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Realizing a holistic sexual and reproductive health care system

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Speaking to Sunday Island, Dr. Pramilla Senanayake, International Consultant in Sexual and Reproductive Health, former President of the Family Planning Association of Sri Lanka and Trustee of the AIDS Foundation, Sri Lanka, elucidates on the need for a more open dialogue about sexual and reproductive health among masses and enlightens on ‘myths and facts’ of sexual health which need to be mainstreamed. Following are the excerpts:

By Randima Attygalle

Q: As a woman who made a mark at a time when only a few women professionals were visible in sexual and reproductive health care, when you look back at your early years in the profession and now, do you notice any notable progress?

A:

If we look at statistics and numbers, we have done well. In terms of our contraceptive prevalence we are on par even with more developed countries. Our maternal mortality is quite low because our maternal health care system is effective. But still there are a lot of gaps – we see many unwanted pregnancies and abortions. Today the sexual debut is very early. A few decades ago, pre-marital sex was not as common as it is today. Yes, things have changed, we have moved on, but we still have a long way to go.

Q: In our much lauded public health care setting, what is the positioning of sexual and reproductive health care?

A: It is because of this effective public health care system that we have been able to introduce to it various elements that are relevant to reproductive health. But having said that, I must add that sexual and reproductive health is one of the neglected areas in the health setting. It is a subject that people are still reluctant to talk about openly as it involves sex and many ‘hush-hush’ aspects. Although more liberal-minded social levels of society are open about it, it is only a minority and sometimes they too can get wrong information about sexual health which needs to be dispelled. Certain other classes find the subject matter uncomfortable and even the term ‘sex education’ drives people into giggles and embarrassment. This is why we are trying to bring family life education into the school curriculum.

Q) What are your proposals to move forward and enable wider sexual health literacy?

A:

We need to talk to the public – parents, teachers, employers, employees etc. in a simple language without complicating things. For this, we need to engage competent professionals who can answer questions and debunk myths. The Family Planning Association of Sri Lanka has initiated programmes to reach out to young girls in the Free Trade Zone – to educate them on sexual health. This kind of intervention needs to be replicated in several other settings. Especially in this pandemic situation where there are lockdowns and restricted movement, sexual abuse is on the rise and the flipside is there is more opportunity now to get the message across. Our voices can be those in wilderness unless mass media joins hands. Mass media is an effective vehicle in communicating the message of sexual wellbeing.

Q: Sexual and reproductive health of those with disabilities still remains a less-talked about subject. Sexual needs of those with disabilities are often overlooked. What are your thoughts?

A:

We are all sexual beings including those with disabilities. Every human being has a right to a safe and rewarding sexual life and sexual health. We cannot afford to exclude those with disabilities; instead we need to assist them in finding other ways of gratification and work around such areas of gratification. Sexual life does not necessarily have to entail penetrative sex in a traditional sense, but it could involve sexual gratification in a broader sense which can be enjoyed by people with certain disabilities.

The issue is we don’t talk to them enough and educate them on sexual and reproductive health, clouded by the misconception that they have problems other than sexual needs to be burdened with. This is wrong. We need to be conscious of the fact that girls and women with disabilities are the most vulnerable to rape and sexual abuse. Institutions such as Ayathi affiliated to Ragama Rehabilitation Hospital addresses the concerns of those with disabilities, but there is an urgent need for many more similar institutions in the country.

Q: The aging population is on the rise worldover and Sri Lanka is no exception. In this context how important do you think it is to address the emotional and sexual concerns of this population?

A: It is very important to address their concerns. It is again similar to the case of those with disabilities – an often neglected topic. I’m a trustee of the Sunshine Senior Foundation which is dedicated to addressing areas of particular interest to senior citizens and we do enable dialogue on this topic. Yet we need to create a better dialogue at national level, challenging as it may be given our cultural context in which intimacy in old age is almost a taboo.

Q: Although Sri Lanka still remains an HIV low-prevalence country in a global context, HIV-positive cases are accelerating. As an activist fighting HIV, what are your comments on this rising trend?

A:

It is a very worrying situation, especially since we are still considered a low-prevalence country. The biggest bottleneck in the fight against HIV is social stigma. Through the AIDS Foundation of Sri Lanka, we try to assist in providing accommodation for HIV-positive people. Despite our ability to fund houses for them, many landlords were reluctant to rent out houses and in certain situations, although the landlord was willing, there was enormous protest from neighbours.

