Features
Back home working in Sri Lanka with WHO, ILO, World Bank and ICES
(Excerpted from Memories that linger: My journey through the world of disability by Padmani Mendis)
Although I had carried out assignments for all the WHO Regional Offices except the European Office quite early on in my journey, I had not really had the opportunity to work with WHO Colombo. That is until the year 2012 when the World Report on Disability was published jointly by WHO and the World Bank, a very significant event for disabled people worldwide. The Regional Office in New Delhi, for reasons best known to them, had selected Sri Lanka as a regional focal point for an official launch of the publication.
Dr. Lanka Dissanayake was handling the subject of disability in WHO Colombo and helped coordinate the event. Responsibility was shared by the Ministries of Social Services and that of Health. It was obvious to anyone that on this occasion the former held the floor. Disability was theirs and theirs alone. So clear they made it, that the Minister of Health left it to his deputy to attend the event. His position, it seemed, had been insulted. Such was the hierarchy.
Dr. Tom Shakespeare, one of the key figures behind the prestigious World Report, came from the UK to represent WHO and the World Bank. The launch was quite an affair. As is usual with the Ministry an exhibition of products made by disabled people was organised as well as a concert by them. A committee of six members from both ministries was set up to oversee arrangements. Dr. Dissanayake brought me into the committee. My task was to accompany Tom Shakespeare on a programme of visits she arranged for him. But she brought me in really because beyond the launch, she had another activity in mind.
And this is how she got the activity going. She took the opportunity of the launch of the publication to suggest to the two ministries that they launch at the same time the preparation of a National Plan of Action for Disability. This was later called the NAPD. The two ministries had naught to do but work with each other. To see the activity through she gave me an official position as a Consultant to work with the two ministries.
With the relevant officials, we brought together disabled people and others with expertise in various areas in particular groups to prepare the eight sections of the plan. These were based on the National Policy on Disability, NPD. My task, as well as providing advice, was the preparation of the written edited document based on the drafts submitted by the groups.
Much was achieved this way until it was time for an open forum. This was held with the participation of over 200 people. I have not to this day seen that many disabled people participate together with others at such an event in Sri Lanka.
The process did not end there. We followed through using the email to circulate the draft document as widely as possible. Feedback obtained was fed in until the draft was as complete as it could be. I estimated quite roughly that well over 600 people had participated in the preparation of that document.
Approved by the two ministries, it was submitted to cabinet by the Minister of Social Welfare. The formal document in the three languages has on its cover both ministries as co-producers. And a decade after our National Policy on Disability had been approved, we now had in 2014 a National Plan for its implementation.
How I wish that I could say that these documents were put into effect by government. No, that was never formally done. But one can still have some sense of satisfaction that much of the statements in the National Policy and strategies in the National Action Plan have even to some small extent been disseminated within and have pervaded our society. This is to be credited to concerned individuals and organisations, including academia dedicated to improving the situation of our disabled people over these many years.
It may also be that it was a result of these efforts as well as others that a consciousness grew in our society about the situation of our disabled people. And consequently, a consciousness also of their rights. And of what appeared to be associating disability with rights in the increasing public discourse and national dialogue. But no, not yet a major concern within government.
Following these few small steps, many hoped finally that Sri Lanka had taken a leap in 2016. This was when our country finally ratified the UN Convention on the Rights of Persons with Disabilities or CRPD, on February 8 of that year. Nope. No action to follow. False alarm again. Our government was likely responding to outside pressure that this had to be done. The enabling legislation for the CRPD is, just to remind you, still in the pipeline. The mechanism for its implementation has never been given a thought.
Nonetheless the two National Human Rights Action Plans (NHRAPs) that were made at around this time included disabled people as a subject area. I participated in the preparation of the NHRAP 2012 – 2016. It had been decided that disability was to be a cross-cutting issue in this plan and I was invited to serve on the relevant drafting committees.
By the time NHRAP 2017 – 2021 was being prepared, Sri Lanka had approved the CRPD so Disability had a whole section to itself. Here I was appointed to the drafting committee of the Disability section. Both remained as documents prepared using expensive paper with a glossy cover.
