Features
Medical education at crossroads

By Saman Gunatilake
MBBS, MD, FRCP, FCCP, Hon FRACP
Emeritus Professor of Medicine, University of Sri Jayewardenepura
Consultant Neurologist
One of the most quoted phrases of Karl Marx, the German philosopher and political theorist, popularly known as the ‘Father of Communism’, is “History repeats itself, first as a tragedy, second as a farce”. This quote has made its way to common usage through the years, especially the initial part of ‘History repeats itself’. Marx’s words seem to be a good fit for many occasions and the current attempts to restart private medical schools is one such situation. Whether Sri Lanka today is ready to venture into private medical education is a highly debatable issue at present and for a start it would be worthwhile to look back at the past.
History of Private medical schools
North Colombo Medical College (NCMC) was the first privately funded medical school in Sri Lanka. It started in 1980. Since its inception the NCMC came under criticism and opposition of many socialist elements in the island, and especially the state university student bodies. Their slogan was stop privatising medical education. These protests reached a peak in 1989 and university and medical faculty education was disrupted badly with student strikes and protests being a regular scenery. Soon after, the NCMC was nationalised with the government sending the army to occupy the buildings at Ragama stating security reasons. Its board was replaced by a Competent Authority, Prof. Carlo Fonseka. He continued as the first Dean when the NCMC was transferred to the University of Kelaniya as its Faculty of Medicine in 1991.
History repeated in 2008 and, as Marx said, this ended up in tragedy. The South Asian Institute of Technology and Medicine was established in 2008 by Dr. Neville Fernando with the aim to provide tertiary qualifications in medicine, engineering, and information technology, management and finance, and information communication technology and media. The institute was initially affiliated with the Nizhny Novgorod State Medical Academy (Russia), the Asian Institute of Technology (Thailand) and Buckinghamshire New University (England), awarding degrees through those respective institutes. In 2011 SAITM applied for recognition from the University Grants Commission (UGC) as a degree awarding institution, with the ability to award its own degrees. The UGC, in 2013, granted SAITM a degree awarding status despite protests from the Inter-University Students’ Federation (IUSF) and the Government Medical Officers’ Association (GMOA). These protests continued for months and student education came to a standstill, students not attending lectures and exams. MBBS courses dragged on and exams were delayed by over a year and as a result even the running of hospitals were affected. GMOA strikes disrupted patient care in hospitals countrywide. Even the parents of state medical school students formed a body to fight the issue after seeing the plight of their sons and daughters. Following a fast unto death campaign performed by the parents of State Medical Students, on 8th Nov 2017, the Government of Sri Lanka, decided to abolish SAITM, suspend the new enrollments immediately. Students who were doing the medicine course in SAITM and their parents too were in a very dire situation. Their course too dragged on and most had to spend up to 10 years before they qualified by joining overseas universities and the Kotelawala defense university medical faculty. The staff who were teaching in the SAITM were left to their own means. So, wasn’t this a tragedy in the real sense? If this is repeated it will be a farce in Marx’s words. Farce is defined by some as foolish show, mockery, a ridiculous sham. It seems the government probably misinformed by and together with a few retired academics are planning to repeat history. To understand why I say so, we need to have an in-depth knowledge of what the medical course entails.
Current status of medical education
MBBS courses in our medical faculties are very similar and run on similar curricula approved and monitored by the University Grants Commission and the Sri Lanka Medical Council. MBBS course is quite different from most other courses as it deals with ill living human beings. Major difference which non-medics are ignorant is that of the clinical training. More than 50% of the course involves training in hospitals in the last three years out of the total five years. Government has taken a decision to increase the numbers taken for medical courses and also to start two fee levying privately run medical schools. No one would be against this as a principle. Country needs more doctors and no question about it, also in the last 12 months many young and specialized doctors have left the country making some hospital sections even to close down.
