Sri Lanka: Long Term Medical Support and Growth Hormone Treatment for Children

Maintaining Medical Support and Effective Diet Change: Q2 2016

August 08, 2016
Stephney Minerva Fernando


Summary of Activities
  • Organized and held 3 monthly meetings for the months of April, May, and June 2016
  • Collected information from the children about their treatment and progress at the monthly meetings
  • Provided traveling expenses and nutritious food packages for the children and their families
  • Gave each of the 4 children a food parcel, worth Rs. 2,199/= each. The food parcels were distributed by Mr. Nishantha Sandakelum and Mrs. Stephney Minerva Fernando for the months of April, May, and June 2016.

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Results &

Accomplishments


  • Long-Term Medical Support

    Program Challenges Minimized

    We continued to provide long-term medical support for these 5 children through monthly meetings, therapy, provision of food parcels, and any additionally required monitoring or treatment during the second quarter of 2016. Monthly meetings with the participating 5 children and their parents have minimized most of the challenges our program had experienced.


  • Services Provided

    Issuing, Storing, and Documenting

    Under the supervision of Professor Sujeewa, Senior Consultant of Pediatrics at the Karapitiya Teaching Hospital in Galle, Sri Lanka, with the assistance of the Medical Consultant of Ward No.1 and Registrar Keshani Gamlath of the Karapitiya Teaching Hospital, the following services are provided:

    • Issuing medication
    • Safely storing the delivered vials of growth hormone (GH) from Baurs Company
    • Documenting the issued vials and recording the progress of the children’s height and weight by the medical authority at Karapitiya Teaching Hospital in Galle, Sri Lanka, under the Supervision of Professor Sujeewa, Senior Consultant Pediatrician of Karapitiya Teaching Hospital
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Photos

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Numbers

Served

Direct Beneficiaries

5 children

Indirect Beneficiaries

parents of 5 children
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Success

Stories

Madu with food parcel Nishantha gives the food parcel to Madu

Madumekala Ubeywarna

APRIL 2016
  • Madumekala is a 22-year-old young woman. She did not come to the meeting, but her mother attended.
  • Madumekala could not attend because she had a fever and was taking treatment from the Real Medicine Clinic at Yayawatta.
  • She received 5 vials of growth hormone (GH) for the month of April, and she visited the clinic twice.
  • Madumekala is continuing sex hormone medication: Climen, 1 tablet daily. Her bone age is 11 years. It is below her chronological age. Madumekala was treated by Dr. Manilka Sumanthilaka, a consultant endocrinologist. He again referred Madumekala to Professor Sujeewa for further treatment.
  • As Professor Sujeewa instructed, Madumekala’s growth hormone therapy was increased again from 12 clicks to 14 clicks from January 14th, 2016. She needs 5 vials of growth hormone (GH) for each month.
MAY 2016
  • Madumekala is a 22-year-old young woman. She came to the meeting with her mother. She received 5 vials of growth hormone (GH) for the month of May, and she visited the clinic twice.
  • An unfortunate incident occurred on May 24th, when an elderly man tried to rape Madumekala. Fortunately, her father arrived just in time before anything had happened. Madumekala was admitted to the Tangalle Base Hospital with some scratch marks and was later transferred to Hambantota Base Hospital for further investigations.
  • The man was taken into custody, where he will remain until June 17th, 2016. All the medical reports, as well as Madumekala’s medication, were given to the police.
  • Madumekala is continuing sex hormone medication: Climen, 1 tablet daily. Her bone age is 11 years. It is below her chronological age. Madumekala was treated by Dr. Manilka Sumanthilaka, a consultant endocrinologist. He again referred Madumekala to Professor Sujeewa for further treatment.
  • As Professor Sujeewa instructed, Madumekala’s growth hormone therapy was increased again from 12 clicks to 14 clicks from January 14th, 2016. She needs 5 vials of growth hormone (GH) for each month.
JUNE 2016
  • Madumekala is a 22-year-old young woman. She came to the meeting with her mother. She received 5 vials of growth hormone (GH) for the month of June, and she visited the clinic twice.
  • The case is proceeding. The man who tried to rape Madumekala was not released, and he is still in prison. 2 lawyers are working on behalf of Madumekala. Her parents had recently moved, and now they are renting a house away from Yayawatta to avoid the threats of the man’s family.
  • Madumekala is continuing sex hormone medication: Climen, 1 tablet daily. Her bone age is 11 years. It is below her chronological age. Madumekala was treated by Dr. Manilka Sumanthilaka, a consultant endocrinologist. He again referred Madumekala to Professor Sujeewa for further treatment.
  • As Professor Sujeewa instructed, Madumekala’s growth hormone therapy was increased again from 12 clicks to 14 clicks from January 14th, 2016. She needs 5 vials of growth hormone (GH) for each month.
Food for beneficiaries