The whole fiasco led one to believe the NHRAPs were made only to impress the international community. Or to respond to their vociferous requests for Sri Lanka to fulfil our international commitments.
Journeying with the International Labour Organisation, Colombo
Journeying with the ILO in Colombo took me into a completely new ethos. Work, employment and the right to an income that was not connected with Community Based Rehabilitation (CBR). The right to work is the area in which perhaps the rights of disabled adults are most violated. Just as for children the greatest violation would undoubtedly be the right to education.
The most interesting of the tasks I did for ILO was in the Factory Improvement Programme implemented by the EFC or Employers Federation of Ceylon. It was therefore called the ILO – EFC Factory Improvement Programme.
This was an ILO regional programme aimed at improving the overall efficiency levels and competitiveness of selected factories. Including disabled people in these factories was part of the programme. A manual for training factory managers to fulfil programme aims was being developed by ILO.
My task was to field test the module in the manual which dealt with the inclusion of disabled people. I was first required to visit 10 factories in the western province selected for the field test and motivate employers to include disabled people in their workplace. Most were garment industries, while a few were related to the tea trade. It was a first experience for me going inside these factories and meeting staff. The factories were exceptionally well maintained as were their gardens, usually landscaped. All very pleasant.
I was most surprised by this finding. That is, nine of the 10 factories already had disabled employees. Speaking with them, I found that these employees were quite content with their situation. The managers, it appeared needed no motivating from me. This finding did not quite match the situation we found on the ground. The National Census of 2012 indicated that unemployment among disabled people was over 70%. Field workers believe it is even higher.
Beyond this was another welcome finding. While I was on the floor of a certain garment factory with the factory manager, the bell rang announcing the tea break. All the workers on the floor left as if in a hurry to make the most of the free time they were given. Except for one young man who waited to look around him; he went up to a colleague’s machine, did something with it and then left.
The manager explained to me what it was about. The young man, let’s call him Nanda, looked around him to see if all was in order. He found that a colleague had failed to switch his machine off, and this is what Nanda did before leaving the floor. The manager went on to tell me that Nanda had, the previous year, been recognised as the “Best Employee”. Nanda was deaf. He communicated with his colleagues using gestures and signs they made up. His impairment was no barrier at this workplace.
At yet another factory, the manager was proud to show me around so I could see how he had integrated in his factory more than a dozen disabled employees. He went on to say to me “If you bring me 20 disabled people tomorrow, I will give them all work.” And who talks of the low productivity levels of these our people?
The World Bank
Two of the more interesting tasks I did for The World Bank I would like to share with you. They were quite different from each other. The first took me in 2009 to many parts of my country again talking with many people from many different walks of life and a variety of institutions. This learning and experience went into a comprehensive report I gave to The World Bank calling it “Disability in Sri Lanka”.
The first appointment I carried out for this task was with the Director-General of Labour. Before I entered the beautiful new building housing the Ministry and Department of Labour, I had a toss, fell flat on my face and injured my foot. It was awfully painful and I could see my foot swelling up immediately. Appointments with these people were hard to get so I went ahead with it. It was later when I got to a hospital that I found out I had a fracture. My foot was put in a plaster cast. It could not take any weight for six weeks.
And so I started using a wheelchair. And this I used until I had completed the task travelling to all parts of the island for my work. Accessible hotels were very hard to find. Many buildings and offices were inaccessible. But people were kind. Even top Government officials came down to earth to meet me, some down from their Ivory Towers.
For the second task of preparing a document, I worked with the Ministry of Health, disabled people and a few others. This was approved and published by the ministry as their rehabilitation policy in 2014 and called “National Guidelines for Rehabilitation Services in Sri Lanka”. The process of preparing it involving discussions with a wide range of health personnel seemed to make them conscious to some degree of the needs of disabled people.
ICES and the Disability Policy Brief
The last formal work I carried out on my journey was with the International Centre for Ethnic Studies, ICES. The ICES was popular in our world because of the interest it showed in disability. Dr. Mario Gomes, the Executive Director, could very easily be approached by both disabled people and by us disability workers for particular support that we needed. So over the years, many meetings and workshops were sponsored and some research conducted related to disability.
