Planning Unit / MRO / HIRU
Annual Health Bulletin
Planning Unit / MRO / HIRU / About us I
This Annual Health Bulletin provides comprehensive information of Teaching
Hospital, Kandy, Sri Lanka. It is expected that the information needs of policy
makers, health planners, researchers and others interested in the field of health
development as well as information for monitoring and evaluation purposes are met
by this publication.
The bulletin contains information of four major areas, namely, morbidity, mortality,
resource availability and provision of services. In addition details and performance
of health and health related programs, activities, achievements and development are
included.
Annual Health Bulletin
Planning Unit / MRO / HIRU / About us II
About us
Teaching Hospital Kandy is the second largest tertiary care medical institution in the Island
established and administered under the purview of the Ministry of Health Care and Nutrition.
Figure 1: Hospitals with more than 1000 beds
Teaching Hospital Kandy provides
Specialized health care services to the
Central Province and to all other provinces
except Western and Southern. People
come from all other 7 provinces to seek
expert care from Teaching Hospital
Kandy.
As a Post Graduate Training Center
Teaching Hospital Kandy with strong
links to the University of
Peradeniya, conducts undergraduate
training programs for the university
students studying at the
Medicine and Postgraduate Institute of
Medicine(PGIM) which is a national
institute attached to the University of
Colombo. PGIM appoints post-graduate
trainees, registrars and senior registrars
to this hospital on a regular basis as
this is one of the oldest Hospitals
which provides the entire range of medical
and surgical specialties under the
administration of a single institution.
It also provides teaching facilities for
foreign students who seek exposure on
tropical diseases.
As a Training center for Nursing
Students
Teaching Hospital Kandy is a training
center for the student Nurses who are
coming from the nurses’ training school
in the Hospital.
Annual Health Bulletin
Planning Unit / MRO / HIRU / About us III
Specialties
The hospital covers 51 Specialties. Teaching Hospital Kandy covers almost all medical and
surgical specialties under a single Institution.
Figure 2: Specialties
Annual Health Bulletin
Planning Unit / MRO / HIRU / About us IV
Center for Surgeries,
Investigations and more
Hospital has 78 Wards and
13 Special Units for inpatient
Services. It also consists of 10
ICUs and 29 Operating
Theaters. Out Patient Service,
Specialized clinic service and an
Emergency Treatment Units are
also within the hospital.
In addition to that, Chemical
Microbiological, and Histo -
pathological Investigations, X
Rays, USS, CT, MRI, Exercise
ECG, Physiotherapy and
Pharmacies services are also
available.
Figure 5: MRI Unit
Figure 3: Neuro-Surgical ICU
Figure 4: At Main Theatre Complex
Figure 6: Laboratory
Figure 7: Radiology Department
Annual Health Bulletin
Planning Unit / MRO / HIRU / Acknowledgments V
Acknowledgments
MRO Department
Medical Records unit of Teaching Hospital, Kandy has progressed considerably over the past
few years to become a well-organized unit, as a result of the guidance and the encouragement
provided by the Director of the hospital, for better performance.
In this advancing world, information technology plays a major role in producing timely and
accurate information. They are extremely important for the clinicians and the administrators
to improve the quality of their clinical work. We are fortunate to develop a printed document
as our Annual Bulletin 2017.
We greatly appreciate the support and advice given to us by the Director, and all the
heads of the units for providing us relevant information for this publication.
Medical Records Unit
Teaching Hospital
Kandy.
