2024
Investigating disease awareness of cutaneous leishmaniasis in rural Sri Lanka to inform public health services: a cross-sectional study
Gunasekara S, Agampodi T, Weerasinghe M, Fernando M, Price H, Wickramasinghe N, Agampodi S. Investigating disease awareness of cutaneous leishmaniasis in rural Sri Lanka to inform public health services: a cross-sectional study. BMJ Open 2024, 14: e088714. PMID: 39581720, PMCID: PMC11590865, DOI: 10.1136/bmjopen-2024-088714.Peer-Reviewed Original ResearchConceptsSecondary outcome measuresAnuradhapura districtOutcome measuresProbability sample of householdsTreatment centresMultistage cluster samplingPublic health interventionsPublic health servicesCross-sectional studyData collection periodExpert consensus approachPrimary disease characteristicsRural Sri LankaPrimary outcome measureSample of householdsHealth interventionsLow disease awarenessHealth servicesPerceived susceptibilityEvidence-basedCommunity awarenessDisease awarenessDivisional Secretariat areaCluster samplingProbability sampleAssessment of the productivity loss due to leading maternal ill-health conditions: a follow-up study of a prospective pregnancy cohort in rural Sri Lanka
Gunarathna S, Wickramasinghe N, Agampodi T, Prasanna I, Agampodi S. Assessment of the productivity loss due to leading maternal ill-health conditions: a follow-up study of a prospective pregnancy cohort in rural Sri Lanka. BMJ Open 2024, 14: e082798. PMID: 39477261, PMCID: PMC11529687, DOI: 10.1136/bmjopen-2023-082798.Peer-Reviewed Original ResearchConceptsIll-health conditionsRural Sri LankaPregnant womenPregnancy cohortFollow-up study of womenFollow-up studyProspective pregnancy cohortRajarata Pregnancy CohortSecondary outcome measuresMonthly household expenditureVaginal bleedingProductivity lossStudy of womenPrimary outcome measurePregnancy follow-upMedical careOutcome measuresHigher absenteeismNausea and vomitingPresenteeismHighest prevalenceAbsenteeismThird trimesterWomenRecommended prioritiesGlobal burden and strength of evidence for 88 risk factors in 204 countries and 811 subnational locations, 1990–2021: a systematic analysis for the Global Burden of Disease Study 2021
Collaborators G, Brauer M, Roth G, Aravkin A, Zheng P, Abate K, Abate Y, Abbafati C, Abbasgholizadeh R, Abbasi M, Abbasian M, Abbasifard M, Abbasi-Kangevari M, ElHafeez S, Abd-Elsalam S, Abdi P, Abdollahi M, Abdoun M, Abdulah D, Abdullahi A, Abebe M, Abedi A, Abedi A, Abegaz T, Zuñiga R, Abiodun O, Abiso T, Aboagye R, Abolhassani H, Abouzid M, Aboye G, Abreu L, Abualruz H, Abubakar B, Abu-Gharbieh E, Abukhadijah H, Aburuz S, Abu-Zaid A, Adane M, Addo I, Addolorato G, Adedoyin R, Adekanmbi V, Aden B, Adetunji J, Adeyeoluwa T, Adha R, Adibi A, Adnani Q, Adzigbli L, Afolabi A, Afolabi R, Afshin A, Afyouni S, Afzal M, Afzal S, Agampodi S, Agbozo F, Aghamiri S, Agodi A, Agrawal A, Agyemang-Duah W, Ahinkorah B, Ahmad A, Ahmad D, Ahmad F, Ahmad N, Ahmad S, Ahmad T, Ahmed A, Ahmed A, Ahmed A, Ahmed L, Ahmed M, Ahmed S, Ahmed S, Ajami M, Akalu G, Akara E, Akbarialiabad H, Akhlaghi S, Akinosoglou K, Akinyemiju T, Akkaif M, Akkala S, Akombi-Inyang B, Al Awaidy S, Al Hasan S, Alahdab F, AL-Ahdal T, Alalalmeh S, Alalwan T, Al-Aly Z, Alam K, Alam N, Alanezi F, Alanzi T, Albakri A, AlBataineh M, Aldhaleei W, Aldridge R, Alemayohu M, Alemu Y, Al-Fatly B, Al-Gheethi A, Al-Habbal K, Alhabib