Disability by this time had moved out of the public discourse. Action on it seemed to be low-key. Binendri Perera, an attorney attached to the University of Colombo and I discussed with Dr. Gomes the possibility of preparing for publication a brief document that may help to change this situation. The outcome of this is the ICES publication “Disability Policy Brief for Law Makers, Administrators and Other Decision Makers” in all three languages.
What Binendri and I did was synthesise in the document in point form the National Policy and National Action Plan both of which had Cabinet approval and the UN Convention on Disability which Sri Lanka had ratified.
To do this we analysed each recommendation and put them into one chart so that they could be related to each other and compared. This we trusted would lead to a comprehensive approach to implementation. We believed this simple format would encourage users to understand their respective roles in the overall process and take whatever action they could. ICES made sure it was distributed to reach all districts in Sri Lanka and divisions within many of those districts. One last attempt to move closer to a better life for our disabled people.
End of travel, but not of The Journey
I started my Journey in the World of Disability here at home in my Sri Lanka. I have shared with you the first small step of my journey that I took while yet at school with my decision to be a physiotherapist. And with that first step, the next to proceed to the UK to be an Orthopaedic Nurse as a means of studying to be a Physiotherapist.
It was right at the start of the five years and more of learning this process took that I made my contacts with disabled people of all ages. First as their nurse, to many their friend and confidante. Space permits me to share with you my experiences with only a few individuals of the many thousands that impacted my life as it was to unfold.
The first was but a small step, but one that led to all the steps I have taken since, taken during the next 65 years of my life to the age of 83 where I am now, back home where I started. Sharing my memories with you.
During the 64 years that I journeyed, unending opportunities made for me a journey that criss-crossed continents. When asked about it I have said that “I travel horizontally”. Because whilst I was in South America and the Caribbean during the early years, the rest of my journey I have spent in Asia, Africa and much of it in between, in the Middle-East. To me that is more important than the journeys I made North-South, although to participate in the many conferences, meetings and workshops in the industrialised north was also rewarding, as much as it was in the countries of the global south. And, of course, to share my learning through the innumerable teaching opportunities in many of the same countries.
Since about six years or so ago, physical impairment and difficulties have ended travel for me. But my journey is not ended. This continues in the Realm of Disability to this day. Modern communication technology makes it possible to meet North to South and East to West. Skype and Zoom and the good old telephone itself are a boon. My same dining table still serves as a conference table when I sit with the many visitors who come to talk with me about the situation of disabled people in Sri Lanka and elsewhere, past and present.
To share with you how my journey continues as of now here at home are just two examples. Last week I was interviewed by a Master’s student named Nathaniel from Columbia University in New York. About certain aspects of disability in Sri Lanka. But our discussion and my sharing also brought into it an international perspective. He was involved in a multi-country research study related to inclusive adolescent health care, the Report of which will be presented to a UN agency.
The second, a few months ago I was interviewed by Taryn from Mc Gill University in Montreal, Canada, also on zoom. She was carrying out a study related to women activists in Sri Lanka. I told her I did not consider myself to be an activist. But her definition being what it was she could not accept my reasons for that, and we had a really interesting discussion. Which came to be focused on my global journey in disability as it impacted my work in Sri Lanka.
And with that, it is time now to move on. To move on and reflect on my life as I lived it and on these the memories I shared with you.
Features
The Paradox of Coercion: US strategy and the global re-emergence of Iran
(A sequel to the two-part article, War with Iran and unravelling of the global order, published in The Island on April 8 and 9.)
The unfolding developments in the US-Israeli coordinated military attack against Iran reveal a striking paradox at contemporary geopolitics: efforts to weaken a state through coercion may, under certain conditions, contribute to its structural elevation within the international system. What appears as short-term tactical success can generate long-term strategic consequences that are neither anticipated nor easily reversible. In this context, the policies associated with Donald Trump and Benjamin Netanyahu, marked by unilateralism and the willingness to use force, risk producing precisely such an unintended outcome. Rather than marginalising Iran, their actions may be accelerating its re-emergence, not merely as a regional actor in the Middle East, but as a consequential player in the global geopolitics and the wider architecture of international supply chains of energy economy.