Annual Health Bulletin
VII Planning Unit / MRO / HIRU / Table of Contents
Contents
About us ............................................................................................................................................ 2
Acknowledgments ............................................................................................................................. 5
List of abbreviation ........................................................................................................................... 8
List of figures .................................................................................................................................... 9
1 Message from director .............................................................................................................. 15
2 Our vision, mission, and promises ............................................................................................. 2
3 Highlights - 2017 ....................................................................................................................... 3
4 Services by TH- Kandy .............................................................................................................. 9
5 Specialized Clinics ................................................................................................................... 11
6 Obstetrics and Gynecology Department .................................................................................. 14
7 Medical Department ................................................................................................................. 19
8 Surgical Department ................................................................................................................ 21
9 Anesthesia Department ............................................................................................................ 25
10 Pediatric Department ............................................................................................................ 26
11 Lactation Management Centre – (LMC) .............................................................................. 28
12 Injections and Immunization ................................................................................................ 29
13 STD Unit .............................................................................................................................. 31
14 Sports Medicine Unit – (SPU).............................................................................................. 32
15 Orthoptic unit ....................................................................................................................... 33
16 Physiotherapy Department ................................................................................................... 34
17 Occupational therapy unit .................................................................................................... 35
18 Speech and Language Therapy Unit .................................................................................... 36
19 Transfusion Medicine Unit ................................................................................................... 37
20 Health Education .................................................................................................................. 39
21 Laboratory Services – Investigations - Histopathology ....................................................... 43
22 Radiology department .......................................................................................................... 41
23 Cytotoxic Drugs Reconstitution Unit- (CRU) ...................................................................... 43
25 Department of Judicial Medicine ......................................................................................... 47
26 Hospital Deaths .................................................................................................................... 49
27 Special Units ........................................................................................................................ 50
Annual Health Bulletin
VII Planning Unit / MRO / HIRU / Table of Contents
Annual Health Bulletin 28 Constructions and Renovations – 2016-2017 ....................................................................... 52
29 Annexure .............................................................................................................................. 64
Notes ................................................................................................................................................... 68
Annual Health Bulletin
Planning Unit / MRO / HIRU / List of abbreviation IX
List of abbreviation
ANC – Antenatal Clinic
ECG – Electro cardio grapy
EEG – Electroencephalogram
ETU – Emergency Treatment Unit
JMO – Judicial Medical Office
LMC – Lactation Management Unit
MRO – Medical Record Office
OMF – Oral and maxillofacial
OPD – Out Patient Department
OPS – Out Patient Service
PBU - Premature Babies Unit
SFC – Sub Fertility Clinic
STD – Sexually Transmitted Diseases
Annual Health Bulletin
Planning Unit / MRO / HIRU / List of tables X
List of figures
Figure 1: Hospitals with more than 1000 beds .......................................................................................................... 2
Figure 2: Specialties .................................................................................................................................................. 3
Figure 3: Neuro-Surgical ICU ................................................................................................................................... 4
Figure 4: At Main Theatre Complex ......................................................................................................................... 4
Figure 5: MRI Unit .................................................................................................................................................... 4
Figure 6: Laboratory ................................................................................................................................................. 4
Figure 7: Radiology Department ............................................................................................................................... 4
Figure 8: Hospital Admissions over past 13 years .................................................................................................... 3
Figure 9: Total number of Admissions – 2017.......................................................................................................... 4
Figure 10: Transfers from peripheral hospitals ......................................................................................................... 5
Figure 11: In-Patients, Out Patients & Clinic Patients – 2017 .................................................................................. 6
Figure 12: Dengue cases Reported – 2017 ................................................................................................................ 7
Figure 13: Leading Causes of hospitalization ........................................................................................................... 8
Figure 14: Total number of OPD visits – 2017 ......................................................................................................... 9
Figure 15: Daily average number of patients was treated ....................................................................................... 10
Figure 16: ECG and EEG facilities in OPS ............................................................................................................. 10
Figure 17: Minor surgeries done in OPS ................................................................................................................. 10
Figure 18: Antenatal Clinic visits-2016 .................................................................................................................. 14
Figure 19: Gynecology clinics - 2017 ..................................................................................................................... 15
Figure 20: SFC statistics ......................................................................................................................................... 16
Figure 21: Total Admissions and Deliveries ........................................................................................................... 17
Figure 22: Total admissions in unit level ................................................................................................................ 17
Figure 23: Surgeries performed at Gynecology and Obstetrics department ........................................................... 18
Figure 24: Medical clinic visits - 2017 .................................................................................................................... 19
Figure 25: Total admissions in unit level ................................................................................................................ 20
Figure 26: Different types of surgeries performed .................................................................................................. 21
Figure 27: Major and Minor surgeries .................................................................................................................... 22
