Background: Health Promotion (HP) is the process of enabling people to increase control over and to improve their health: an efficient and cost-effective approach to foster a healthy population. Hospital HP targets the patients who are more receptive to attitudinal and behavioural changes. Health Education and Promotion Nursing Officer (HENO) functions as the generator and coordinator of all HP activities. Objective: The HENO of Base Hospital-Galgamuwa (BHG) was underutilized for HP services, and inadequate number and coverage of HP services had created patient dissatisfaction. This research project aimed to improve the HP services conducted by HENO through implementing appropriate, cost-effective and sustainable interventions. Medical and Diabetic clinics which cater to the large disease burden on non-communicable diseases as evidenced by hospital e-IMMR were prioritized for the project. The top diseases resulting in 82.5 % of patients’ clinic attendance, namely HT, DM, IHD and CKD either as single or combined were selected to intervene. Methods: The study was carried out in three phases adopting mixed-method approach. Qualitative technique, the Despite resource constraints, interventions proved to be effective in improving the HP services conducted by the HENO at BHG. It is therefore recommended that other similar resource-poor hospital settings implement the same/similar project, subjected to periodical updates of HP messages for keeping up with new knowledge, to improve HP services conducted by HENOs.

The medical background enables CCPs to act as technical experts and medical administrators in public health services. Key functions of CCPs outlined in the job description (2) include public h e a l t h p r o g r a m m e m a n a g e m e n t , p o l i c y analysis/development, strategic planning, advocacy, raising awareness on health, surveillance monitoring, evaluation, research, quality assurance, training, capacity building and fund mobilization. CCPs who function as medical administrators too, implement above functions as per relevance to the intuitions, directorates or programmes. Although public health has a well-agreed definition (3), there seems to be many definitions for CM and conflicts about roles and professional identity of CCPs. It is a timely requirement to explore evidence to illustrate a model of service delivery for CCPs. A thorough literature search and a narrative review based on the content revealed the following four main themes related to CM:

AbstractBackground Tuberculosis (TB) is one of the 10 leading causes of death worldwide. In Sri Lanka, approximately one third of cases are not detected during routine practice. Poor contact tracing, inadequate detection, underutilization of MCs are major weakness in TB screening. The private sector provides 50% of outpatient services of Sri Lanka and this study aims to assess Knowledge, attitudes, practices among Private Practitioners (PPs) on TB patient detection and treatment in Kaluthara district Sri Lanka. Methods A descriptive cross-sectional study carried out among 153 PPs in Kaluthara District. Knowledge and Attitudes of PPs were assed using Self-Administered Questionnaire (SAQ) and Practices were assessed using open ended questions based on three clinical vignettes related to TB. Results Majority of PPs have satisfactory level of knowledge on TB screening (79.4%, n=62) with favourable attitudes (84.6%, n=66). More than one third of PPs (46%, n=36) do not suspect TB in patients presenting with cough more than 2 weeks. The salient practices of history taking, examinations such as checking socio economic status, checking previous antibiotics usage, exclusion of TB in pregnancy and diabetes, examining lymphadenopathies are missed by PPs during their routine work. Conclusion Overall knowledge and attitudes were satisfactory among PPs. Some salient points of history taking, examinations are missed by PPs during their routine. Referrals of patients with more than 2 weeks of cough to MCs are poor. PPs almost never use MC for sending sputum for AFB.

The Galle Medical Journal is published by the Galle Medical Association. The journal is published quarterly in March, June, September and December each year. The submissions are accepted throughout the year. The aims of the Journal are to foster co-operation among the medical fraternity and to be a forum to make literary contributions, share experiences encountered in medical practice, update their knowledge and have debates on topics related to all aspects of medicine.