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Bridging the Gaps: The COVID-19 crisis and Sri Lanka’s healthcare response

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By Priyanka Jayawardena

Like many other countries, Sri Lanka faces numerous challenges in the battle against COVID-19. The pandemic has caused deep uncertainty and presented a colossal challenge for the country’s healthcare system. With the rapid increase in cases and the emergence of new variants, Sri Lanka began to face shortages of medical resources, including hospital beds and medical equipment.

The vaccination programme was beset with a host of problems early on due to the irregular and inconsistent supply of vaccines, disorganised deployment and deviation from the scientifically agreed prioritisation. There was also alleged misreporting of COVID-19 daily statistics in the Gampaha district and Eastern Province. The absence of real-time data acted as a hindrance to obtain a reliable risk assessment in the country. Against this backdrop, this blog examines the gaps in the ongoing pandemic control programme and outlines ways to bridge these gaps so that more lives could be saved from COVID-19.

COVID-19 Vaccination Programme

By mid-August 2021, more than 12 million Sri Lankans (55% of the population) had been vaccinated with at least the first dose. Other than the delayed supply of vaccines, there were issues related to getting approval for vaccine use and the vaccination prioritisation process. Moreover, many people were seen queuing up at vaccination centres aggravating health risks due to the lack of a properly planned system for vaccine deployment and the lack of an online appointment system. More recently, the government has taken several measures to improve the rollout, including expediting the procurement process and improving administration with the support of the defence services.

Gaps in Pandemic Control

Sri Lanka’s rate of COVID-19 screening has remained inadequate to prevent the spread of the virus. Systematic surveillance is crucial for the rapid identification and detection of suspected COVID-19 cases. With newer variants found to be more transmissible and deadlier, there is a need to identify mutants and track the nature of transmission. Currently, the University of Sri Jayewardenepura is the only institution equipped with laboratory facilities to conduct genomic sequencing to identify new variants.

Countries like Singapore, New Zealand and Australia systematically monitor the pandemic through extensive testing and contact tracing. These countries are conducting 10-100 times more tests than other countries with a similar number of new confirmed cases. Sri Lanka’s extent of testing relative to the scale of the outbreak (positive rate was around 10%), is on par with Thailand and Malaysia but lower than India, Vietnam and Cambodia where the positive rate is below 5%.

Further, a major challenge to the existing healthcare system is inadequate ICU beds, ventilators, oxygen supplies and other necessities required to care for patients with severe respiratory failure. The availability of ICU capacity plays a crucial role in critical cases, and constant and uninterrupted availability of oxygen supplied beds is needed to avert a disaster. Currently, less than 200 ICU beds are in isolation units for patients with severe COVID-19 symptoms, whereas just around 700 ICU beds are available in the hospital system of the entire country.

Equally, it is vital to have timely access to real-time data so that meaningful insights can be drawn but due to capacity constraints and administrative issues, PCR test results are reported to be delayed. In some districts, the delays are said to be longer than one week. Thus, delays in generating test results are a grave concern and represent a major obstacle in the COVID-19 control process. There is a growing need for immediate and accessible healthcare and digital healthcare resources to effectively respond to the challenges posed by COVID-19. However, Sri Lanka’s health information systems are weak and under-funded and the lack of an adequate central health database and IT infrastructure has hampered digital health services.

Towards a Stronger Healthcare Response

The healthcare system has to be streamlined to ensure a successful vaccination deployment and a smooth inoculation programme with online appointments including over the phone appointment facilities. Parallel to an efficient vaccination programme, an enhanced screening capacity is needed for the rapid identification of COVID-19 cases. Sri Lanka’s overall COVID-19 screening capacity remains low; therefore, expanding testing and increasing the health sector’s capacity to identify new mutants is vital to curb the pandemic. Random PCR testing too must be carried out in densely populated areas which are prone to be contagious, thereby taking additional precautionary measures.

There is a growing concern about the availability of medical supplies in emergency contexts. Sri Lanka has to effectively leverage its limited resources in response to the pandemic. The crisis response has seen local innovation in the manufacturing of ICU beds and lab consumables and there is further scope to encourage local enterprise and innovation for this purpose. For instance, a team of Sri Lankan scientists recently invented a new PCR test kit using NANO technology, which is said to drastically reduce the testing time from two hours to half an hour. There is now an opportunity to encourage local innovation and local production through such efforts, where they contribute to efficiency gains.

Furthermore, a robust laboratory strategy, which includes laboratory networking, communicating real-time information on COVID-19, quality assurance and adequate workforce capacity is important for rapid detection and case management. South Korea, for example, practised the disclosure of real-time information on COVID-19 by the government via dedicated websites, mass media, phone messages and mobile apps. Digitalisation of healthcare and effective use of technology for sharing real-time data, contact tracing and surveillance and coordinating the efficient use of clinical resources are vital for successful pandemic control. It is also necessary to improve systems to manage real-time data and decision-support systems. Improved functional integration and coordination in treatment centres and laboratory services bring in many benefits.

*This blog is based on the comprehensive chapter on “Coping with Pandemics: Sri Lanka’s Healthcare System” in IPS’ forthcoming ‘Sri Lanka: State of the Economy 2021’ report.

Link to original blog: https://www.ips.lk/talkingeconomics/2021/09/02/bridging-the-gaps-the-covid-19-crisis-and-sri-lankas-healthcare-response/

Priyanka Jayawardena is a Research Economist at the Institute of Policy Studies. Her research interests include education and skills development, labour economics, inequality analysis, health economics and child nutrition. She holds a BSc (Hon) in Statistics and an MA in Economics from the University of Colombo, Sri Lanka. (Talk to Priyanka – priyanka@ips.lk)



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President AKD writes to President Trump over trade deficit concerns

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Deputy Minister Dr. Anil Jayantha Fernando

In a bid to address mounting trade tensions, the Sri Lankan government has intensified efforts to reduce its significant trade deficit with the United States, Deputy Minister of Economic Development Dr. Anil Jayantha Fernando announced in parliament yesterday. He added that President Anura Kumara Dissanayake has despatched a formal letter to President Trump urging, among other things, a re-assessment of the recent enhanced tariff regime imposed on Sri Lanka.

The move follows reciprocal tariffs imposed by U.S. President Donald Trump, which Sri Lankan authorities say significantly affect key export sectors. The Deputy Minister indicated that the White House has acknowledged receipt of the Lankan President’s letter, signaling the launching of a potential bilateral dialogue.

Responding to a question raised by New Democratic Front (NDF) MP Ravi Karunanayake, Deputy Minister Fernando revealed that 88% of Sri Lanka’s trade deficit over the past five years stemmed from U.S. trade relations with apparel, rubber products, spices, other agricultural products and precious gems constituting 85% of total exports to the U.S. These exports, he noted, already face tariffs and paratariffs, but President Trump’s recent levies were calculated based on bilateral trade imbalances – a factor that has placed Sri Lanka’s economy under heightened pressure.

“The President’s intervention underscores our commitment to protecting Sri Lankan industries and fostering equitable trade terms, Fernando stated, defending the administration’s proactive and reactive measures to mitigate the US tariffs’ impact on local businesses.

Highlighting ongoing engagement, he added that another round of high-level discussions with the Office of the U.S. Trade Representative (USTR) was scheduled overnight. These talks aim to address structural trade imbalances and explore avenues for tariff relief, particularly for Sri Lanka’s apparel sector, which employs millions nationwide.

The President’s letter marks a strategic move in Sri Lanka’s diplomatic outreach, reflecting the government’s urgency to stabilise an economy still recovering from recent crises while in the middle of an IMF programme.

Sri Lankan industry leaders have cautiously welcomed the government’s efforts but emphasise the need for swift, tangible outcomes.

At present, all eyes remain on Washington’s response to President Dissanayake’s appeal – a potential turning point for Sri Lanka’s trade future, observers noted.

By Sanath Nanayakkare

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Inclusive and sustainable apparel for SDGs

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The European Chamber of Commerce of Sri Lanka (ECCSL), in collaboration with the Strengthening Social Cohesion and Peace in Sri Lanka (SCOPE) programme, recently hosted its third industry-focused event, bringing together apparel-sector stakeholders to exchange experiences and practical insights on embedding inclusivity and sustainability into business operations.

