Features
Nursing in Sri Lanka: A Journey of Dedication, Challenges, and Trends
by D. I. I. Amarasinghe
Nursing, often regarded as the heartbeat of healthcare systems, has undergone a profound evolution in Sri Lanka. From humble beginnings to modern-day complexities, the trajectory of nursing services in this island nation reflects a rich tapestry of dedication, challenges, and opportunities. Nursing in Sri Lanka has undergone a significant evolution over the years, reflecting the changing healthcare landscape and societal needs. From its humble beginnings to the present day, nurses in Sri Lanka play a crucial role in delivering healthcare services and improving public health outcomes.
The roots of nursing in Sri Lanka can be traced back to the early 19th century when British colonial influence introduced Western healthcare practices to the island. Initially, nursing was primarily carried out by religious orders and laypersons with rudimentary training. However, with the establishment of formal nursing education in the early 20th century, the profession began to take shape. The advent of nursing schools and the pioneering efforts of individuals like Lady Havelock, who founded the Colombo School of Nursing in 1937, marked significant milestones in the professionalization of nursing.
Over the decades, nursing in Sri Lanka evolved from a vocation to a respected profession, with nurses playing pivotal roles in delivering quality healthcare across the country’s diverse landscapes. The transition from informal caregiving to structured training programmes was pivotal in elevating the status of nursing in Sri Lankan society. With the establishment of nursing schools and the standardisation of curriculum and training, nurses gained recognition as skilled healthcare professionals capable of providing competent and compassionate care to patients.
The evolution of nursing education in Sri Lanka paralleled global advancements in healthcare and nursing practice. The curriculum expanded to encompass a wide range of subjects, including anatomy, physiology, pharmacology, microbiology, nursing theory, and clinical skills. Moreover, practical training in hospital settings became an integral component of nursing education, allowing students to apply theoretical knowledge to real-world patient care scenarios. This hands-on approach fostered clinical competence, critical thinking, and problem-solving skills among aspiring nurses, preparing them for the complexities of modern healthcare practice.
In contemporary Sri Lanka, nursing stands as an indispensable pillar of the healthcare system. With the proliferation of nursing education institutions and the establishment of rigorous training programs, the profession has witnessed remarkable growth. Today, Sri Lankan nurses are equipped with advanced skills and knowledge, enabling them to provide a wide array of services ranging from primary care to specialised treatments. Also, they are well received all over the world.
In recent years, there has been a growing recognition of the importance of nursing leadership and management in healthcare organisations. Nurses are increasingly assuming leadership roles in clinical practice, education, research, and administration, driving positive change and innovation within the healthcare system. Moreover, the integration of technology into nursing practice has facilitated improvements in patient care, documentation, communication, and decision-making.
Certainly, nursing in Sri Lanka encounters a myriad of challenges, with the shortage of qualified nursing staff being a prominent issue. In rural areas especially, the scarcity of trained professionals leads to healthcare facilities being understaffed, resulting in increased workloads and compromised patient care. According to recent statistics from the Ministry of Health, rural regions often experience a nurse-to-patient ratio well below the recommended standards set by the World Health Organization. Migrating large number of nursing officers is also affecting for this issue.
Moreover, the inadequate remuneration offered to nurses across the country is a significant deterrent for individuals considering nursing as a long-term career. Reports from nursing associations highlight that the salaries provided are often insufficient to meet the rising cost of living, let alone incentivise individuals to commit to the demanding nature of the profession. This lack of financial security further perpetuates the shortage of nursing staff, particularly in rural areas where alternative employment opportunities are limited.
Additionally, limited career advancement opportunities within the nursing profession discourage talented individuals from pursuing further education and specialization. The absence of structured career pathways and professional development programs hinders the progression of nurses in their careers, leading to stagnation and dissatisfaction among the workforce.
Furthermore, the demanding work environment, characterised by long hours, high patient volumes, and inadequate resources, contributes significantly to burnout and attrition among nursing staff. Studies conducted by healthcare institutions reveal alarmingly high rates of burnout among nurses, adversely affecting both their well-being and the quality of care provided to patients.
In addition to personnel-related challenges, systemic issues such as insufficient funding for healthcare infrastructure and equipment further strain the capacity of nurses to deliver optimal care. Outdated facilities and a lack of essential medical equipment impede the efficiency of healthcare delivery, exacerbating the challenges faced by nursing staff on the frontline.
