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 sampleStigma associated with cutaneous leishmaniasis in rural Sri Lanka: development of a conceptual framework
Nuwangi H, Dikomitis L, Weerakoon K, Liyanage C, Agampodi T, Agampodi S. Stigma associated with cutaneous leishmaniasis in rural Sri Lanka: development of a conceptual framework. International Health 2024, 16: 553-561. PMID: 38487983, PMCID: PMC11375585, DOI: 10.1093/inthealth/ihae021.Peer-Reviewed Original ResearchManifestations of stigmaEvidence-based frameworkMultimethod qualitative studyQuality of lifeStigma driversRural Sri LankaAddress stigmaStigma experiencesReduce stigmaSelf-stigmaTargeted interventionsQualitative studyStigmaSystematic reviewTreatment burdenAnuradhapura districtInternational evidenceFacilitationConceptual frameworkSri LankaStigma formationAwarenessPeopleInterventionBurden
2023
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
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 delay
2022
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
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 districtNon-Alcoholic Fatty Liver Disease Among Pregnant Women With Metabolic Syndrome: Should Nutritional Intervention Be a Priority? A Cross Sectional Study in Rural Sri Lanka
Koralegedara I, Warnasekara J, Jayasinghe I, Agampodi T, Agampodi S, Dayaratne K. Non-Alcoholic Fatty Liver Disease Among Pregnant Women With Metabolic Syndrome: Should Nutritional Intervention Be a Priority? A Cross Sectional Study in Rural Sri Lanka. Current Developments In Nutrition 2022, 6: 680. PMCID: PMC9194234, DOI: 10.1093/cdn/nzac061.064.Peer-Reviewed Original ResearchNon-alcoholic fatty liver diseaseProportion of NAFLDFatty liver diseaseMetS groupMetabolic syndromeNutritional interventionPregnant mothersAminotransferase levelsLiver diseaseAlcoholic fatty liver diseaseGamma-glutamyl transferase levelsCross-sectional comparative studyNon-MetS participantsAdverse pregnancy outcomesAlanine aminotransferase levelsInternational Diabetes FederationDetailed clinical examinationAspartate aminotransferase levelsAmerican Heart AssociationCross-sectional studyGlutamyl transferase levelsTime of recruitmentWorld Health OrganizationAnuradhapura districtMean domeCross-sectional study to assess etiology and associated factors for anaemia during first trimester of pregnancy in Anuradhapura District, Sri Lanka: a protocol.
Amarasinghe G, Mendis V, Agampodi T, Agampodi S. Cross-sectional study to assess etiology and associated factors for anaemia during first trimester of pregnancy in Anuradhapura District, Sri Lanka: a protocol. F1000Research 2022, 10: 223. PMID: 35528960, PMCID: PMC9039368, DOI: 10.12688/f1000research.28226.3.Peer-Reviewed Original ResearchConceptsStrong public health systemCross-sectional studyPregnant womenFirst trimesterSignificant global health problemEtiology of anemiaInterviewer-administered questionnaireComplete blood countGlobal health problemPublic health systemAnuradhapura districtDietary questionnaireFetal outcomesMaternal anemiaAntenatal careAnemia controlBlood countSectional studyAnemia casesAnemiaHealth problemsPregnancySimilar etiologyField clinicsEtiologyEconomic burden of out-of-pocket expenditure, productivity cost during pregnancy and COVID-19 impact on household economy in a cohort of pregnant women in Anuradhapura District, Sri Lanka; A study protocol