Iran not merely a state
Iran is not merely a state, but a civilisation with a distinctive political trajectory. At the heart of the present transformation lies its asymmetric strategy, rooted in the strategic exploitation of geography. Few states possess the capacity to shape the global system through geography alone. Iran’s proximity to the Strait of Hormuz, a narrow maritime passage through which a substantial share of the world’s oil and liquefied natural gas flows, endows it with a latent structural power that transcends conventional measures of national capability.
In periods of stability, this position translates into economic opportunity; in moments of crisis, it becomes a lever of systemic disruption. Recent tensions have demonstrated that even limited instability in this corridor can reverberate across global markets, triggering sharp increases in energy prices, disrupting supply chains, and amplifying inflationary pressures worldwide. Should Iran consolidate its capacity to influence or control this chokepoint, whether through military deterrence, asymmetric instruments, or diplomatic maneuvering, it would shift from being a participant in global energy markets to a pivotal arbiter of their functioning.
Energy-embedded global economy
The contemporary global economy is not merely energy-dependent; it is deeply energy-embedded. Hydrocarbons underpin not only transportation and electricity generation but also the production of petrochemicals, fertilisers, and a wide range of industrial inputs essential to modern manufacturing and food systems. Disruptions linked to Iran have already illustrated how shocks in the energy sector cascade through interconnected supply chains, affecting everything from agricultural output to high-technology industries. In this sense, Iran’s leverage is no longer confined to the traditional realm of resource geopolitics. It increasingly operates within a networked global system in which control over a single critical node can generate disproportionate influence across multiple sectors. This form of power, diffuse, indirect, and systemic, marks a departure from the more linear dynamics of twentieth-century oil politics.
The implications of such a shift are profound for the structure of the international order. For decades, the global system has been underpinned by a set of institutions, norms, and economic arrangements often described as the so-called liberal international order. Sanctions, financial controls, and diplomatic isolation have been key instruments through which dominant powers have sought to discipline states that challenge this order. However, Iran’s prolonged exposure to sanctions has compelled it to develop adaptive strategies: alternative trade networks, informal financial channels, and closer ties with non-Western partners. A crisis-induced re-entry into global markets would therefore not signify reintegration into the existing order, but rather the expansion of parallel systems that operate alongside, and sometimes in opposition to, it. In this context, Iran’s rise would contribute to the gradual fragmentation of the global economy, accelerating trends toward decoupling, regionalization, and the erosion of established institutional authority.
Decline of global order based on US hegemony
This process of fragmentation is closely linked to declining global order based on U.S. hegemony. A more globally consequential Iran would inevitably become a focal point in the strategic player in emerging multipolar world. For China, whose economic growth remains heavily dependent on secure energy supplies, deeper engagement with Iran would serve both economic and geopolitical objectives, reinforcing its presence in the broader Middle East and insulating it from vulnerabilities associated with maritime chokepoints. Russia, already positioned as a major energy exporter and a challenger to Western dominance, may find in Iran a complementary partner in reshaping global energy markets and contesting sanctions regimes. Meanwhile, countries across the Global South, including major importers such as India, would face a more complex strategic environment, characterized by heightened exposure to supply disruptions and increased pressure to navigate between competing power centers. In this emerging landscape, Iran would function less as an isolated actor and more as a pivotal node within a reconfigured network of global alignments.
Dynamics enhancing Iran’s strategic importance
Paradoxically, the very dynamics that enhance Iran’s strategic importance may also accelerate efforts to reduce dependence on the conditions that enable its influence. Recurrent energy shocks tend to catalyze policy responses aimed at diversification and resilience. States are likely to expand strategic reserves, invest in alternative supply routes, and accelerate transitions toward renewable energy and nuclear power. Over the longer term, such measures could diminish the centrality of fossil fuel chokepoints, thereby constraining Iran’s leverage. However, this transition will be uneven and contested. Advanced economies may possess the resources to adapt more rapidly, while developing countries remain structurally dependent on affordable hydrocarbons. In the interim, the global system may experience a prolonged period in which dependence on Iranian-linked energy flows coexists with attempts to transcend it—a duality that adds further complexity to the evolving geopolitical landscape.
