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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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From 1906 to today: Nestle’s 120-year journey in Sri Lanka

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Bernie Stefan - proud of Nestle’s 120 years jouney

Bernie Stefan is the Chairman and Managing Director of Nestlé Lanka Limited, overseeing Nestlé’s operations in Sri Lanka and the Maldives. He assumed this role in March 2023. Under his leadership, Nestlé has strengthened its footprint in Sri Lanka, touching individuals and families, communities and spearheading sustainable development.

Since taking charge in 2023, Stefan has brought with him over two decades of international experiences, steering the company with a clear focus on sustainability, innovation and long term growth.

Bernie describes the anniversary as a moment of pride and reflection on over a century of commitment to Sri Lanka and its people.

Under his leadership, Nestle has expanded its footprint while staying true to its mission: to improve lives by providing nutrition and wellness for all Sri Lankans. Beyond the commercial success, the company has focused on community impact – supporting local farmers. promoting sustainable practices and contributing to public health initiatives.

(Q) Nestlé has been part of Sri Lankan homes for 120 years. How has the brand evolved alongside the changing lifestyles of Sri Lankan families?

(A) We at Nestlé are extremely proud of our 120 year journey of enriching Sri Lankan lives. It has been a journey guided by purpose and working together for good – touching individuals and families, the community, and the planet. As lifestyles and needs have evolved, so, too, have our products – offering convenient, tasty and nutritious solutions that meet everyday moments, whether it’s energy on the go or a quick and tasty meal. A true symbol of this legacy is our flagship brand, Nestomalt – synonymous with power, strength and energy – which today is enjoyed as the first cup of the day by a majority of Sri Lankan households.

(Q) Many Sri Lankans have grown up with Nestlé products at their breakfast table or during tea time. How does the company stay emotionally connected with generations of consumers?

(A) Our product range caters to the nutritional needs of consumers from birth to old age. We always ensure that the consumer is at the centre of everything we do. This deep understanding of consumer preferences, ensures not only that our products deliver taste and nutrition but also our communication is in tune to the local context. Our brands have been deeply rooted in the lives of the Sri Lankan community over many decades – be it through Milo school sports programmes or Nestomalt marathons. Being an organisation that has been present in Sri Lanka for such a long time, it also means that consumers hold many nostalgic memories from their childhood with our products.

(Q) From childhood treats to everyday beverages, Nestlé products often carry nostalgic memories. How important is this sense of nostalgia to the brand’s identity?

(A) Brands need to evolve with time and remain relevant. Nostalgia does bring a deep bond and connect with consumers. However, through product and packaging renovations, we have successfully ensured that our brands remain relevant to consumers. One of our oldest Nestlé brands in Sri Lanka, Milkmaid , today, has an online recipe platform with over 300 recipes. This is another example where we have ensured that our brands are able to connect with today’s consumers.

(Q) Has Nestlé adapted its products to suit modern lifestyles while still respecting local tastes?

(A) Our ability to cater to local taste preferences has been a crucial factor to the success of our brands. With the setting up of our local manufacturing operations in 1984, we now manufacture over 90% of Nestlé products sold locally. The deep consumer understanding our teams possess, combined with our global R&D expertise in the food and beverage sector, have given us the ability to tailor make our products to cater to the Sri Lankan taste palette while offering convenience. This is evident in the success of our Nescafe and Nestea 3-in-1 variants and the Ready-to-drink beverage range of Milo and Nescafe, that deliver convenience and great taste.

(Q) How is Nestlé aligning its practices to sustainability and mindful living?

(A) We are committed to reaching net zero carbon emissions by 2050. Promoting circularity is also a focus area in this journey. We have plans to be 100% plastic neutral this year. Our sustainability initiatives cover the entire value chain, from farm to fork. In Sri Lanka, we are focusing a lot on increasing yield and promoting regenerative agricultural practices across our dairy and coconut value chains. In our manufacturing operations, we have continuously striving towards reducing water and energy usage. We have also implemented numerous initiatives to reduce our carbon footprint in logistics, such as the adoption of rail transportation. We also focus on fostering behavioural change on responsible waste disposal amongst the youth through our School Waste Management Programme.