K, Alhassan R, Ali A, Ali A, Ali B, Ali I, Ali L, Ali M, Ali R, Ali S, Ali W, Alicandro G, Alif M, Aljunid S, Alla F, Al-Marwani S, Al-Mekhlafi H, Almustanyir S, Alomari M, Alonso J, Alqahtani J, Alqutaibi A, Al-Raddadi R, Alrawashdeh A, Al-Rifai R, Alrousan S, Al-Sabah S, Alshahrani N, Altaany Z, Altaf A, Al-Tawfiq J, Altirkawi K, Aluh D, Alvis-Guzman N, Alvis-Zakzuk N, Alwafi H, Al-Wardat M, Al-Worafi Y, Aly H, Aly S, Alzoubi K, Al-Zyoud W, Amaechi U, Mohammadi M, Amani R, Amiri S, Amirzade-Iranaq M, Ammirati E, Amu H, Amugsi D, Amusa G, Ancuceanu R, Anderlini D, Anderson J, Andrade P, Andrei C, Andrei T, Anenberg S, Angappan D, Angus C, Anil A, Anil S, Anjum A, Anoushiravani A, Antonazzo I, Antony C, Antriyandarti E, Anuoluwa B, Anvari D, Anvari S, Anwar S, Anwar S, Anwer R, Anyabolo E, 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Global burden and strength of evidence for 88 risk factors in 204 countries and 811 subnational locations, 1990–2021: a systematic analysis for the Global Burden of Disease Study 2021. The Lancet 2024, 403: 2162-2203. PMID: 38762324, PMCID: PMC11120204, DOI: 10.1016/s0140-6736(24)00933-4.Peer-Reviewed Original ResearchConceptsDisability-adjusted life yearsHigh body-mass indexTheoretical minimum risk exposure levelSocio-demographic indexBody-mass indexRisk-outcome pairsParticulate matter air pollutionChild growth failureBurden of diseaseGlobal disease burdenGlobal burdenHealth outcomesRisk factorsDisease burdenMetabolic riskAmbient particulate matter air pollutionSocio-demographic Index locationsGlobal Burden of Disease StudyBurden of Disease StudyGlobal Burden of DiseaseComparative risk assessment frameworkAge-standardised ratesExposure to risk factorsPopulation attributable fractionSpecific health outcomesGlobal burden of 288 causes of death and life expectancy decomposition in 204 countries and territories and 811 subnational locations, 1990–2021: a systematic analysis for the Global Burden of Disease Study 2021
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Global burden of 288 causes of death and life expectancy decomposition in 204 countries and territories and 811 subnational locations, 1990–2021: a systematic analysis for the Global Burden of Disease Study 2021. The Lancet 2024, 403: 2100-2132. PMID: 38582094, PMCID: PMC11126520, DOI: 10.1016/s0140-6736(24)00367-2.Peer-Reviewed Original ResearchConceptsAge-standardised death ratesChronic obstructive pulmonary diseaseGlobal burdenLife expectancyObstructive pulmonary diseaseGlobal life expectancyHighest age-standardised death ratesLower respiratory infectionsDeath rateCause-specific death ratesGlobal Burden of Disease StudyCause-of-death dataDecompose life expectancyLatin AmericaBurden of Disease StudyGlobal Burden of DiseaseHigh-income super-regionAge-standardised deathAge-standardised ratesSubnational locationsStudy periodOut-of-sample predictive validityCause-of-death estimatesCause-specific estimatesGBD super-regions
2023
Out-of-Pocket Expenditure for Antenatal Care Amid Free Health Care Provision: Evidence From a Large Pregnancy Cohort in Rural Sri Lanka
