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One of the most cost-effective health systems in crisis owing to corruption, nepotism, cronyism, bungling

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Corruption, nepotism, cronyism and mismanagement were the reasons why Sri Lanka’s health system is in crisis, Secretary General of the Asia Pacific Academic Consortium for Public Health (APACPH), Prof. Indika Karunathilake said recently at a televised dicussion.

“This happens at all levels. The system has failed. There are multiple checks and balances in the system to ensure that if something goes wrong at one level, it can be identified and rectified at another. But when these checks and balances are gone, the system collapses. This is what we are seeing now,” he said.

Prof. Karunathilake added a large number of health staffers had been compelled to leave the country, as well.

The Sri Lankan healthcare system is known as one of the most cost-effective systems in the world, Consultant Pediatrician Dr. Ajith Amarasinghe, who also appeared at the discussion, said. Sri Lanka’s per capita expenditure on healthcare is about 400 U.S. dollars a year, he added.

“In the UK, per capita expenditure on healthcare is about USD 4,000 a year. In the U.S its 9,000 dollars. However, Sri Lankan healthcare indices are comparable to the above mentioned developed countries. This excellent system is now facing a crisis. This crisis is not purely due to the economic crisis. The 2023 health budget is double that of 2021 in rupee terms. Even if you take depreciation, the spending has not declined. So, there is no reason for a shortage of drugs or equipment to occur.”

Dr. Amarasinghe said there is also a problem with the quality of drugs distributed in the government and private hospitals.

“The reputation of our system has been tarnished in a very short period of time. How did this happen and who is responsible? People who were in charge of the system in the past few years are responsible. Former Minister Keheliya Rambukwella and his team are responsible. The Minister has been removed,” he said.

Meanwhile, Chairman of the Professional Forum of Physicians on Medical and Civil Rights Dr. Chamal Sanjeewa said the achievements of the past with regards to health are being dismantled. The meternity mortality, the various indices of the health of children under five, etc., are showing a deterioration, he said.

President-Elect, Sri Lanka Medical Association (SLMA) Dr. Ananda Wijewickrama said the current crisis in the health system is unprecedented.

Dr. Thenuwan Wickramasinghe of the Government Medical Officers Association (GMOA) said patients coming into government hospitals have increased by 40 percent. This is because they can’t afford private healthcare.

“The healthcare system still survives because of the human capital,” he said.



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Don’t send Rohingya back without risk review, HRCSL tells Govt.

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The Human Rights Commission of Sri Lanka (HRCSL) has urged authorities not to repatriate a group of Rohingya asylum seekers rescued off the Mullevaikkal coast last December, without first evaluating the risk of enforced disappearance they may face upon return to Myanmar.

In a statement, the Commission emphasised that Sri Lanka is both internationally and domestically bound to protect individuals from being returned to situations where their lives or freedom may be at risk.

“The obligation not to repatriate persons to a country where there is a credible risk of enforced disappearance is not only an international legal standard binding on Sri Lanka,” the HRCSL said. “It is also enshrined in Sri Lankan law under Section 18(1) of the International Convention for the Protection of All Persons from Enforced Disappearance Act, No. 5 of 2018.”

The HRCSL’s call follows a high-level meeting held at the Sri Lanka Air Force camp in Mullaitivu, where the Rohingya group is currently housed. The meeting, attended by HRCSL Commissioners Justice L.T.B. Dehideniya, Prof. Farzana Haniffa, and Dr. Gehan Gunatilleke, as well as representatives from the Ministry of Public Security, Department of Immigration and Emigration, and the Air Force, focused on reviewing progress on recommendations made during a previous HRCSL inspection in January 2025, the statement said.

It said that the following key matters were discussed:

a) Nature of the detention centre: The state officials present at the meeting clarified that the detention centre, located within the Sri Lanka Air Force Camp, was not a temporary centre but a permanent centre, gazetted under relevant provisions of the law. The HRCSL pointed out that there is confusion with respect to the state institution under whose authority the centre falls, and the officials clarified that the relevant authority solely responsible for the centre was the Department of Immigration and Emigration. Sri Lanka Police is responsible for providing security within the centre, and Sri Lanka Air Force officials are only responsible for regulating entry into the camp premises. The officials also reassured the HRCSL that officers of the Commission would be granted access to the centre without the requirement of prior notice.

b) Coordination of humanitarian assistance: The HRCSL emphasised the willingness of civil society organisations and aid agencies to provide assistance to the Rohingya asylum seekers. It was proposed that a dedicated focal point be appointed within the Department of Immigration and Emigration to facilitate the delivery of aid, ensuring that all assistance complies with regulatory standards. The Department confirmed that such a focal point has already been appointed and that aid could be directed to the asylum seekers by contacting the Department. It was also clarified that ICRC had been recently granted access to the asylum seekers.

c) Support for children and infants: The HRCSL noted the specific needs and vulnerabilities of children and infants at the detention centre. It was recommended that relevant state institutions, including the Provincial Department of Probation and Child Care Services and the Children’s Secretariat, be provided access to the centre without delay. The HRCSL undertook to engage these institutions to encourage them to formally request access, and the Department of Immigration and Emigration assured the Commission that such access would be granted. It was also highlighted that all detainees, especially infants and children, require access to healthy and nutritious food. The Commission urged the relevant authorities to take necessary measures to meet these dietary needs. It was also emphasised that section 5 of the International Covenant on Civil and Political Rights Act of 2007 clearly obliges all state authorities to give paramount importance to the best interests of children and that this legal obligation extends to all children within Sri Lanka’s jurisdiction, regardless of their citizenship status.

