncomfortable during an arrhythmia. The arrhythmia may terminate spontaneously or be terminated by vagal manoeuvres such as brief immersion of the face in ice cold water, carotid sinus massage (massage to the carotid. | Sri Lanka MDG Goal 4 and 5 indicators Under-five mortality rate males 20 females 16 per 1 000 live births Infant mortality rate per 1 000 live births Proportion of 1 year-old children immunized for measles 99 MMR per 100 000 live births Births by skilled attendant 97 O. Data source Basic Indicators Health Situation in South-East Asia World Health Organization South-East Asia Region 2004. Sri Lanka has an estimated population of million. The Birth rate for the year 2002 was and the annual growth rate is estimated at . Life expectancy at birth has shown a consistent upward trend and has increased from years for males and for females in 1967 to years for males and years for females during the period 1996 - 2001. Other indicators also show considerable strides in development. For example literacy rate in Sri Lanka is one of the highest in the region and show very little gender differentials in 2001 for males was and females . The GNP per capita has increased from US 556 in 1992 to 823 in 2002. From the above it can be seen that Sri Lanka continues to make great efforts in health and development however such improvements are not yet uniform across the whole country. Health indicators including those for maternal newborn and child health for the areas of conflict and plantation areas have not yet reached the same level as elsewhere in the country. This is one of the greatest challenges being faced but the government is taking steps to address this. The current policy framework for the country has been defined in the document Vision 2010 a strategic framework for Finance and Planning in which one of the primary objectives is to reduce the gap in health status between the have and the have nots Ministry of Finance and Planning 2001 . Health care services to the people of Sri Lanka are provided by the public and private sectors and include services of those practicing Western allopathic system of health care the .

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