World Health Organization Ranking; TheWorld’s Health Systems Sri Lanka-76 France-1 Singapore-6 USA -37 India- 112 Pakistan-122 China-144
Total health expenditure, driven mostly by privatespending, has increased since the early 1990s. Contribution from the Government to the total healthexpenditure was 45.8% in 2009, while the contribution fromthe private sector was 54.2% The government health expenditure as a percentage of totalgovernment expenditure was 4.9% in 2007, which is adecrease of over half from the 7.2% recorded in 2006. It isincreasingly evident that private sector financing has becomemore prominent over time
GDP per capita Srilanka -1402.12 USD Gross National Product ≈7400000 LKR millionsHealth expenditure; total (% of GDP) in Sri Lanka
Total Expenditure on Health01000020000300004000050000600007000080000900001000002002 2003 2004 2005 2006 2007 2008 2009 2010 2011Rs million
Health expenditure per capita (US dollar) in Sri Lanka
Health services account for 8 percent of governmentbudgetary spending. Private fnancing is mostly out-of-pocket spending byhouseholds, with smaller contributions from employersand insurance. Spending by non-governmental organizations (NGOs)is small. Government expenditures have concentrated onhospitals since the health reforms of the1930s, directed primarily at increasing equity in accessand improving risk protection. Hospital spending accounted for about 70 percent ofgovernment recurrent spending in the 1950s, and theshare has changed little since then .
Government hospitals have been the primary mode bywhich modern medical treatment has been madeavailable to people in rural areas. Most private spending is for outpatient care and forpurchasing medicines, but the share of hospitalspending in private outlays has increased.(partlybecause of expanded delivery of outpatient services byprivate hospitals and partly because of the increasedavailability of private insurance.) until recently more than 85 percent of hospitalspending was by government, while more than 80percent of nonhospital and outpatient care spendingwas financed privately
Curative care services tertiary care institutions secondary care institutions primary care institutions specialized institutionsFinancialprovisionfor CurativeCare ($million)2010-11(actual)2011-12(original)2011-12(revised)212-13(estimate)Governmentsector664 722 684.4 751
BCG vaccinations specialized outpatient clinics○ TB and Chest○ Dermatology○ HIV/AIDS Dental treatment casesone of the curative care aim is to provide specializedoutpatient treatment for various illnesses… Specialized outpatient clinics provide curative services topatients with tuberculosis (TB) and chest diseases, skindiseases or human immunodeficiency virus (HIV)infection. Dental service is provided to hospital patients,emergency cases and groups with special oral healthcareneedskey performancemeasures in respect ofcurative care
Preventive health services Maternal and Child Health School Health Well-women services Family Planning Environment Health Occupational Health Prevention and control of communicable diseases Prevention and control of NCD Active ageing Mental Health well being Health Promotion Oral health care
Financialprovisionfor diseaseprevention($ million)2010-11(actual)2011-12(original)2011-12(revised)2012-13(estimate)Governmentsector1617.3 2204.8 1777.6 2365•Targets by funding for preventive section•achieving a high participation rate of new born babies of local mothersattending maternal and child health•contributing to achieving low IMR and MMR•School Dental Care Service participation•investigating reports of outbreaks of communicable diseases•coverage rate of immunization programme for school children
Financialprovisionfor Healthpromotion($ million)2010-11(actual)2011-12(original)2011-12(revised)2012-13(estimate)Governmentsector199.3 249.1 259.8 298.4• key performance measures in respect of health promotion•training of health promoters•production of health education materials•attendances at health education activities•AIDS counselling attendances• Adolescent Health Programme•publicity/educational activitiesHealth promotion
Special Campaigns Respiratory Disease Control Unit STD HIV/AIDS Control Programme Rabies Control activities Malaria Control Programme.
Allocation of provisions to programmesstatutory functionspreventionhealth promotioncurative carerehabilitationdrug abusetreatment for civil servantspersonnel mx of civil servantsworking in hospital
Total public healthexpenditure percapita by province(RS)
References Sri Lanka Health Accounts,National HealthExpenditure,1990-2008 Annual health bulletin 2007 Progress Review,Ministry of Healthcare & Nutrition Sri Lanka: “Good Practice”in ExpandingHealthCare Coverage by Ravi P. Rannan-Eliya &Lankani Sikurajapathy http://www.tradingeconomics.com/sri-lanka/