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The Unseen Victims: The Collateral Damage of COVID-19

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By Dr. Chiranthi K Liyanage

Senior Registrar in Rheumatology & Rehabilitation, National Hospital of Sri Lanka

Lecturer, Department of Pharmacology, Faculty of Medicine, University of Colombo

I am a doctor working at the National Hospital of Sri Lanka (NHSL), Colombo, and I lost two patients within 24 hours, last week.

The first was a young girl, just 19 years old, from a village in a district bordering Colombo. She was suffering from an autoimmune illness, which required close monitoring and long-term treatment. Her mother called me several times last week saying that her daughter had aches and pains, and that she was feeling a little feverish. I told her that I could not decide on specific treatment without seeing her and running tests. Every time I told her to bring the daughter to the hospital, her answer was “aney doctor, all the wheels (Tuks) are refusing to come to Colombo because of the travel restrictions.”

I asked her whether she could go to the nearest District General Hospital because we could liaise with the specialist there and arrange for a transfer to Colombo if necessary. The answer was “we have no way of going even there. No one is willing to take us”. She was also running low on medicines, and she could not afford to refill the prescription from a private pharmacy. Finally, she agreed to get the required tests done and send a relative to Colombo, so we could at least see the test results, talk to her daughter over the phone and do our best to treat her, given the circumstances. However, the next day morning, the mother called again. She said that her daughter has not passed urine the whole night. She admitted that the daughter’s face looked puffy, and I immediately knew that her kidneys were shutting down. Her disease was very likely flaring up again or she has got an infection and we had to act very quickly. I told her to take her to the nearest hospital as quickly as possible. I got two calls from that number after that. One, about an hour later; it was the patient’s sister this time. In between sobs, she said was “aney doctor, my sister is very ill. We are here and getting admitted now”. I was at NHSL, and she was miles away in another hospital. As we had informed the specialist team there about the patient ahead of admission, I assured the sister that she will be taken care of. Another hour later, the sister was on the phone again. All she said to me was “we lost her”. The pain in her voice was palpable, but she was not crying any more.

The same day, another young woman with a similar autoimmune condition who was already admitted to a medical ward at NHSL got critically ill. She died a few hours later as she developed uncontrollable bleeding into the lungs and her kidneys shut down. Earlier this week, as she lay propped up in a hospital bed with laboured breathing, I saw her for the first time in a long time, because she had not come for any follow up clinic visits for months. The first thing she said as she saw me was “Doctor, you are the one I take treatment from”. I asked her to lower her mask to see her face, but I still could not recall the patient. It has been too long. Perusing through her records, I saw my old notes and wondered how she recognized me even with the mask and the face shield on. She has not come to clinic for over a year because of the fear of catching COVID-19 and travel restriction. She has finally got admitted this week, as she became too ill and had no other choice. Although we tried our best, it was too late for her at the end.

 

As I thought about why we could not save these two young lives, I realized with a very heavy heart, that this is the collateral damage of COVID-19! They were either reluctant or unable to obtain the care they needed due to actual or perceived barriers to access healthcare imposed by the prevailing COVID-19 pandemic. However, their deaths will never be counted. They will be forgotten along with the hundreds or even thousands of others who would have lost their lives under similar circumstances, unable to reach a hospital, get medicines, or even see a doctor. We will never know. According to the official sources, the death toll from COVID-19 in Sri Lanka is just over 1600 now. However, this is just the tip of the iceberg. There are countless others who die in their homes, either of COVID-19 itself or other ailments because they do not get the medical care they need due to inaccessibility of healthcare faculties. As more and more healthcare resources are diverted to manage the ever-increasing numbers of the COVID-19 cases, the resources available to the millions of others who suffer from non-COVID illnesses contract and dwindle further. The preventive health sector including maternal and childcare services are also severely affected as all medical officers of health, public health midwives and public health inspectors are overburdened with COVID -19 related duties. If our state hospitals get overwhelmed with the soaring COVID-19 case load, not only COVID related deaths but deaths due to other illnesses will also rise exponentially due to the limited resources available. Therefore, the seemingly low number of deaths we see on paper today is a gross misrepresentation of actuality.