Despite the country having a system for voluntary testing and counseling for HIV, not many come forward to be tested. Today there are many commercial sex workers and men who have sex with men, those with multiple partners. These are high risk groups. We should also not forget prison inmates who are another high risk group. Although the Family Planning Association of Sri Lanka and some other agencies are working with prison communities on this, there should be more muscle given to their work in preventing HIV.

In Sri Lanka many of the HIV positive cases are detected through pre-natal clinics where pregnant women are tested for it. But this is just the tip of the iceberg as a considerable percentage go unreported. Today with COVID taking the centre stage, many other health concerns including HIV have gone backstage. Yet we cannot afford to be complacent about these health issues which will take a toll on the entire national fabric of the country.

Although we have done quite well in our other health domains, the same cannot be said of HIV education. Several of our regional counterparts including Pakistan and India are using very innovative means of addressing this issue. Countries such as Japan, South Korea and Singapore have very good models on combating HIV from which we could learn a lot.

 

 

FACTS Vs MYTHS

 

*Myth: All birth control methods are equally effective at preventing pregnancy

*Fact: Each method has a different level of effectiveness. The ones that are best at preventing pregnancy (over 99% effective) are sterilization, IUDs, implants, and injectables. Pills, patches and the ring are about 91% effective. Condoms are 79-85% effective, emergency contraceptive pills are 89-95% effective, and withdrawal is much less effective. Using birth control consistently and correctly each and every time will increase the chances of their effectiveness

*Myth: Emergency contraception is only effective the morning after unprotected sex

*Fact: The emergency contraception pill (ECP) is sometimes called the ‘morning-after-pill’. Although the ECP should be taken as soon as possible, it does not have to be taken in the morning. There are two types of ECP that work for up to four or five days after sex and they are both more effective when taken as soon as possible. The ECP is not an abortion pill. If you are already pregnant, ECP will not work.

*Myth:

You can’t get pregnant during your period

*Fact:

It is unlikely, but still possible—especially if you’re not using birth control. Some women have long periods that overlap with the beginning of ovulation, which means they can be fertile even though they’re menstruating. If you have a short cycle (21 days, for example) and your period lasts a week and you have sex close to the end of your period, you could become pregnant since sperm can live for up to 72 hours in your reproductive tract.There’s also the infamous late-in-life pregnancy that can occur during perimenopause, when periods are erratic. It is not safe to ditch birth control until you haven’t had a period for a year.

*Myth:

You only need to worry about sexually transmitted infections (STIs) if you have multiple partners

*FACT:

As long as you are sexually active you should remember that contracting an STI is a possibility, even if you only have one sexual partner. It’s a good idea to make sure you and your partner(s) are tested for STIs before having sexual intercourse together for the first time. It’s also recommended that you regularly test for STIs if you are sexually active. 

*Myth:

You can’t get STIs if you don’t have penetrative sex.

* FACT:

STIs can spread from skin-to-skin contact and from bodily fluids. This means you can catch STIs from having any type of sex, including penetrative vaginal sex, but also from anal sex, oral sex , using your hands, intimate skin contact and sharing sex toys.

 

 



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Sri Lanka eyes conservation-led tourism boost as Gehan urges integrated approach

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View of Trincomalee from Fort Frederick

Sri Lanka could unlock a powerful new economic pathway by integrating biodiversity, archaeology and cultural heritage into a single conservation-driven tourism model, according to author, banker and naturalist Gehan de Silva Wijeyeratne.

Speaking to The Island, de Silva Wijeyeratne said the country possesses a rare convergence of natural and historical assets that, if strategically presented, could reposition Sri Lanka as a leading global destination for nature and heritage tourism.

“At the moment, these elements exist, but they are not fully connected,” he said. “What Sri Lanka has is extraordinary—a complete story of life, from ancient history to modern biodiversity. The opportunity is to bring that together in a way that creates value.”

His remarks come at a time when policymakers are seeking sustainable avenues to revive the economy, with tourism identified as a key growth sector. De Silva Wijeyeratne is currently researching his next book, ‘Enchanting Sri Lanka’ to be published by John Beaufoy Publishing in the UK.

Koneswaram Temple Trincomalee

He said his recent field visit reinforced the untapped potential of integrated landscapes—particularly in the eastern region around Trincomalee.

