Methodology
This study was conducted in three phases: pre-interventional,
interventional, and post-interventional. Several qualitative research
methods were used during the pre-and post-interventional phases. Ethical
clearance was obtained from the Ethics Review Committee, Post Graduate
Institute of Medicine, University of Colombo. Permission to carry out
the project was obtained from the Ministry of Health, Deputy Director
General – Medical Services I, Director- Directorate of Healthcare
Quality & Safety (DHQS), Director- FHB, Director -NBTS, Provincial
Director of Health Services – Western Province, Regional Director of
Health Services – Colombo and the Head of the Institution of DGH
Avissawella.
The study was conducted from February 2022 to December 2022 in the
District General Hospital (DGH) – Avissawella, the only District
General Hospital in Colombo district- the capital of Sri Lanka. The
hospital comprises all major specialties, theatre, and ICU facilities,
and almost all sub-specialties that a District General Hospital should
have (8). Considering the service availability, practical feasibility,
and administrative support for implementation, the research team
selected the site mentioned above to pilot the project.