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Opinion

Yet another blot: Sri Lankan govt., hospital facilities for adolescents

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By Dr B.J.C.Perera 
MBBS(Cey), DCH(Cey), DCH(Eng), MD(Paed), MRCP(UK), FRCP(Edin), FRCP(Lon), FRCPCH(UK), FSLCPaed, FCCP, Hony FRCPCH(UK), Hony. FCGP(SL) 
Specialist Consultant Paediatrician and Honorary Senior Fellow, Postgraduate Institute of Medicine, University of Colombo, Sri Lanka.

Adolescents and young people are in the news for a variety of reasons; some good, some bad, and some even ugly. However, there is no question about their importance to the nation as our Motherland’s future belongs to them. They are indeed the jewels of Sri Lanka.

Yet for all that, when one looks around at the present time, one sees the grim spectacle of adolescents suffering a great deal through disruption of their education, undeniable problems with transportation, poverty, food insecurity and to cap it all, unsatisfactory provision of facilities in our much-bandied and government-run free health service.

The Convention on the Rights of the Child defines a “child” as a person below the age of 18 unless the relevant laws of a country recognize an earlier age of majority. Sri Lanka is a signatory to this convention. However, currently, all Paediatric Wards of the National Health Service of Sri Lanka, in all hospitals, including the specialized children’s hospitals, admit patients below the age of 14 years. Those over this age are admitted to the adult wards. We need to analyse and mull over this situation in some detail.

There is an abundance of research publications regarding different perspectives of older children and adolescents being admitted to Children’s Wards and Adult Wards. In a nutshell, these youngsters are quite uncomfortable and unhappy in either place. They do not wish to be treated like children and they are quite bothered by what goes on in the Adult Wards. They would dearly love to have Adolescent and Young People’s Wards in which specific facilities are provided for their needs and steps are taken to provide age-appropriate facilities and care for their age group.

The prestigious British Medical Journal Paediatrics Open, in the Special Supplement of Volume 6 published on the 15th of December 2022, has printed not one, or, not two or not even two, or even three; but a total of 70, YES…, seventy, research articles from several countries, related to a myriad of different aspects of providing healthcare for adolescents. These include physical, mental and socio-economic problems faced by adolescents and young people. The central theme of most of those publications is the axiom that the requirements of adolescents differ very significantly from those of children and adults. When one looks carefully at the content of these erudite works, it is evident that these differences are of the utmost importance and are of paramount implications in the ultimate quest towards providing optimal healthcare to adolescents.

At least now, the political and administrative powers in our Motherland should be pushed or even cajoled and even coerced to take useful steps to even to start thinking of providing wards, clinics and necessary healthcare services to adolescents, at least in the island’s major hospitals for a start. These services would need specifically designated wards for adolescent boys and adolescent girls separately, adolescent healthcare clinics and most importantly, specifically trained and qualified grades of all healthcare personnel to cater to the needs of these youngsters. These adolescents need privacy, empathy, and kindness, and they need to develop confidence in and continue to trust those designated to care for their health needs. To foster such an assurance, special training for these workers is absolutely mandatory. As paediatricians who provide healthcare for little children, we are all too familiar with the little ones growing up to be adolescents who still insist on us continuing to provide healthcare for them because they have faith in us. This is particularly true of those who need long-term care.

At the present time, the required facilities for adolescents in our National Health Service are woefully and totally inadequate and for that matter, virtually non-existent. In such a scenario, it will need at the outset, a paradigm shift and a complete revamping of the mindset of the legislators, to get it into their feeble brains that the provision of such facilities is absolutely essential and is one of the ways forward towards the future advancement of our country. If we do not look after the health needs of young people, we will not get anywhere. An endeavour of such an attempt and one of such vast magnitude to look after adolescents would need to start with providing infrastructure facilities to cater to the special needs of adolescents. New wards and clinics will need to be built or commissioned and healthcare staff will need to be specially trained to look after the very distinct needs of youngsters. The infrastructure should be purpose-designed to ensure privacy for these young people.More than anything, these patients have to be provided unmitigated privacy.