The most disconcerting realisation is that the COVID-19 pandemic is disproportionately affecting the already disadvantaged populations more. It is widening the already existing health inequalities by limiting availability, affordability and accessibility of medicines and healthcare due to loss of income, lack of reliable information and education as well as paucity of transportation facilities. The more affluent who wish to avoid the crowded wards in a government hospital will seek medical care in a fee-levying private healthcare institute, while the underprivileged who cannot afford such a luxury will be forced to choose between getting the required treatment while running the risk of contracting COVID-19 or not getting any treatment at all. Over utilisation of public healthcare resources to combat COVID-19 further worsens this disparity. The video consultations and other telemedicine solutions, online pharmacies with delivery systems, drive-through laboratory services and mobile units all cater to a wealthier segment in our society. The thousands who are solely reliant on the public health institutions are inadvertently overlooked and underserved.

The System which should safeguard the right to health of all Sri Lankans, is miserably failing the neediest, already disadvantaged segments due to its many inadequacies. For example, the mechanism adopted very early on in the second wave to send medicines by post to clinic attendees in government hospitals is still not fully operational, although the country is in a much dire situation now. Albeit not a perfect system, it limited movement of people within the country, reduced usage of public transport and ensured continuity of care to a great extent. Moreover, the improperly planned, poorly regulated vaccination drive against COVID-19 paved way for those with the ‘right kind of connections’ to jump the queue while the disadvantaged high-risk populations were deprived of the same opportunity. A strictly enforced secure system based on eligibility, with transparency, phased out rolling out of the vaccine and stringent monitoring would have prevented such a fiasco as the public would have had faith in The System and awaited their due turn. The travel restrictions which are in place to prevent the spread of the disease is in fact driving the already impoverished societies into a miserable poverty-stricken abyss. Meanwhile, some more well-to-do fellow countrymen, political stooges and those in positions of power commit brazen acts of violation of the very regulations. They roam around in their big cars and jeeps under the guise of essential services, throw birthday parties, and dinner parties at a time the rest of the country is grappling with a deadly virus wreaking havoc and leaving death and destruction in its wake.

So, what can we do within a flawed System? It is a System that has been corrupted by a few which has in turn corrupted many more, who otherwise may have been decent, law-abiding citizens who value justice, equality and morality. It is a malady that is spreading like a pervasive, self-perpetuating parasitic disease. Yes, there is no doubt that the system MUST change. However, is it rational or even acceptable to simply blame The System and be complacent when each of us ARE in fact a part of it? Are we not complicit in one way or another in either being corrupted by The System, or worse, in corrupting it? Only you can answer for yourself. We as Sri Lankans citizens cannot disregard our duties and social responsibilities. We must self-examine and reflect on what we can do as individuals at this very moment to get our country out of the peril it is in. We must not forget that we are all a part of The System and therefore we have the ability and the power to change it from within.

All countries who have so far successfully curbed the spread of COVID-19 have used a multipronged approach encompassing strict enforcement of travel restrictions to limit the daily new infection rates to manageable numbers, rational testing to identify and remove sources of infection, with pre-planned, well-coordinated vaccination to immunize an adequate proportion of the population. While most of these strategies are already in place and operational to an extent in Sri Lanka, the success of these measures depends hugely on the compliance of the public. This is a virus. It is spread by humans to other humans. Our country’s need of the hour is to prevent further spread of COVID-19 and it should be the priority of its entire populace.

One must not forget that even if you are vaccinated and your whole family is vaccinated, it does not guarantee that you will not spread the disease. A significant proportion of the population has to be immunised to break the chain of transmission. Sri Lanka is not even close to achieving that target yet. If you are fully vaccinated, you are unlikely to get severe disease or develop complications, but another person you unknowingly transmit it to might not be so lucky. The poor patients in the outskirts of cities and villages who are unable to reach a hospital, the ones who are unable to put food on the table let alone get medicines for their loved ones are suffering because we as a nation is failing them. Soaring infection rates within a city not only affects those who are infected, but millions across the country as it distorts the very fabric of our society and disrupts an already imperfect System. The health guidelines and restrictions are in place not only to protect you, but to protect the rest of the society from you. Adhering to these guidelines will protect you, your family and countless others who you have never even met, as the spread of the disease will be prevented limiting the direct as well as collateral damage of COVID-19.