First let’s consider the training in state medical schools and why new admissions cannot be increased freely. Clinical training in the last 3 years involve working in hospitals in all days of the week, some Sundays and some nights. From the days I was a medical student and till recently a batch of students would have about 150 students. They are divided into groups of about 12-15 in each group and are allocated to each ward to work under the supervision of a hospital consultant. If the group had 150 there would be about 12 groups. Training would be for a period of 2 months in major specialties like Medicine, Surgery, Paediatrics and Obstetrics and for 2 weeks in others like Cardiology, Neurology, ENT, Neurosurgery, Orthopaedics etc. A group is limited to 12 to 15 because that is about the maximum a hospital ward could accommodate and also suitable for bedside teaching. A ward in a state hospital generally have about 40 to 60 beds and so a student will be given to be in charge of 3 to 5 patients at a given time to study and discuss with senior doctors in the ward till those patients are discharged and then a new patient will be allocated. This is a very dynamic process that changes daily. If the student numbers are increased this system will fail as the hospital has only a limited number of wards, patients and teachers. Prior to increasing student numbers hospital facilities have to be increased to suit the increase. This involves long term plans like increasing available number of hospital wards, beds and trained teachers. If the numbers were increased without paying attention to availability of adequate infrastructure standards will go down. Our MBBS graduates have a good standing internationally and the degree is recognized by the UK and Australian medical councils.
Colombo, Peradeniya, Galle, Jaffna, Jayawardenepura, Rajarata and Eastern are well established medical faculties. Of them Rajarata and Eastern are still understaffed and don’t have professors in most departments. Recently Rajarata had to close down the paediatric unit due to lack of specialist consultants. Sabaragamuwa (Ratnapura), Wayamba (Kuliyapitiya), Uva (Badulla) and Moratuwa are new faculties started recently and have enrolled students. Sabaragamuwa students are ready to start their final year but the final year clinical attachments haven’t been sorted yet and the final year departments have no staff to teach and they have no hospital wards under them. They are struggling to find qualified staff and have no proper buildings to house their laboratories, and lecture halls. Departments have only one or two permanent members. Universities need to attract young and bright lecturers but the opposite is the truth, there is no suitable background for them to join these faculties and many are leaving the country for overseas jobs.
These new faculties are facing the issue of finding suitable hospitals for student training. Most hospitals that are suitable for training are already being used by established state faculties. Most days of the week students spend the mornings in the hospital and attend lectures and tutorials in the faculty and return to hospital for seeing patients. For this the hospital and faculty have to be close to each other. The new faculties are in a crisis situation finding hospitals for training of their students. These shortages will escalate student unrest. Hostel facilities are another important issue as students in a faculty are from all parts of the island. There have been requests from authorities to increase the intake of students to Colombo and Galle and from what I know to increase the intake to 300 from the current 150-200. This is an impossible task. Lectures can be done on line, but in medicine, surgery and other hospital specialties the most effective modes of training are using small group discussions and bedside teaching. Students need to spend time in operating theatres watching operations, but the number that can be allowed in to an operating theatre is limited due to risks of infection. Such ad hoc increse cannot be done without compromising on the training and overcrowding of hospital wards. Patient welfare is also an important area to consider.
When too many students are in a ward, patients will be disturbed by students trying to examine them and this would cause negative responses from patients and their relatives. With all these drawbacks and the apparent collision course the state medical faculties are heading, new private medical schools are to be established with government approval. Where would this lead us to?
New Private Medical faculties
In Sri Lanka, becoming a doctor is still the number one choice for most students. Therefore, there is a bigger demand than that can be catered for. So, the parents who can afford seek entry into overseas medical schools pay exorbitant fees. They are studying medicine in China, Russia, eastern Europe, UK, Malaysia, Australia and India, to name a few. Some argue that the country can save foreign exchange if these students can be educated locally. Many would wish for private medical education in Sri Lanka and that is a very reasonable one. But are we ready for that as a country, and is this the opportune time? From what I have said before it is apparent that starting state medical faculties in the recent past had been done without proper plans and foresight. Where are we going to find clinical teachers and hospitals to cater private medical schools? Clinical teachers have to be selected from high achievers. They should have adequate experience in teaching, proper postgraduate qualifications and outstanding academic records. Parents would not pay fees if the faculty is not up to international standards. Obtaining international recognition too would be a difficult task. This would be a problem that would be faced by even the new state medical faculties. If the terms are attractive state medical faculty teachers may join the private medical schools. That would make the situation in state faculties much worse. When there are no suitable hospitals for training of state medical students where would you train private students? This would result in student protests and student rivalry and even clashes. Result: history repeats, as a farce or tragedy again? There are some private hospitals mainly in Colombo suitable for student training but may not be adequate. Hospitals have to be in close vicinity to where other teachings are done, or else the hospital should provide facilities for lectures and other non-clinical work. The urgent need is to look after the already established medical faculties. Some may even run the risk of losing their local and foreign medical council recognition. From what I know at present the situation in some are terrible and need urgent attention. Starting a private medical school or two will not help to earn dollars to save our bankrupt economy. Time to venture into Private medical schools would be when we have recovered economically and our state faculties are doing well. The question is how long will that be?