Fazeer Ahamed

APRIL 2016
  • Fazeer did not attended the monthly meeting in April, and we received no information from him. He did not receive his 4 vials of growth hormone therapy for the month of April.
  • We did not purchase Fazeer’s 4 vials of growth hormone for the month of April 2016, and we instructed the medical authority of Ward No.1 not to issue the vials, as Fazeer must meet with us in Tangalle before going to the clinic in Karapitiya.
  • Fazeer’s dosage is 10 clicks at night, daily. Since he did not attend the monthly meeting, Fazeer was not provided with a food parcel for the month of April.
MAY 2016
  • Fazeer did not attended the monthly meeting in May, and we received no information from him. He did not receive his 4 vials of growth hormone therapy for the month of May.
  • We did not purchase Fazeer’s 4 vials of growth hormone for the month of May 2016, and we instructed the medical authority of Ward No.1 not to issue the vials, as Fazeer must meet with us in Tangalle before going to the clinic in Karapitiya.
  • Fazeer’s dosage is 10 clicks at night, daily. Since he did not attend the monthly meeting, Fazeer was not provided with a food parcel for the month of May.
JUNE 2016
  • Fazeer did not attended the monthly meeting in June, and we received no information from him. He did not receive his 4 vials of growth hormone therapy for the month of June.
  • We did not purchase Fazeer’s 4 vials of growth hormone for the month of June 2016, and we instructed the medical authority of Ward No.1 not to issue the vials, as Fazeer must meet with us in Tangalle before going to the clinic in Karapitiya.
  • Fazeer’s dosage is 10 clicks at night, daily. Since he did not attend the monthly meeting, Fazeer was not provided with a food parcel for the month of June.
Madura's mother signs the document Madura's mother with the parcel

Madura Madushanka

APRIL 2016
  • Madura received 4 vials of growth hormone (GH) for the month of April. He did not check his height during this time period.
  • He had attended school and private classes, and completed the Advanced Level Exam. At the moment, he is taking a computer course too.
  • His mother is very much concerned with his progress, and the medical authorities at Karapitiya Teaching Hospital are very satisfied with her.
MAY 2016
  • Madura received 4 vials of growth hormone for the month of May. He checked his height during this time period.
  • He had attended school and private classes, and completed the Advanced Level Exam. At the moment, he is taking a computer course too.
  • His mother is very much concerned with his progress, and the medical authorities at Karapitiya Teaching Hospital are very satisfied with her.
JUNE 2016
  • Madura received 4 vials of growth hormone for the month of June. He did not check his height during this time period.
  • He had attended school and private classes, and completed the Advanced Level Exam. At the moment, he is taking a computer course too.
  • His mother is very much concerned with his progress, and the medical authorities at Karapitiya Teaching Hospital are very satisfied with her.
Gayan's mother signs the document Gayan