He spent four days in Trincomalee with Hiran and Hashan Coory, two members of the senior leadership in Jetwing Hotels. Commenting on the visit, he said “Within a short distance, you have forests, marine ecosystems, archaeological sites and protected areas. This is not about isolated attractions—it’s about creating a connected experience that can compete globally.”

He noted that such an approach could continue to transform Sri Lanka’s tourism model beyond traditional beach-centric travel. “You can offer visitors wildlife, marine biodiversity and ancient history in a single journey,” he said. “That’s a very powerful proposition.”

Speaking more on Trincomalee’s potential, he said the combination of ancient history, the more recent colonial history and buildings, the beautiful beaches and coves, the snorkelling and marine mammal watching combined with the potential to create a huge national park that will have large mammals on the doorstep of the city means Trincomalee can become the city with the greatest tourism potential of any city in Sri Lanka.

Maritime and Naval History Museum Trincomalee

“A vast national park on the scale of better-known parks such as Wilpattu and Yala can be created by connecting the forest reserves which stretch from Kantalai and through to the Naval Headworks Sanctuary, almost to the borders of the Trincomalee town” he says. “A new national park could be constructed with a network of safari roads and water holes and grass plains to increase the prey density for iconic mammals like the leopard. Trincomalee can then become a top land safari destination with an entrance gate to a national park just 15 minutes drive from the town. No other city will be able to rival it for land safaris, marine safaris, ancient and colonial history, staggering views and beaches and the heady mix of various ethnic groups with their religious beliefs, cuisine and arts. Trincomalee could overshadow every other city in Sri Lanka for tourism if developed properly”.

Velgam Vehera

De Silva Wijeyeratne emphasised that conservation must be positioned not as a constraint, but as an economic enabler. “If you encourage and enable responsible visitation, it brings revenues to these areas,” he said. “That supports conservation and also creates livelihoods for local communities.”

However, he cautioned that development must be carefully managed to avoid damaging sensitive ecosystems. “You need development that is sensitive to these landscapes and the proper infrastructure to manage visitation,” he said. “The value lies in preserving what is already there.”

In addition to tourism, de Silva Wijeyeratne highlighted the need to strengthen Sri Lanka’s conservation capacity through international collaboration. He has proposed the introduction of a special visa to attract experienced global conservationists willing to work on a voluntary basis.

He referenced his article ‘A visa for bringing in expertise and expanding tourism’ which was published in The Island on Friday, 23 May, 2025, and is available online. In this he proposes a special visa to address four strands – volunteering, internships, academic exchange and short term study. The idea is that the visa should be as easy as to obtain an online tourist visa, but the visitor can now apply for a longer term visa for a declared purpose, such as volunteering.

Gehan de Silva Wijeyeratne

He was careful to emphasise that the proposed visa is not for paid work and does not give the visitor special rights, and any relevant permits and permission need be obtained by the local partner. “There are people with 30 or 40 years of experience in research and conservation who would gladly come to Sri Lanka and contribute” he said. “If we create a proper framework, they can work with local organisations, share knowledge and build expertise.” Such a system, he stressed, would not undermine local employment. “These are unpaid roles—they are not taking jobs away. Furthermore, they will help locals to upskill,” he said. “They are helping to strengthen the system.”

De Silva Wijeyeratne also underscored the importance of science communication in driving conservation outcomes. Drawing from his recent lecture to the Wildlife and Nature Protection Society, he said public understanding of biodiversity remains limited, particularly when it comes to foundational elements, such as plant life. “In my recent lecture I started with plants because they are often overlooked,” he said. “In Sri Lanka we have the descendants of ancient plant groups, like lycophytes and bryophytes, as well as an abundance of the relatively more modern flowering plants (or angiosperms). They all form the basis of all ecosystems.” Sri Lankan researchers would benefit from international collaborations to describe and study the ecology of species found in Sri Lanka. As an example of the gaps in our knowledge, he pointed that it is hard to find online even a species inventory of Sri Lankan species of Lycophytes.

He further highlighted the interconnected nature of life, pointing to the role of microscopic organisms. “Every cell in our body contains mitochondria, and that DNA originated from bacteria,” he said. “So we are, in a sense, composite organisms built on ancient biological relationships. “This perspective, he said, is critical to fostering a deeper appreciation of biodiversity and the need for its conservation. “If people understand how interconnected life is, they begin to value it differently,” he said.