Features
Sri Lanka’s Foreign Policy amid Geopolitical Transformations: 1990-2024 – Part I

Sri Lanka’s survival and independence have historically depended on accurately identifying foreign policy priorities, selecting viable strategies as a small island state, and advancing them with prudence. This requires an objective assessment of the shifting geopolitical landscape through a distinctly Sri Lankan strategic lens. Consequently, foreign policy has been central to Sri Lanka’s statecraft, warranted by its pivotal location in the Indian Ocean—adjacent to South Asia yet separated by a narrow stretch of water.
Amid pivotal geopolitical transformations in motion across South Asia, in the Indian Ocean, and beyond, the formulation and implementation of Sri Lanka’s foreign policy has never been more critical to its national security. Despite the pressing need for a cohesive policy framework, Sri Lanka’s foreign policy, over the past few decades, has struggled to effectively respond to the challenges posed by shifting geopolitical dynamics. This article examines the evolution of Sri Lanka’s foreign policy and its inconsistencies amid shifting geopolitical dynamics since the end of the Cold War.
First
, the article examines geopolitical shifts in three key spaces—South Asia, the Indian Ocean, and the global arena—since the end of the Cold War, from Sri Lanka’s strategic perspective. Building on this, second, it analyses Sri Lanka’s foreign policy responses, emphasising its role as a key instrument of statecraft. Third, it explores the link between Sri Lanka’s foreign policy dilemmas during this period and the ongoing crisis of the post-colonial state. Finally, the article concludes that while geopolitical constraints persist, Sri Lanka’s ability to adopt a more proactive foreign policy depends on internal political and economic reforms that strengthen democracy and inclusivity.
Shifting South Asian Strategic Dynamics
Geopolitical concerns in South Asia—Sri Lanka’s immediate sphere—take precedence, as the country is inherently tied to the Indo-centric South Asian socio-cultural milieu. Sri Lanka’s foreign policy has long faced challenges in navigating its relationship with India, conditioned by a perceived disparity in power capabilities between the two countries. This dynamic has made the ‘India factor’ a persistent consideration in Sri Lanka’s strategic thinking. As Ivor Jennings observed in 1951, ‘India thus appears as a friendly but potentially dangerous neighbour, to whom one must be polite but a little distant’ (Jennings, 1951, 113).The importance of managing the ‘India Factor’ in Sri Lankan foreign policy has grown further with India’s advancements in military strength, economic development, and the knowledge industry, positioning it as a rising global great power on Sri Lanka’s doorstep.
India’s Strategic Rise
Over the past three decades, South Asia’s geopolitical landscape has undergone a profound transformation, driven by India’s strategic rise as a global great power. Barry Buzan (2002:2) foresees this shift within the South Asian regional system as a transition from asymmetric bipolarity to India-centric unipolarity. India’s continuous military advancements have elevated it to the fourth position in the Global Firepower (GFP) index, highlighting its formidable conventional war-making capabilities across land, sea, and air (Global Firepower, 2024). It currently lays claims to being the world’s third-largest military, the fourth-largest Air Force, and the fifth-largest Navy.
India consistently ranks among the fastest-growing major economies, often surpassing the global average. According to Forbes India, India is projected to be the world’s fifth-largest economy in 2025, with a real GDP growth rate of 6.5% (Forbes, January 10, 2025). India’s strategic ascendance is increasingly driven by its advancements in the knowledge industry. The country is actively embracing the Fourth Industrial Revolution (4IR) and emerging as the Digital Public Infrastructure (DPI) hub of South Asia. However, India’s rise has a paradoxical impact on its neighbours. On one hand, it offers them an opportunity to integrate into a rapidly expanding economic engine. On the other, it heightens concerns over India’s dominance, leaving them feeling increasingly overshadowed by the regional giant.
