World Journal of Surgery

, Volume 34, Issue 3, pp 428–432

Survey of Emergency and Surgical Capacity in the Conflict-Affected Regions of Sri Lanka


    • Department of Emergency MedicineStony Brook University Medical Center
  • Meena N. Cherian
    • Clinical Procedures Unit, Department of Essential Health TechnologiesWorld Health Organization
  • Harischandra Yakandawala
    • World Health Organization
  • R. Kesavan
    • World Health Organization
  • S. M. Samarage
    • Ministry of Healthcare and Nutrition
  • Mohan DeSilva
    • University of Sri Jayawardanapura

DOI: 10.1007/s00268-009-0254-5

Cite this article as:
Taira, B.R., Cherian, M.N., Yakandawala, H. et al. World J Surg (2010) 34: 428. doi:10.1007/s00268-009-0254-5



Three decades of internal conflict in the North and East of Sri Lanka have taken a toll on the health care system in that area.


We proposed to quantify the current status of capacity to deliver emergency, anesthesia, and surgical interventions in the conflict affected areas of Sri Lanka. The World Health Organization (WHO) Tool for Situational Analysis to Assess Emergency and Essential Surgical Care (EESC) was used to evaluate 47 health facilities.


Although most have trained health care providers capable of basic procedures, infrastructure and supplies were severely lacking.


These data can be used as a basis for the recovery and rebuilding of EESC capacity in conflict-affected areas of Sri Lanka.

Copyright information

© Société Internationale de Chirurgie 2009