Research Publications

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    Macroeconomic determinants of child mortality in low and lower-middle-income nations
    (Emerald Publishing, 2025-05-18) Samarawickrama, P.A; Fernando, G; Bernadeen, R; Jayasuriya, N; Pathirana, U
    Purpose: Child mortality remains a major problem in the world, especially for children under five, as many deaths are reported each year. Disproportionately high death rates are seen in low- and lower-middle-income nations. This study seeks to examine the impact of macroeconomic factors on child mortality in low- and lower-middle-income countries to formulate policies for those income levels to achieve SDG 3.2 by 2030. Design/methodology/approach: The study uses panel regression analysis to investigate the impact of macroeconomic factors including inflation, labor force participation female, Current healthcare expenditure and GDP per capita income on child mortality within the two income groups, covering 18 low-income and 41 lower-middle-income nations from the year 2000 to 2022. Findings: The findings of the study indicated that in low-income countries women’s employment positively and significantly affects child mortality, while GDP per capita and current health expenditure negatively and significantly affect child mortality. In lower middle-income countries, inflation and GDP per capita negatively and significantly affect child mortality. This demonstrates the significance of economic stability, health investments and modifications in labor force participation female in mitigating child mortality in low and middle-income countries while offering critical insights for achieving the Sustainable Development Goals (SDG) related to infant mortality reduction by 2030. Originality/value: Although previous research has investigated child mortality, there is a lack of comprehensive research that has examined the combined impact of inflation, labor force participation rate female, current healthcare expenditure and GDP per capita in these countries. This study offers new empirical evidence regarding the influence of macroeconomic conditions on trends in child mortality by implementing a rigorous methodological approach.
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    PublicationOpen Access
    Analysis on Current and Future Training Needs in Health Sector of Sri Lanka
    (SRAC - Romanian Society for Quality, 2022-08) Rajapakshe, W; Weerarathna, R. S; Pathirana, G.Y; Malage, M. H
    Sri Lanka holds a unique position in South Asia as one of the developing nations to provide universal health. Government spending on welfare mainly involves compromising or constraining a country's development budget. It requires sound management strategies to utilize limited resources, including the human resource of the health sector. Training and development of health professionals can be identified as a critical component in strengthening the quality of health services. Fewer studies exist on Training Needs Analysis (TNA) on health professionals in Sri Lanka, and this study assessed the Training Needs of Sri Lanka's healthcare professionals. This is a cross-sectional study collecting data from 240 health sector professionals in Sri Lanka. The Hennessey Hicks Training Need questionnaire was used to obtain data. Data from the source was analysed through the oneway ANOVA to compare the training needs of various professional groups, and the Word Cloud Online tool was applied to analyse the open-ended questions. The study identifies published research evaluation, communicates with patients, identifies viable research, introduces new ideas, prioritizing works, assessing patients' needs, using technology, undertaking health promotion activities, collecting research information, and undertaking administrative duties as current training needs. While computer literacy training, training on new medical equipment, awareness programs on workplace stress-reducing, training on quality assurance certifications like ISO, programs on effectively communicating with patients, management training, and language training were identified as future training needs of professionals in the health sector. The study concluded that, continuous training programs as the preferred approach to access the performance gap. It also demonstrates that this awareness of information regarding the training needs is beneficial for the health sector policymakers, managers, employees, and the community. Having a better understanding of their job roles, performance needs, and involvement in the decision-making process is likely to motivate healthcare sector employees to improve service quality. These benefits will be reflected in positive outcomes on service quality, improving the overall healthcare system in the country.
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    PublicationOpen Access
    Analysis on Future Training Needs in Health Sector of Sri Lanka
    (SRAC - Romanian Society for Quality, 2022-08) Weerarathna, R; Rajapakshe, W; Pathirana, G. Y; Malage, M. H
    Sri Lanka holds a unique position in South Asia as one of the developing nations to provide universal health. Government spending on welfare mainly involves compromising or constraining a country's development budget. It requires sound management strategies to utilize limited resources, including the human resource of the health sector. Training and development of health professionals can be identified as a critical component in strengthening the quality of health services. Fewer studies exist on Training Needs Analysis (TNA) on health professionals in Sri Lanka, and this study assessed the Training Needs of Sri Lanka's healthcare professionals. This is a cross-sectional study collecting data from 240 health sector professionals in Sri Lanka. The Hennessey Hicks Training Need questionnaire was used to obtain data. Data from the source was analysed through the one-way ANOVA to compare the training needs of various professional groups, and the Word Cloud Online tool was applied to analyse the open-ended questions. The study identifies published research evaluation, communicates with patients, identifies viable research, introduces new ideas, prioritizing works, assessing patients' needs, using technology, undertaking health promotion activities, collecting research information, and undertaking administrative duties as current training needs. While computer literacy training, training on new medical equipment, awareness programs on workplace stress-reducing, training on quality assurance certifications like ISO, programs on effectively communicating with patients, management training, and language training were identified as future training needs of professionals in the health sector. The study concluded that, continuous training programs as the preferred approach to access the performance gap. It also demonstrates that this awareness of information regarding the training needs is beneficial for the health sector policymakers, managers, employees, and the community. Having a better understanding of their job roles, performance needs, and involvement in the decision-making process is likely to motivate healthcare sector employees to improve service quality. These benefits will be reflected in positive outcomes on service quality, improving the overall healthcare system in the country.
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    SentinelPlus: A Cost-Effective Cyber Security Solution for Healthcare Organizations
    (2021 3rd International Conference on Advancements in Computing (ICAC), SLIIT, 2021-12-09) Janith, K.; Iddagoda, R.; Gunawardena, C.; Sankalpa, K.; Abeywardena, K.Y.; Yapa, K.
    Electronic Protected Health Information (ePHI) has proven to be quite lucrative by cybercriminals due to their long shelf life and multiple possible avenues of monetization. These highly sensitive data has become an easy target for cyber attackers due to the poor cyber resiliency strategies exercised by Healthcare Organizations. The reasoning behind the poor cyber security management in the healthcare sector sums to the collective impact of budgetary restriction, lack of cyber security competency and talent in the domain, prioritizing convenience over security, and various work culture malpractices. Further-more, a substantial number of data breaches in the healthcare sector are known to be caused by human errors, security misconfigurations, and information mismanagement. Secondly, the increasing prevalence of ransomware and botnet attacks has hampered the efficiency and availability of healthcare services. As a result, in order to provide a holistic security mechanism, this paper presents "SentinelPlus," a machine learning-based security management suite.
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    Knowledge management framework for achieving quality of healthcare in the developing countries
    (IEEE, 2013-01-20) Amararachchi, J. L; Perera, H. S. C; Pulasinghe, K
    A severe dearth of medical experts in health institutions in the rural and remote areas in developing countries has directly affected the quality of healthcare. This problem can be alleviated by providing facilities to access up to date medical Information and knowledge for doctors who are stationed in these areas to update their knowledge. Since Knowledge Management System (KMS) consists of most related Information and knowledge, medical KMSs could be utilized to enhance the quality of clinical activities. This study was aimed to identify the factors that affect the knowledge management initiatives. Findings of the research have shown that there is a strong association between accessing and using Information/ knowledge in clinical activities and the quality of healthcare. Moreover, attitudes of Medical Practitioners (MP), Infrastructure facilities, patient Information systems, patient treatment, staff benefits etc., have contribute positively towards the success of knowledge management in Health organizations. The research has used the case study methodology for accomplishing the research objectives. Remote and rural areas in Sri Lanka have considered for the case study which is one of the developing countries in the Asian region.