Nilusha Gayan Mahakumbura (Md) Email & Phone Number

Colombo, Western Province, Sri Lanka

• Comprehensive care for people living with HIV (PLHIV)− Screening of acute opportunistic infections, co-infections, malignancies, and management.− Timely initiation of antiretroviral treatment.− Continuous monitoring of immunological, virological, and biochemical parameters.− Couselling on positive living and ART adherence.− Prevention services for mother-to-child transmission of HIV− Continuous assessment of psychological, and psychiatric statuses and arranging relevant referrals when needed.− Monitoring and counselling on lifestyle modifications for prevention of non-communicable diseases and related morbidities.− Maintain satisfactory nutritional status - arrange relevant referrals when needed.− Provision of sexual health services and family planning services.− Link to Nongovernmental organizations / Community-based organizations and positive support groups for social support.− Prevention services for mother-to-child transmission of HIV• Management of pregnant mothers with HIV infection and HIV-exposed infants. → Liaison with relevant other specialties. (Paediatrics / Obstetrics)• Management of paediatric HIV patients.• Case discussions with consultants regarding the management of complex HIV cases.• Organizing weekly HIV case discussions for postgraduate trainees (Registrars / Diploma trainees)• Inward patient management, while liaising with other medical specialties when necessary.• Administrative activities – Programme planning, drug procurement, data management for monitoring and evaluation, revision of guidelines and other publications etc.• Biomedical HIV prevention – Pre Exposure Prophylaxis / Post Exposure Prophylaxis (occupational and sexual exposures).• Coordination of training programmes for medical officers, nursing officers, public health inspectors, medical laboratory technicians, and other staff categories.• HIV surveillance activities.

Colombo, Western Province, Sri Lanka

• Provision of comprehensive care for patients presenting with Sexually Transmitted Infections.• Comprehensive care for people living with HIV (PLHIV) • Provision of comprehensive sexual health services.• Counselling services • Services for EMTCT – HIV/Syphilis • Preparation and supervision of activities related to sustainability of Elimination of Mother to Child Transmission of HIV/Syphilis (EMTCT)• Management of paediatric HIV patients → growth monitoring, immunization issues, provision of ART and identifying opportunistic infections.• Managing inward HIV patients in advanced stages of HIV, while liaising with other medical specialties• Management of Health care workers with occupational exposures (PEP)• Post-exposure prophylaxis following sexual exposure to HIV (PEPSE)• Conducting Pre-exposure prophylaxis (PrEP) clinics• STI/HIV surveillance activities• Planning, implementation, monitoring, and evaluation of outreach programmes and targeted interventions for key populations• Analysis of STI/HIV data and recognizing the prevailing epidemic patterns for evidence – based planning of curative and preventive programmes• Assisting in training programmes for postgraduate trainees, medical officers, nursing officers, public health inspectors, medical laboratory technicians and other staff categories.

Colombo District, Western Province, Sri Lanka

Colombo District, Western Province, Sri Lanka

− First contact doctor for clients presenting for STD/HIV care, screening, diagnosing, providing counselling, management and follow up.− Outreach activities on prevention and control of STD/HIV conducted by the National Programme for key populations and the general population.− Involved in in-patient care at medical wards liaising with other medical specialties− Teaching sessions for undergraduate students on STD/HIV• General Medicine: (6 months)− Management of inward HIV patients− Management of patients with general medical conditions− Management of ICU patients with HIV− Teaching undergraduate students• Dermatology: Inward and clinic management of dermatological conditions at the National Hospital of Sri Lanka, Colombo, Sri Lanka, (3 months)• Psychiatry: In-ward and clinic management of patients at the Professorial Unit of Psychiatry, National Hospital of Sri Lanka, Colombo (6 weeks)• Obstetrics and Gynaecology: Inward and clinic management at the Professorial Unit, De Soysa Maternity Hospital for Women, Colombo, Sri Lanka (6 weeks)• HIV / STD-related diagnostics: National Reference Laboratory of the National STD/AIDS Control Programme / Medical Research Unit (MRI), Colombo (6 weeks)• HIV Medicine: Inward management of HIV patients at the National Institute for Infectious Diseases, Angoda, Sri Lanka (6 weeks)

• Involved in the management of patients in Psychiatric wards as the first contact on-call doctor in the ward including both day and night shifts, under the guidance of the consultant.• Conducting other forms of treatment, such as psychotherapy or electroconvulsive therapy.• Providing advice and counselling on behavioural management.• Management of substance use disorders.• Assessment of both the mental and physical aspects of psychological problems.• Conducting clinics → General psychiatric clinic, prison clinic, adolescent clinic, substance clinic, special clinics.

Sri Lanka

Emergency unit• Handled emergency case patients and initiated emergency procedures, as required.• Evaluated patients, diagnosed disorders, and managed emergency care delivery to patients.• Performed diagnostic tests and provided appropriate further management to patients.• Observed the physical condition of patients and delivered appropriate medical care.• Guided and managed the medical team and support staff in emergency patient care.• Conducted training programs for medical staff, and attended departmental, and team meetings.• Advised patients and responded to their queries related to health and treatment.• Prepared and maintained accurate documentation in relation to EU management.• Managed inbound patient referrals and liaised with other members of the medical/surgical team.OPD• Worked as the Senior Medical Officer (SMO) of OPD from 2015 to 2016.• Provided assistance for hospital administrative work as the SMO.• Clinical assessment for the certificate of fitness for the sports personnel in competitive sports.• Managed caseload of patients and referred them to specialists for advanced management, when required.• Attended various medical committee meetings and gave testimony before administrative hearings.• Control diseases by early diagnosis and timely treatment.• Investigate and screen cases to confirm whether or not hospitalization is required.• Provide effective treatment on an ambulatory basis.• Medical examination for special occasions, local and foreign employment seekers.

Sri Lanka

• Paediatrics (6 months)− First contact doctor, involved in the medical management of paediatric hospital admissions – day and night shifts− Involved in the management of acute paediatric emergencies under the guidance of the consultant− Assisted the consultant and senior medical staff in the assessment and management of patients with a variety of medical conditions including infectious diseases.− Attended paediatric clinics− First contact doctor at the Premature Baby care unit – Day and night shifts o Performed neonatal resuscitation, venipuncture, and umbilical vein catheterization of the newborn babies o Performed neonatal resuscitation with intubation and provided ventilatory care o Managing critically ill neonates at the premature baby care unit. o Worked in liaison with the other specialties along with obstetric and paediatric teams to provide holistic patient care.General Surgery(6months)−Involved in the management of patients in surgical wards as the first contact on-call doctor in the ward including both day and night shifts, under the guidance of the consultant−Involved in the management of acute surgical emergencies with the guidance of the consultants− Assisted and attended major surgical procedures− Assisted minor surgical procedures− Assisted the consultant and senior medical staff in the assessment and management of patients with a variety of surgical conditions including infectious disease, in liaison with the relevant subspecialties−Attended outpatient surgical clinics

Md In Venereology (Sexual Health & Hiv Medicine), Medicine

Post Graduate Diploma In Venereology, Medicine

Bachelor Of Medicine, Bachelor Of Surgery - Mbbs, Medicine