Figure 28: clinic visits – Surgical ............................................................................................................................ 23
Figure 29: Total causalities during 2017 ................................................................................................................. 23
Figure 30: Admissions in unit level ........................................................................................................................ 24
Figure 31: General surgeries performed during 2017 ............................................................................................. 24
Figure 32: No. of Different types of Anesthesia in 2017 ........................................................................................ 25
Figure 33: Pediatrics clinic visits ............................................................................................................................ 26
Figure 34: Total pediatrics admissions .................................................................................................................... 27
Figure 35: PBU Statistics ........................................................................................................................................ 28
Figure 36: Common Reasons for referrals to LMC ................................................................................................ 28
Figure 37: Vaccines given by Well-baby clinic ...................................................................................................... 29
Figure 38: Injections given by OPD ........................................................................................................................ 30
Figure 39: No. of HIV investigations done ............................................................................................................. 31
Figure 40: Sports Medicine Unit statistics .............................................................................................................. 32
Figure 41: Orthoptic Assessments .......................................................................................................................... 33
Figure 42: Physiotherapy clinic visits ..................................................................................................................... 34
Figure 43: Occupational therapy statistics .............................................................................................................. 35
Figure 44: Speech and language therapy statistics .................................................................................................. 36
Figure 45: Collection of Blood ............................................................................................................................... 37
Figure 46: Grouping tests done ............................................................................................................................... 38
Figure 47: No: of Health Education programs ........................................................................................................ 39
Figure 48: Cases - Mithuru Piyasa .......................................................................................................................... 42
Figure 49: Laboratory Services ............................................................................................................................... 43
Figure 50: No of investigations ............................................................................................................................... 44
Figure 51: X-rays (in-ward and At Radiology Department) ................................................................................... 41
Figure 52: No: of CT, MRI and USS ...................................................................................................................... 42
Figure 53: No: of Notifiable Diseases Reported ..................................................................................................... 45
Annual Health Bulletin
Planning Unit / MRO / HIRU / List of tables X
Figure 54: Number of Deaths by Age ..................................................................................................................... 49
Figure 55: Deaths by Age ....................................................................................................................................... 49
Figure 56: Kandy Nurses School – New building Development ............................................................................ 52
Figure 57: Construction of Accident and Emergency Treatment Unit .................................................................... 53
Figure 58: Construction of Cancer Treatment Centre ............................................................................................. 53
Figure 59: Thalassemia and Bone Marrow Transplant Centre ................................................................................ 54
Figure 60: New Emergency Dialysis Unit .............................................................................................................. 54
Figure 61: Dialysis Unit and Hostel for CKD patients ........................................................................................... 55
Figure 62: Initiation of Electronic patient registration for HIMS ........................................................................... 55
Figure 63: Short Term Constructions – 2016-2017................................................................................................. 56
Figure 64: Renovation of Maternity Theatre, Patients' waiting area ....................................................................... 57
Figure 65: Extension and Renovation of Canteen ................................................................................................... 59
Figure 66: Construction of Nurses quarters ............................................................................................................ 60
Figure 67: Construction of Library and Training School ........................................................................................ 61
Figure 68: Land-Slides prevention program ........................................................................................................... 62
Figure 69: ETU, Stroke and Diabetic Clinic project ............................................................................................... 63
Annual Health Bulletin
Planning Unit / MRO / HIRU / List of figures XIV
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Annual Health Bulletin
Planning Unit / MRO / HIRU / Message from director 1
1 Message from director
I am pleased to take this opportunity to present our Annual Bulletin for year 2017, providing you with
an overview of our services, performances and accomplishments we have gained in the year.
Being second largest government hospital in the island we have served more than 225000 admissions
during 2017 with our best possible care.
It is my pleasure to reveal that we have already initiated number of larger scale projects with the aim of
further strengthening of healthcare services rendered to a large volume of patients draining from 7
districts. This consists of projects not only covering wide range of medical specialties like Oncology,
Accident & Emergency care but also constructions to provide residential facilities for staff.
I would also like to take advantage of this occasion to thank all those who helped to make 2017 a
successful year for TH Kandy.
I remain ever appreciative of the guidance, encouragement and support received from Hon Minister
of Health, the Secretary of Ministry of Health, the Director General of Health Services, Deputy
Director General and other officials of the ministry of health.
I also appreciate all the hospital staff for their untiring commitment which enable us to gain reputation
among people with reinforcing the community confidence in our hospital.
Wish all of you a great success in future endeavors!
Dr.R.M.S.K. Ratnayake
Director
Annual Health Bulletin
Planning Unit / MRO / HIRU / Our vision, mission, and promises 2
2 Our vision, mission, and promises
Vision
To be the safest tertiary care hospital in Sri Lanka.
Mission
Our mission is to elevate the status of the hospital to a modern, leading health care
facility and training center by developing and sustaining the infrastructure and human
resources and by creating a patient friendly environment where patient care needs will be
of highest priority.
Our promise and Values
At TH Kandy, people are of primary importance. That is why the value of caring is at the
center of daily activity for our entire organization. We have adopted a culture of relationships
and caring that uses a framework of Promises to guide relationships and care for self, patients
and families, each other and the community.
Annual Health Bulletin
Planning Unit / MRO / HIRU / Highlights - 2016 3
3 Highlights - 2017
3.1 Hospital Admissions over past 13 years
Total number of patients’ admission has increased over past 13 years by 60532.
Figure 8: Hospital Admissions over past 13 years
Annual Health Bulletin
Planning Unit / MRO / HIRU / Highlights - 2016 4
3.2 Hospital Admissions – 2017
Figure 9: Total number of Admissions – 2017
In 2017 total admissions to the hospital were 224617. It is an increment by 6% comparing to
2016. Majority was under direct admissions while the rest had been transferred from other
hospitals.