In addition, a major challenge for nursing in Sri Lanka is that due to the medical administration of the Ministry of Health, nurses are deprived of their rights, opportunities and privileges and discriminated against. Although efforts have been made on various occasions and all necessary activities have been carried out, raising the nursing diploma provided by the government nursing colleges to the degree level is still impossible due to various influences. This has resulted in the decline of value and status of Sri Lankan nurses in Sri Lanka as well as in the world.
Addressing these multifaceted challenges requires a comprehensive approach that involves strategic workforce planning, policy reforms to improve remuneration and career development opportunities, increased investment in healthcare infrastructure, and concerted efforts to challenge gender stereotypes and promote the value of nursing as a profession essential to the well-being of society.
Amidst the challenges, new trends and opportunities are emerging that promise to reshape the landscape of nursing in Sri Lanka. The growing focus on community-based care and preventive health strategies presents an exciting avenue for nurses to expand their roles beyond traditional hospital settings. By engaging with local communities, nurses can promote health education, disease prevention, and lifestyle modifications, thereby addressing underlying health disparities and improving population health outcomes.
Moreover, advancements in technology and telemedicine are enabling nurses to deliver healthcare services remotely, bridging gaps in access and enhancing efficiency. Tele-nursing, teleconsultations, and mobile health applications empower nurses to reach patients in remote or underserved areas, monitor chronic conditions, and provide timely interventions. This not only extends the reach of healthcare services but also promotes patient empowerment and self-management.
Additionally, the increasing emphasis on interdisciplinary collaboration opens doors for nurses to work alongside other healthcare professionals in integrated care teams, fostering holistic approaches to patient management. By collaborating with physicians, pharmacists, social workers, and allied health professionals, nurses can leverage their unique expertise in patient-centered care, care coordination, and health promotion, leading to more comprehensive and effective healthcare delivery.
Furthermore, there is a growing recognition of the importance of evidence-based practice and research in nursing. Nurses are increasingly engaged in research activities aimed at generating new knowledge, improving clinical outcomes, and informing policy and practice. By fostering a culture of inquiry and innovation, Sri Lanka can harness the potential of nursing research to address priority health issues, drive quality improvement initiatives, and advance the profession.
To unleash the full potential of nursing in Sri Lanka, concerted efforts are needed at various levels. Firstly, there is a pressing need to address the shortage of nursing staff by implementing targeted recruitment and retention strategies, especially in underserved areas. This could involve incentivising rural postings, offering competitive salaries, and providing opportunities for career advancement and continuous professional development. Additionally, investing in nursing education and training programs, particularly in specialised areas such as critical care, gerontology, mental health, and community nursing, will ensure a skilled workforce capable of meeting evolving healthcare needs.
Furthermore, enhancing the working conditions and well-being of nurses is paramount to retaining talent and maintaining high standards of patient care. This includes improving staffing levels, providing adequate resources and support, implementing evidence-based workload management strategies, and fostering a culture of respect, recognition, and professional growth within healthcare organisations. Additionally, prioritizing the mental health and resilience of nurses through peer support programmes, counseling services, and stress management initiatives can mitigate burnout and improve job satisfaction.
Moreover, strengthening regulatory mechanisms and professional governance structures is essential for upholding standards of nursing practice and ensuring accountability. This involves enforcing licensing requirements, promoting continuing education and competency assessments, and establishing mechanisms for reporting and addressing issues of misconduct or negligence. By fostering a culture of excellence and accountability, Sri Lanka can enhance public trust in nursing professionals and elevate the status of the profession within the healthcare system.
Encouraging active participation of nurses in national health policies and decision-making processes is crucial for harnessing their expertise and insights. Establishing platforms for nurses to voice their concerns, ideas, and innovations will foster a culture of empowerment and ownership within the profession. This could involve creating forums for professional networking, research dissemination, and policy advocacy, as well as involving nurses in committees, task forces, and advisory boards related to healthcare governance and planning.
Furthermore, promoting interdisciplinary collaboration and creating opportunities for knowledge exchange among healthcare professionals will enhance synergies and drive innovation in patient care. By fostering partnerships between nursing associations, academic institutions, healthcare organisations, and government agencies, Sri Lanka can leverage the collective expertise and resources of diverse stakeholders to address complex health challenges and improve healthcare delivery systems.