Building on the success of ECCSL’s earlier events focused on tourism and food and agriculture, this apparel-focused gathering convened government representatives, industry leaders, business practitioners and the academia to discuss practical strategies for embedding inclusivity and sustainability into business operations.

While many businesses already recognize the importance of these principles, the event emphasized practical implementation, shifting the conversation from the “why” to the “how” of inclusive and sustainable practices.

Chamindry Saparamadu, Director General of the Sustainable Development Council of Sri Lanka, discussed how the Government of Sri Lanka is supporting businesses to create social and environmental impact through its Inclusive and Sustainable Business (ISB) Strategy. Ms. Saparamadu outlined how this strategy aims to create a resilient, equitable, and sustainable economy by building an ecosystem in which inclusive and sustainable businesses can thrive, driving transformative change across industries.

The event also featured engaging presentations from leading apparel businesses—Omega Line, Hirdaramani, and Compreli Consulting—each showcasing real-world examples of how inclusivity and sustainability can be embedded into business operations.

Omega Line, represented by Saman Jayasinghe (Chief HR Officer, Group – Administration) and Charman Dep (Assistant General Manager – Production Planning), presented its multifaceted sustainability approach, spotlighting its Vavuniya factory as a successful model for combining environmental stewardship with social impact.

Hirdaramani’s Manindri Bandaranayake (Chief Brand & Sustainability Officer for Sri Lanka, Bangladesh, Ethiopia, and Vietnam) showcased the company’s holistic sustainability framework, including its Wonders of Wellbeing (WOW) program, policies supporting differently-abled individuals, and deep community engagement.

Finally, Compreli Consulting co-founders Ramesh De Silva and Shehan Olegasageram showcased their innovative garment repair-as-a-service model—a circular, scalable solution that reduces waste and carbon emissions, while aligning with evolving global sustainability regulations.

Participants then had the opportunity to share their own knowledge in a group discussion, exchanging experiences and reflecting on the challenges and opportunities encountered in their sustainability journeys.

The event underscored the collective benefit of building Sri Lanka’s reputation as a global leader in inclusive and sustainable business. By fostering collaboration between businesses, the academic community and government stakeholders, the session aimed to accelerate broader industry adoption of these principles and contribute to Sri Lanka’s sustainable economic growth.

The discussions were facilitated by the Project Lead of ECCSL’s Inclusive Business Practices project, William Baxter.

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Union Assurance records Rs. 5.2 Billion PBT, fortifying its financial position by delivering best-in-class value

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Krishan Balendra, Chairperson, JKH and Union Assurance (L) / Senath Jayatilake, CEO, Union Assurance (R)

Union Assurance PLC, Sri Lanka’s longest-standing private Life Insurer, has recorded a strong financial performance with growth across key metrics for the year ending December 31, 2024. The Company achieved a 15% growth in gross written premium, totalling Rs. 21.6 billion driven by double-digit growth in both regular new business premiums and renewal premiums and paid Rs. 7.7 billion worth of claims and benefits to its customers during the year. In addition, for the year ending December 2024, the Company also declared an industry-leading universal life policyholder dividend rate of 12%, underscoring its continued commitment to deliver exceptional value to its customers.

Net investment income recorded a 9% year-on-year growth to reach Rs. 11.8 billion aided by an effective asset allocation strategy. The gains from the trading investment portfolio increased by 123% to reach Rs. 2.9 billion driven by the strong performance of the Colombo Stock Exchange during the latter part of the year.

Union Assurance distributed Rs. 3 billion as surplus from the policyholder fund and reported a profit after tax of Rs. 3.7 billion for 2024. The Company declared a final shareholder dividend of Rs. 5.00 per share amounting to a total payout of Rs. 2.9 billion.

A key milestone for Union Assurance in 2024 was the surpassing of Rs. 100 billion in total assets for the first time in its history, ending the year with Rs. 109.5 billion. This underscores the Company’s solid financial foundation and growth trajectory.

The Company’s assets under management grew by 15% during the year, reaching Rs. 95.6 billion driven by market valuation gains and cash generation from business operations. Furthermore, Union Assurance’s capital adequacy ratio stood at a healthy 264% at the end of 2024, well above the regulatory minimum of 120%.

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