Nearly half of Sri Lankan doctors are not aware of symptoms of autism, study finds

A recent research study has found that nearly half of doctors in Sri Lanka unaware of the symptoms of autism and fail to recognise the early signs of the neurological disorder seen in children.

A recent study carried out in Sri Lanka to assess doctors’ knowledge of diagnostic features and co-morbidities of childhood autism in a tertiary care hospital has found that around 50% of the doctors were unaware of some of its signs and symptoms.

“Our study has revealed that the knowledge of diagnostic features and comorbidities of childhood autism among doctors is poor,” Dr. Yasodha Maheshi Rohanachandra, lead author of the research article says.

“There is a lack of educational psychologists and teachers trained in specialized autism educational strategies. Also, there is a poor awareness about autism in the community and services for children with autism in Sri Lanka are limited and centralised,” she adds.

Autism is a neurological and developmental diagnosis seen from early childhood marked by difficulty in communicating, forming relationships and using languages. In Sri Lanka, one in 93 children have been found to have autism.

Studies have shown that the condition of an autistic child can improve with early diagnosis. Early diagnosis and provision of further information to caregivers is largely linked to the level of physicians’ knowledge of autism.

According to the research, the majority (62%) of the 176 surveyed doctors believed that they lacked the competence to identify autism.

The knowledge of medical professionals in identification of children with autism had not been assessed previously in Sri Lanka.

“There is a need for regular in-service programs for medical officers to help improve their knowledge to enable early identification and referral,” says Dr. Rohanachandra.

“Improving awareness about autism among early childhood educators such as pre-school and primary school teachers would also benefit these children by facilitating early referral to services,” she suggested.

According to the authors, providing training to teachers on autism specific teaching methods and setting up resource centers in school is another important step in improving the learning opportunities of children.

The authors recommend de-centralising early intervention services to be beneficial in making services more accessible. It also emphasises a government initiative to support families of children with autism to access appropriate care including financial support and respite services; having a child with autism can place a significant stress on the family system.

For more information: Rohanachandra, Y.M. et al., (2017). Knowledge about diagnostic features and comorbidities of childhood autism among doctors in a tertiary care hospital. Sri Lanka Journal of Child Health. 46(1), pp.29-32. The article is available online for free access on the SLJOL platform supported by INASP.