It is particularly important to have trained staff to look after adolescents. People working in children’s wards are specially trained for the job at hand to attend to the needs of children. However, those handling adolescents and young people need very special extra training. That includes Specialist Physicians/Paediatricians, Psychologists, Sisters and Nursing Officers and all grades of minor staff.

Of course, at the present time, in a country that is reeling from the unrelenting impact of an economic downturn, rampant corruption, and extremely poor governance, such an initiative as the healthcare of youngsters may come way down in the list of priorities of the people at the top of the legislature. Yet for all that, the emergent and nascent problems for the populace of our beautiful land that is envisaged for the immediate future, which includes wayward education, food insecurity, international indebtedness, poverty, unemployment, as well as a whole host of a conglomeration of catastrophes including repression of the youth, are more than likely to cause severe hardships for the youngsters of our beloved island. We, as adults, and this applies even more to the legislators, are duty-bound to look after our nation’s adolescents and young people. It is said that none are as blind as those who refuse to see and none are as deaf as those who refuse to hear. It is all there to see and also there to hear from the mouths of the horses as well. The best evidence for this notion is the number of young people clamouring to go abroad, seeking greener pastures.

Finally, I would like to echo the immortal words of that great statesman, Nelson Mandela, even at the risk of repeating them again for all to see and hear. He said, “There can be no keener revelation of a society’s soul than the way in which it treats its children. Let us reach out to the children”. I am sure he meant to include adolescents and young people as well. Nelson Mandela would be turning in his grave, over and over, again and again, if we refuse to do so.

It is now over to you, the powers-that-be.



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Opinion

Open letter to PUCSL on proposed electricity tariff revision

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Although the Public Utilities Commission of Sri Lanka (PUCSL) has appropriately invited public consultation on the proposed electricity tariff revision from 27 February to 18 March, the online submission portal appears to contain a non-functioning submission tab. If this technical issue persists, it risks undermining the integrity and effectiveness of the entire consultation process. Consequently, I have chosen to present this letter openly for public consideration, including by the PUCSL.

Current geopolitical tensions in the Middle East underscore the urgent need for Sri Lanka to minimise its dependence on imported fossil fuels and prioritise the development of domestic renewable energy resources, including solar, hydro, and wind power. Such a transition is essential to securing a stable and independent energy supply. Regrettably, the Ceylon Electricity Board (CEB) appears to be moving in the opposite direction.

Promoting solar-powered electric vehicles supported by home-based renewable charging systems would strengthen national energy security and reduce pressure on imported fuel supplies. The fuel queues witnessed during periods of crisis, most notably in 2022, serve as a stark reminder of the risks associated with excessive dependence on external energy sources and the national anarchy that can follow.

As a small nation operating within a volatile global economy, Sri Lanka must remain as non-aligned and self-reliant as possible. Strengthening self-sufficiency in strategic sectors is critical to avoiding collateral damage amid escalating geopolitical rivalries among major powers. India has made steady progress along this path; Sri Lanka would be well-advised to do the same.

Raising electricity tariffs — a measure repeatedly adopted over the past decades to offset the high cost of fossil-fuel-based power generation — places an unfair burden on debt-ridden households and struggling businesses. Resorting once again to tariff increases, rather than addressing structural inefficiencies and fuel dependency, reflects a failure of long-term planning. The nation must instead pursue sustainable energy solutions that reduce costs over time.

As a debt-burdened country, Sri Lanka urgently requires pragmatic, forward-looking strategies that ease the pressure on citizens while strengthening resilience in times of geopolitical instability. Energy pricing is not a peripheral issue; it is a central pillar of economic stability and national security, demanding serious and immediate attention.

Established on 1 November 1969, the CEB was entrusted with the responsibility of generating and distributing electricity across the island while promoting social and economic development through the optimal use of national resources.

