පළාත් සෞඛ්‍ය සේවා දෙපාර්තමේන්තුව - මධ්‍යම පළාත

3.3. Secondary & Tertiary Care Services:

3.3.1. Secondary Care Services:

Eight secondary care institutions provide specialized services to the people in the Province. In fact, DGH Nuwara Eliya, DGH Matale, DGH Nawalapitiya and BH Gampola are under the management of the National Ministry of Health, while the rest including BH Dambulla, BH Dickoya, BH Rikillagaskada and BH Theldeniya are under the administration of the Department of Health Services, Central Province.

Compared to the Primary Healthcare settings, there is a huge difference in service provision from the secondary Healthcare institutions in terms of Clinic attendance, Inward admissions, Deliveries, and ETU admissions. This further indicates the need of strengthening the health care services at primary level. Generally there is an increasing trend of ETU admissions in all institutions.

Maternal and child health care services at secondary health care institutions showed a remarkable improvement over the last few years especially in terms of quality of service expecting a reduction in maternal and perinatal morbidity and mortality in the province.

Table 3.3.1. Services delivered in Secondary care institutions under Provincial Ministry:

Table 3.3.2. Services delivered in Secondary care institutions under Line Ministry:

In-ward care provided by secondary care institutions has undergone dramatic changes in the last decade as more and more patients seek in-ward care for non-communicable diseases like uncontrolled diabetes mellitus, hypertension which result in a prolonged hospital stay. This accounts partly for the high bed occupancy rate in some specialized units of these institutions.

There was an increase in the attendance at special clinics in secondary health care institutions, probably due to increase awareness and early detection of diseases.

3.3.2. Tertiary Care Services:

All tertiary care institutions in the province are operated under the National Ministry of Health, and institutions under the provincial health department are working in close collaboration with the tertiary care hospitals including National Hospital Kandy, TH Peradeniya, and Sirimavo Bandaranayke Children Hospital Peradeniya. Following tables summarize the information on available services and facilities in these Institutions.

Being the second largest hospital in Sri Lanka, National Hospital Kandy handles the largest number of patients from the Province.

Table 3.4.1. Basic information on services delivered in Tertiary care institutions: