Contemporary Issues in Free Health Service, Sri Lanka
Upcoming SlideShare
Loading in...5
×
 

Contemporary Issues in Free Health Service, Sri Lanka

on

  • 2,107 views

Expensive drugs - Out of Stock ...

Expensive drugs - Out of Stock
Laboratory investigations – from outside lab
Consultancy – Limited
Surgeries – Waiting lists

Recommendations

Categorize and prioritize the free health care services according to the economic status of the community.
Introduce government health insurance system with turn over to the health beneficially.
Develop competitive government health institutes with cost effective service for the community who look for conveniences.
Regulate the private sector to make income serving poor class.
Approach to change the traditional health aptitude of free health service.
tions

Statistics

Views

Total Views
2,107
Views on SlideShare
2,107
Embed Views
0

Actions

Likes
0
Downloads
26
Comments
0

0 Embeds 0

No embeds

Accessibility

Upload Details

Uploaded via as Microsoft PowerPoint

Usage Rights

© All Rights Reserved

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Processing…
Post Comment
Edit your comment

Contemporary Issues in Free Health Service, Sri Lanka Contemporary Issues in Free Health Service, Sri Lanka Presentation Transcript

  • Contemporary Issues inFree Health Service, Sri Lanka Ravi Kumudesh BSc (Mgt.) /Dip (MLT) PG Dip (Ex.Mgt.)
  • Organic System Management Service Provision OrganizationResource Inputs Financial Support
  • Health IndicatorsLife expectancy at birth 73 yearsInfant Mortality Rate 14.35 / 1000 LBHospital beds 3.6/1000 pTotal bed strength 69,501Government Hospitals 1042Private Hospitals 115Doctors: 2,300 p/Doc.Nurses: 826 p/Nurse Source: WHO/2011
  • Health ProblemsMalnutritionRapid increase in noncommunicable diseasesViolence and injuries Dengue and other Epidemics The above-mentioned problems are compounded for the poor population, with an estimated 25% of the population below the ‘national’ poverty line and 7% on less than one dollar/day.
  • Is Sri Lanka investing enough in health? NHE/GDP% NHE/GDP%• Sri Lanka 3.2% • UK 6.8%• Philippines 3.6% • Canada 9.2%• Thailand 3.7% • Australia 8.3%• Bangladesh 3.9% • Japan 7.5% Source: WHO/2011
  • Health Expenditures Free for AllTotal Health Expenditure - US$ 632 Mn. (1.92% of GDP)Per Capita Expenditure on Health - US$ 31.58Expenditure on Health - 4.1% of total govt. expenditureHuman Development Index (HDI) - 0.751 (2005)
  • Free for All ???Government 49% Who pay for thisNGO 4%Its only 53% Left behind 47%
  • Who Pays? 1% 2% Taxes44% 49% Employers Out of pocket Insurance NGOs 4% Source: Annual Health Accounts, Ministry of Health 2002
  • Contemporary issueExpensive drugs - Out of StockLaboratory investigations – from outside labConsultancy – LimitedSurgeries – Waiting listsMentality – Free, Free, Free, & Free Reality – Pay, Pay, Pay, & Pay
  • Conflict 01Belief of the community and the reality Think of 100% free health care service No personal budget for health No proper system to recover the expenditure Satisfy with what the government offer Ignore the personal responsibility Neglect the health issues
  • Conflict 02Basis of health policies and the practice Policies are to be “free for all” No sufficient budget allocation No proper system to recover the expenditure Paralyze the policies and frame work Unorganized dependence on private sector Both government and community pay for health with no plan
  • Conclusion Either government should allocate the 44% out of pocket fraction through a sustainable budget or systematic approach tomanage the 44% out of pocket fraction to achieve the health care goal.
  • Recommendations√ Categorize and prioritize the free health care services according to the economic status of the community.√ Introduce government health insurance system with turn over to the health beneficially.√ Develop competitive government health institutes with cost effective service for the community who look for conveniences.√ Regulate the private sector to make income serving poor class.√ Approach to change the traditional health aptitude of free health service.
  • Thank You !