Recent developments suggest that the Ceylon Electricity Board has fallen short of these foundational objectives. Over the past two decades, electricity tariffs have been increased repeatedly under various justifications yet supply reliability has not consistently improved. The current proposed revision appears to perpetuate the same pattern: continued dependence on imported fossil fuels, directly contradicting the principle of optimally utilising national resources. This trajectory risks returning the country to recurring crises, including the prolonged fuel shortages and power cuts experienced in recent years.

Energy is not an ordinary commodity confined to a single sector; it affects every dimension of national life. High energy costs increase the cost of living by inflating expenses related to food production, transportation, manufacturing, and consumer goods. Ultimately, these costs are borne by citizens.

Moreover, elevated energy prices undermine national competitiveness by discouraging foreign investment and constraining local entrepreneurship, technological advancement, industrial expansion, and job creation. High-cost energy impedes national development.

Low-cost energy should therefore be formally adopted as a national policy objective. The CEB must adhere to its original mandate of optimising national resources for cost-effective electricity generation. Any deviation from this principle must be fully transparent and supported by clear, evidence-based justification.

Even in the sphere of renewable energy, concerns arise about the apparent preference for large-scale solar and battery storage projects that require substantial public funding. Previous claims of “grid instability” attributed to household rooftop solar generation were used to justify policy shifts. If electricity generated by rooftop solar during daylight hours was considered problematic, how would significantly larger solar installations differ in principle? Without systematic and transparent grid modernisation, such projects risk becoming costly stopgap measures rather than sustainable long-term solutions.

Poorly planned initiatives could once again expose the country to high delivery costs, reflected in elevated tariffs. They may also increase the risk of power disruptions due to battery limitations, spare-part shortages, infrastructure weaknesses, or maintenance failures. Sri Lanka has previously endured six- to ten-hour power outages, with severe economic and social consequences. The nation cannot afford a return to such instability.

It must also be recognised that rooftop solar installations, financed by homeowners — often through personal loans — have provided a crucial safety net for many families. By purchasing surplus energy from these “prosumers,” the system has functioned in a mutually beneficial manner for both households and the nation. Rather than discouraging decentralised generation, Sri Lanka should modernise its grid and meaningfully integrate citizen-led energy production. Short- and medium-term grid improvements could be facilitated through structured private-sector participation, including by prosumers themselves.

Globally, affordable energy underpins economic growth. Countries such as China, the United States, Norway, Brazil, and Canada have leveraged domestic energy resources to produce cost-effective power and accelerate development.

Sri Lanka must adopt a clear national policy centred on low-cost energy, fully utilising its natural endowments — solar, hydro, wind, and emerging technologies. Proposals prioritising imported fuels should be considered secondary and strictly transitional.

A nation that endures long queues for essential energy supplies cannot reasonably expect its citizens and businesses to remain productive and resilient. These realities are fundamentally incompatible.

Encouraging decentralised energy production would:

* Reduce the cost of living

* Improve national resilience

* Attract foreign investment

* Create employment

* Enhance export competitiveness

The people have entrusted the government with this responsibility. The time has come for a decisive, transparent, and forward-looking policy shift.

Chula Goonasekera

(cgoonase@sltnet.lk)

A concerned citizen

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Opinion

Need for well-designed contracts and their implementation

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The purchase of substandard coal using a faulty tendering process has become news lately. This enormous financial loss to the country indicates the urgent need for the Government to pass stronger contract laws and have their proper implementation in Sri Lanka by professionals. It is recommended that “Model” contracts need to be drawn up as typical examples and these made available to governmental departments who may need to enter into similar contracts. Do not ask a busy manager to design a contract, a legal document from scratch! Perhaps a whole department should be set up to monitor (police?) government and local government administration of contracts under English Contract Law and contracts under the United Nations Convention for International Sale of Goods (CISG). Perhaps now, it seems that anyone in government can draw up a contract and design it to suit his own whims and fancies!