De Silva Wijeyeratne’s ongoing research for ‘Enchanting Sri Lanka,’ to be published by John Beaufoy Publishing, also touches on Sri Lanka’s layered history, including its colonial past. During his recent visit to Trincomalee, he visited the grave of Rear Admiral Charles Austen, the brother of renowned novelist Jane Austen. “I read in the Bradt Guide to Sri Lanka that her brother was buried in the Esplanade Cemetery. There was an article online by Nishan Fernando in the Sunday Times where he describes how, in 1984, he and his father, Admiral Clancy Fernando, located the grave. Fernando wrote of the burial ground on the Esplanade in the middle of Trincomalee town, opposite the beautiful horseshoe shaped Dutch Bay.”

After a false start at another cemetery, using Google maps, de Silva Wijeyeratne with others, including Hiran and Hashan Cooray, some of the senior team from Jetwing Hotels, visited St. Stephan Cemetery which is around 400 meters from the Maritime and Naval History Museum. ‘We found the grave as described in the Sunday Times article by Nishan Fernando. But talking to various hoteliers and people in tourism in Trincomalee, we were struck by how many people were unaware of its existence. Hopefully, knowing that the grave of Rear Admiral Charles Austen, brother of Jane Austen, is roughly in the middle of St. Stephan Cemetery, in Trincomalee, will help others, with an interest in Jane Austen, to locate it.”

During his time in Trincomalee, with the Jetwing Hotels team, de Silva Wijeyeratne also visited Mederigiriya, Seruwila and Velgam Vehera. They encountered elephants on their visits to Seruwila and Velgam Vehera. “That brief visit alone shows how rich and complex Sri Lanka’s story is,” he said. “It spans pre-colonial, colonial and post-colonial periods.” For de Silva Wijeyeratne, the challenge now lies in translating this richness into a coherent national narrative. “This country has everything—biodiversity, ancient civilisation, marine ecosystems, etc.,” he said. “Few places in the world can offer such an all-round package.”

He stressed that aligning conservation with tourism and knowledge-sharing could deliver long-term benefits. “It’s about connecting the dots,” he said. “If we do that successfully, Sri Lanka can position itself as a world-class destination, while protecting its natural and cultural heritage.” As the country looks to rebuild and diversify its economy, de Silva Wijeyeratne’s message is clear: Conservation, when strategically integrated, could become one of Sri Lanka’s strongest assets. (Pictures courtesy Gehan de Silva) Wijeyeratne

By Ifham Nizam

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Bringing the flavours and spirit of Jaffna to life

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Grace draped in tradition

Long before the first dish was placed at the Jaffna food festival at Cinnamon Bentota Beach, a dedicated team of staff and culinary staff journeyed to Jaffna.

In the North they stepped out of professional hotels and into homes, road side eateries and bustling local markets. They observed, listened and, most importantly, tasted. The experience was as much about unlearning as it was learning.

They spent time with local people, women who have perfected their craft over decades, fishermen who spoke of the day’s fresh catch, spice vendors who explained the subtle difference in dried chillies and roasted blends.

They saw the liberal use of black peppers, tamarind and the depth of roasted curry powders.

In the end, what the team brought back from the North was not just technique or taste, it was perspective. What stayed most was the spirit of Jaffna, its people resourceful grounded and deeply connected to roots.

And so when the festival came to life in Bentota, it was not just a recreation, it was a reflection. They realised the heart of Jaffna is not only in its flavours but in its people.

Cinnamon Bentota Beach — signature selection celebrated the rich heritage, vibrant culture, and authentic cuisine of Northern Sri Lanka with its signature “Jaffna Night” recently. The evening was a heartfelt journey into Jaffna’s traditions, inviting guests to experience the warmth, flavours, and stories of this remarkable region.

Guests were welcomed with the traditional greetings, followed by religious rituals that set the evening in a meaningful cultural context. The highlight was the launch of the “Jaffna Culinary Journey” video series, capturing the resort team’s immersive exploration of Jaffna’s culinary landscape and community life.

From preparing local delicacies alongside villagers, to stepping into traditional homes, participating in early morning poojas, and wandering bustling fish markets; vegetable markets, the team discovered that Jaffna’s cuisine is inseparable from its identity, history, and community spirit.

