Connect with us

Business

Multi-sectoral collaboration vital for Sri Lanka to achieve Universal Health Coverage

Published

on

The Institute of Policy Studies of Sri Lanka (IPS) together with the Sri Lanka Medical Association (SLMA) and the Center for Policy Impact in Global Health (CPIGH) of the Duke University, USA organised a virtual policy dialogue on ‘Planning for Universal Health Coverage amidst the 4Ds of Health Transitions’ on 25 August 2021. The dialogue was structured around a recent IPS study aimed at understanding how government, donors and key country stakeholders in the health sector perceive these transition challenges and their impact on the progress towards UHC, where they see the biggest gaps emerging, and what actions can help to address these challenges and gaps.

Health sector experts who spoke at the Dialogue flagged the need for multi-sectoral collaboration to achieve universal health coverage (UHC) in Sri Lanka.

Commencing the discussion, Dr Nisha Arunatilake, Director of Research, IPS explained that there are four major, inter-linked transitions in diseases, demography, development assistance for health and domestic health financing – the “4Ds” of global health transition – that complicate Sri Lanka’s efforts to achieve UHC. The associated challenges of these have been worsened by the COVID-19 pandemic. In this context, IPS and Duke University have conducted research that brings into focus the importance of achieving UHC and the sustainable development goals (SDGs).

Speaking next, Dr Padma Gunaratne, President, SLMA reflected on some of the achievements of the national health system including increased life expectancy and quality of healthcare. She noted that while these achievements are commendable, inequities and inefficiencies in healthcare continue to persist and a meaningful dialogue on planning for UHC is most timely.

Delivering the keynote address thereafter, Dr S Sridharan, Deputy Director-General (Planning), Ministry of Health pointed out that donor support for the health sector is declining. Meanwhile, there is rising demand for health services, an ageing population, and inadequate domestic financing for health. He recommended seven steps to address the challenges: (1) strengthening community response systems; (2) supporting reproductive health – adolescence, maternity and new-born health; (3) supporting platforms for integrated service delivery; (4) strengthening country population and supply chain; (5) investing in human resources (HR) for health and data systems for health; (6) strengthening and aligning national and global strategies; and (7) strengthening financial management and oversight.

The next speaker, Ipchita Bharali, Policy Associate, Duke University provided the audience with evidence on health transitions in an international context. She stated that many Middle-Income Countries (MICs) are expected to transition away from concessional multilateral and bilateral development assistance soon. However, they still face several health sector challenges such as high mortality rates, weak health systems, and large pockets of poverty in the countries. These challenges are intensified with the onset of the COVID-19 pandemic.

Session 1: Knowledge, capacity, and policy gaps that hinder UHC progress in Sri Lanka in the context of the 4Ds of health transitions and potential opportunities to tackle these gaps.

Knowledge gaps and opportunities

Ashani Abayasekara, Research Economist, IPS presented a summary of the study findings identifying the knowledge gaps. One of the findings highlighted was the rising burden of NCDs, as there was an acute focus on curing such illnesses by only considering drugs as the solution and understanding them as disease issues and not health issues. Prominence was also given to the gender disparities regarding NCDs. Lack of detailed and accurate data, poor research and development (R&D), and knowledge dissemination were some of the many gaps that were further identified as areas that needed immediate action.

Dr Susie Perera, Deputy Director-General (Public Health Services II), Ministry of Health in her reflections explained that one of the ways of alleviating the gaps is by targetted investments and incentivising stakeholders to conduct proper R&D, data collection, and knowledge dissemination. She noted that Sri Lanka has had many opportunities to strengthen its primary health and education systems with donor support, both of which are relevant to reducing the NCD burden. “A whole of government, multi-sector approach is needed,” she emphasised adding that digital literacy needs to be fostered in the health sector, along with a culture of innovation.

Prof. Amala De Silva, Professor in Economics, University of Colombo shared similar sentiments and noted that NCDs have an indirect relationship with economic performance. She flagged the need for multidisciplinary studies and proper accountable agency in research activities to achieve UHC in Sri Lanka.

Capacity gaps and opportunities

Thisali de Silva, Research Assistant, IPS presented the findings of the study on the capacity gaps that hinder UHC in the country. Poor financial and HR capacity was found to be the notable gaps in Sri Lanka. Some of the financial capacity gaps included inefficiencies in financial allocation, and financial management issues to name but two. On the other hand, the lopsided distribution of medical professionals and the lack of engagement in the financial side of the health sector have made for concerning capacity gaps in labour.

First to give thoughts on the study was Dr Dileep de Silva, Head of Human Resource Department, Ministry of Health. On the HR front, he explained that the issue in the lopsided distribution of medical professionals was due to the low applicants especially when looking at nurses, therapists, midwives and PHIs. Furthermore, one of the major reasons for the financial capacity gaps is a result of the underutilisation of capital budgets for the health sector.

Dr Anuji Gamage, Senior Lecturer in Community Medicine, Sir John Kotelawala Defence University identified healthcare migration as a problem driven by economic factors, unsatisfactory work environment, and professional career opportunities. She stated that a way of solving the uneven distribution of labour is a mechanism that would assure safety, and this is particularly important in a time of a global pandemic. “It is important to use strategies to keep the workforce safe and improve their wellbeing,” she affirmed.

Policy gaps and opportunities

The frequent changes made to the number of ministries, reversal of implemented policies and several other implementation hurdles, especially at the provincial level were shown to be some of the major policy gaps identified through the study. Ashani Abayasekara highlighted several opportunities to focus amid all these gaps such as creating a knowledge hub, and collaboration and coordination with non-state sectors.

Dr Ruvaiz Haniffa, Past President, SLMA in his reflections, called for a grassroots level approach through family doctors and homecare. “Too many people are currently missing out on health coverage in the primary preventive care sector. We have not put in policies in the primary curative sector,” he said stressing that the need of the hour is to provide holistic primary curative care. Uditha Palihakkara (Past Chairman of the Finance Commission), speaking in his personal capacity, expressed the view that the policy gaps are a result of low national budgets to the health sector as a whole.

Session 2: Multi-sectoral collaboration for Sri Lanka’s health systems – reflections from development partners, private sector, academia and civil society.

Based on the study, Dr Deepika Attygalle, Senior Health Specialist, World Bank and Ms Shiranthi Rathnayake, Additional Director General, Department of National Planning asserted that multi-sectoral collaboration is vital for Sri Lanka’s goal of achieving UHC of which, collaboration between the finance and medical sectors is particularly important. Dr Olivia Nieveras, Public Health Administrator, World Health Organization spoke about how donors should more agile in their activities. Sampath Manthreenayake, Additional Director-General, Department of External Resources added that there should be a collective system for better results on donor financing.

Way Forward

Moderated by Dr Nisha Arunatilake, a fruitful question and answer session took place with several important questions raised from participants around the world. The proceedings were wrapped up with an iteration on the need for a strong primary curative healthcare system and multi-sectoral collaborations as the way forward.

Link to original blog: https://www.ips.lk/talkingeconomics/2021/08/27/multi-sectoral-collaboration-vital-for-sri-lanka-to-achieve-universal-health-coverage/



Continue Reading
Advertisement
Click to comment

Leave a Reply

Your email address will not be published. Required fields are marked *

Business

No shortcut to building Sri Lanka’s reserves: CBSL Governor

Published

on

Dr. P. Nandalal Weerasinghe

by Sanath Nanayakkare

“There is no shortcut to sustainable reserve accumulation,” Central Bank Governor Dr. P. Nandalal Weerasinghe said yesterday, warning that rebuilding Sri Lanka’s foreign-exchange buffers must be underpinned by sound economic fundamentals, policy credibility and institutional discipline rather than short-term fixes.

