The Nakulugamuwa experience.


This article describes a case story of the integrated parasite control, nutrition and family planning program in rural Nakulugamuwa, Sri Lanka. The geography, administrative structure, community health services, demographic picture, health status and economic conditions of the rural region are discussed. The project was initiated in Jan. 1980 with 5 managerial phases: a baseline survey, planning, implementation, monitoring and evaluation. Upon initiation of the project, a local steering committee was assigned and a sociological profile of the voluntary health workers was undertaken. All of the health workers were female, age 18 to 32, mostly unmarried with a schooling level of 10 years, and resided in the project village. A brief description of the training program of volunteers and their related activities is given. The baseline survey revealed a high degree of parasitic infestations in the village. Top priorities for future planning were to deworm the community and increase family planning motivation activities. The implementation phase of the project was undertaken mostly by the local steering committee and the voluntary health workers. Monitoring is done at the local steering committee meeting where progress of all project activities are discussed. An evaluation of all project activities will be done at the end of June 1983. The voluntary health workers will conduct the survey, analyze the data and present the analysis to the committee. As seen by this experience, it is possible to involve the community in the managerial process of the integrated projects.

Cite this paper

@article{Perera1983TheNE, title={The Nakulugamuwa experience.}, author={Ranjith Perera}, journal={JOICFP review}, year={1983}, volume={7}, pages={20-30} }