Cinnamon Bentota Beach — Signature Selection shared reflections on the journey, emphasising how meaningful experiences can preserve and honour cultural heritage. The evening culminated in the official launch of the Jaffna Food Festival at the resort – a continuation of the journey that brings authentic Jaffna flavours and stories directly to guests in Bentota.

“Jaffna Night” was more than a culinary celebration; it was a testament to connection, culture, and the shared joy of learning through food and tradition.

By Zanita Careem

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Sun Siyam Pasikudah paves the way in sustainability

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Upul - Group Sustainability Manager

Sun Siyam Pasikudah has added another milestone to its growing list of achievements by earning the prestigious Travel Gold Certification, a recognition that reflects the resort’s dedication to exceptional hospitality, high service standards and memorable guest experience. At this resort, sustainability isn’t just a concept it is a commitment. So driving eco conscious change, behind the scenes, is Chaminda Upul Kumara, shaping a hospitality experience where luxury meets responsibility .­

Q: Sun Siyam Pasikudah has earned Travelife Gold Certification, covering 147 criteria, from energy and water to wildlife and community welfare. What did that journey genuinely push the property and the wider group to do differently?

A: Earning Travelife Gold was never just about getting the certificate. Working through 147 criteria covering energy, water, waste, wildlife, and community welfare made us look hard at ourselves and ask whether we were truly doing enough in each of those areas.

What it really pushed us to do was move beyond compliance. We tightened our conservation practices, improved how we manage waste, and put more deliberate effort into biodiversity and community programmes. But perhaps the most meaningful shift was weaving sustainability into the guest experience itself, making it visible and accessible without ever compromising on comfort or quality.

At the group level, Pasikudah became a working model. The practices we refined here have since been adapted and adopted across our other properties, creating a culture where sustainability is not a side project managed by one department but something that shapes how every team member thinks and works. It reinforced what Sun Siyam Care stands for: that responsible hospitality is not a goal we work towards. It is simply who we are.

Q: Most of the Sun Siyam story has been written in the Maldives. How does Pasikudah write its own chapter, given how different the setting, the coastline, and the community around it are?

A: When the civil conflict in Sri Lanka’s Eastern Province ended in 2009, our founder Ahmed Siyam Mohamed saw something in Pasikudah Bay that many others had not yet noticed. The calm, shallow waters and unspoiled beaches were extraordinary, but he also saw a region ready for renewal and an opportunity to be part of that through responsible tourism.

The property opened in 2014 as a 34-room luxury boutique resort, quietly introducing refined hospitality to Sri Lanka’s east coast. Then came COVID-19 and the country’s economic crisis, two of the hardest back-to-back challenges any hospitality business could face. Rather than simply wait it out, General Manager Mohamed Arshed Refai led a comprehensive transformation of the property.

The refurbishment was guided by international design firm Studio 67, but its real character came from a very deliberate decision: every single material used was locally sourced, and Sri Lankan artisans and craftspeople were involved throughout the process. It was not just a renovation. It was a recommitment to the region and the people in it.

That is what sets Pasikudah apart within the Sun Siyam family. The Maldives properties have their own extraordinary identity, but Pasikudah’s chapter is distinctly Sri Lankan. From post-conflict rebuilding to post-crisis renewal, it is a story of courage, community, and the belief that investing in a place means investing in its people.

Q:There is an organic farm on the property growing over 38 varieties of fruits, vegetables, and herbs. Tell us about that. It feels like it says something bigger about how the resort thinks about its place here.

A: The farm is a fairly direct expression of how we think about our responsibility to this place. At least 30 percent of our menu is plant-based, and being able to grow a meaningful portion of that on the property makes that commitment tangible rather than theoretical. Guests receive their welcome drinks made with fruit grown here. The chefs know exactly where their produce comes from and what it took to grow it.

We also have what we call climate-conscious dishes on the menu, options designed around sustainable food principles that prompt guests to think about what they are eating and where it originated. Beyond the farm itself, we source a significant share of our ingredients from local farmers and producers in the surrounding community. That reduces food miles and carbon emissions, but it also means the resort is actively supporting the local food economy rather than bypassing it.

Put simply, the farm is not a marketing feature. It reflects a commitment to operating in a way that is connected to this land and these communities, rather than sitting apart from them.

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