Despite significant geo-strategic transformations, the longstanding antagonism and strategic rivalry between India and Pakistan have persisted into the new millennium, continuing to shape South Asia’s security landscape. Born in 1947 amid mutual hostility, the two countries remained locked in a multi-dimensional conflict encompassing territorial disputes, power equilibrium, threat perceptions, accusations of interference in each other’s domestic affairs, and divergent foreign policy approaches. The acquisition of nuclear weapons by both countries in 1998 added a new dimension to their rivalry.
The SAARC process has been a notable casualty of the enduring Indo-Pakistani rivalry. Since India’s boycott of the Islamabad Summit in response to the 2016 Uri attack in Kashmir, the SAARC process has remained in limbo. Countries like Sri Lanka, which seek to maintain equally amicable relations with both India and Pakistan, often find themselves in awkward positions due to the ongoing rivalry between them. One of the key challenges for Sri Lanka’s foreign policy is maintaining strong relations with Pakistan while ensuring its ties with India remain unaffected. India now actively promotes regional cooperation bodies in South Asia, excluding Pakistan, favouring broader frameworks such as BIMSTEC. While Sri Lanka can benefit greatly from engaging with these regional initiatives, it must carefully navigate its involvement to avoid inadvertently aligning with India’s efforts to contain Pakistan. Maintaining this balance will require sharp diplomatic acumen.
India’s expansive naval strategy, especially its development of onshore naval infrastructure, has positioned Sri Lanka within its maritime sphere of influence. As part of the Maritime Infrastructure Perspective Plan (MIPP) launched in 2015 to enhance operational readiness and surveillance capabilities, India is developing an alternative nuclear submarine base for the Eastern Command under Project Varsha (Deccan Chronicle, 22.11.2016). This base is located in Rambilli village, 50 km southwest of Visakhapatnam and 1,200 km from Colombo (Chang, 2024). Additionally, INS Dega, the naval air base at Visakhapatnam, is being expanded to accommodate Vikrant’s MiG-29K and Tejas fighter aircraft.
Another key strategic development in India’s ascent that warrants serious attention in Sri Lanka’s foreign policy formulation is India’s progress in missile delivery systems (ICBMs and SLBMs) and nuclear-powered submarines. In 1998, India made it clear that its future nuclear deterrence would be based on a nuclear triad consisting of land-based Intercontinental Ballistic Missiles (ICBMs), submarine-launched ballistic missiles (SLBMs), and strategic bombers (Rehman, 2015). Since then, India has steadily advanced in this direction. The expansion of India’s missile delivery systems, including ICBMs and SLBMs, serves as a reminder that Sri Lanka exists under the strategic shadow of a major global power.
The development of India’s nuclear-powered ballistic missile submarines (SSBNs) accelerated after 2016. The first in this class, INS Arihant (S2), was commissioned in August 2016, followed by the launch of INS Arighat in November 2021. Designed for strategic deterrence, INS Arighat is equipped to carry the Sagarika K-4 submarine-launched ballistic missiles (SLBMs), with a range of 3,500 kilometers, as well as the K-5, a long-range SLBM capable of reaching 5,000 kilometers. The submarine is based at INS Varsha (Deb, 2021).
India has significantly advanced its missile delivery systems, improving both their range and precision. In 2021, it successfully tested the Agni-5, a nuclear-capable intercontinental ballistic missile with a range of 5,000 kilometers. On March 11, 2024, India joined the ranks of global powers possessing Multiple Independently Targetable Re-entry Vehicle (MIRV) technology (The Hindu, January 4, 2022). These advancements elevate the Bay of Bengal as a pivotal arena in the naval competition between India and China, carrying profound political and strategic implications for Sri Lanka, which seeks to maintain equally friendly relations with both countries.
Further, India’s remarkable strides in space research have cemented its status as a global power. A defining moment in this journey was the historic lunar landing on 23 August 2023, when Chandrayaan-3 successfully deployed two robotic marvels: the Vikram lander and its companion rover, Pragyan. They made a graceful touchdown in the Moon’s southern polar region, making India the fourth nation to achieve a successful lunar landing. This milestone has further reinforced India’s position as an emerging great power, enhancing its credentials to assert itself more confidently in South Asian, Indian Ocean, and global power dynamics.