Additionally, investing in leadership development and mentorship programs for nurses will cultivate a new generation of healthcare leaders capable of driving positive change and innovation. By providing opportunities for career progression, professional development, and leadership training, Sri Lanka can empower nurses to take on leadership roles in clinical practice, education, research, administration, and policy advocacy.
By recognising and valuing the contributions of nurses as integral members of the healthcare team, Sri Lanka can leverage their expertise to propel the country towards a healthier society. Through collaborative efforts and strategic investments in nursing education, practice, and leadership, Sri Lanka can harness the full potential of its nursing workforce to address current health challenges and build a resilient healthcare system for the future.
In conclusion, nursing in Sri Lanka embodies a rich legacy of dedication, resilience, and innovation. While facing numerous challenges, the profession continues to evolve and adapt to meet the evolving healthcare needs of the nation. By addressing systemic barriers, embracing emerging trends, and empowering nurses to lead change, Sri Lanka can unlock the full potential of its nursing workforce and pave the way for a healthier, more prosperous society.
(The writers is a Special Grade Nursing Officer (Education), School of Nursing Rathnapura)
Features
Illegal solar push ravages Hambantota elephant habitat: Environmentalist warns of deepening crisis
A large-scale move to establish solar power plants in Hambantota has triggered a major environmental and social crisis, with more than 1,000 acres of forest—identified as critical elephant habitat—cleared in violation of the law, environmental activist Sajeewa Chamikara said.
Chamikara, speaking on behalf of the Movement for Land and Agricultural Reform, said that 17 companies have already begun clearing forest land along the boundaries of the Hambantota Elephant Management Reserve. The affected areas include Sanakku Gala, Orukemgala and Kapapu Wewa, which are known to be key elephant habitats and long-used movement corridors.
He said that what is taking place cannot be described as development, but rather as a large-scale destruction of natural ecosystems carried out under the cover of renewable energy expansion.
According to Chamikara, the clearing of forests has been carried out using heavy machinery, while large sections have also been deliberately set on fire to prepare the land for solar installations. He said that electric fences have been erected across wide stretches of land, effectively blocking elephant movement and fragmenting their natural habitat.

“These forests are not empty lands. They are part of a living system that supports wildlife and nearby communities. Once destroyed, they cannot be easily restored,” he said.
The projects in question include a 50 megawatt solar development undertaken by five companies and a larger 150 megawatt project implemented by 12 companies. The larger project is reported to be valued at around 150 million US dollars.
Chamikara stressed that these projects are being carried out in a coordinated manner and involve extensive land clearing on a scale that raises serious environmental concerns.
He further alleged that certain companies had paid about Rs. 14 million to secure support and move ahead with the projects. He said this points to a troubling failure of oversight by state institutions that are expected to protect forests and wildlife habitats.
“This is not only an environmental issue. It is also a serious governance issue. The institutions responsible for protecting these lands have failed in their duty,” he said.
Chamikara pointed out that under the National Environmental Act, any project of this scale must receive prior approval through a proper Environmental Impact Assessment process.
He said that clearing forest land before obtaining such approval is a direct violation of the law.
He added that legal requirements relating to archaeological assessments had also been ignored. Under existing regulations, large-scale land clearing requires prior evaluation to ensure that sites of historical or cultural value are not damaged.

“The law is very clear. You cannot go ahead with projects of this nature without proper approval. What we are seeing is a complete disregard for legal procedure,” Chamikara said.
The environmental impact of these activities is already becoming visible. With their natural habitats destroyed, elephants are increasingly moving into nearby villages in search of food and shelter. This has led to a sharp rise in human-elephant conflict in several areas.
Areas such as Mayurapura, Gonnooruwa, Meegahajandura and Thanamalvila have reported increasing encounters between humans and elephants. According to Chamikara, more than 5,000 farming families in these areas are now facing growing threats to their safety and livelihoods.
He warned that farmers are being forced to abandon their lands due to repeated elephant intrusions, while incidents involving damage to crops and property are rising. There have also been increasing reports of injuries and deaths among both humans and elephants.
“This is turning into a serious social and economic problem. When farmers cannot cultivate their lands, it affects food production, income and rural stability,” he said.
Chamikara also raised concerns about the broader environmental consequences of clearing forests for solar power projects. While renewable energy is promoted as a solution to reduce carbon emissions, he said that destroying forests undermines that goal.
“Forests play a key role in absorbing carbon dioxide. When you clear and burn them, you are increasing emissions, not reducing them. That defeats the purpose of promoting solar energy,” he explained.
