NIROGI Lanka - Phase 3

National Initiative to Reinforce and Organize General diabetes care In Sri Lanka

Phase 3

Phase iii of NIROGI Lanka Project of Sri Lanka Medical Association is a continuation of the NIROGI Diviya, Health Promotion Component .It is funded by Second Health Sector Development Project,Ministry of Health and World Diabetes Foundation. Community intervention are carried out in following districts and areas;

  • Kaluthara – 6 MOH areas
  • Colombo – 5 MOH areas
  • Colombo CMC area
  • Ratnapura-3 MOH areas
  • Kandy -4 MOH areas
  • Galle- 5 MOH areas
  • Kurunegala -3 MOH areas
Professor Chandrika Wijeyaratne – Founder

M.B.B.S. D.M (Col), M.D (Med),FCCP, FRCP (London) Vice Chancellor of the University of Colombo Senior Professor in Reproductive Medicine, Department of Obstetrics and Gynaecology, Faculty of Medicine, University of Colombo Honorary Consultant Physician and Endocrinologist, De Soysa Hospital for Women, Sri Lanka.

Dr. Chathuranga Ranasinghe – Chairperson

MBBS (Col), D.Sp.Med. (Col), PhD (QUT-Australia) Specialist in Sports and Exercise Medicine Coordinator, Sports and Exercise Medicine Unit Senior lecturer, Department of Allied Health Sciences Faculty of Medicine, University of Colombo, Sri Lanka

Dr Palitha Karunapema- Senior Advisor

MBBS, MSc, MD Consultant Community Physician Director / Quarantine Ministry of Health, Sri Lanka

Dr Ranjith Batuwanthudawa

Director/ Health Promotion Bureau

Dr. Ajith Alagiyawanna

MBBS, MSc, MD Consultant Community Physician Unit Head, Health Promotion Unit, Health Promotion Bureau, Ministry of Health.

Dr Shanthi Gunawardena

MBBS, MSc, MD Consultant Community Physician NCD Unit/ Ministry of Health

Dr Lasantha Wijeskera

Health Promotion Bureau, Ministry of Health

Health Promotion Activities are conducted, linked to Primary Health Centers.
So far about 984 acitivities done in 58 workplaces , 90 Community based organizations(CBO) and 16 schools 699 activitst and 219 employees trained

Health promotion activities content included to the program were – introduction of the project and Health Promotion Officer(HPO) – Discussions on NCD burden of Sri Lanka – 4 main NCDs / 4 main risk factors / 4 main risk conditions – measuring risk conditions – how to change risk factors – examples for previous project activities, initiating exercise and changing dietary practices within households, introducing basic aerobic steps and hand moment, facilitate to practice basic aerobic steps and create 30 minutes aerobic session with the group.

Above activities were done in all settings every week and followed up by monitoring them through setting level and initiated the process to send follow up and educational SMSs in collaboration with a leading telecommunication company in Sri Lanka.



Distrct level review and showcasing meeting on health promotion
was held on 18th August 2017 at Auditorium, Sri Lanka Medical Association. 50 participants attended the meeting including Deputy Director General/NCD Ministry of Health, Director NCD unit Ministry of Health, Regional Director Health services Kurunagala, MOHs, MONCDs, HEOs, MOs, CMC officials, Health Education Bureau resource persons, Health Promotion Officers and SLMA Officials. HPOs showcased community activities videos photos with success and unsuccessful stories.



Provincial programmes for workplace health promotion
were held at Mallawapitiya divisional secretariat office on 29th of September 2017 and Ridigama Divisional Secretariat Office on 27th of July 2017. HP programme held at Kahawatta labor office for provincial level workplace staff and aerobics session was held on 25th August 2017.

Rathgama Govi Jana Sewa HP programme was held on 1st of March 2017 with the participation of 20 participants representing work place settings in Southern province. A health promotion programme for active work place settings in Central province will be held at RDHS Kandy in the coming months. It was suggested to continue monitoring and conducting health promotion and aerobics activities for provincial level work place staff at NCD unit Kandy. Gonapiniwala MOH office HP programme will be held on 31st October 2017 for 3/5 MOH in the Southern province for work place staff, Community based settings.

Ministry of health has identified WDF funded NIROGI Lanka project as a success story and included lessons learned through the project to the next world bank funded health sector project which will be carried out from 2019-2024.

“Health promotion officer” concept which was introduced by NIROGI Lanka project was accepted by the Ministry of Health. New carder category will be created by ministry of health and deploy at MOH level for health promotion activities mainly focusing NCDs including diabetes.

These two achievements will ensure smooth transfer of knowledge and lessons learned through the project to the ministry of health (system institutionalization).

Developing a web portal to monitor, review and supervise methodology was initiated.

Identified an expert group for health message development and identified an expert panel to review the health messages. An agreement was signed with Dialog axiata to send developed short messaged to the community.

Capacity building programs were held on month of April, June, July, and August 2017 after each review meeting by Consultants from Health Education Bureau, Ministry of Health.

  • Health Promotion manual in collaboration with Health Promotion Bureau
  • Booklet with Health Promotion messages
  • Aerobics DVD
  • Documentary DVD on Health Promotion

Implementation Plan for the next six months.

  • Carry out several Local meetings at setting level with HP activists and participants in each setting
  • Organizing the refresher HPO training workshop at central level
  • Conducting review meetings at Provincial level
  • Provincial level Showcasing
  • Conducting a central level stakeholder meeting
  • Organizing training programme for the primary health care staff, Local Health promoters and HP activists
  • Evaluation of the project
  • HPOs are taking the initiative to start proper solid base management activities in their community settings
  • Early Child hood care and development practices conducting through HPOs at community settings in each district
  • Home gardening sessions conducting through HPOs in collaboration with agriculture officers