Addressing the inaugural Reserve Management Conference 2026 in Colombo, Dr.Weerasinghe said the task of building reserves had become increasingly difficult as geopolitical fragmentation, trade tensions, sanctions, volatile commodity prices, changing interest-rate cycles and rapidly shifting capital flows reshape the global financial environment.

For Sri Lanka, which experienced the consequences of depleted reserves during the 2022 economic crisis, the issue is particularly important.

“When reserves become critically low,” the Governor said, the consequences extend well beyond the Central Bank’s balance sheet. Imports become constrained, debt servicing becomes difficult, exchange-rate pressures intensify, inflationary pressures can increase and confidence deteriorates.

Most importantly, he said, the policy space available to respond to further shocks becomes severely constrained.

Foreign reserves should therefore be viewed not simply as financial assets but as a country’s “first line of defence” against external shocks, providing confidence, policy space and the ability to meet essential external obligations.

But Weerasinghe cautioned that reserve accumulation was not a linear process. A country could build reserves during favourable periods only to see them drawn down rapidly by an external shock.

The more important questions, therefore, were how resilient the reserves were, how accessible they were, how quickly they could be mobilised and whether they would be sufficient for the next shock.

Sri Lanka has made considerable progress since the crisis, with macroeconomic stabilisation and structural reforms strengthening the external sector compared with the difficult period of 2022–2023, he said.

However, sustainable reserve accumulation could not be separated from the broader macroeconomic policy framework.

Foreign exchange generated through exports, tourism, remittances, services and capital inflows ultimately provides the foundation for stronger reserves. When foreign-exchange inflows exceed outflows, reserves can rise, but maintaining that process while preserving exchange-rate flexibility, price stability, external debt-servicing capacity and market confidence remains a delicate policy challenge.

Dr.Weerasinghe warned against relying excessively on central-bank intervention, monetary expansion or external borrowing to rebuild buffers. Such measures could distort market signals, generate inflationary pressures or simply create future debt-service obligations.

“The most sustainable reserve accumulation strategy is therefore not simply to acquire reserves,” he said. “It is to build an economy that naturally generates and retains foreign exchange.”

The Governor said geopolitical risk had now become an integral part of reserve management. Strategic competition among major economies, sanctions and financial fragmentation were forcing reserve managers to reconsider the risks associated with particular currencies, jurisdictions and financial markets.

Although the US dollar continues to dominate international trade, finance and global reserves, diversification has a role to play. But diversification for its own sake could reduce liquidity and operational efficiency, he cautioned.

For official reserves, safety and liquidity must remain paramount, particularly because reserves may have to be deployed precisely when financial markets are under severe stress.

Sri Lanka’s vulnerability to energy and geopolitical shocks also makes the issue particularly acute. As an energy-importing country, a sharp rise in global oil prices can rapidly increase the import bill. At the same time, geopolitical tensions can weaken tourism and other sources of foreign exchange, producing the potentially damaging combination of rising outflows and declining inflows.

Climate-related disasters could create similar pressures by disrupting agriculture, infrastructure, tourism and imports.

Dr. Weerasinghe said reserve adequacy should therefore no longer be judged by a single number or conventional indicator such as import cover. Short-term external liabilities, debt-service requirements, capital-flow volatility, exchange-rate flexibility, contingent financing and the probability and magnitude of external shocks should also be considered.

He also highlighted the growing role of gold, technology and artificial intelligence in reserve management, while stressing that innovation should never compromise safety and liquidity.

Ultimately, the Governor said, reserves were not managed simply to earn a return but to protect economic stability and preserve confidence.

“Buffers must be built before they are needed,” he said, “because by the time an external crisis arrives, it may already be too late to begin building them”.

Continue Reading

Business

Price of war keenly felt by investor community

Published

on

By Hiran H. Senewiratne

The escalation of tensions in the Middle East and the surge in oil prices are continuing to negatively impacted investor sentiment, market analysts said yesterday.

The All Share Price Index went down by 93.55 points, while the S and P SL20 declined by 23.8 points.