Gunarathna S, Wickramasinghe N, Agampodi T, Prasanna I, Agampodi S. Out-of-Pocket Expenditure for Antenatal Care Amid Free Health Care Provision: Evidence From a Large Pregnancy Cohort in Rural Sri Lanka. Global Health Science And Practice 2023, 11: e2200410. PMID: 37903576, PMCID: PMC10615247, DOI: 10.9745/ghsp-d-22-00410.Peer-Reviewed Original ResearchConceptsMean OOP expenditureAntenatal careLarge pregnancy cohortPrivate health facilitiesPregnant womenHealth facilitiesOOP expenditureMaternal morbidityIndependent predictorsPrevious pregnancyPregnancy cohortHealth service utilizationInterviewer-administered questionnaireSignificant independent predictorsGovernment health facilitiesGovernment health servicesCare modeLaboratory investigationsHealth care usersSelf-administered questionnaireSri Lankan settingMonthly household incomeHealth care provisionANC visitsThird trimesterIncorporating early pregnancy mental health screening and management into routine maternal care: experience from the Rajarata Pregnancy Cohort (RaPCo), Sri Lanka
Agampodi T, Amarasinghe G, Wickramasinghe A, Wickramasinghe N, Warnasekara J, Jayasinghe I, Hettiarachchi A, Nimesha D, Dilshani T, Senadheera S, Agampodi S. Incorporating early pregnancy mental health screening and management into routine maternal care: experience from the Rajarata Pregnancy Cohort (RaPCo), Sri Lanka. BMJ Global Health 2023, 8: e012852. PMID: 37748792, PMCID: PMC10533714, DOI: 10.1136/bmjgh-2023-012852.Peer-Reviewed Original ResearchConceptsEdinburgh Postnatal Depression ScaleMental health screeningMental health problemsPregnancy cohortSecond trimesterEarly pregnancyHealth screeningClinical InterviewHealth problemsPregnancy care programsRoutine maternal careTertiary care hospitalMental health service provisionPrimary healthcare levelHigher EPDS scoresPostnatal Depression ScaleWeeks of periodPregnancy-associated conditionsMental health gapPatient-centered careHealth service provisionHealth surveillance systemsCare hospitalMiddle-income countriesPregnant womenPerinatal mental health in Sri Lanka, current status, programmes, gaps, and recommendations.
Agampodi T, Agampodi S. Perinatal mental health in Sri Lanka, current status, programmes, gaps, and recommendations. Ceylon Medical Journal 2023, 68: 53-57. PMID: 37610969, DOI: 10.4038/cmj.v68isi 1.9792.Peer-Reviewed Original ResearchPopulation health outcomes in South Korea 1990–2019, and projections up to 2040: a systematic analysis for the Global Burden of Disease Study 2019
Collaborators G, Park S, Kim M, Yon D, Lee S, Ward J, McLaughlin S, Mehlman M, Koyanagi A, Smith L, Jacob L, Agampodi S, Beiranvand M, Choi D, Hong S, Hosseinzadeh M, Kim C, Kim G, Kim J, Kim K, Kim S, Lee D, Lee H, Lee S, Lee Y, Mokdad A, Murray C, Okekunle A, Park E, Rabiee N, Shin Y, Hay S, Shin J. Population health outcomes in South Korea 1990–2019, and projections up to 2040: a systematic analysis for the Global Burden of Disease Study 2019. The Lancet Public Health 2023, 8: e639-e650. PMID: 37516480, PMCID: PMC10400799, DOI: 10.1016/s2468-2667(23)00122-6.Peer-Reviewed Original ResearchConceptsNon-communicable diseasesDisease Study 2019Disease burdenPopulation health outcomesYears of lifeGlobal burdenHealth outcomesHigher systolic blood pressureAge-standardised DALYsSystolic blood pressureCause-specific mortalityAge-standardised ratesCause of deathUniversal health coverage systemSouth Korean populationHealth care policyRatio of maleBlood pressureRisk factorsTobacco useKorean populationMedical expendituresMelinda Gates FoundationMortalityHigher numberChallenges of Continuation of Exclusive Breast Feeding up to 6 Months in a Setting with High Exclusive Breast Feeding Rates Reported. Experience from Eastern Province of Sri Lanka