I suggest here models of typical contracts, useable for different cases are made available for anyone or any department required to enter into a contract to enable them, or at least assist them to first formulate, and draw up an effective contract which must have certain important clauses. Contract administrators and supervisors need to be well trained, motivated and independent in order to administer Government contracts as the law of Sri Lanka should demand.

Contract Management

In the West, mutually agreed contracts are considered legal agreements enforceable by law under a given jurisdiction. There is the initiator of the contract named the Owner and a Main Contractor who agrees to implement the work for a price consideration, and who may delegate part, or all of the work to sub-contractors.

Contracts must provide all the information required by a contractor to complete the work. Contract clauses must incorporate all foreseeable eventualities. For example, the acceptance, as agreed and signed between the contacting parties by the supplier or lead contractor, needs to have clauses that allow for design changes (change orders), additional time and the formulation of related costs and profit accordingly. Such ‘in progress’ changes have procedures which are given in clauses dealing with ‘change orders’ which require assessing the cost of the change order implementation. Change order management may best be done by a firm of Quantity Surveyors.

The main contractor agrees with the owner to supply labour, materials and specialist equipment to fulfil the terms of the agreement or contract for a price. Special tax concessions, customs clearances and other legal requirements can fall on the shoulders of the Owner, or as negotiated from the outset. All these matters need to be clarified from the outset of any contract.

Time is of the essence. The time value of money is always at the forefront of the contract manager’s mind. The work is usually expected to be carried out to a time frame set by the owner. Therefore, the implementation of an agreement should be set in an agreed time frame with easily defined milestones marking progress and marking when appropriate payments become due.

Of course, contract administrators must make payments only when the work is verified as satisfactorily completed at each of previously agreed stages of the contract. Usually, there are time limitations, with penalties for time overruns. Owners want their goods delivered on time and to meet all contractual specifications on quality and performance. There should be clauses stipulating quality and quantity guarantees and guarantees of remedial repairs, continuing service agreements to be settled before an official handover and signing on completion of a contract. Final payment should be withheld until the guarantee period has expired. Preparing for these events needs computers, foresight and experience.

Small contracts are usually managed by the owner, but large, multimillion dollar contracts may be administered by an independent organisation. A contract is enforceable by law, with stated financial penalties for failures to abide by the terms of the contract, but all is subject to “Force Majeure.” This is when progress of the work is seriously impeded or impossible due to events totally outside the control of the Subcontractor.

Contract implementation is a large area, well catered for by laws in the English language. This letter can only raise questions about the quality of contract administration in Sri Lanka. Unfortunately, so few legislators have sufficient knowledge of English, resulting in loopholes allowing manipulation which may result in Sri Lankan public having to pay through the nose, pay dearly for incompetent practice.

I can suggest these improvements, but my actual experience is that all my letters, in English, to officialdom go unanswered and ignored.

Roger. O. Smith

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Opinion

Sri Lanka Cricket needs a bitter pill

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A systemic diagnosis of a fading legacy

The outcome of the 2026 T20 World Cup, coupled with the trajectory of the sport in recent years, provides harrowing evidence that Sri Lankan cricket is suffering from a terminal malignancy.The Doomsday clock for Sri Lankan cricket has not just started ticking—it has reached its final hour.

Therefore this note is written to call the attention of the cricketing elite who love the sport.

The current state of affairs suggests a pathology so deep-seated that conventional remedies—be it revolving-door coaching changes or fleeting, opportunistic victories—can no longer arrest its spread.

What we are witnessing is not a mere slump in form or a temporary lapse in rhythm; it is a profound systemic collapse that threatens the very foundation of our national pastime.

The Illusion of Recovery: The “Sanath Factor” as Palliative Care:

Since late 2024, the appointment of Sanath Jayasuriya as Head Coach injected a much-needed surge of adrenaline into the national side.

Statistically, the highlights were historic: a first ODI series win against India in 27 years, a Test victory at The Oval after a decade, and a clinical 2-0 whitewash of New Zealand.