(Q) What moments or milestones best reflect its connection with everyday life in the country?

(A) Our ability to provide consumers with good food moments each and every day is something that I and the team are extremely passionate about. Also, the deep connect we have with the community, be it our dairy and coconut farmers, the numerous suppliers and trade partners, has been built on trust over the years. Today, we have farmers, suppliers and even employees from across generations and this speaks volumes about our business practices and the trust we have built in Sri Lanka for over a century.

(Q) Nestlé is known globally for innovation. How do you balance global expertise with the unique lifestyle and culinary culture of Sri Lanka?

(A) As I mentioned, understanding the taste palette, nutritional needs and the lifestyles of Sri Lankan consumers and ensuring our products fulfill these needs is key. Having access to one of the world’s leading R&D facilities gives us the unique ability to ensure our products deliver to these consumer needs and preferences. Further, it enhances our ability to ensure the freshness and bio-availability of certain nutrients contained in our products. We’ve also made significant strides in packaging innovation, where we use less plastic and materials that are better suited for recycling. The introduction of Coconut Milk Powder in 1986 was a first for Sri Lanka, and this is another great example of the deep understanding we have of local culinary culture.

(Q) How is the younger generation engaged with the brand today?

(A) Appealing to the discerning youth population will be key to ensuring the future success of our brands. Understanding the nuances of each generation is important. It is also evident that consumption patterns and lifestyles across generations are evolving rapidly. Staying abreast of these changes is something we are deeply committed to. In addition to delivering on taste and nutrition, being trendy and youthful – the purpose for which our brands stand for – is equally important. NESCAFÉ and MAGGI PAPARE BLAST are two brands that have developed a strong connect with Sri Lankan youth.

(Q) What vision do you have for the next chapter in Sri Lanka, especially in shaping lifestyle trends?

(A) Looking ahead, our vision is to continue enriching Sri Lankan lives by providing tasty and nutritious products and promoting healthier and active lifestyles. We will keep innovating to meet evolving consumer needs, while strengthening local sourcing and reducing our environmental impact. The next chapter is about deepening our positive impact – supporting communities, empowering youth and contributing to a resilient food system.

(Q) As the head of Nestlé Sri Lanka, what does celebrating 120 years personally mean to you?

(A) Celebrating 120 years in Sri Lanka is deeply meaningful to us, as it reflects the trust generations of Sri Lankan families have placed in Nestlé. This milestone is a testament to the dedication of our people and the strong partnerships we have built across the country. For me personally, it is both a moment of pride and a responsibility – to honour this legacy while continuing to work together for good, doing what is right for our consumers, our communities, and Sri Lanka.

By Zanita Careem

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A hat-trick for knowledge: Saranga’s triple triumph at Raigam Tele’es

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K.C. Saranga

At a time when entertainment often overshadows education on television, K.C. Saranga has rewritten the script—securing a remarkable third consecutive win for Best Educational Programme at the Raigam Tele’es 2025.

His flagship programme, Jeevithayata Vidyawa (Science for Life), aired on Ada Derana, has not only dominated its category but also elevated the standards of educational broadcasting in Sri Lanka.

Reflecting on the milestone, Saranga described the win as more than a personal achievement. “Maintaining an award ceremony of this magnitude for 22 years is no small feat. Raigam Tele’es plays a pivotal role in uplifting the industry. By consistently recognising and rewarding Sri Lankan creators, it provides the necessary oxygen for television to evolve as a professional craft,” he said.

A veteran with over 25 years in the industry, Saranga—currently General Manager (News and Current Affairs) at TV Derana and Head of the Ada Derana News Channel—has seamlessly transitioned from hard news to impactful educational programming. His success underscores a broader vision: to harness television’s full potential as an audio-visual learning tool.

“There is a significant void in Sri Lankan television when it comes to high-quality educational productions,” he noted. “Television is an audio-visual medium; its true power lies in its ability to show, not just tell. We use multimedia elements—graphics, animation, and dynamic presentation—to grip the viewer’s attention.”

Saranga emphasised that his goal was to match global benchmarks. “If world-class science documentaries are available in English, our mission was to bring that same global standard to the Sinhala-speaking audience,” he said.