Planning Unit / MRO / HIRU / Highlights - 2016 5
Annual Health Bulletin
3.3 Transfers from peripheral hospitals
Figure 10: Transfers from peripheral hospitals
Transfers from peripheral hospitals have reduced over 2017 comparing to 2016.
Planning Unit / MRO / HIRU / Highlights - 2016 6
Annual Health Bulletin
3.4 In-Patients, Out Patients & Clinic Patients – 2017
Figure 11: In-Patients, Out Patients & Clinic Patients – 2017
Planning Unit / MRO / HIRU / Highlights - 2016 7
Annual Health Bulletin
3.5 Dengue cases Reported – 2017
Figure 12: Dengue cases Reported – 2017
Total number of Dengue cases reported in 2017 is 1161. It is increment by 189% comparing to 2016.
Planning Unit / MRO / HIRU / Highlights - 2016 8
Annual Health Bulletin
Figure 13: Leading Causes of hospitalization
Annual Health Bulletin
Planning Unit / MRO / HIRU / Services by TH- Kandy 8
4 Services by TH- Kandy
4.1 Out Patient Services (OPS)
OPS – Out Patient services are done mainly in OPD and ETU.
In 2017, 379401 total numbers of patients were treated in OPD
while 36794 patients were treated in ETU.
Figure 14: Total number of OPD visits – 2017
Annual Health Bulletin
Planning Unit / MRO / HIRU / Services by TH- Kandy 9
Figure 15: Daily average number of patients was treated
4.2 Investigations and minor surgeries at OPD
ECG, EEG and minor surgical facilities are also available in OPS.
Figure 16: ECG and EEG facilities in OPS
Annual Health Bulletin
Planning Unit / MRO / HIRU / 10
Figure 17: Minor surgeries done in OPS
Minor surgeries done in Out Patient Service department have increased around 6500 during 2017.
Annual Health Bulletin
Planning Unit / MRO / HIRU / Specialized Clinics 11
5 Specialized Clinics
There are more than 50 clinics have been conducting covering 982777
number of patients during 2017.
Available clinics – Names of Consultants and MOICs’ have been attached to
annexure.
1. Antenatal clinic1 - (ANC)
2. Ant-coagulant2
3. Breast clinic3
4. Cardio Thoracic4
5. Cardiology5
6. Dental6
7. Dermatology7
8. Diabetes and Endocrinology 8
9. Echo9
10. Electro Cardio Physiology10
11. ENT11
12. Epilepsy12
13. Eye13
14. Family Planning14
15. Gastro Intestinal15
16. GI Surgery16
17. Gyn. Onco17
18. Gynecology18
19. Hematology19
20. Leprosy20
21. Medical21
22. Neonatal22
Annual Health Bulletin
Planning Unit / MRO / HIRU / Specialized Clinics 12
23. Oncology23
24. Orthodontic24
25. Orthopedic25
26. Pediatric Neurology26
27. Pediatric Surgical27
28. Pediatric28
29. Plastic Surgery29
30. Psychiatry30
31. Nephrology31
32. Neurosurgical32
33. Neurology33
34. Neurophysiology34
35. Nutrition35
36. Nutrition Promotion36
37. OMF37
38. Onco-Surgery38
39. Respiratory39
40. Restorative Dentistry40
41. Rheumatology41
42. Sub-fertility Clinic42
43. Sport medicine43
44. Surgical44
45. Urology45
46. VP/Pediatric OPD46
47. Vascular47
48. VP OPD48
49. Well Baby49
50. Youth Friendly Health50
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Annual Health Bulletin
Planning Unit / MRO / HIRU / Obstetrics and Gynecology Department 14
6 Obstetrics and Gynecology Department
144 Antenatal Clinics were conducted during 2017 and 21504 women were treated. This has
been done by 3 clinics.
5983 women had participated as their 1st visit while 15521 women as their 2nd visit.
Figure 18: Antenatal Clinic visits-2016
Annual Health Bulletin
Planning Unit / MRO / HIRU / Obstetrics and Gynecology Department 15
6.1 Gynecology clinics
10976 patients were treated by 3 clinics during 2017.
Figure 19: Gynecology clinics - 2017
Annual Health Bulletin
Planning Unit / MRO / HIRU / Obstetrics and Gynecology Department 16
6.2 Subfertility clinic- SFC
Fertility clinics are medical clinics that assist couples, and sometimes individuals, who want
to become parents but for medical reasons have been unable to achieve this goal via the
natural course. Clinics apply a number of diagnosis tests and sometimes very advanced
medical treatments to achieve conceptions and pregnancies.