India envisions a stable and secure South Asia as essential to its emergence as a great power in the Indian Ocean and global strategic arenas. However, it does not consider Pakistan to be a part of this stability that it seeks. Accordingly, when India launched the ‘Neighbourhood First Policy’ in 2008 to strengthen regional ties, Pakistan was excluded. India’s ‘Neighbourhood First Policy’ gained renewed momentum after 2015 under Prime Minister Narendra Modi. His approach to South Asia is embedded in a broader narrative emphasising the deep-rooted cultural, economic, and social exchanges between India and other South Asian countries over centuries. India’s promotion of heritage tourism, particularly the ‘Ramayana Trail’ in Sri Lanka, should be viewed through this strategic lens as part of its broader strategic narrative.
Evolving Indian Ocean Geo-political Dynamics
The Indian Ocean constitutes the next geopolitical frame for Sri Lanka’s foreign policy. The Indian Ocean is a huge bay bordered by the Afro-Asian landmass and Australia on three sides and the South Asian peninsula extends into the Indian Ocean basin centrally. Situated at the southern tip of South Asia, Sri Lanka extends strategically into the heart of the Indian Ocean, shaping its geopolitical significance and strategic imperatives for maintaining sovereignty. Historically, Sri Lanka has often been caught in the power struggles of extra-regional actors in the Indian Ocean, repeatedly at the expense of its independence.
Sri Lanka’s leadership at the time of independence was acutely aware of the strategic significance of the Indian Ocean for the nation’s survival. The first Prime Minister D.S. Senanayake, who was also the Minister of Defence and External Affair, stated in Parliament that: “We are in a dangerous position, because we are on one of the strategic highways of the world. The country that captures Ceylon would dominate the Indian Ocean. Nor is it only a question of protecting ourselves against invasion and air attack. If we have no imports for three months, we would starve, and we have therefore to protect our sea and air communications” (Hansard’s Parliamentary Debates, House of Representative. Vol. I, 1 December 1947, c. 444)
As naval competition between superpowers during the Cold War extended to the Indian Ocean, following the British naval withdrawal in the late 1960s, Sri Lanka, under Prime Minister Sirimavo Bandaranaike, played a key diplomatic role in keeping the region free from extra-regional naval rivalry by mobilising the countries that were members of the Non-Aligned Movement (NAM). In 1971, Sri Lanka sponsored a proposal at the UN General Assembly to establish the Indian Ocean as a Peace Zone (IOPZ). While the initiative initially gained traction, it stalled at the committee stage and ultimately lost momentum.
The maritime security architecture of the Indian Ocean entered a new phase after the end of the Cold War. The United States became the single superpower in the Indian Ocean with an ocean-wide naval presence bolstered by the fully fledged Diego Garcia base. Correspondingly, the regional strategic linkages that evolved in the context of the Cold War were eventually dismantled, giving way to new strategic relationships. Additionally, three key developments with profound implications for Sri Lanka should be noted: India’s projection of political and naval power into the deeper Indian Ocean, China’s rapid economic and military rise in the region, and the entry of other extra-regional powers into Indian Ocean politics. Although Sri Lanka adopted a broader strategic perspective and a more proactive foreign policy in the 1970s, its approach to geopolitical developments in the Indian Ocean in the post-Cold War era became increasingly shaped by domestic challenges—particularly countering the LTTE threat and addressing post-war exigencies.
India’s Expanding Naval Diplomatic Role in the Indian Ocean
Parallel to its strategic rise, India has intensified its engagement in the broader strategic landscape of the Indian Ocean with renewed vigor. This expansion extends beyond its traditional focus on the South Asian strategic theatre, reflecting a more assertive and multidimensional approach to regional security, economic connectivity, and maritime diplomacy. India’s active participation in multilateral security frameworks, infrastructure investments in critical maritime hubs and strategic alignments with major global powers signify its role in the changing naval security architecture of the Indian Ocean. India’s shifting strategic posture in the Indian Ocean is reflected in the 2015 strategy document Ensuring Secure Seas: Indian Maritime Security Strategy. It broadens the definition of India’s maritime neighbors beyond those sharing maritime boundaries to include all nations within the Indian Ocean region (Ensuring Secure Seas, p. 23).