Humans, however, are driven by the primal instinct of self-preservation. Most are self-serving by nature. There is an inherent need to fulfill one’s own desires and needs and protect their own even at the expense of another. That is why there is an intrinsic disinclination to let go of personal liberties and compromise for the betterment of the society at large, unless there is a perceived direct benefit. However, I believe that most are compassionate human beings who tend to overlook the potential damage they may cause as they are simply unaware of it. Those who clamour to get the gyms and bars open, use their connections to throw clandestine parties and simply try to enjoy their usual indulgences, do so because they probably do not understand the harm it causes not only to those in their immediate circles but the entire population. There are no perpetrators in this pandemic, all are victims in one way or another. It is not an exaggeration when I say that there has never been a time in history when the actions of each and every person in this country has mattered as much. Every single Sri Lankan, man, woman or child has a role to play in combating this horrid pandemic. Even in the absence of a System that firmly enforces regulations externally, self-discipline could right the wrongs and make an imperfect System work. We could still save hundreds of lives if each of us fulfill our duty to the nation and be socially responsibile.

The real extent of death and devastation caused by this pandemic will probably never be known. However, for those of us who see these people suffer, fight for their lives and still loose, it is unimaginable and immeasurable. They are not just another number to be added or disregarded from a daily report. To us, these are mothers, fathers, daughters, sons or siblings of another fellow human being. Every life matters, and every life is precious. So, this is my plea to my fellow Sri Lankans…. please be socially responsible, put the societal needs above your own personal liberties. Each of you have an immense power to stop the spread of this deadly pandemic, so please do your part as Sri Lanka needs you now.



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Opinion

In Memory of Dr Upatissa Pethiyagoda

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Dr. Pethiyagoda

It is with a deep sense of sadness that I record the passing of Dr Upatissa Pethiyagoda, who died on 27 August 2026 at the age of 94. To many, he was a distinguished scientist, accomplished administrator, diplomat and public intellectual. To me, he was much more than that.

Dr Pethiyagoda was a proud product of Trinity College, Kandy. At a time when a first class in Botany was a rarity, he obtained one and subsequently pursued postgraduate studies in London. His scientific career reflected not only his knowledge but, more importantly, an enquiring and restless mind that was never satisfied with simply accepting what was known.

In the 1970s, he headed the Plant Physiology Department of the Tea Research Institute of Sri Lanka. He was part of a formidable team of scientists that included Drs R L de Silva, R L Wickramasinghe, P Sivapalan, Tilak Wettasinghe and W Danthanarayana. They were scientists who contributed enormously to the development of the tea industry in Sri Lanka, and Dr Pethiyagoda stood comfortably among them.

In 1978, he moved to the Coconut Research Institute as its Director. It was there that I had the privilege of working with him. Those years left a lasting impression on me.

Dr Pethiyagoda was, in every sense, a complete scientist. Although his formal specialisation was plant physiology, he was remarkably comfortable discussing almost anything scientific. What distinguished him was his curiosity. He questioned the science behind the ordinary things that most of us simply accepted. I remember his asking questions such as, why is an orange green in Sri Lanka? It was typical of him: an apparently simple observation would lead him to ask what lay behind it.

That curiosity never left him.

After his tenure at the CRI, he undertook an FAO assignment in the Middle East, working on the improvement of date palms. There he was exposed to agriculture under conditions of severe water scarcity. He pursued this further during a visit to Israel, learning about agronomic practices suited to such environments. Later, when he worked with the Mahaweli Authority, he was able to translate that knowledge into practice, introducing high-value horticultural crops to Systems B and C.

What impressed me was not merely that he acquired knowledge, but that he connected knowledge from one context to another and turned it into practical solutions. His enquiring mind and analytical ability enabled him to do this with remarkable effectiveness.

He was equally impressive as a communicator. Dr Pethiyagoda was an eloquent speaker, whether he was talking about science, agriculture, public policy or the everyday affairs of our country. His speeches were often laced with wit, humour and the occasional tongue-in-cheek remark. But beneath the humour was a very serious mind. He was forthright in his opinions and, importantly, he was not afraid to express them, whatever the possible repercussions.

His contributions to the media demonstrated this courage.

Writing about the travel to London by a former President, he observed:

“Where a person enjoys immunity by virtue of his position, this carries a reciprocal obligation to exercise an abundance of exemplary behaviour. In effect, immunity is best exercised, when the need to invoke it, is never allowed to arise.”