Through Jeevithayata Vidyawa, complex scientific concepts—from aerodynamics to cyclones—are presented in a manner that is both accessible and engaging, redefining the notion of “edutainment” in local television.

Expressing gratitude, Saranga credited his team and network for the continued success.

“This achievement is a result of a shared vision. My deepest gratitude goes to the management of Ada Derana. In an industry often driven by conventional ratings, they have consistently provided a sanctuary for creative freedom, allowing ‘out-of-the-box’ ideas to flourish,” he said.

He added: “To my incredible production team—this trophy belongs to you. Your technical skill and commitment have transformed simple ideas into a national standard. Finally, thank you to our viewers; your curiosity is our ultimate motivation. We will continue to prove that learning is an inspiring journey.”

Saranga’s hat-trick stands as a testament to the power of innovation in educational broadcasting—proving that knowledge, when presented with creativity and purpose, can captivate audiences just as effectively as mainstream entertainment.

By Ifham Nizam

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‘Style Surge’ blends glamour with a cause

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Lighting up the evening with effortless charm

The event “Style Surge,” organised by the Lions Club Elevate, was an evening filled with glamour, leadership and purpose collided in a spectacular fusion. The grand Ballroom at Galle Face Hotel became a canvas of fashion; every detail, from the floral centrepiece to the curated lighting, whispered elegance, while glamour set the stage, purpose was the back bone.

The show featured a curated selection of Sri Lankan designers, each bringing their signature styles to the stage.

The designers captivated the audience with bold, contemporary silhouettes that fused modern trends with traditional influence, creating pieces that were both sophisticated and wearable.

The batik ensembles by doyen of Batiks, Eric Suriyasena, were masterpieces, demonstrating the designer’s mastery in balancing artistry and practicality. Each piece told a story, highlighting the cultural nuances of Sri Lanka, while contributing to the glamour of the event.

The hair and make up for the models were curated by Salon Avra by Thushari de Silva and was nothing short of perfection,

From sleek, modern looks to elegant textured styles, Salon Avra ensured every model complemented the designer’s vision, highlighting the intricate details of each ensemble. The artistry on stage reflected a seamless collaboration between fashion beauty and presentation.

Style Surge unfolded an evening of elegance, creativity and purpose. It brought together Colombo style conscious crowd, social leaders and fashion enthusiasts and transformed the venue into a vibrant celebration of couture and compassion.

As the lights dimmed,the runaway came alive with a striking showcase of designs, ranging from contemporary chic to timeless sophistication, by designers like Eric Suriyasena, Anushko, Azeena Sulaiman and Jaywanthi Panibharatha. Leading fashion brands showcased were Aluminium, Disala, Eriq and Elegant Closet, and they presented a blend of contemporary and traditional fashion. Jewellery for the show was designed and sponsored by Blue Majestara Ceylon, . The Chief Guest was District Governor Lion Mahesh Borolugoda and his wife Lion Lady Sunethra Borolugoda.

Beyond glamour, this event, Style Surge, carried a meaningful mission to help rennovate two schools and improve educational facilities for future students

Lions Club of Colombo Elevate district 306D6, the organisers of this event, have been long synonymous with community development .The event underscores the power of fashion as a force of good.

Proceeds and awareness generated though the evening will be directed towards the clubs ongoing humanitarian initiatives, reinforcing its commitment to uplifting communities while engaging the public in an inspiring way.

In every sense, the event was more than a fashion show, it was a statement. This event reaffirms that glamour can also carry a purpose, creativity can spark compassion, and a runaway that can become a powerful platform for social change. This fashion show was graced by distinguished guests of honour , including designers Aseka Wijewardena, Michael Wijesuriya, Yolande Aluwihare, and Shyara Mendis

This event was organised by Lion Diana Nilanthi, Shen, Lion Thushari de Silva and Lion Shashika Hettiarachchi, whose commitment to creativity and attention to detail transformed the event into a truly memorable evening. They were the driving force that brought the vision of the show to life. Their meticulous planning, conceptualising the theme, coordinating the designers ensured the show ran seamlessly, from start to finish Pix by Thushara Attapathu

By Zanita Careem

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