However, a data-driven autopsy reveals that these will be “palliative” successes rather than a cure.

Under Jayasuriya’s tenure, the team maintained a win rate of approximately 50 percent (29 wins in 60 matches).

While analysts optimistically labeled this a “transitional phase,” the recent T20 series against England and Pakistan exposed the raw truth: in high-pressure “crunch” moments, the team’s performance metrics—specifically Strike Rate (SR) and Fielding Efficiency—regress to amateur levels.

We are not transitioning; we are stagnating in a professional abyss.

The Scientific Gap:

Why India and Australia Lead

The disparity between Sri Lanka and global giants such as the BCCI and Cricket Australia (CA) is now rooted in High-Performance Science and Algorithmic Management.

Predictive Analytics & Biometrics

In Australia, fast bowlers utilise wearable sensors to monitor workload and biomechanical stress.

AI models analyse this data to predict stress fractures before they occur.

Sri Lanka, conversely, continues to cycle through injured pacemen with no predictive oversight.

Virtual Reality (VR) Training

While Australian batters use VR to simulate the trajectories of elite global bowlers, Sri Lankan players remain tethered to traditional net sessions on deteriorating domestic tracks.

Data-Driven Talent Identification:

India’s “transmission system” utilises automated data analysis across thousands of domestic matches to identify players who thrive under specific pressure indices.

In Sri Lanka, 85 percent of national talent still originates from just four districts—a statistical failure in talent scouting and geographic expansion.

Infrastructure vs. Intellect:

A Misallocation of Capital

Sri Lanka Cricket (SLC) boasts massive reserves, yet its investment strategy is fundamentally flawed.

Capital is funneled into “bricks and mortar”—grand stadiums and administrative buildings—rather than the human capital of the sport.

We build colosseums but fail to train the gladiators.

The domestic structure remains a “spin trap.”

By producing “rank turners” to suit club politics, we have effectively de-skilled our batters against elite pace and rendered our spinners ineffective on the flat, true wickets required for international success.

The Leadership Deficit:

A Failure of Succession Planning

The crisis of leadership post-Sangakkara and Mahela is a byproduct of poor “Succession Science.”

Australia maintains a “Culture of Continuity,” backing leadership even through lean periods to ensure stability.

India employs a rigid “Succession Roadmap,” ensuring the next generation is integrated into the system long before the veterans depart.

In contrast, SLC operates on a “carousel of convenience,” changing captains and coaches to distract from administrative failures.

This lack of imaginative management stems from a low literacy in modern Sports Governance.

From a philosophical perspective, our established cricketing traditions have failed to absorb the antithesis of the modern, hyper-professionalized global game.

As a result, a truly modern Sri Lankan brand of cricket has failed to materialise.

Instead, we are trapped in what is called a “Static Synthesis,” where the administration clings to the glories of 1996 and 2014 as a shield against the necessity of change.

This is not a transition; it is a refusal to evolve

We are witnessing the alienation of the sport from its people, where the “Master” (the administration) has become detached from the “Slave” (the grassroots talent and the fans).

The Verdict:

A National Emergency

The “cancer” in Sri Lankan cricket is a trifecta of political interference, irrational management, and a refusal to embrace the Fourth Industrial Revolution (AI, VR, and Big Data).

As someone who contributed to the formation of the Sri Lankan Professional Cricketers’ Association, I see the current trajectory as a betrayal of the players’ potential and the nation’s heritage.

Sri Lanka Cricket does not need another “review committee” or a new coach to act as a human shield for the board.

It needs a “Bitter Pill”—an aggressive, independent restructuring that prioritises scientific professionalisation over cronyism.

Without this, our cricket will remain at the bottom of the well, looking up at a world that has moved light-years ahead.

Shiral Lakthilaka

LLB, LLM/MA
Attorney-at-Law
Former Advisor to H.E. the President of Sri Lanka
Former Member of the Western Provincial Council
Executive Committee member of the Asian Social Democratic Political Parities

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