In 2015, Indian Prime Minister Narendra Modi launched his signature Indian Ocean diplomacy initiative, Security and Growth for All in the Region (SAGAR) to foster trust and transparency, uphold international maritime norms, respect mutual interests, resolve disputes peacefully, and enhance maritime cooperation. Strategic engagement with the littoral states in the Indian Ocean region, especially Sri Lanka, the Maldives, Seychelles, and Mauritius and Madagascar has emerged as a key component of India’s Indian Ocean naval diplomacy.
The Seychelles archipelago, located approximately 600 miles east of the Diego Garcia base, holds particular significance in India’s maritime strategy. During Prime Minister Narendra Modi’s official visit to Seychelles in March 2015, India and Seychelles signed four agreements. A key strategic outcome of the visit was Seychelles’ agreement to lease Assumption Island, one of its 115 islands, to India—a move that reinforced Seychelles’ alignment with India’s broader naval diplomacy in the Indian Ocean
Similarly, Mauritius holds a central position in India’s naval diplomacy in the Indian Ocean. During Prime Minister Modi’s visit to Mauritius in March 2015, India signed a Memorandum of Understanding with Mauritius to establish a new base on North Agalega Island, a 12-kilometer-long and 1.5-kilometer-wide Island. The base is crucial for air and surface maritime patrols in the southwest Indian Ocean. It will also serve as an intelligence outpost. In September 2016, defense and security cooperation between India and Mauritius deepened alongside the signing of the ‘Comprehensive Economic Cooperation Partnership Agreement’ (CECPA).
India’s expanding strategic interests across the Indian Ocean are reflected in its growing economic, educational, and defense collaborations with Madagascar. In 2007, India established its first overseas listening post in northern Madagascar to monitor shipping activities and intercept marine communications in the Indian Ocean. This initiative provided India with a naval foothold near South Africa and key sea-lanes in the southwestern Indian Ocean. The significance of India’s defense ties with Madagascar is further highlighted by Madagascar’s participation in China’s Belt and Road Initiative (BRI). As a crucial hub along the Maritime Silk Road connecting Africa, Madagascar’s strategic importance is underscored in the broader geopolitical landscape.
Another element of India’s expanding naval diplomacy in the Indian Ocean is its participation in both unilateral and multilateral anti-piracy operations. India’s commitment to regional security was reinforced in 2008 when it established a ‘Strategic Partnership’ with Oman, securing berthing and replenishment facilities for its navy, along with a strategically significant listening post in the Western Indian Ocean. India’s naval presence in the Arabian Gulf gains additional significance amid reports of a new Chinese naval base in Djibouti and recent submarine deployments. Successful anti-piracy missions in the western Indian Ocean underscore India’s growing influence in the region’s evolving naval security architecture.
India increasingly views its vast Diaspora as a soft power tool to bolster its status as an Indian Ocean power. In June 2014, it launched the Mausam project to reinforce its cultural ties across the region, showcasing its heritage, traditions, and contributions to global arts, literature, cinema, yoga, and cuisine. This initiative complements India’s expanding naval diplomacy and strategic presence in the Indian Ocean. Over the years, it has established listening facilities, airfields, and port infrastructure in key locations such as northern Madagascar, Agaléga Island (Mauritius), and Assumption Island (Seychelles). This has led India Today to ask: “Could this mark the emergence of an Indian ‘String of Flowers’ to counter China’s ‘String of Pearls’?” (The be continued)
by Gamini Keerawella
Features
Greener Pastures, Mental Health and Deception in Marriage:

Exploring Sunethra Rajakarunanayake’s Visachakayo
Sunethra Rajakarunanayake’s Sinhala novel Visachakayo (published in 2023) is a thriller in its own sense due to its daring exploration of social themes that modern Sinhala writers fail to touch. To me, the novel is a mosaic that explores pressing issues that middle-class Sri Lankans go through in the 21st Century. The narrative is seen from the perspective of Akshara, a Tamil girl whom the reader first meets in an infamous ‘Visa Queue’ to get her passport to go to England.
Akshara lives with her grandmother ‘Ammamma’ and her aunt ‘Periyamma’ (the younger sister of her mother). Both Ammamma and Periyamma look after her in the absence of her mother, Chinthamani who passed away a long time ago. Akshara’s father lives in Jaffna, with the kids of the second marriage. Later, we are told that Akshara’s father had to marry the second wife due to the loss of his wife’s first husband, who was an LTTE cadre. The second marriage of men seems to be a common theme in the novel due to their commitments to the family as an act of duty and honour.