In 2017, 109 clinics were held under three consultants treating 1081 women and 10 males.
Figure 20: SFC statistics
Annual Health Bulletin
6.3 In-patient services – Obstetrics and Gynecology unit
Obstetric unit is composed of 3 wards, having 204 beds strength. Total number of labor room
beds is 31. Gynecology unit has 3 wards having 72 beds.
Figure 21: Total Admissions and Deliveries
Figure 22: Total admissions in unit level
Planning Unit / MRO / HIRU / Obstetrics and Gynecology D
Annual Health Bulletin
Planning Unit / MRO / HIRU / Medical Department 18
6.4 Surgeries performed at Gynecology and Obstetrics department
Figure 23: Surgeries performed at Gynecology and Obstetrics department
Annual Health Bulletin
Planning Unit / MRO / HIRU / Medical Department 19
7 Medical Department
7.1 Medical Clinics
Figure 24: Medical clinic visits - 2017
During the year 2017, nearly 58609 patients were
treated by 295 medical clinics conducted in TH-
Kandy.
Annual Health Bulletin
Planning Unit / MRO / HIRU / Surgical Department 20
7.2 In patient services
Medical unit has 3 wards with 260 bed strength.
Figure 25: Total admissions in unit level
Annual Health Bulletin
Planning Unit / MRO / HIRU / Surgical Department 21
8 Surgical Department
Figure 26: Different types of surgeries performed
Annual Health Bulletin
Planning Unit / MRO / HIRU / Surgical Department 22
8.1 Total number of surgeries performed – 2017
Figure 27: Major and Minor surgeries
8.2 Surgical Clinics – General
44717 patients were treated in surgical clinics
during 2016 by 4 surgical clinics.
Average number of patients per day was 157.
Annual Health Bulletin
Planning Unit / MRO / HIRU / Surgical Department 23
Figure 28: clinic visits – Surgical
8.3 Surgical admissions
Surgical unit has 8 wards including 2 causality wards.
Figure 29: Total causalities during 2017
Annual Health Bulletin
Planning Unit / MRO / HIRU / Anesthesia Department 24
Figure 30: Admissions in unit level
8.4 General surgeries performed during 2017
Figure 31: General surgeries performed during 2017
Annual Health Bulletin
Planning Unit / MRO / HIRU / Anesthesia Department 25
9 Anesthesia Department
Following chart shows the number of surgeries
performed under different types of anesthesia.
Figure 32: No. of Different types of Anesthesia in 2017
Annual Health Bulletin
Planning Unit / MRO / HIRU / Pediatric Department 26
10 Pediatric Department
Figure 33: Pediatrics clinic visits
246 clinics were held during 2016 treating 10668
children. This department consists of 2 units headed
by 2 consultants.
10.1 Pediatrics Clinics
Annual Health Bulletin
Planning Unit / MRO / HIRU / Pediatric Department 27
10.2 Pediatric admissions
During 201, 7076 patients were admitted to Section A and sections B pediatric units. Total
bed strength was 110.
Figure 34: Total pediatrics admissions
10.3 Premature Babies Unit – PBU
PBU has 30 beds.
Annual Health Bulletin
Planning Unit / MRO / HIRU / Pediatric Department 28
Figure 35: PBU Statistics
Annual Health Bulletin
Planning Unit / MRO / HIRU / Lactation Management Centre – (LMC) 28
11 Lactation Management Centre – (LMC)
Background: A Lactation Management Centre (LMC) was established in July 2006 at
General Hospital, Kandy to handle problems with breast feeding in neonates and young
infants. Prior to that, babies with feeding problems needed to be admitted to the special care
baby unit (SCBU) even if the problem was a minor one needing few hours of attention.
Common reasons for referrals to LMC.
1. Difficult attachment
2. Feeling of not enough milk flow
3. Inadequate suckling
4. Poor weight gain etc.
Following assessment of above conditions and more LMC can solve most of the issues, like
in-correct positioning and attachment, post-partum maternal mental conditions etc.
Number of cases handled by LMC unit can be seen in following charts.
Figure 36: Common Reasons for referrals to LMC
Annual Health Bulletin
Planning Unit / MRO / HIRU / Injections and Immunization 29
12 Injections and Immunization
Total numbers of 25811 vaccines were delivered to patients
during 2017 mainly in OPD, Ante-natal and well-baby
clinics.