He added that large-scale deforestation in dry zone areas such as Hambantota could also affect local weather patterns and reduce rainfall, which would have further negative impacts on agriculture and water resources.

Chamikara called for a shift in policy, urging authorities to focus on more sustainable approaches to solar power development. He said that rooftop solar systems on homes, public buildings and commercial establishments should be given priority, as they do not require clearing large areas of land.
He also recommended that solar projects be located on degraded or abandoned lands, such as areas affected by past mining or other low-value lands, rather than forests or productive agricultural areas.
“Renewable energy development must be done in a way that does not destroy the environment. There are better options available if there is proper planning,” he said.
Chamikara urged the Central Environmental Authority and the Department of Wildlife Conservation to take immediate action to stop ongoing land clearing and investigate the projects. He stressed that all activities carried out without proper approval should be halted until legal requirements are met.
He warned that failure to act now would lead to long-term environmental damage that could not be reversed.
“If this continues, we will lose not only forests and wildlife, but also the balance between people and nature that supports rural life. The consequences will be felt for generations,” he said.
The situation in Hambantota is fast emerging as a critical test of whether development goals can be balanced with environmental protection. As pressure grows, the response of authorities in the coming weeks is likely to determine whether the damage can still be contained or whether it will continue to spread unchecked.

By Ifham Nizam
Features
Why Mahatma Gandhi’s teachings need to be at the heart of conflict resolution
All credit to the Tamil Nadu government for taking concrete measures to perpetuate the memory of the renowned Mahatma Gandhi of India, who on account of his moral teachings stands on par with the likes of Socrates, Plato, Aristotle, Confucius and Jalaluddin Rumi, to name a few such all-time greats. The time is indeed ripe to draw the world’s attention to the Mahatma’s humanistic legacy which has resonated in the hearts of peace-oriented sections the world over down the decades.
Under its mega developmental blueprint titled ‘ Tamil Nadu 2030’, the Tamil Nadu government, among other things, intends transforming villages into centres of economic growth in conformity with the Mahatma’s vision of making the village the fundamental unit of material and spiritual advancement. Thus will come into being the ‘Uttamar Gandhi Model Villages Project’, which will be initially covering 10 village Panchayats. (Please see page 3 of The Island of March 11, 2026).
The timeliness of remembering and appreciating anew the teachings of Mahatma Gandhi resides in the utter lawlessness that has been allowed to overtake the world over the last few decades by none other than those global powers which took it upon themselves to usher in a world political and economic order based on the UN Charter and the Universal Declaration of Human Rights. Mainly in ‘the dock’ in this regard are the permanent members of the UN Security Council.
As is plain to see, the international law and order situation has veered out of control. Principal priorities for the international community or what’s left of it is to prevent the current mainly regional war in the Middle East from degenerating dangerously into another world war, coupled with the task of eliminating the possibility of another nuclear holocaust.
The most scorching of ironies is that the world’s ‘number one power’, the US, has virtually lost its way in the ‘Global Disorder’ it has been party to letting lose. For instance, instead of making good its boast of militarily neutralizing Iran and paving the way for the constant flow of fuel and gas from the Strait of Hormus by itself and Israel, it is now appealing to the rest of the West to come to its assistance. Not surprisingly, US allies are indicating their unwillingness to help pull the US’ ‘chestnuts out of the fire’.
Oil and gas are the veritable life blood of countries and going ahead it should not come as a surprise if impatience gets the better of the major powers and the nuclear option is resorted to by some of them under the dangerous illusion that it would be a quick-fix to their growing economic ills and frustrations.
All the above and more are within the realms of the possible and the need is pressing for humanistic voices to take centre stage in the present runaway crisis. As pointed out in this column last week, Realpolitik has overtaken the world and unless the latter is convinced of the self-destructive nature of the major powers’ policy of ‘meeting fire with fire’ to resolve their disputes, annihilation could be the lot of a good part of the world.
For far too long the voice of humanity has been muted and silenced in the affairs of world by the incendiary threats and counter-threats of the big powers and their allies. No quarter has been bold enough in these blood pressure-hiking slanging matches to speak of the need for brotherly love and compassion among nations and countries. But it’s the language of love and understanding that is the most pressing need currently and the Mahatma in his time did just that against mighty odds.