Beyond material considerations, Iran’s potential re-emergence also signals a deeper transformation of the existing global order. Traditional metrics—military strength, economic size, technological capacity—remain somewhat important, but they are increasingly complemented by the ability to influence critical nodes within global networks. The capacity to disrupt, delay, or redirect flows of energy, goods, and capital can generate strategic effects that rival, or even surpass, those achieved through direct military confrontation. In this sense, Iran exemplifies a broader shift from territorial geopolitics to what might be termed network geopolitics. Control over chokepoints, supply chains, and infrastructural linkages become a central determinant of influence, enabling states with relatively limited ‘conventional’ capabilities to exert outsized impact on the international system.
Iran’s trajectory may be understood as a transition through several distinct phases: from a regional challenger seeking to assert influence within the Middle East, to a strategic disruptor capable of unsettling global markets, and ultimately to a systemic actor whose decisions carry worldwide consequences. This evolution is neither inevitable nor linear; it depends on a complex interplay of domestic resilience, external pressures, and the responses of other global actors. Nevertheless, the possibility itself underscores the unintended consequences of policies that prioritize short-term coercion over long-term strategic foresight.
Transition shaped by paradoxes
In historical perspective, moments of systemic transition are often shaped by such paradoxes. Actions taken to preserve an existing order can, under certain conditions, accelerate its transformation. The current crisis involving Iran may represent one such moment. By elevating the strategic significance of energy chokepoints, exposing the vulnerabilities of interconnected supply chains, and encouraging the development of alternative economic networks, it contributes to a broader reconfiguration of global power. In this emerging context, Iran’s re-emergence as a global actor would not simply reflect its own capabilities or ambitions; it would also embody the structural shifts reshaping the international system itself. What began as an effort to constrain Iran may ultimately facilitate its transformation into a decisive player in the global energy economy and supply chain architecture. The implications of this shift extend far beyond the Middle East, touching upon the stability of markets, the cohesion of international institutions, and the evolving nature of power in the twenty-first century.
The war with Iran is best understood not as a discrete regional conflict, but as a structural moment in the transformation of the international system. It reveals a growing disjuncture between the continued reliance on coercive statecraft and the realities of an interdependent global order in which power increasingly derives from control over critical economic and infrastructural nodes. Rather than achieving strategic containment, the conflict has underscored the capacity of a relatively constrained actor to generate systemic effects through geoeconomic leverage. In doing so, it highlights a broader shift from military-centric conceptions of power toward forms of influence embedded in networks of energy, trade, and supply chains.
This is not merely a redistribution of power, but a redefinition of how power operates. At the systemic level, the war accelerates the erosion of the post-Cold War order, reinforcing tendencies toward fragmentation, parallel economic arrangements, and multipolar competition. Iran’s potential re-emergence as a global actor should therefore be seen less as an isolated outcome than as a manifestation of these deeper structural changes. In this sense, the strategic significance of the war lies in its unintended consequences: it exposes the limits of coercive hegemony while simultaneously amplifying the importance of those actors positioned to exploit the vulnerabilities of an interconnected world.
by Gamini Keerawella ✍️
Features
The dawn of smart help for little ones
How Artificial Intelligence is breaking barriers in Autism Diagnosis and Care
For any parent, the early years are a most valuable countdown of “firsts” of his or her precious child: the first step, the first clear word, the first beautiful smile, and quite a few other firsts as well. Yet for all that, for some families, that joy is overshadowed by a growing, quiet, but disturbing intuition that something is even a little bit different. Perhaps a child is not responding to his or her name, or the little one seems to be more interested in the spinning wheels of a toy than a game of peek-a-boo, or even avoids normal social responses.
In many countries, especially in the developing world, the road from that first “gut feeling” that there is something wrong, to a formal diagnosis of Autism Spectrum Disorder (ASD) is often a long and exhausting journey. While doctors can often identify autism in children as young as 12 to 18 months, the average age of diagnosis in our communities still hovers around four years. In these critical years, when a child’s brain is most like a machine ready to learn and adapt, time is of the essence and is the most valuable resource a family has.