Turnover stood at Rs 1.45 billion with five crossings. Those crossings were; Sampath Bank 3 million shares traded to the tune of Rs 428 million; its shares traded at Rs 142.50, Commercial Bank 256,000 shares crossed for Rs 49 million; its shares traded at Rs 204.50, Digital Mobility Solutions 190,000 shares crossed to the tune of Rs 30 million; its shares fetched Rs 158, Overseas Realty 493,000 shares crossed for Rs 26 million; its shares sold at Rs 53 and Royal Ceramics 469,000 shares crossed to the tune of Rs 23 million; its shares traded at Rs 48.50.

In the retail market companies that mainly contributed to the turnover were; Commercial Credit and Finance Rs 38 million (376,000 shares traded), Renuka Agri Rs 33 million (2.8 million shares traded), Sierra Cables 32 million (925,000 shares traded), Singer SriLanka Rs 31 million (359,000 shares traded), Dialog Axiata Rs 31 million (637,000 shares traded) and Access Engineering Rs 30 million (383,000 shares traded). During the day 35 million share volumes changed hands in 13380 transactions.

It is said that banking sector counters, especially Commercial Bank, led the market,which contributed close to half of the total turnover. Apart from that other sectors, including manufacturing, telecom and construction counters performed well.

Meanwhile, Melstacorp (down 1.32 percent at Rs 187.00 ), Royal Ceramics Lanka (down 1.22 percent at Rs 48.50 ), Hemas Holdings (down 1.27 percent at Rs 31.20 ), and Dipped Products (down 1.50 percent at Rs 59.00) were top negative contributors.

Yesterday the rupee was quoted at Rs 328.60/70 to the US dollar in the spot market from Rs 328.60/80 the previous day, while bond yields were quoted steady to lower, dealers said.

Continue Reading

Business

Softlogic Glomark’s “Better Life” campaign wins Gold at Dragons of Sri Lanka 2026

Published

on

Softlogic GLOMARK, one of Sri Lanka’s leading supermarket chains, has been recognised at the Dragons of Sri Lanka Awards 2026, winning Gold and Black Dragon for Loyalty & Acquisition and Product Relaunch. The recognition reflects a deliberate strategic shift in how GLOMARK engages with the evolving needs of Sri Lankan consumers. Rather than competing primarily on convenience or price, GLOMARK built a purpose-led proposition around “A Better Life for Your Home,” repositioning the everyday grocery shop as an opportunity to make healthier, more considered choices for customers and their families.

Launched nationally as “Better Life,” the campaign brought this proposition to life through a vibrant commercial and memorable jingle, before extending the idea beyond advertising and into the shopping experience itself. Trained employees, curated product ranges and a re-aligned store environment were designed to make better choices more visible, accessible and easier to adopt.

The strategy translated into measurable business results. Active loyalty customers grew by 21%, footfall increased by 33%, while GLOMARK’s most frequent shoppers grew by 50%. The results demonstrate that building relevance and trust can create stronger customer relationships than competing solely on price or convenience.

Softlogic GLOMARK CEO Terry O’Connor said: “This award signals that our long-term strategy is working. We set out to build a brand customers choose because it genuinely improves their lives, not simply because it is convenient or cheap. Seeing that reflected in both industry recognition and real business growth confirms that we are on the right path and strengthens our confidence as we continue investing in GLOMARK’s future.”

Softlogic GLOMARK Head of Marketing Chamindri Pilimatalauwe said: “Our customers are increasingly making more deliberate, health-conscious, better choices, and this recognition confirms that our brand strategy is responding to that shift. We believe that when we curate every aisle and guide customer’ through it, we are also helping curate the lives of our customers. In that sense, we are more than a supermarket. We have the ability to influence how Sri Lanka lives, and we take that responsibility seriously. ගෙට Better Life’ was never intended to be a single campaign moment. It represents a fundamental repositioning of what GLOMARK stands for, designed to inspire and earn loyalty rather than simply drive footfall.”

Continue Reading

Trending