At present the US and Iran are trading threats and accusations over military-related developments in the Gulf and it’s anybody’s guess as to what turn these events will take. However, calming voices of humanity and moderation would help in deescalating tensions and such voices need to go to the assistance of the UN chief and his team.
The Mahatma used the technique of ‘Satyagraha’ or the policy of non-violent resistance to oppose and dis-empower to a degree the British empire in his time and the current major powers would do well to take a leaf from Gandhi. The latter also integrated into the strategy of non-violent resistance the policy of ‘Ahimsa’ or love and understanding which helped greatly in uniting rather than alienating adversaries. The language of love, it has been proved, speaks to the hearts and minds of people and has a profoundly healing impact.
Mahatma Gandhi defined the ideal of ‘Ahimsa’ thus: ‘In its positive form, “Ahimsa” means the largest love, the greatest charity. If I am a follower of “Ahimsa”, I must love my enemy or a stranger to me as I would my wrong-doing father or son. This active “Ahimsa” necessarily includes truth and fearlessness.’ (See; ‘Modern Indian Political Thought; Text and Context’ by Bidyut Chakrabarty and Rajendra Kumar Pandey, Sage Publications India, Pvt. Ltd., www.sagepub.in).
In the latter publication, the authors also defined the essence of ‘satyagraha’ as ‘protest without rancour’ and this is seen as ‘holding the key to his entire campaign’ of non-violent resistance. From these perspectives, the teaching, ‘hatred begets hatred’ acquires more salience and meaning.
Accordingly, the voice of reason and love needs to come centre stage and take charge of current international political discourse. The UN and allied organizations which advocate conflict resolution by peaceful means need to get together and ensure that their voices are clearly heard and understood. The global South could help in this process by seeing to the vibrant rejuvenation of organizations such as the Non-aligned Movement.
An immediate task for the peace-oriented and well meaning is to make the above projects happen fast. In the process they should underscore afresh the profound importance of the teachings of Mahatma Gandhi, who is acclaimed the world over as a uniting and healing political personality and prophet of peace.
If the Mahatma is universally acclaimed, the reason is plain to see. Put simply, he spoke to the hearts and minds of people everywhere, regardless of man-made barriers. The language of peace and brotherhood, that is, is understood by everyone. The world needs more prophets of peace and reconciliation of the likes of the Mahatma to drown out the voices of discord and war-mongering and ensure that the language of humanity prevails.
Features
Exciting scene awaits them …
The Future Model Hunt extravaganza, organised by Rukmal Senanayake, and advocacy trainer Tharaka Gurukanda, held in late January 2026, has brought into the limelight four outstanding contestants who will participate, at the international level, this year – Sandeepa Sewmini, Demitha Jayawardhana, Diwyanjana Senevirathna, and Nimesha Premachandra.
Nimesha took the honours as Mrs. Tourism Sri Lanka 2026 and was featured in The Island of 05th March,
Sandeepa Sewmini was crowned Miss Supranational 2026 and will represent Sri Lanka at the big event to be held in Poland later in the year.
A Business Management and Human Resources student, she will be competing under the guidance of Rukmal Senanayake from the Model With Ruki – Model Academy & Agency.
The Mister Supranational Sri Lanka crown went to Demitha Jayawardhana, a 20-year-old professional model and motocross rider.
Apart from modelling he is engaged in his family business.

Demitha Jayawardhana: Mister Supranational Sri Lanka 2026
Demitha is also a badminton player with a strong passion for sports, fitness and personal growth.
In fact, he is recognised for his strength, discipline, and passion for fitness.
A past student of Wycherley International School and St Peter’s College, Colombo, Demitha is currently in his second year of Economics Management at the Royal Institute of Colombo.
He will represent Sri Lanka at the 10th edition of the Mister Supranational pageant, in Poland, in August, 2026.
Mister and Miss Supranational are annual international beauty pageants, held in Poland, and are designed to discover new talent for the modelling and television industries and produce instant celebrities.
The competition focuses on elegance, intelligence, and social advocacy, with contestants, representing their countries.
The newly appointed Miss Teen International Sri Lanka 2026 is Diwyanjana Senevirathna.
She was crowned at the Future Model Hunt and will represent Sri Lanka at the Miss Teen International 2026 pageant in India.
Diwyanjana is noted for her grace and dedication to representing the country at this prestigious event that aims to celebrate talent, intelligence, charm, and individuality, and provide a platform for young girls to showcase their skills.
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