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Health Care System-Sri Lanka
Health Care System-Sri Lanka
LANKA
INTRODUCTION TO SRI LANKA
• Sri Lanka, formerly known as Ceylon, and officially the Democratic Socialist
Republic of Sri Lanka, is an island country in South Asia. It lies in the Indian
Ocean, southwest of the Bay of Bengal, and southeast of the Arabian Sea; it is
separated from the Indian subcontinent by the Gulf of Mannar and the Palk
Strait
• Sri jayawardanepura kotte is its legislative capital, and colombo is its largest
city and financial centre
• Population – 21.7 million (52% females)
• Life expectancy at birth- male: 71.9 years and female: 78.6 years.
• Literacy rate- male: 96.9% and female: 94.6% in 2012 census
SRI LANKA
↓
PROVINCES(9)
↓
DISTRICTS(25)
↓
DIVISIONAL SECRATORY(330)
↓
GRAMA NILADHARI(14,022)
INDEX
• Human Development Index:76(0.770)
• Health Care Access and Quality Index:73
• Universal health coverage : 72
• GDP Per capita : 4065.2 US Dollar
• WHO Ranking for Health Attainment: 76
• WHO Overall Ranking: 76
• % GDP spent on health care: 3.89% (2017)
• Global Health Security Index : 105(2021)
HEALTH SYSTEM
Source - https://apo.who.int/publications/i/item/sri-lanka-health-system-review
PUBLIC
• Under ministry of health,nutrition and indegenous medical services
1.Stewardship function
2.Tertiary and special/teaching hospital
3.Monitoring of govt. health services
• Under provincial ministers
1.provincial health services
2.powers to formulate their own statutes pertaining to subjects devolved to
them(DECENTRALIZATION)
3.Plantation sector hospitals
• Under ministry of defence and police department
Source - https://apo.who.int/publications/i/item/sri-lanka-health-system-review
PROVINCIAL LEVEL
Source - https://apo.who.int/publications/i/item/sri-lanka-health-system-review
VOLUNTARY PRIVATE HEALTH INSURANCE
• Reducing the demand on govt. sector facilities where higher
income groups could opt for private health care
• It mostly covers the health risk that are less frequent and require
expensive treatment
• why..? VHI – Upper class
Govt. – lower and middle class
• Overall contribution of private health insurance to health care
resource mobilization is minimal in sri lanka
• Eg CTC-eagle, Union insurance, Ceylinco insurance
COMPULSORY CONTRIBUTORY HEALTH
INSURANCE(AGRAHARA)
source : https://www.researchgate.net/profile/sameera-senanayake/publication/334880613/figure/tbl5/
as:787317778292740@1564722594599/key-health-indicators-sri-lanka.png
Parameters INDIA SRI LANKA
POPULATION IN 1352.6 21.7
MILLIONS
PHYSICIAN PER1000 0.8 1
CURRENT HEALTH 3.5 3.8
EXPENDITURE IN % OF
GDP
GOVT. HEATH 27.1 43
EXPENDITURE IN %
OUT OF POCKET 63.4 49.8
HEALTH EXPENDITURE
IN %
• Source : https://cdn.thewire.in/wp-content/uploads/2020/05/09151820/Table-1.png
CHALLENGES
• https://apo.who.int/publications/i/item/sri-lanka-health-system-review
• Analysis of private health insurance in Sri lanka: Findings and policy
Implication by Ravi P.Rannan-Eliya
• https://en.wikipedia.org/wiki/Healthcare_in_Sri_Lanka
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