[Immunity Does Not Confer Impunity – Colombo Telegraph]

That was quintessential Pethiyagoda—precise, pointed and impossible to misunderstand.

He was equally outspoken about the government’s decision to ban inorganic fertiliser with ‘immediate effect’. He was deeply distressed by what he believed would be the consequences for farmers, particularly the poorer farming community. He would speak about it almost every day, driven not by political considerations but by his conviction that science and evidence had been disregarded.

In one of his writings on the subject, he remarked:

“What the ‘Vipathmaga’ caper taught us was that advice of sundry ‘Experts’ can be disastrous. Professors of Surgery, clergymen and Pediatricians are not the best equipped to advise on fertilisers, as much as a Soil Scientist should not prescribe treatment for a sick child.’ [Some Lessons That Can Be Learned Even From Disasters – Colombo Telegraph]

And in another article, his frustration was summed up in the memorable words:

“Stupidity, like History, has a way of repeating itself.”

[Unscrambling eggs – Colombo Telegraph]

These were not simply provocative statements. They reflected a scientist who believed deeply that public decisions, particularly those affecting agriculture and the livelihoods of farmers, should be based on evidence and sound scientific advice.

Perhaps, what I will remember most about Dr Pethiyagoda is that his curiosity survived almost to the very end of his life.

Very recently, he was still asking questions and pursuing ideas. He was interested in the possible genetic differences between the waraka and wela varieties of jak, because he wondered whether the wela variety might have commercial potential for cellulose extraction. He was disappointed that he could not find relevant scientific literature in Sri Lanka. More than the particular subject, what struck me was that at 94 he was still thinking about a scientific question, looking for evidence and wondering whether an apparently ordinary resource could have an important national application. He lamented the lack of interest among scientists and academics in such questions of national importance. That concern, too, was very much part of who he was.

Dr Pethiyagoda also served as President of the National Academy of Sciences, Sri Lanka. Unfortunately, he was unable to complete his term because he was appointed Ambassador to Italy, with representation at the Food and Agriculture Organization in Rome. Even in that role, he remained very much the scientist. I understand that he made a significant contribution to FAO discussions. As Ambassador, he also had the unenviable task of entertaining Sri Lankan Ministers of Agriculture who attended FAO sessions. I know from my own conversations with him that those informal dinners were not merely social occasions. He would discuss agricultural issues with the Ministers, and I have little doubt that his views—and the force with which he expressed them—sometimes influenced their thinking.

Looking back, what I admired most about Dr Pethiyagoda was not any particular position he held or any particular achievement. It was the way he thought.

He questioned.
He analysed.
He connected ideas.
He challenged conventional wisdom.
And he was willing to say what he believed to be true.

He also demonstrated that science should not remain confined to laboratories, research papers or academic institutions. For him, science was a way of looking at the world and, ultimately, a means of improving the lives of people.

It is perhaps ironic that, only a few months ago, he wrote about “The Cost of Dying”, as distinct from the “Cost of Living”. In that article, he reflected on the manner in which our mortal remains should be disposed of, observing: “I am in two minds regarding the manner in which the mortal remains are disposed of, ‘according to the will of the deceased’. But with the cessation of the breath, ownership or tenancy ceases.” Even in contemplating death, he brought his characteristic questioning mind to the subject. What particularly caught my attention, however, was his explanation of the Buddhist practice of holding dânes (almsgivings) for monks of the local temple in the seventh day and third month following a death. I had never really thought about the significance of this practice before. That, too, was typical of Dr Pethiyagoda: he could take something that we had accepted as ordinary and familiar and make us stop, think and see it differently.

His passing has created a colossal vacuum in Sri Lanka’s scientific community. People of his intellectual breadth, curiosity, courage and independence are rare. We may not always have agreed with everything he said, but we could never doubt that he had thought deeply about it and that he had the courage of his convictions.

For those of us who had the privilege of knowing him, there is sadness in his passing. But there is also gratitude—for having known such an extraordinary mind, for having learnt from him, and for having witnessed at close quarters his unwavering commitment to science and to the development of our country.

I shall remember Dr Pethiyagoda with great affection and immense respect.

Ranjith Mahindapala
Past President, National Academy of Sciences of Sri Lanka.