Today, a new “algorithmic dawn” is offering a shortcut to really cut that delay. Artificial Intelligence (AI), the very same smart technology that helps us navigate traffic, suggest a new song, or help people with ChatGPT, is moving out of the lab and into the children’s nursery. By acting as a digital “magnifying glass”, specifically designed AI tools can now spot subtle patterns in a child’s gaze, some little quirks in the rhythm of their babbling, or the way they move, often much faster than the human eye can. Then the machine can issue a warning signal and indicate that further action and a proper evaluation are necessary. This is most certainly not about replacing the brain, the heart and the expertise of a paediatrician; it is about providing “Smart Help” that can be accessed from a smartphone in a family living room. For millions of “little ones on the spectrum”, most notably in the developing world, this technology is turning a journey once defined by waiting, uncertainty and even tears, into one of proactive care and even brighter horizons. The time gained is most certainly a very valuable window of opportunity.
What is the “Spectrum,” and Why Does Time Matter?
Autism is described as a “spectrum” because it affects many children somewhat differently and to varying degrees. Some children may have advanced technical skills but struggle to hold a conversation; others may be non-verbal or have intense sensory sensitivities. It can be very mild or very severe, and perhaps everywhere in between as well.
The common thread is that the brain develops differently in these affected children. This is why Early Intervention is the gold-standard goal. During the toddler years, a child’s brain is incredibly “plastic”, meaning that it is a highly adaptable and ready to learn type of organ. Starting therapy and management strategies during this valuable period of opportunity can fundamentally change a child’s future life path.
The problem, to a certain extent, is that traditional diagnosis of ASD is a slow, manual process. It requires intensively trained experts to watch a child play for hours and fill out complex checklists. In many countries, including Sri Lanka, where there is a massive shortage of these highly qualified specialists, the waiting list for a consultation alone can take months or even years. These doyens are rather thin on the ground and even when available, are heavily overworked.
Enter the AI Revolution: Seeing the Unseen
AI certainly does NOT replace doctors, but it acts like a high-powered magnifying glass. By using “Machine Learning”, computers can analyse massive amounts of data to find tiny patterns that the human eye might miss. Here is how it is changing the game:
1. Tracking Gaze and Smiles
One of the earliest signs of autism is how a child looks at the world. AI “Computer Vision” can analyse a simple video of a child playing. It can track exactly where the child is looking. Does the child look at a person’s eyes when they speak, or are they drawn to the spinning wheels of a toy in the corner? AI can quantify these “social attention” patterns in seconds and add them to a cache of things that ring warning bells.
2. The Sound of a Voice
Did you know that the “music” of a child’s speech can hold clues? AI can listen to the pitch and rhythm (called prosody) of a child’s voice. Children on the spectrum sometimes have a “flat” or monotonic way of speaking. AI algorithms can measure these vocal biomarkers with incredible precision, helping to flag concerns long before a child is old enough for a full conversation.
3. Movement and Play
Repetitive behaviour, like hand-flapping or rocking, are core traits of ASD. Sensors in smartphones or simple video analysis can now categorise these movements objectively. Instead of a parent trying to describe how often a behaviour happens, the application or ‘app’ provides a clear, data-driven report for the doctor.
Innovation at Home: India’s Digital Solutions
The most exciting part of this technology is that it does not require a million-dollar lab. In India, where smartphone use is booming, several “homegrown” apps are bringing specialist-level screening to rural and urban homes alike.
Apps like CogniAble, which give parents a step-by-step intervention plan based on the child’s specific needs, or START, a tablet-based tool used by local health workers in areas like Delhi slums to spot risks via simple games, or LEEZA.APP, which offers free AI screening to remove the “money barrier” that keeps many families from seeking help, or AutismBASICS, which provides thousands of activities and a milestone tracker to help parents manage daily therapy at home, are just a few of the programs in use at present. These tools are “democratising” healthcare. A mother in a remote village with a basic smartphone can now access the same level of screening logic that was once only available in a major city hospital.
Beyond the Diagnosis: A Robot Tutor?
The role of AI does not stop once a diagnosis is made. It is also becoming a tireless “co-therapist.”
For many children with autism, the human world can be unpredictable and overwhelming. AI-powered “Social Robots” or interactive apps provide a safe, predictable environment. These “Robo-Therapists” do not get tired, they do not get frustrated, and they can repeat a social lesson even 100 times until the child feels comfortable.