Ranasinghe J, Madushika D, Abeysundara S, Agampodi S. Challenges of Continuation of Exclusive Breast Feeding up to 6 Months in a Setting with High Exclusive Breast Feeding Rates Reported. Experience from Eastern Province of Sri Lanka. Maternal And Child Health Journal 2023, 27: 1996-2001. PMID: 37270754, DOI: 10.1007/s10995-023-03724-2.Peer-Reviewed Original ResearchConceptsExclusive breastfeedingNon-exclusive breastfeedingExclusive breast feeding ratesPublic Health Midwife areasDescriptive cross-sectional studyEarly cessationResultsThe mean ageBreast feeding ratesCross-sectional studyWorld Breastfeeding Trends InitiativeExclusive breastSingle centerMean ageMaternal ageChildren 1Risk factorsOdds ratioBreastfeedingMonthsMedical officersUnemployed mothersHealth areaSignificant predictorsBirth orderMothersImpact of COVID-19 pandemic on health service utilisation and household economy of pregnant and postpartum women: a cross-sectional study from rural Sri Lanka
Gunarathna S, Wickramasinghe N, Agampodi T, Prasanna I, Agampodi S. Impact of COVID-19 pandemic on health service utilisation and household economy of pregnant and postpartum women: a cross-sectional study from rural Sri Lanka. BMJ Open 2023, 13: e070214. PMID: 37247958, PMCID: PMC10230333, DOI: 10.1136/bmjopen-2022-070214.Peer-Reviewed Original ResearchConceptsCurrent economic crisisHousehold economyFree public health servicesFinancial assistanceNon-parametric analysisEconomic crisisEconomic dataMonthly household incomeSri LankaHealth service utilisationHousehold incomeEconomic componentCOVID-19 pandemicEconomyPovertyIncomeService utilisationRural Sri LankaPostpartum womenCross-sectional studyPregnant womenAnuradhapura districtPublic health servicesLankaHealthcare utilisation‘We do not rush to the hospital for ordinary wounds (suḷu tuvāla)’: A qualitative study on the early clinical manifestations of cutaneous leishmaniasis and associated health behaviours in rural Sri Lanka
Gunasekara S, Wickramasinghe N, Agampodi S, Fernando M, Weerakoon K, Liyanage C, Dikomitis L, Agampodi T. ‘We do not rush to the hospital for ordinary wounds (suḷu tuvāla)’: A qualitative study on the early clinical manifestations of cutaneous leishmaniasis and associated health behaviours in rural Sri Lanka. PLOS Neglected Tropical Diseases 2023, 17: e0010939. PMID: 37172051, PMCID: PMC10208456, DOI: 10.1371/journal.pntd.0010939.Peer-Reviewed Original ResearchConceptsEarly clinical manifestationsClinical manifestationsCutaneous leishmaniasisHealth behaviorsRural Sri LankaAssociated health behaviorsHealthcare-seeking behaviorSelf-management actionsEarly skinTreatment periodFirst visitSkin lesionsQualitative studyHealth interventionsWorm infestationAnt bitesLeishmaniasisTropical diseasesNarrative thematic approachHealthcare facilitiesManifestationsRural settingsSymptomsAnuradhapura districtSubstantial delayEarly pregnancy metabolic syndrome and risk for adverse pregnancy outcomes: findings from Rajarata Pregnancy Cohort (RaPCo) in Sri Lanka