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Opinion

A neighbour’s view of India’s strategic strengths

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What India chooses to do with the strategic freedom it has built over eight decades may be the defining question of its next phase

by Milinda Moragoda

In the emerging global economy, countries will increasingly seek multiple sources of energy, technology, capital, minerals and markets. India can contribute by helping create an open network rather than another exclusive bloc.

As India marks eight decades of Independence, its strategic position has changed almost beyond recognition. Yet the central question of strategic autonomy remains. What India chooses to do with the strategic freedom it has built over eight decades may be the defining question of its next phase.

India has spent the past decade expanding its strategic choices — deepening ties with the US, Europe and Japan while maintaining important ties with Russia and strengthening engagement with the Gulf, Africa and Southeast Asia. Australia and New Zealand are also becoming increasingly important partners in the wider Indo-Pacific. At the same time, India has sought a larger voice for the developing world in international institutions. Strategic autonomy has traditionally been understood in diplomatic terms: the ability to maintain freedom of action without being drawn into competing power blocs. In an increasingly interconnected world, however, that freedom will depend just as much on economic choices.

The objective should be strategic interdependence — building sufficiently diverse relationships that dependence on any one country or economic system does not become a vulnerability. India is unusually well placed to pursue this. Its geography connects the Gulf and wider West Asia, the manufacturing economies of Asia, Africa across the Indian Ocean and the Eurasian space extending through Russia. The opportunity, therefore, is to become a connector between economies increasingly fragmented by geopolitical competition.

India’s relationship with Japan is extending into advanced manufacturing, technology, energy, semiconductors and critical minerals. Its engagement with the US is deepening across technology, investment, advanced manufacturing, energy and strategic cooperation, while its engagement with Europe is becoming increasingly economic and technological. Its relationships with the Gulf are expanding beyond energy into investment and connectivity. Australia and New Zealand add an important southern dimension to its wider Indo-Pacific engagement, while Southeast Asia provides pathways into wider Asian production networks.

Russia remains an important part of this equation. India’s continuing engagement with Moscow, alongside its deepening relationships with Washington, Tokyo, Europe and the Gulf, demonstrates that strategic autonomy gives India the flexibility to maintain important relationships across geopolitical divides.

China inevitably occupies a special place in this landscape. India’s answer cannot be either excessive dependence or complete separation. It will require strengthening domestic capabilities, diversifying supply chains and building partnerships elsewhere, while retaining space for engagement where interests permit.

India possesses another asset that few countries can match: a large, globally active and influential diaspora. Yet the diaspora can also present challenges, as political currents within these communities do not always align with India’s interests and can occasionally create sensitivities in its relations with host countries. The greater opportunity lies in nurturing the economic, intellectual and cultural connections the diaspora can create, while respecting its diversity and independence. In the emerging global economy, countries will increasingly seek multiple sources of energy, technology, capital, minerals and markets. India can contribute by helping create an open network rather than another exclusive bloc.

Ports, shipping routes, energy corridors, digital infrastructure, supply chains and trade agreements increasingly shape strategic influence. India’s challenge is to bring these strands together without turning them into a closed sphere of influence.

India’s economic rise will be more sustainable if other countries see themselves as participants in its growth rather than simply as markets for it. The value for India lies in making these relationships complementary rather than choosing among them. India’s leadership of the Global South can now move beyond representation in international forums towards creating an international economic environment in which developing countries have greater choices. India’s own experience is relevant here. It has moved from a relatively closed economic model towards deeper global integration while retaining a strong emphasis on domestic capability. The lesson is that openness and strategic autonomy need not be contradictory.

As the G20 meets again in Miami in December, India can continue to argue that the Global South should not merely seek greater representation within existing institutions, but a greater stake in shaping the economic networks and institutions of the future. An economically integrated Indian Ocean could allow countries such as Sri Lanka, Bangladesh and the Maldives to participate more deeply in regional supply chains, logistics, energy, tourism, technology and services. Influence based on shared prosperity is more durable influence based on dependence. India’s strategic opportunity, therefore, lies in becoming one of the principal connectors of a changing world.

(Milinda Moragoda is founder of the Pathfinder Foundation, strategic affairs think tank, and can be contacted via email @milinda.org.)