Furthermore, for children who are nonverbal, AI-powered communication apps serve as a “voice”. These apps use smart technology to predict what a child wants to say, allowing and facilitating them to express their needs and feelings to their parents, even for the very first time.
The Human Element: Proceed with Care
As bright as this dawn is, experts warn that we must move forward carefully and most intelligently.
= Privacy: Because these apps collect sensitive videos and data about children, keeping that information secure is a top priority.
= Cultural Differences: An AI trained on children in the US or Europe might not perfectly understand a child in Sri Lanka. We need “diverse local data” to ensure the algorithms understand our local languages, gestures, and social norms. Many of these programs need to be home-grown or baked at home in Sri Lanka.
= The Human Touch: Most importantly, we need to always remember that AI is a tool, not a replacement. A computer can spot a pattern, but it cannot give a hug, provide emotional support to a struggling parent, or celebrate a breakthrough with the same joy as a human therapist.
A Brighter Future
We are moving toward a world where “waiting and seeing” is no longer, and quite definitely, not the only option for parents. By combining the heart of a parent and the expertise of a doctor with the speed of an algorithm, we can ensure that no child is left behind because of where they live or how much money they have.
The “Algorithmic Dawn” is not just about code and data. It is about giving every child the best possible start in life. It is the main principle on which Hippocrates, the Father of Medicine, all those centuries ago, based all his postulations on how physicians should work.
The “Red Flag” Checklist: 18 to 24 Months
The American Academy of Pediatrics recommends screening all children at 18 and 24 months. If you notice several of these signs, it is time to use an AI screening app or consult your paediatrician.
Communication and Social Cues
= The Name Test: Does your child consistently fail to turn around or look at you when you call his or her name?
= The Pointing Test: By 18 months, most toddlers point at things they want (like a biscuit) or things they find interesting (like a dog). Is your child using your hand as a “tool” to get things instead of pointing?
= The Eye Contact Test: Does your child avoid looking at your face during social interactions or during play or when being fed?
= The Shared Smile: Does your child rarely smile back when you smile at him or her?
Behaviour and Play
= The Toy Test: Does your child play with toys in “unusual” ways? (e.g., instead of rolling a car, they spend 20 minutes just spinning one wheel or lining them up in a perfect, rigid line).
= The Routine Rule: Do they have an extreme “meltdown” over tiny changes, like taking a different route to the park or using a different coloured cup?
= Repetitive Motions: Do you notice frequent hand-flapping, rocking, or spinning in circles, especially when they are excited or upset?
The “Golden Rule” of Regression
Finally, an extremely important rule for concerned parents to follow.
If your little one had words (like “Mama” or “Dada” or “Amma” or “Thaththa” or Thaii/Amma or Appa) or social skills (like waving “Bye-Bye”) and a beautiful social smile etc, and then SUDDENLY STOPS USING THEM, that could be a most significant red flag. In such situations, the standard advice would be: Please consult a doctor immediately.
by Dr B. J. C. Perera
MBBS(Cey), DCH(Cey), DCH(Eng), MD(Paediatrics),
MRCP(UK), FRCP(Edin), FRCP(Lond), FRCPCH(UK),
FSLCPaed, FCCP, Hony. FRCPCH(UK), Hony. FCGP(SL)
Specialist Consultant Paediatrician and Honorary Senior Fellow,
Postgraduate Institute of Medicine, University of Colombo, Sri Lanka.
Features
Governance, growth and our regional moment:Why Sri Lanka must choose wisely
The recent disclosure of a substantial internal fraud at National Development Bank has understandably unsettled the financial community. What began as a relatively contained incident has since been revised upwards, revealing a scheme that operated over an extended period within a specific operational area. To their credit, both the bank and the Central Bank of Sri Lanka responded with speed. Staff were suspended, arrests followed, an independent forensic review was commissioned, and clear assurances were given that customer funds remained secure. The institution’s capital and liquidity positions continue to meet regulatory requirements, and day to day operations have not been disrupted.
Yet it would be a mistake to view this as an isolated operational error at a single respected institution. When a fraud of this magnitude, equivalent to more than a year’s profit for the bank, emerges within one of our most established listed companies, the implications extend well beyond the banking sector. It prompts a necessary and uncomfortable question. Are we truly strengthening the foundations of our economy so that every part of our society can operate with the integrity and confidence that sustainable progress demands?