Jayasinghe I, Agampodi T, Dissanayake A, Agampodi S. Early pregnancy metabolic syndrome and risk for adverse pregnancy outcomes: findings from Rajarata Pregnancy Cohort (RaPCo) in Sri Lanka. BMC Pregnancy And Childbirth 2023, 23: 231. PMID: 37020187, PMCID: PMC10074348, DOI: 10.1186/s12884-023-05548-y.Peer-Reviewed Original ResearchConceptsGestational agePreterm birthPregnancy outcomesPregnant womenMetabolic syndromePregnancy cohortJoint Interim Statement criteriaFirst trimester pregnant womenMajor pregnancy outcomesSouth Asian pregnant womenAdverse pregnancy outcomesNeonatal birth weightGestational weight gainMedian gestational ageProspective cohort studyLive singleton birthsSignificant risk predictorAsian pregnant womenConclusionPregnant womenFPG thresholdMetS prevalenceCohort studyCumulative incidenceProspective cohortMetS definitionsDeterminants of birthweight in rural Sri Lanka; a cohort study
Banda P, Amarasinghe G, Agampodi S. Determinants of birthweight in rural Sri Lanka; a cohort study. BMC Pediatrics 2023, 23: 40. PMID: 36690991, PMCID: PMC9869565, DOI: 10.1186/s12887-022-03830-0.Peer-Reviewed Original ResearchConceptsMother-infant cohortPregnant womenCohort studyPreterm birthPsychosocial wellbeingThird trimester pregnant womenPerinatal health issuesProspective cohort studySocioeconomic statusPrimary care levelMaternal care servicesAntenatal care programsHusband's education levelSelf-completed questionnaireMiddle-income settingsEducation levelHierarchical logistic regressionPregnancy registrationHypertensive disordersMaternal BMISingleton pregnanciesThird trimesterBaby's sexChronic diabetesPerinatal health
2022
Social determinants of health pave the path to maternal deaths in rural Sri Lanka: reflections from social autopsies
Irangani L, Prasanna I, Gunarathne S, Shanthapriya S, Wickramasinghe N, Agampodi S, Agampodi T. Social determinants of health pave the path to maternal deaths in rural Sri Lanka: reflections from social autopsies. Reproductive Health 2022, 19: 221. PMID: 36471339, PMCID: PMC9724344, DOI: 10.1186/s12978-022-01527-2.Peer-Reviewed Original ResearchConceptsSocial determinantsSocial autopsiesComplex social issuesSri LankaSocial isolationRural Sri LankaSocial supportWorld Health Organization frameworkMaternal deathsPoor social supportGender inequityExtreme povertyDepth interviewsSocial issuesSocial causesThematic analysisSocial factorsPovertyDeath investigationOrganization frameworkDistrict ALevel occupationMost maternal deathsMiddle-income countriesCore determinantsThe geo-spatial perspective of biological, social and environmental determinants of early pregnancy anaemia in rural Sri Lanka: Need for context-specific approaches on prevention
Amarasinghe G, Agampodi T, Mendis V, Agampodi S. The geo-spatial perspective of biological, social and environmental determinants of early pregnancy anaemia in rural Sri Lanka: Need for context-specific approaches on prevention. Geospatial Health 2022, 17 PMID: 36468596, DOI: 10.4081/gh.2022.1110.Peer-Reviewed Original ResearchConceptsPrevalence of anemiaEarly pregnancyPregnant womenRisk factorsFirst trimester pregnant womenHigher anemia prevalenceAntenatal care programsEnvironmental risk factorsHeterogeneous risk factorsMaternal anemiaPregnancy anemiaPregnancy cohortAnemia prevalenceDietary patternsHigh prevalenceAnemiaCare programRural Sri LankaPrevalenceSocioeconomic disparitiesPregnancyHealth DivisionEthnic distributionSignificant differencesAnuradhapura districtFactors associated with early pregnancy anemia in rural Sri Lanka: Does being ‘under care’ iron out socioeconomic disparities?