Gayan Madushanka

APRIL 2016
  • For the month of April, Gayan did not receive any vials of growth hormone (GH). After observing the progress of Gayan’s height, Professor Sujeewa had instructed to stop therapy for him. Gayan visited the clinic at Karapitiya once to get the Testoviron injection.
  • Gayan had stopped attending school. He is hoping to find a job. Gayan’s mother had returned the auto click machine and the remaining needles.
MAY 2016
  • For the month of May, Gayan did not receive any vials of growth hormone (GH). After observing the progress of Gayan’s height, Professor Sujeewa had instructed to stop therapy for him. Gayan visited the clinic at Karapitiya once to get the Testoviron injection.
  • Gayan had stopped attending school. He is hoping to find a job.
JUNE 2016
  • For the month of June, Gayan did not receive any vials of growth hormone (GH). After observing the progress of Gayan’s height, Professor Sujeewa had instructed to stop therapy for him. Gayan visited the clinic at Karapitiya once to get the Testoviron injection.
  • Gayan had stopped attending school. He is now working as a helper.
Tharindu gives information to Minerva Tharindu with the food parcel with newly included Soya

Tharindu Hasanga

APRIL 2016
  • Tharindu’s increased medication had to continue. He visited the Karapitiya clinic with his new blood profile on March 17, 2016, and he met with the medical consultant.
  • No change in his medication. Senior medical consultant, Dr. Arosha, had instructed Tharindu to do more exercises, such as cycling, to decrease his weight. Tharindu’s weight has decreased. The medical consultant had given Tharindu a diet system, and he must eat what is listed on the chart.
  • Professor Sujeewa Amarasinghe, the senior pediatrician at Karapitiya Teaching Hospital in Galle, Sri Lanka, had referred Tharindu to Dr. Arosha.
  • Tharindu needs to visit the clinic during the month of April with a new blood profile. His weight is now 68 kg and his height is 165 cm.
  • Tharindu takes Rosuvastatin (40 mg) and Ezetimibe (10 mg) each night. He also receives a food parcel with more grains and a packet of fat-free milk powder.
MAY 2016
  • Tharindu’s increased medication had to continue. He will need to visit the Karapitiya clinic with his new blood profile in July 2016. He had met with the medical consultant.
  • No change in his medication. Senior medical consultant, Dr. Arosha, had instructed Tharindu to do more exercises, such as cycling, to decrease his weight. Tharindu’s weight has decreased. The medical consultant had given Tharindu a diet system, and he must eat what is listed on the chart.
  • Professor Sujeewa Amarasinghe, the senior pediatrician at Karapitiya Teaching Hospital in Galle, Sri Lanka, had referred Tharindu to Dr. Arosha.
  • In April, Tharindu visited the clinic with a new blood profile. His weight is 67 kg and his height is 165 cm.
  • Tharindu takes Rosuvastatin (40 mg) and Ezetimibe (10 mg) each night. He also receives a food parcel with more grains and a packet of fat-free milk powder. For his food parcel, we also reduced the quantity of red rice and had added soy protein as instructed by Dr. Arosha.
JUNE 2016
  • Tharindu’s increased medication had to continue. He will need to visit the Karapitiya clinic with his new blood profile in July 2016. He will meet with the medical consultant.
  • No change in his medication. Senior medical consultant, Dr. Arosha, had instructed Tharindu to do more exercises, such as cycling, to decrease his weight. Tharindu’s weight has decreased by 8 kg. The medical consultant had given Tharindu a diet system, and he must eat what is listed on the chart.
  • Professor Sujeewa Amarasinghe, the senior pediatrician at Karapitiya Teaching Hospital in Galle, Sri Lanka, had referred Tharindu to Dr. Arosha.
  • In April, Tharindu visited the clinic with a new blood profile. His weight is 67 kg and his height is 165 cm.
    Tharindu takes Rosuvastatin (40 mg) and Ezetimibe (10 mg) each night. He also receives a food parcel with more grains and a packet of fat-free milk powder. For his food parcel, we also reduced the quantity of red rice and had added soy protein as instructed by Dr. Arosha.
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