Courtesy Hindustan Times

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Opinion

Financing Sri Lanka’s post-IMF development

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by By Kasun Kariyawasam
and Shiran Illanperuma

In March 2027, Sri Lanka’s Extended Fund Facility with the International Monetary Fund (IMF) will expire. It is the seventeenth arrangement the country has entered into with the Fund since 1965. That number is not a footnote; it is the argument. Sixteen previous left the underlying structure of the economy intact – an economy that imports what it consumes, exports what it cannot process further, and borrows to cover the difference. Each programme ended, and the conditions that produced it reassembled themselves.

The seventeenth has been the most invasive. Approved on 20 March 2023, in the aftermath of the sovereign default and the uprising that followed, it arrived at a moment of maximum leverage for the creditor and minimum room for the debtor. Fiscal consolidation was achieved primarily through indirect taxation, so that the burden fell heaviest on the poor. Energy subsidies were withdrawn and utility pricing made cost-reflective, transmitting global price movements directly into household budgets and industrial input costs. Public investment was compressed, and public sector wages held below inflation for years.

The revenue target was met but the social consequences are now well documented.

First, poverty in Sri Lanka roughly doubled after 2022 and has remained near a quarter of the population – a level not seen for two decades. Malnutrition among children, school dropout, and the depletion of household savings and assets are the transmission channels through which a fiscal adjustment becomes a lost generation.

Second, the most mobile and most skilled workers – nurses, doctors, engineers, IT workers – have left in numbers that constitute a structural loss of productive capacity, subsidised by the Sri Lankan state and captured by the labour markets of the Gulf, East Asia, and the West.

Third, and the least discussed, is the loss of economic sovereignty. The Central Bank Act of 2023 grants the Central Bank of Sri Lanka operational independence under a narrow inflation-targeting mandate and prohibits the monetary financing of government deficits, removing an instrument of development finance that every industrialised economy used on its way up. The Economic Transformation Act of 2024 legislates the programme’s own quantitative targets as binding statutory obligations on all future governments.

Although the IMF programme ends in March 2027, the framework it installed does not. Austerity has been converted into a legal architecture. Any government that wishes to finance development after 2027 will find that the fiscal space to do so has been pre-emptively legislated away, and that the debt service profile steps up sharply from 2028 as the restructured bonds begin to amortise in earnest.

The instruments on the table

Three instruments are currently under discussion for managing the debt portfolio. Each is worth examining on its merits, and each shares a common limitation.

Macro-linked bonds.

The upside triggers are more likely to be hit than the underlying real economy warrants, because the reference variable is dollar GDP. A nominal appreciation of the rupee lifts dollar GDP without a single additional unit of output being produced. The control variable intended to guard against precisely this – a requirement of 11.5% cumulative real growth – is a low bar following two consecutive years of contraction, when the base effect alone does much of the work. The country may find itself paying creditors a growth premium for an exchange rate movement.

Climate swaps.

Debt-for-nature and debt for-climate arrangements can retire a portion of the stock and may unlock multilateral climate grants, which are concessional. But they do not address the productive structure that generates the deficit in the first place, and their conditionalities – conservation commitments over land, forest, and coastal zones – can cut directly against the industrial and energy build-out that any serious development strategy requires. A country cannot finance debt relief by constraining its own industrialisation.

Bond buybacks. Retiring restructured bonds converts a contingent, complex portfolio into a plainer one, which makes debt management tractable. If the bonds trade below face or recovery value, Sri Lanka retires debt at a discount. Lazard reportedly advised this course for Zambia, so the playbook exists. However, Sri Lankan bonds have performed strongly since the restructuring, which means the discount that would make a buyback attractive has largely disappeared. A buyback becomes cheap only if sentiment softens again, or if specific contingent tranches are marked down on fear of the upside triggers. Moreover, a sovereign buying back its own debt shortly after a restructuring invites the interpretation that it anticipates difficulty, which raises the cost of future issuance. Selective buybacks are worth pursuing, given the uncertain external environment and the value of a cleaner portfolio, but that they are a marginal improvement rather than a solution.

All three instruments manage the existing stock of debt. None of them generates new finance for development. They are exercises in liability management, and a country cannot manage its way out of underdevelopment. Sri Lanka needs relief and it needs capital, and the current conversation addresses only the first.

Building the domestic architecture

New financing without new institutions reproduces the crisis. Before Sri Lanka seeks capital abroad, it must rebuild the machinery that governs how it borrows.