12.1 Immunization in well-Baby clinic
Figure 37: Vaccines given by Well-baby clinic
Annual Health Bulletin
Planning Unit / MRO / HIRU / Injections and Immunization 30
12.2 Ante-natal Vaccinations
Tetanus Toxoid - Anti natal mothers - 1st dose 53
Tetanus Toxoid - Anti natal mothers - 2nd dose 37
12.3 OPD injections
Figure 38: Injections given by OPD
Annual Health Bulletin
Planning Unit / MRO / HIRU / STD Unit 31
13 STD Unit
STD / AIDS control program
STD / AIDS control program helps to screen various types of
Sexually transmitted diseases and help to improve the knowledge
as preventive measures.
Over 20228 ANC mothers have been screened during 2017.
Around 26704 participants have been participated for awareness
programs.
Various investigations have been performed to identify
HIV and 17 patients found to be having HIV positive.
13.1 HIV investigations
Figure 39: No. of HIV investigations done
Annual Health Bulletin
Planning Unit / MRO / HIRU / Sports Medicine Unit – (SPU) 32
14 Sports Medicine Unit – (SPU)
In 2017, 5584 cases were treated and consulted by SPU
in TH Kandy.
258 clinics were held.
Figure 40: Sports Medicine Unit statistics
Annual Health Bulletin
15 Orthoptic unit
Orthoptics is a profession allied to eye care profession whose primary emphasis is the
diagnosis and non-surgical management of strabismus (wandering eye), amblyopia (lazy eye)
and eye movement disorders. The treatment or the art of treating defective visual habits,
defects of binocular vision, and muscle imbalance (as strabismus) by reeducation of
visual habits, exercise, and visual training.
Figure 41: Orthoptic Assessments
Planning Unit / MRO / HIRU / Orthoptic unit
Annual Health Bulletin
Planning Unit / MRO / HIRU / Physiotherapy Department 34
16 Physiotherapy Department
Physiotherapy is one of the allied health professions
that, by using mechanical force and movements [Bio-
mechanics or Kinesiology], Manual therapy, exercise
therapy, and electrotherapy, remediates impairments
and promotes mobility and function. Physical therapy
is used to improve a patient's quality of life through
examination, diagnosis, prognosis, and physical
intervention
Figure 42: Physiotherapy clinic visits
Annual Health Bulletin
Planning Unit / MRO / HIRU / Occupational therapy unit 35
17 Occupational therapy unit
Figure 43: Occupational therapy statistics
Annual Health Bulletin
Planning Unit / MRO / HIRU / Speech and Language Therapy Unit 36
18 Speech and Language Therapy Unit
The practice of speech-language therapy includes prevention,
diagnosis, habilitation, and rehabilitation of communication,
swallowing, or other upper aero digestive disorders, elective
modification of communication behaviors, and enhancement
of communication.
Figure 44: Speech and language therapy statistics
Annual Health Bulletin
Planning Unit / MRO / HIRU / Transfusion Medicine Unit 37
19 Transfusion Medicine Unit
Collection, Grouping tests and special procedures are performed in this unit.
Figure 45: Collection of Blood
Annual Health Bulletin
Planning Unit / MRO / HIRU / Transfusion Medicine Unit 38
Figure 46: Grouping tests done
Annual Health Bulletin
Planning Unit / MRO / HIRU / Laboratory Services – Investigations 40
20 Health Education
Health education is one strategy of health promotion and is focused on helping
individuals learn and use health-enhancing skills. Health education is often very visible
and tangible (i.e., it’s what most health education programs are “known for”), and it may
often include educational programs, activities and skill-building group or individual
sessions. Health education is part of health promotion, but health promotion is more than
health education.
Figure 47: No: of Health Education programs
Annual Health Bulletin
Planning Unit / MRO / HIRU / Laboratory Services – Investigations 42
Mithuru Piyasa
This special unit is also coming under Counselling and Health education.
Figure 48: Cases - Mithuru Piyasa
Annual Health Bulletin
Planning Unit / MRO / HIRU / Laboratory Services – Investigations 43
21 Laboratory Services – Investigations - Histopathology
Figure 49: Laboratory Services
Laboratory investigations are mainly done by -
1. Biochemistry lab
2. Cancer unit lab
3. Dialysis unit lab
4. Emergency lab
5. Hematology lab
6. Histology and pathology lab
7. Microbiology lab
8. OPD lab
Annual Health Bulletin
Planning Unit / MRO / HIRU / Laboratory Services – Investigations 44
Figure 50: No of investigations
Annual Health Bulletin
Planning Unit / MRO / HIRU / Radiology department 41
22 Radiology department
170396 numbers of X-rays have been taken by Radiology department during 2017.