Amarasinghe G, Agampodi T, Mendis V, Agampodi S. Factors associated with early pregnancy anemia in rural Sri Lanka: Does being ‘under care’ iron out socioeconomic disparities? PLOS ONE 2022, 17: e0274642. PMID: 36201463, PMCID: PMC9536542, DOI: 10.1371/journal.pone.0274642.Peer-Reviewed Original ResearchConceptsPregnancy anemiaPregnant womenFirst trimester pregnant womenSocioeconomic disparitiesRisk of anemiaOdds of anemiaFull blood countHistory of anemiaContinuum of carePeriod of gestationFamily Health ProgramHierarchical logistic regression modelsSelf-completed questionnaireLogistic regression modelsHealth care coveragePublic health infrastructureMaternal anemiaAntenatal careCohort studyBreast feedingContraceptive injectionMiddle-income countriesAnemia preventionRegression modelsAnemia controlThe magnitude of out‐of‐pocket expenditure for antenatal care in low and middle‐income countries: A systematic review and meta‐analysis
Gunarathne SP, Wickramasinghe ND, Agampodi TC, Prasanna IR, Agampodi SB. The magnitude of out‐of‐pocket expenditure for antenatal care in low and middle‐income countries: A systematic review and meta‐analysis. The International Journal Of Health Planning And Management 2022, 38: 179-203. PMID: 36129403, DOI: 10.1002/hpm.3578.Peer-Reviewed Original ResearchHelp-seeking intention for depression and suicidal ideation during pregnancy and postpartum in rural Sri Lanka, a cross-sectional study
Amarasinghe GS, Agampodi SB. Help-seeking intention for depression and suicidal ideation during pregnancy and postpartum in rural Sri Lanka, a cross-sectional study. Rural And Remote Health 2022, 22: 7273. PMID: 36059212, DOI: 10.22605/rrh7273.Peer-Reviewed Original ResearchConceptsSymptoms of depressionPublic health midwivesCross-sectional studyPregnant womenSuicidal ideationSuicidal thoughtsRural Sri LankaMental illnessHelp-seeking patternsHelp-seeking intentionsCommon mental illnessResource-constrained settingsMental health professionalsMaternal morbidityAntenatal clinicCurrent pregnancyMaternal deathsNumerous morbiditiesPeripartum depressionPostpartum mothersPostpartum periodMaternal depressionVignette-based questionnaireRisk populationsHealth professionalsQuality of life among community-dwelling older adults: evidence from a large population-based study in rural Sri Lanka
Wickramasinghe ND, Ratnayake HE, Perera RA, Agampodi SB. Quality of life among community-dwelling older adults: evidence from a large population-based study in rural Sri Lanka. Quality Of Life Research 2022, 32: 93-103. PMID: 35964270, DOI: 10.1007/s11136-022-03230-y.Peer-Reviewed Original ResearchConceptsCommunity-dwelling older adultsQuality of lifeRural Sri LankaOlder adultsMultivariable binary logistic regression modelSignificant associationMethodsThis cross-sectional studyLarge population-based studyPopulation-based studyCross-sectional studyCommunity-based interventionsLevel of QoLLow educational levelSelf-reported healthLogistic regression modelsBinary logistic regression modelAged 70Mean ageBetter QOLChronic diseasesChronic illnessLower mean scoresQOL domainsQoLAdultsAsthma in a prospective cohort of rural pregnant women from Sri Lanka: Need for better care during the pre-conceptional and antenatal period
Rajapakse S, Wickramasinghe N, Warnasekara J, Abeyrathna P, Amarasinghe G, Hettiarachchi AU, Jayasinghe IU, Koralegedara I, Agampodi TC, Agampodi SB. Asthma in a prospective cohort of rural pregnant women from Sri Lanka: Need for better care during the pre-conceptional and antenatal period. PLOS ONE 2022, 17: e0269888. PMID: 35834567, PMCID: PMC9282538, DOI: 10.1371/journal.pone.0269888.Peer-Reviewed Original ResearchConceptsNew-onset wheezePregnant womenSecond trimesterAsthmatic womenPregnancy outcomesPregnant asthmatic womenEligible pregnant womenProspective cohort studyLow birth weightPrevalence of wheezeEffect of asthmaRural pregnant womenMaternal care programmeCohort studyProspective cohortHospital admissionAntenatal periodAsthma prevalenceFirst trimesterBirth weightClinical assessmentHigh prevalenceWheezeAsthmaTrimester