Gunarathne SP, Wickramasinghe ND, Agampodi TC, Prasanna IR, Agampodi SB. Economic burden of out-of-pocket expenditure, productivity cost during pregnancy and COVID-19 impact on household economy in a cohort of pregnant women in Anuradhapura District, Sri Lanka; A study protocol. F1000Research 2022, 10: 700. PMID: 35528955, PMCID: PMC9046902, DOI: 10.12688/f1000research.53320.3.Peer-Reviewed Original ResearchConceptsPregnant womenMaternal healthProductivity costsEconomic burdenHealth servicesPocket expenditureCOVID-19 outbreakCross-sectional studyAnuradhapura districtTerms of absenteeismHealth care practitionersFree health servicesLack of evidenceStudy protocolHealth care administratorsOngoing COVID-19 pandemicCare practitionersStudy settingCOVID-19 impactPregnancyOOPECohortMedical officersWomenStudy sampleEconomic burden of out-of-pocket expenditure, productivity cost during pregnancy and COVID-19 impact on household economy in a cohort of pregnant women in Anuradhapura District, Sri Lanka; A study protocol
Gunarathne S, Wickramasinghe N, Agampodi T, Prasanna I, Agampodi S. Economic burden of out-of-pocket expenditure, productivity cost during pregnancy and COVID-19 impact on household economy in a cohort of pregnant women in Anuradhapura District, Sri Lanka; A study protocol. F1000Research 2022, 10: 700. DOI: 10.12688/f1000research.53320.2.Peer-Reviewed Original ResearchPregnant womenMaternal healthProductivity costsEconomic burdenHealth servicesPocket expenditureCOVID-19 outbreakCross-sectional studyAnuradhapura districtTerms of absenteeismHealth care practitionersFree health servicesLack of evidenceStudy protocolHealth care administratorsOngoing COVID-19 pandemicCare practitionersStudy settingCOVID-19 impactPregnancyOOPECohortMedical officersWomenStudy sample
2021
How costly is the first prenatal clinic visit? Analysis of out-of-pocket expenditure in rural Sri Lanka - a country with free maternal health care
Gunarathne SP, Wickramasinghe ND, Agampodi TC, Prasanna IR, Agampodi SB. How costly is the first prenatal clinic visit? Analysis of out-of-pocket expenditure in rural Sri Lanka - a country with free maternal health care. BMC Health Services Research 2021, 21: 974. PMID: 34530827, PMCID: PMC8444532, DOI: 10.1186/s12913-021-07005-y.Peer-Reviewed Original ResearchConceptsFirst prenatal clinic visitPrenatal clinic visitMaternal health servicesClinic visitsPregnant womenHealth servicesRural Sri LankaPocket expenditureFree maternal health careDirect medical costsMaternal health careNumber of pregnanciesCross-sectional studyFree maternal healthcareFree maternal servicesMethodsThe study designPrivate health servicesAnuradhapura districtMaternal healthcareMaternal servicesMicronutrient supplementsMedical costsBackgroundThis studyStudy settingStudy designEconomic burden of out-of-pocket expenditure, productivity cost during pregnancy and COVID-19 impact on household economy in a cohort of pregnant women in Anuradhapura District, Sri Lanka; A study protocol
Gunarathne S, Wickramasinghe N, Agampodi T, Prasanna I, Agampodi S. Economic burden of out-of-pocket expenditure, productivity cost during pregnancy and COVID-19 impact on household economy in a cohort of pregnant women in Anuradhapura District, Sri Lanka; A study protocol. F1000Research 2021, 10: 700. DOI: 10.12688/f1000research.53320.1.Peer-Reviewed Original ResearchPregnant womenMaternal healthProductivity costsEconomic burdenHealth servicesPocket expenditureCOVID-19 outbreakCross-sectional studyAnuradhapura districtTerms of absenteeismHealth care practitionersFree health servicesLack of evidenceStudy protocolHealth care administratorsOngoing COVID-19 pandemicCare practitionersStudy settingCOVID-19 impactPregnancyOOPECohortMedical officersWomenStudy sampleCross-sectional study to assess etiology and associated factors for anaemia during first trimester of pregnancy in Anuradhapura District, Sri Lanka: a protocol