Figure 51: X-rays (in-ward and At Radiology Department)
Annual Health Bulletin
Planning Unit / MRO / HIRU / Radiology department 42
Other types of Imaging and procedures done by Radiology department.
Figure 52: No: of CT, MRI and USS
Annual Health Bulletin
Planning Unit / MRO / HIRU / Cytotoxic Drugs Reconstitution Unit- (CRU) 43
1. Respiratory unit
2. Gynecology Obstetrics unit
3. Pediatric unit
4. Medical wards
5. Surgical Theaters
6. Rheumatology unit
7. MICU
8. Neurology unit
9. Hematology unit
10. Dermatology unit
11. Nephrology unit
12. Gastroenterology unit
13. Eye unit
23 Cytotoxic Drugs Reconstitution Unit- (CRU)
The CRU was established on 30th May 2013 under the department of Pharmacy. The prime
responsibility of the unit is to supply of reconstituted cytotoxic drugs to the in- ward patients
who are on chemotherapy for their malignancies. At the beginning, the CRU had provided
their service only for the Oncology unit and it has been expanded for –
INTRODUCTION
Cancer treatments are one of the rapidly expanding areas in medicine and therefore cytotoxic
therapies have become a major part of these developments. Cytotoxic agents are given to the
patients who are immune compromised and therefore cytotoxic agents should be aseptically
prepared. As cytotoxic therapies can be hazardous both to patients and staff, it is essential that
they are administered in a safe environment.
The range of cytotoxic agents available has greatly increased and the complexity of treatment
regimens has also increased in recent years. Therefore it is evident that complex treatment
procedure such as these should be in expert hands. Also these types of activities should be
carried out in an environment free from undue pressure and safety checks should be done at
every critical stage. Exposure of personnel to cytotoxic agents is potentially hazardous.
Proper procedures must be put in to avoid exposure
Annual Health Bulletin
Planning Unit / MRO / HIRU / Notifiable Diseases – 2016 44
OBJECTIVES
To supply aseptically prepared cytotoxic agents to the patients
To minimize the health hazard to patients & health care personnel
To minimize the environmental pollution
To reduce wastage of cytotoxic drugs
To reduce waiting time and dates of patients
Our Goals
Follow GPP & clean room management procedures published by BOPA. (British
oncology pharmacy association)
Patient counseling (according to Drugs)
To improve Undergo training on cytotoxic drugs handling and cytotxic waste
management methods for intern pharmacists and other interested parties who are
attached to the health care institution.
Establish most voluble injection reconstitution Central unit.
To establish a ward Pharmacist to close to patient, Doctors & Nurses to improve
quality safety efficacy service.
Annual Health Bulletin
Planning Unit / MRO / HIRU / Notifiable Diseases – 2016 45
24 Notifiable Diseases – 2017
Figure 53: No: of Notifiable Diseases Reported
Annual Health Bulletin
Planning Unit / MRO / HIRU / Department of Judicial Medicine 47
25 Department of Judicial Medicine
Table 1: JMO Statistics
Annual Health Bulletin
Planning Unit / MRO / HIRU / Special Units 49
26 Hospital Deaths
Figure 54: Number of Deaths by Age
Figure 55: Deaths by Age
Planning Unit / MRO / HIRU / Special Units 50
Annual Health Bulletin
27 Special Units
27.1 Planning unit
ROLE AND FUNCTIONS
The planning Unit was recently established to
assume the role of planning and implementation of
programs and projects funded locally and
externally; and promote research, new programs
and projects to improve service delivery offered by
the Ministry of Health. This unit is headed by the
Chief Planner.
1. Preparation of the Hospital Health Strategic Plan 2. Development of Annual Corporation Plans
3. Planning and design 4. Tendering and preparation of contracts for small Projects
5. Responsible for implementation, monitoring and supervision of projects
6. Responsible for project evaluation and reporting
7. Assess the Human Resource needs and availability
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27.2 Quality Management Unit
Quality management is a current requirement
OVERVIEW
Quality management unit was established a few years back at Teaching Hospital Kandy with the
aim of enhancing patient safety and providing high quality patientcare services to the patients
through implementation and evaluation of recommended healthcare quality & safety initiatives
across all units of the institution. We are committed to create and sustain a culture where quality
is embedded from the grass root level.
