Review of the Activities and Progress of Maternal and Child Health Services at the Kalutara District of Sri Lanka

Maternal and Child Health programme is one of the vital component of Sri Lankan health sector, which has achieved remarkable progress during past few decades. Objective of this case study was to review the current situation of MCH services in Kalutara RDHS area and it was done by mixed methodologies including key informant interviews, focused Group Discussions and participate to the review meetings etc. Several problems were identified by above techniques and Nominal group technique was used to prioritize the identified problems. “Low coverage of preconception clinics” was identified as the prioritized problem and fish bone analysis was performed. It was recommended to collaboration with marriage registrars and public health staff on conducting pre-conceptional clinics. Awareness programmes and health promotion campaigns would be useful and delivering of health messages on pre-conceptual care through multimedia is recommended