Amarasinghe G, Mendis V, Agampodi T, Agampodi S. Cross-sectional study to assess etiology and associated factors for anaemia during first trimester of pregnancy in Anuradhapura District, Sri Lanka: a protocol. F1000Research 2021, 10: 223. DOI: 10.12688/f1000research.28226.2.Peer-Reviewed Original ResearchStrong public health systemCross-sectional studyPregnant womenFirst trimesterSignificant global health problemEtiology of anemiaInterviewer-administered questionnaireComplete blood countGlobal health problemPublic health systemAnuradhapura districtDietary questionnaireFetal outcomesMaternal anemiaAntenatal careAnemia controlBlood countSectional studyAnemia casesAnemiaHealth problemsPregnancySimilar etiologyField clinicsEtiology
2020
Is leishmaniasis adequately notified in Sri Lanka? A survey among doctors from an endemic district, Sri Lanka
Hewawasam C, Weerakoon HS, Thilakan V, Lelwala T, Prasanka K, Rathnayaka AS, Gamage S, Agampodi S. Is leishmaniasis adequately notified in Sri Lanka? A survey among doctors from an endemic district, Sri Lanka. BMC Public Health 2020, 20: 913. PMID: 32532244, PMCID: PMC7290071, DOI: 10.1186/s12889-020-09066-w.Peer-Reviewed Original ResearchConceptsMedical officersMethodsA cross-sectional studyFirst clinical suspicionHigh disease burdenCross-sectional studyHigh case loadSelf-administered questionnaireHealth Care InstituteAnuradhapura districtCurrent notification systemClinical suspicionResultsOne hundredDisease burdenCare instituteCausative organismEarly diagnosisEndemic districtsCutaneous leishmaniasisParasitic infectionsLeishmaniasisNotifiable diseaseCase loadLeishmania donovaniDiseaseSupportive staff
2019
Development and validation of the Social Capital Assessment Tool in pregnancy for Maternal Health in Low and middle income countries (LSCAT-MH)
Agampodi TC, Agampodi SB, Glozier N, Lelwala TA, Sirisena KDPS, Siribaddana S. Development and validation of the Social Capital Assessment Tool in pregnancy for Maternal Health in Low and middle income countries (LSCAT-MH). BMJ Open 2019, 9: e027781. PMID: 31289074, PMCID: PMC6629403, DOI: 10.1136/bmjopen-2018-027781.Peer-Reviewed Original ResearchConceptsSocial Capital Assessment ToolSocial capitalEfficiency of societyMiddle-income countriesSocial scientistsNeighborhood cohesionMaternal healthNeighborhood networksSocial organizationSocial contributionSocial participationCognitive validationCapitalInitial systematic reviewNorth Central ProvinceSri LankaMental ill healthPregnant womenCommunityAnuradhapura districtCentral ProvinceResearch gapCountriesMethodological expertsEdinburgh Postpartum Depression Scale
2018
Acetylcholinesterase inhibitor insecticides related acute poisoning, availability and sales: trends during the post-insecticide-ban period of Anuradhapura, Sri Lanka
Rathish D, Agampodi S, Jayasumana C. Acetylcholinesterase inhibitor insecticides related acute poisoning, availability and sales: trends during the post-insecticide-ban period of Anuradhapura, Sri Lanka. Environmental Health And Preventive Medicine 2018, 23: 27. PMID: 29945568, PMCID: PMC6020334, DOI: 10.1186/s12199-018-0716-1.Peer-Reviewed Original ResearchVendor-based restrictions on pesticide sales to prevent pesticide self-poisoning - a pilot study