The most iconic character in the novel is Preethiraj, ‘the man with a big heart’ who functions as a father figure to the other characters in the novel. It is through Preethiraj’s memory that the reader becomes aware of sociological themes in the novel: displacement and immigration, the institution of marriage and mental health issues. Preethiraj (fondly known as Preethi) is the son of Pushpawathi, the second wife of Akshara’s grandfather. Preethi goes to Royal College, but he has to relocate to Jaffna in 1958. Preethi endures social injustice in both public and private spheres. His studious sister, a medical student, labels him as a ‘lunatic’, while his mother condemns him as the ‘odd one’.
The novel intersects between the three themes: immigration and displacement, mental health issues and the institution of marriage. Almost all the characters have to go through displacement, suffer from intricacies of love laws and marriage rules like in The God of Small Things by Arundathi Roy. The writer offers a nuanced analysis of these three themes. For example, take mental health issues. The novel portrays a spectrum of mental health issues, such as schizophrenia, psychosis, Othello Syndrome, depression, autism and even malingering. At times, the representation of such ailments is extremely sarcastic:
“Hm… Canadian citizenship is an easy solution to secure those opportunities. However, unless I am asked to intervene, I will not meddle with their affairs. The son of one of my friends was introduced to a pretty girl. They liked her, not because of her money, but because of her looks and her ability to play the piano. But later, they discovered she has schizophrenia. Now their son follows whatever she says to save the marriage. My friend says she has lost her son” (p.20).
“Those opportunities” refer to material wealth including money and property in Colombo. Here, Rajakarunanayake does not fail to capture the extreme materialism and consumerism. However, in general, her representation of human follies is extremely humane.
The title ‘Visachakayo’ is another interesting coinage that reflects the plight of Sri Lankans who migrate to the ‘global north’ in search of greener pastures. Akshara’s friend, Subhani, who has migrated to England, explains that the term ‘Visachaya’ captures the in-between status of immigrants who are waiting for PR in a foreign country. Subhani mockingly says that they are equal to beggars who beg for visas. Subhani’s coinage and other accounts of Sri Lankan immigrants in England, the novel shows how difficult it is for an immigrant from the ‘global south’ to fight for a living in a country like England where immigrants come to resolve their financial struggles back home.
The novel is an eye-opener in many ways. First, it is an attempt to bridge the gap caused by the Sinhala-Tamil ethnic strife. It is also a cultural mosaic that captures both the joys and sorrows of Sinhala, Tamil and Burgher families in Sri Lanka. The novel also delves into mental health issues, categorically tied to marriage, a daring task even for a seasoned writer. However, Rajakarunanayake’s writing style compels the reader to adopt a more humane and empathetic approach towards individuals grappling with mental health challenges at various stages of their lives. The linguistic technique of using ‘ne’ tag at the end of sentences creates a conversational tone, making the narrative as if it is a conversation between a therapist and a patient. Her writing style also resembles that of Sri Lankan and Indian diasporic writers, a style that is used when writing about the motherland in exile, of which food becomes a critical trope in the narrative that unites the characters who live in exile.
Rajakarunanayake has done a commendable job in the representation of social issues, making this novel a must-read for anyone who is interested in researching social dynamics of contemporary Sri Lanka. It soon needs to be translated into English which will offer a unique experience to Sri Lankan English and international readers. A good book is something that affects the reader. Visachakayo has this quality, and it makes the reader revisit the past, reflect on the present and anticipate the future with hope for humanity just as Preethi does regardless of hardships he endured in the theatre of life.
By C. M. Arsakulasuriya
Features
A strategy for Mahaweli authority to meet future challenges amidst moves to close it down

The potential available in lands under Mahaweli Project, which cover about one third of farming areas of the Dry Zone, could easily help the country become self-sufficient in healthy foods, provided it is managed properly. However, at present, the main focus of the Mahaweli Authority of Sri Lanka (MASL) is mainly on Operation & Maintenance of Canal network feeding the farms. Main purpose of the Mahaweli Restructuring & Rehabilitation Project (MRRP) funded by the World Bank in 2000 was to diversify that objective to cover enhancement of agriculture aspects also. System H Irrigation Systems covering about 20,000 Hectares commanded under Kalawewa Tank located in the Anuradhapura District was used as a pilot area to initiate this effort. However, only the Canal Rehabilitation component of the MRRP was attended because of the government policy at that time. Restructuring component is still awaiting to be completed. Only, a strategy called Water Quota was introduced under the MRRP to initiate the restructuring component. However, the management restructuring required addressing the agriculture component expected under MRRP is still not attended.