WHAT WE DO
Promote employee participation in management of quality by establishing Work Improvement
Teams (WIT)
Conduct training of Work Improvement Teams
Maintain a database in staff training and conduct a planned In-service Training Programme
Conduct programs and workshops on quality improvement and patient safety
Initiate a quality culture in health institutions by introducing 5S concepts leading towards Total
Quality Improvement
Assist in preparing strategic plans for the institutions with focus on reduction of waiting times,
instituting a smooth patient flow, infection control and waste disposal
Implementation of standards, guidelines and protocols relevant to customer/ patient care
Maintain a computer based data system by collecting and analyzing data related to quality
improvement of services
Promote an environment friendly healthcare institution
Conduct customer satisfaction surveys, and employee satisfaction surveys, maintain and take
corrective action for public complaints
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Encourage suggestion scheme in healthcare institutions
Facilitate assessment and improvement of performance through regular monitoring of the
programme using quality measurement indicators
Conduction of appraisal system
MILESTONE / SPECIAL EVENTS
Year 2018 - Conduction of Health Excellence Award Ceremony with the help of other units to
recognize and reward the staff for their valuable contributions, dedication, and commitment
towards delivering high quality healthcare.
FUTURE GOALS
Creation of electronic incident reporting system and feedback system
External benchmarking
Strengthening of Internal quality auditing system
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27.3 Health Information and Research Unit - (HIRU)
Of the hospital and its staff.
The Health Information and Research
Unit manned by doctors with post
graduate qualification in Health
Informatics under the guidance of the
Director, TH-Kandy. There are many
projects that would benefit the care
recipients, care givers and the general
public under this plan. This is aimed at
short term, medium term and long term
projects aimed at improving the
infrastructure, knowledge and attitude
Role and Functions
1. To build on the information management capacity of the hospital.
2. Establishing or collaborating with already established Resource center on Health
Information will be done to provide the required resources for staff training on ICT.
3. In-service Training on Health Information & ICT for the staff by Identification of
training needs, Curriculum development and Training Activities will be done which
will enhance the knowledge of the staff and change the attitude towards IT.
4. To Improve Electronic Communication, a high speed wide area network (WAN)
backbone was designed and implemented designed and constructed covering all
buildings of the hospital enabling expansion of the hospital network as required using
Fiber Optics.
5. Further, electronic communication will be promoted by issuing email addresses to all
relevant stakeholders.
6. Implementation and guarantee the sustainability of HIMS (Hospital Information
Management System) and more.
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Planning Unit / MRO / HIRU / Constructions and Renovations - 2016 52
28 Constructions and Renovations – 2016-2017
28.1 Kandy Nurses School – New building Development
Figure 56: Kandy Nurses School – New building Development
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Planning Unit / MRO / HIRU / Constructions and Renovations - 2016 53
28.2 Construction of Accident and Emergency Treatment Unit
Figure 57: Construction of Accident and Emergency Treatment Unit
28.3 Construction of Cancer Treatment Centre Figure 58: Construction of Cancer Treatment Centre
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Planning Unit / MRO / HIRU / Constructions and Renovations - 2016 54
28.4 Thalassemia and Bone Marrow Transplant Centre
Figure 59: Thalassemia and Bone Marrow Transplant Centre
28.5 New Emergency Dialysis Unit
Figure 60: New Emergency Dialysis Unit
Annual Health Bulletin
Planning Unit / MRO / HIRU / Constructions
28.6 Dialysis Unit and Hostel for CKD patients
Figure 61: Dialysis Unit and Hostel for CKD patients
28.7 Implementation of Digital Health Information System
Implementation of Hospital Information Management System (HIMS) is a long term project
started by Teaching hospital Kandy. Implementation has been started and training the staff is
being done.
Figure 62: Initiation of Electronic patient registration for HIMS
and Renovations - 2016
55
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Planning Unit / MRO / HIRU / Constructions and Renovations - 2016 56
Figure 63: Short Term Constructions – 2016-2017
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Planning Unit / MRO / HIRU / Constructions and Renovations - 2016 57
28.8 Renovation of Maternity Theatre, Patients' waiting area
Figure 64: Renovation of Maternity Theatre, Patients' waiting area
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Table 2: Short Term Constructions - 2016 (Repairs & Renovations)
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28.9 Extension and Renovation of Canteen
Figure 65: Extension and Renovation of Canteen
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Table 3: Short Term Constructions - 2016 (Repairs & Renovations)
28.10 Construction of Nurses quarters
Figure 66: Construction of Nurses quarters
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28.11 Construction of Library and Training School
Figure 67: Construction of Library and Training School
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28.12 Land-slides prevention and soil stabilization program
Figure 68: Land-Slides prevention program
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28.13 ETU, Stroke and Diabetic Clinic project
Figure 69: ETU, Stroke and Diabetic Clinic project
28.14 Cardiology center and Lab complex
JICA funded Cardiology center and Lab complex will be built in future in this premises.
Cardiology center will be fully equipped with all facilities and resources as an Apex-center.
Preliminary survey has been done in 2016.
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Notes
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