d) Protection of women and children: The Commission urged the Department of Immigration and Emigration to increase the number of female police officers stationed at the centre to enhance the protection and welfare of female detainees and children. Further discussions were held on deploying female police officers after 10:00 p.m. to improve safety for women. The Department agreed to follow up on these matters.

e) Healthcare and reproductive health services: The HRCSL stressed the importance of improving access to health services, including reproductive health services, and recommended collaboration with the Provincial Department of Health Services (Northern Province). It was also reported that the Office of the Medical Officer of Health conducts regular inspections to monitor hygiene standards and prevent disease outbreaks.

f) Principle of non-refoulement: The Commission clarified that the obligation not to repatriate any persons to their home country when there is a risk of enforced disappearance is not only an international obligation by which Sri Lanka is bound. It is also clearly found in Sri Lanka’s domestic law in section 18(1) of the International Convention for the Protection of All Persons from Enforced Disappearance Act of 2018. Therefore, the Rohingya asylum seekers cannot be repatriated without a clear evaluation of the risks of enforce disappearance they face in their home country.

g) Classification of the detained persons and access to UNHCR: The Commission clarified that the use of the term ‘illegal migrants’ in contrast to ‘asylum seekers’, and the claim that the persons detained were not ‘asylum seekers’ because they may have entered Sri Lanka illegally reflects a misunderstanding of the concept of ‘asylum seeker’. It was clarified that any person who seeks asylum in another country may be appropriately termed an ‘asylum seeker’. Moreover, the Commission urged the Department of Immigration and Emigration to respond to UNHCR’s request to access the asylum seekers and to facilitate such access expeditiously to enable UNHCR to support the processing of the asylum seekers and determine their status. The Department assured the Commission that such access has not been denied and that it would take appropriate measures in this regard.

h) Media and civil society access: The HRCSL proposed that journalists be permitted to visit the camp to inform the general public about the situation of the Rohingya asylum seekers and emphasised that such access is contemplated under the freedom of speech and expression guaranteed by article 14(1)(a) of the Sri Lankan Constitution. However, the Department of Immigration and Emigration cited a policy decision that had been taken to deny access to media personnel and civil society actors to avoid disinformation. The Commission urged the Department to reconsider its position, as the public has a right to know about the situation within the detention centre and that access to the media and civil society could in fact ensure that accurate information reaches the public. The Commission plans to take further action in this regard.

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National SME Forum 2025 to spotlight export opportunities for local enterprises

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The Ceylon Chamber of Commerce will host the National SME Forum 2025 on Tuesday (21) at the Taj Samudra, Colombo. The full-day forum will bring together over 200 small and medium enterprises (SMEs) from across Sri Lanka, providing an unparalleled platform to explore export opportunities, gain expert insights, and connect with global markets.

The Forum will feature insights and presentations by senior representatives of government institutions, including the Central Bank of Sri Lanka, National Enterprise Development Authority, Export Development Board, etc. Attendees will also benefit from expert-led thematic sessions on digital tools, finance, government SME strategies, and corporate support for scaling businesses.

A key feature of the forum is a session on “Expanding into Export Markets: Opportunities Beyond Sri Lanka”, where participants will engage directly with trade representatives and export counsellors from India, the UK, the EU, and the UAE. This session will guide participants on entering international markets, meeting regulatory standards, and integrating into global value chains.

The forum will also feature a Business Matchmaking & Support Clinic, providing SMEs with one-on-one access to buyers, banks, chambers of commerce, and trade support institutions.

Industries represented include tea, spices, food and beverages, dairy, ICT, eco-solutions, wellness products, crafts, etc. With timely insights, market access opportunities, and tailored support, the Forum offers a valuable opportunity for SMEs looking to take their next step toward growth, CCC said in a release

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Actively engage in revitalizing the nation’s production-oriented economy and fostering rural development – President

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President Anura Kumara Disanayake has urged all Chairpersons of District Coordinating Committees to actively engage in revitalizing the nation’s production-oriented economy and fostering rural development.

The President made these remarks during a discussion held this morning (16) at the Presidential Secretariat with the Chairpersons of District Coordinating Committees  and senior officials of the Ministry of Finance.

The 2024 budget prioritizes projects that enhance a productive economy, and the President emphasized to officials the need to address the delays and inefficiencies that have arisen in the distribution of funds at the district level.

Acknowledging the various challenges that rural communities have encountered due to insufficient infrastructure development in recent years, the President emphasized the necessity of effectively utilizing the funds designated for rural development within the established timelines.

Furthermore, the President instructed the Chairpersons to ensure that District Development Committee meetings focus on the specific development needs of each district and to actively involve the relevant subject Ministers in the planning and implementation process.

Deputy Minister of Labour and Economic Development  Anil Jayantha Fernando, along with District Coordinating Committee Chairpersons and their representatives from across the country, as well as senior officials from the Ministry of Finance, attended the meeting.

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