The primary dealer system requires reconstruction on a proper legal footing. Before the crisis, the primary dealer network degenerated into a captive placement channel: when the central bank could no longer absorb unsold stock, dealers took paper on terms set by proximity rather than price. This is allocation by moral suasion, and it produced a domestic debt market that told the government nothing useful about the cost of its own borrowing. Rebuilding it with binding contractual obligations, genuine capital requirements, and published performance rankings – as China does for its own dealer network – would restore price discovery. A government that cannot read a true yield curve cannot manage a debt portfolio.

Sri Lanka also needs a published Medium-Term Debt Management Strategy (MTDS) with explicit targets for the composition of the portfolio: external against domestic, concessional against commercial, and fixed against floating rate. Borrowing at present is reactive, driven by immediate financing needs rather than by a strategic view of currency, rollover, and interest rate risk. An MTDS makes those trade-offs visible and accountable. It is unglamorous and it is prerequisite.

The China angle

Sri Lanka’s most underused financial asset is its existing relationship with China’s monetary and capital market infrastructure. A currency swap line of 10 billion RMB is already in place, renewed in 2025, and it functions almost entirely as a passive reserve backstop. It could be the foundation of a financing strategy.

Broaden the use of RMB for trade settlement.

The swap is presently constrained in its permitted uses. Extending it to cover bilateral trade invoicing and settlement would reduce the dollar dependency that is the primary transmission channel for external volatility into the Sri Lankan economy. Every import invoiced in dollars is a claim on reserves that fluctuates with US monetary policy, over which Sri Lanka has no influence whatsoever.

Request eligibility for the FIMA RMB repo facility.

China’s facility, announced in June 2026, provides eligible central banks with access to RMB liquidity against holdings of Chinese government bonds. For Sri Lanka this would mean an RMB reserve buffer that is genuinely liquid rather than notional, and a second source of emergency liquidity that does not require a Fund programme as its precondition.

Issue panda bonds in the onshore Chinese market.

Sri Lanka has already begun refinancing dollar-denominated loans from Chinese banks into RMB, which establishes the precedent and the relationships. Issuance in the Shanghai interbank market would lock in RMB funding at rates below what the Eurobond market will offer a recently defaulted sovereign, and it diversifies the creditor base away from the Paris Club and Western commercial holders whose collective action in 2022 and 2023 was itself a lesson in concentration risk.

Access the offshore dim sum market in Hong Kong.

The offshore CNH market is deep – new issuance reached $157.2 billion in 2025 – and is a plausible source of medium-term infrastructure financing on terms that do not carry policy conditionality.

Integrate with CIPS.

None of the above scales without payments infrastructure. Integration with China’s Cross-Border Interbank Payment System reduces exposure to dollar-clearing volatility, carries lower transaction costs than routing through SWIFT correspondent banking, and is what allows the swap facilities to be used at volume rather than symbolically.

Establish direct LKR–RMB settlement.

Building on the Indonesia–HKMA–PBoC framework of June 2026, a direct settlement mechanism for bilateral trade would give Sri Lanka a working channel into one of the largest markets in the world, and create a pipeline for foreign direct investment and other inflows that does not transit the dollar system at all.

Multipolarity as infrastructure

What Sri Lanka should build is a blueprint for a local currency settlement corridor that can be scaled to any partner. Begin with China, where the infrastructure already exists, and extend it to India, the country’s nearest neighbour and one of its largest trading partners, where rupee settlement arrangements are already operating with other states. The same institutional template – bilateral swap, direct settlement mechanism, payments system linkage, local currency invoicing – applies to any counterparty with which Sri Lanka has meaningful two-way trade.

The immediate prize is energy. A large share of Sri Lankan inflation originates in oil, transmitted through both the world price and the exchange rate at which it is paid. That volatility does not merely raise the cost of living; it creates genuine industrial hurdles, because manufacturers cannot plan around input costs that move with a currency they do not earn. Denominating energy imports in local currency terms would break one of the most damaging transmission channels between external shocks and domestic prices. For a country whose recent history is defined by a fuel queue, this is not an abstraction.

Multipolarity, understood correctly, is a portfolio strategy. A sovereign with settlement channels in several currencies, funding relationships across several capital markets, and reserve buffers denominated in more than one unit of account is a sovereign with options during a crisis. Sri Lanka in 2022 had none, and the terms it accepted in 2023 reflect that.

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