Banking sits at the heart of any modern economy. It channels savings into investment, supports enterprise, and underpins household security. When even a leading institution reveals weaknesses in internal controls, risk oversight or governance culture, the signal to international observers is difficult to ignore. It suggests that the financial system upon which growth depends may not yet possess the resilience we aspire to project. If institutions that have undergone significant reform since 2022 can still experience such failures, what assurance can investors reasonably expect in other sectors of our economy? At a time when Sri Lanka needs to demonstrate strength and reliability, perceptions of fragility carry a heavy cost.
This matters profoundly because a genuine window of opportunity is now opening. Geopolitical shifts in the Middle East and beyond are prompting global investors and entrepreneurs to seek stable, well governed destinations for capital and talent. Sri Lanka possesses distinct advantages. Our geographical position offers natural connectivity. We have invested in critical infrastructure, including two major ports, international airports and strategic energy reserves. In an era where businesses prioritise rule of law, institutional predictability and sound fundamentals, our potential alignment with these criteria is significant. However, high profile governance failures at this precise moment risk undermining that narrative before it can gain meaningful traction.
The stakes are equally significant for initiatives such as the Port City Colombo. With substantial projects now approved, foreign investment commitments secured and early construction underway, this endeavour is moving from concept to delivery. Yet persistent concerns about governance standards in our established companies can act as a drag on investor sentiment. The confidence required to attract high value international tenants and long- term capital depends not only on physical infrastructure but on the perceived strength of our institutions and the consistency of our regulatory environment.
For decades, Sri Lanka has experienced growth averaging around four to five per cent per year. While this is not insignificant, it falls short of our potential, particularly when measured against the progress of our regional neighbours. India, for example, has sustained growth at roughly twice our rate for more than twenty years, driven by consistent policy execution and strengthening institutional credibility. Our own trajectory has been held back not by a lack of ideas or ambition, but by recurring shortcomings in how our major institutions are governed and held to account. The result is a cycle of unrealised potential, where promising openings are not fully converted into lasting advancement.
The current situation, though challenging, can serve as a catalyst for meaningful change. Boards of listed companies must move beyond procedural compliance to foster a genuine culture of ethical leadership, proactive risk management and zero tolerance for control failures. Regulators have an opportunity to undertake a comprehensive review of fraud prevention frameworks, whistle-blower protections and monitoring standards across the financial sector, with lessons applied to other key industries. Greater transparency in reporting material incidents and more timely forensic follow through will help rebuild trust with both domestic and international stakeholders.
Crucially, the government must tread carefully as it responds. Short term fixes or reactive measures may address immediate concerns but will not deliver the enduring stability that investors seek. What is required is a coherent long-term strategy that balances the imperative for rapid economic development with the equally vital need to conserve our natural environment and strengthen regional cooperation. Our neighbours in South Asia and Southeast Asia offer not only markets for trade and investment but also partners in shared challenges such as climate resilience, sustainable infrastructure and digital connectivity. By deepening these relationships through practical collaboration, Sri Lanka can position itself as a reliable and forward-looking partner in a dynamic region.
Sri Lanka stands at a pivotal moment. Global realignments are creating rare opportunities for capital inflows, technology transfer and new economic partnerships. Yet these opportunities will flow most readily to nations that demonstrate they can protect investor interests, uphold the rule of law and operate with predictability and transparency. If we allow governance weaknesses in our flagship institutions to persist, we risk once again watching potential pass us by.
This is a defining moment, and our response must be equally purposeful. We can treat the recent events as an unfortunate but isolated incident and return to established patterns. Or we can seize this moment as a timely reminder to strengthen every pillar of our economy, with particular attention to environmental stewardship and regional collaboration. Only by getting our house in order, with patience, consistency and a clear-eyed commitment to long term goals, can we convert today’s challenges into tomorrow’s competitive advantage. The path to sustained prosperity demands nothing less.
by Professor Chanaka Jayawardhena
Professor of Marketing
University of Surrey
Chanaka.j@gmail.com
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