Propose Strategy
Total length of the canal network which needs seasonal maintenance is about 1,000 Km in a typical large-scale irrigation project such as Kalawewa. Main role of the Resident Project Managers (RPM) appointed to manage such projects should be to enhance the food production jointly with the Farmer Organizations. Therefore, the abbreviation used for RPM should be redefined as Resident Production Manager. The role of a Production Manager is not limited to maintenance of canal networks as adapted presently. In the current production phase, Irrigation projects should be perceived as a Food Producing “Factory” – where water is the main raw material. Farmers as the owners of the factory, play the role of the labour force of the factory. The Production Manager’s focus should be to maximize food production, deviating from Rice Only Mode, to cater the market needs earning profits for the farmers who are the owners of the “factory”. Canal systems within the project area which need regular maintenance are just “Belts” conveying raw materials (water) in a Typical Factory.
Required Management Shift
In order to implement the above management concept, there is a need for a paradigm shift in managing large scale irrigation projects. In the new approach, the main purpose of managing irrigation systems is to deliver water to the farm gate at the right time in the right quantity. It is a big challenge to operate a canal network about 1000 KM long feeding about 20,000 Hectare in a typical Irrigation System such as Kalawewa.
It is also very pathetic to observe that main clients of irrigation projects (farmers providing labor force) are now dying of various diseases caused by indiscriminate use of agrochemicals. Therefore, there is a need to minimize the damages caused to the ecosystems where these food production factories are located. Therefore, the management objectives should also be focused on producing multiple types of organically grown crops, profitably without polluting the soil and groundwater aquifers causing diseases like Kidney Failures.
Proposed Management Structure
Existing management staff should either be trained or new recruitments having Production Engineering background, should be made. Water should be perceived as the most limited input, which needs to be managed profitably jointly with the farming community. Each Production Manager could be allocated a Fixed Volume of water annually, and their performance could be measured in terms of $s earned for the country per Unit Volume of water, while economically upgrading a healthy lifestyle of the farmers by using climate smart agriculture.
In addition to the government salary, the production management staff should also be compensated in the form of incentives, calculated in proportion to income generated by them from their management areas. It should be a Win-Win situation for both farmers as well as officers responsible for managing the food production factory. Operation of the Main Canal to cater flexible needs of each factory is the main responsibility of the Resident Production Manager. In other countries, the term used to measure their performance is $ earned per gallon of water to the country, without damaging the ecosystem.
Recent Efforts
Mahaweli Authority introduced some of the concepts explained in this note during 2000 to 2006, under MRRP. It was done by operating the Distributary canals feeding each block as elongated Village Tanks. It was known as the Bulk Water Allocation (BWA) strategy. Recently an attempt was made to digitize the same concept, by independently arranging funds from ICTA / World Bank. In that project, called Eazy Water, a SMS communication system was introduced, so that they can order water from the Main Reservoir by sending a SMS, when they need rather; than depend on time tables decided by authorities as normally practiced.
Though the BWA was practiced successfully until 2015, the new generation of managers did not continue it beyond 2015.
Conclusion
The recent Cabinet decision to close down the MASL should prompt the MASL officers to reactivate the BWA approach again. Farmer Organisations at the distributary canal level responsible for managing canal networks covering about 400 Hectares can be registered as farmer cooperatives. For example, there are about 50 farmer cooperatives in a typical irrigation project such as Kalawewa. This transformation should be a gradual process which would take at least two years. I am sure the World Bank would definitely fund this project during the transition period because it is a continuation of the MRRP to address the restructuring component which was not attended by them in 2000 because of government policy at that time. System H could be used as a pilot demonstration area. Guidelines introduced under the MRRP could be used as tools to manage the main canal. World Bank funded Agribusiness Value Chain Support with CSIAP (Climate Smart Irrigated Agriculture Project) under the Ministry of Agriculture which is presently in progress could also provide necessary guidelines to initiate this project.
by Eng. Mahinda Panapitiya
Engineer who worked for Mahaweli Project since its inception
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