Objectives The silica industry is rapidly expanding in Sri Lanka. The main objective of this study was to assess the prevalence of silicosis among workers exposed to silica dust, and to describe the disease pattern of the affected. We also screened the affected workers for tuberculosis.

Interpretation: It is not surprising that respondents who did not access CHPS were younger, more frequently male and did not have children, as this demographic group is generally healthy and less likely to seek healthcare. Respondents who did access CHPS typically returned for another visit. There remains some confusion within the community about the role of CHPS in the community with respondents often requesting advanced health services beyond the scope of CHPS. These preliminary results suggest the CHPS compounds will be utilized by community members but that the public would benefit from education on how CHPS fits into and complements the larger health system.