Weerasinghe M, Konradsen F, Eddleston M, Pearson M, Jayamanne S, Gunnell D, Hawton K, Agampodi S. Vendor-based restrictions on pesticide sales to prevent pesticide self-poisoning - a pilot study. BMC Public Health 2018, 18: 272. PMID: 29463230, PMCID: PMC5819692, DOI: 10.1186/s12889-018-5178-2.Peer-Reviewed Original Research
2017
Productivity cost due to postpartum ill health: A cross-sectional study in Sri Lanka
Wickramasinghe ND, Horton J, Darshika I, Galgamuwa KD, Ranasinghe WP, Agampodi TC, Agampodi SB. Productivity cost due to postpartum ill health: A cross-sectional study in Sri Lanka. PLOS ONE 2017, 12: e0185883. PMID: 29020101, PMCID: PMC5636104, DOI: 10.1371/journal.pone.0185883.Peer-Reviewed Original ResearchConceptsMean productivity costsMean productivity lossCross-sectional studyIll healthProductivity costsPostpartum illnessProductivity lossLower abdominal painEffective pain managementStudy sampleHigh disease burdenSelf-reported episodesAnuradhapura districtAbdominal painMaternal morbidityPostpartum morbidityPain managementCommon symptomsPostpartum womenPreventable conditionSectional studyDisease burdenInfection preventionSurgical siteMedical officers
2016
Severe leptospirosis and pancreatitis; A case series from a leptospirosis outbreak in Anuradhapura district, Sri Lanka
Herath NJ, Kamburapola CJ, Agampodi SB. Severe leptospirosis and pancreatitis; A case series from a leptospirosis outbreak in Anuradhapura district, Sri Lanka. BMC Infectious Diseases 2016, 16: 644. PMID: 27821124, PMCID: PMC5100107, DOI: 10.1186/s12879-016-2010-4.Peer-Reviewed Original ResearchConceptsIntensive care unitSevere leptospirosisCase seriesConclusionThis case seriesResidual organ damageAcute kidney injuryLow serum calciumAnuradhapura districtBackgroundAcute pancreatitisAbdominal painKidney injurySix patientsCommon complicationCare unitClinical presentationElevated amylaseOrgan damageRare presentationSerum calciumAcute pancreatitisCase presentationWeNeutrophilic leukocytosisMain complicationsSerum amylaseTeaching hospitalExploring beyond norms: social capital of pregnant women in Sri Lanka as a factor influencing health
Agampodi TC, Agampodi SB, Glozier N, Siribaddana S. Exploring beyond norms: social capital of pregnant women in Sri Lanka as a factor influencing health. SpringerPlus 2016, 5: 411. PMID: 27069831, PMCID: PMC4821848, DOI: 10.1186/s40064-016-2063-2.Peer-Reviewed Original ResearchSocial capitalSri LankaSocial determinantsQualitative study protocolDepth interviewsRespective communitiesSocial relationshipsPregnant womenCapitalPublic health midwivesMaternal healthFramework analysisDifferent communitiesDepth explorationSocial risk factorsMaternal health indicatorsLankaCommunityMiddle-income countriesAnuradhapura districtResearch gapComprehensive approachFinal frameworkQuality of careContext
2013
Antenatal Depression in Anuradhapura, Sri Lanka and the Factor Structure of the Sinhalese Version of Edinburgh Post Partum Depression Scale among Pregnant Women
Agampodi SB, Agampodi TC. Antenatal Depression in Anuradhapura, Sri Lanka and the Factor Structure of the Sinhalese Version of Edinburgh Post Partum Depression Scale among Pregnant Women. PLOS ONE 2013, 8: e69708. PMID: 23922781, PMCID: PMC3724897, DOI: 10.1371/journal.pone.0069708.Peer-Reviewed Original ResearchConceptsEdinburgh Post-partum Depression ScalePregnant womenAntenatal depressionSinhalese versionReproductive age groupStudy samplePost-partum depressionMental health problemsSocio-demographic factorsHeart burnGestational agePartum depressionDepression ScaleGlobal burdenDepressive symptomsHealth problemsAge groupsWomenPrevalenceDepressionSri Lankan versionSelf-HarmingStage clusterAnuradhapura districtFactor structure