Connect with us

Features

A Humane Scholar at Oxford

Published

on

Oxford University

by Jayantha Perera

I met Barbara Harrel-Bond, an anthropologist, by accident in April 1989. At that time, I was with the USAID-funded Mahaweli Agriculture and Rural Development Project (MARD). One day at lunchtime, an old jeep arrived at the project office. A white woman in her sixties emerged from the jeep. She was in a kurta and was carrying several notebooks in her hands. She smiled and asked me whether I could find someone who knew how Sinhala villagers interacted with Tamil villagers in the war-front area. I told her our professional staff had gone out for lunch, so she should wait until they returned.

With a cigarette on her lips, she introduced herself as Barbara. She was the Director of the Refugee Studies Programme (RSP) and a professor at Oxford University. She was an anthropologist with extensive field experience in Africa. Her book Imposing Aid: Emergency Assistance to Refugees was on international development aid. She was an authority in refugee studies and international refugee law. I told her I am a development anthropologist working on irrigation water management in the Mahaweli. Her eyes beamed with hope, and she shouted, “You are the man I wanted to meet!”

I invited her for lunch at my residence. I offered her a cold beer, which she gulped down in five seconds. She inquired whether it was okay to smoke inside the house. I said yes. I switched on the air conditioner in the sitting room, as it was hot and muggy. She was amused to feel the cold air and said, “It is nice to see an anthropologist who lives in an air-conditioned house in the field.” She thanked me for rescuing her from the scorching sun.

Barbara was interested in the history of rivalries between Tamils and Sinhalese. She asked me about their living conditions, income disparities, gender issues, and political orientation. I told Barbara we could discuss these issues at length if she could stay a few days at Aralaganwila. Barbara said she had planned several meetings and wanted to return to Colombo. She invited me for lunch during the weekend if I were in Colombo.

Our weekend meeting in Colombo was intellectually stimulating. Each time we discussed a new topic, she ordered more tea or beer while typing her notes into her laptop. It was a primitive machine with two cassette spools. One had the WordStar programme, and the other had her notes.

Barbara invited me to the RSP to deliver a few lectures on Sri Lanka, specifically its political structure and ethnic tensions. She told me that I could stay at her place in Oxford. After about two months, I received an invitation letter and a return air ticket from the RSP. When I reached Oxford, she told me she had sent a taxi to Heathrow Airport to bring me to Oxford. But she forgot to tell me where to meet the taxi driver.

Staying at her place in Oxford was an experience. She lived in an old house on St. Giles. I found a sleeping corner on a cosy sofa in her large living room when I arrived. She introduced me to two Ugandan refugees and an undergrad from a European University. The two Ugandans prepared the dinner. They cooked lamb in peanut gravy, and we all had that with rice and a salad.

After dinner, we all met in Barbara’s large bedroom to watch TV and discuss the day’s work and tomorrow’s programme. She lay down on her bed and listened to our discussions. She occasionally asked a question or two. That day, the TV did not work. She asked us whether one of us could check the TV. Only the young European women volunteered to check it. She said the electric plug was not correctly installed, but she quickly fixed it. Barbara laughed and teased others, saying, “I did not expect anthropologists to know how to turn on a TV.”

When I woke up the following day, Barbara had already brewed coffee. We took our cups to her library and settled into two comfortable chairs. Until 8 a.m., we discussed Sri Lanka’s socio-political conditions and the outlines of my upcoming two lectures. Barbara mentioned inviting several professors and lecturers from the law and development faculties to the lectures. She also hinted that I might join her as a research fellow shortly.

Before I left for Colombo, Barbara told me she would raise funds to recruit an anthropologist from the third world as a fellow. She explained the fellowship as teaching a two-term course at the postgraduate level on field methods in social sciences and qualitative data analysis. The fellow would also conduct an annual summer school on refugee studies. Later, she wrote, “We need someone like you who combines research and practical experience and can write well in English.”

Two months later, Barbara informed me that the RSP had raised funds for a Ford fellowship. She asked whether I would be interested in being the first Ford Fellow at the RSP. I did not answer her for two weeks as I was in a dilemma. I was happy at MARD. The Chief-of-Party was also an anthropologist with whom I shared my views on development. He was an amiable fellow. He told me I should stay with him on the project for at least five years. I had finished only 30 months of my contract. Life in the Mahaweli was comfortable, although there were two significant risks: the LTTE and wild elephants.

At that time, an official at the Mahaweli Ministry wanted more control over the project consultants. He complained to USAID I had written a paper criticising the Sri Lankan government’s agricultural policies. He tried to twist the paper’s contents to prove that I was against the MARD Project. The USAID held a formal meeting in which the DAI and the Mahaweli Development Ministry participated. The USAID and the DAI did not find any fault with my paper. However, the official was adamant that some action should be taken against me. I submitted my resignation letter to the Chief of Party. He was relieved to receive my resignation as he did not want to disagree with the government. I accepted the Ford fellowship at the RSP in Oxford. This decision filled me with a sense of accomplishment and inspiration for the future.

Barbara Harrel-Bond

Barbara introduced me to her staff on my first day at the RSP. The Administrative Officer, Belinda, brought a cake and coffee to celebrate my arrival. Soon after coffee, Barbara took about 10 portrait photographs of me at the entrance to the RSP. When I asked her why she took so many photos, she smiled and said that a good photographer should take a dozen photographs before selecting the best one. Barbara had written an editorial about me for the RSP Newsletter and included my photograph. Barbara took me to the Bodleian Library and introduced me to the librarian by saying: “This is Dr Perera, an anthropologist from Sri Lanka, our Ford Fellow for the next 18 months. Unfortunately, he got his doctorate from the radical Sussex University. But I assure you he would behave well and surely not set fire to the library.”

Among the few library rules was the hilarious one that says ‘not setting fire to the library’ in the application form. Barbara got my library membership and showed me its various sections. She then took me to Oxfam Bookshop, where one could buy second-hand books for a fraction of their original prices. Barbara bought most of her books from the Oxfam Bookshop. She said I could borrow any book from her personal library at home.

Barbara invited me to her house whenever she had leisure time, especially on weekends. We discussed family histories, reasons for studying anthropology, and my plans. Barbara said that she grew up as the only daughter of a postman in a remote part of South Dakota, USA. As a young woman, she loved horse riding in the Dakota plains. She married an American pastor in 1951 and accompanied him to Oxford in the mid-1960s. Her husband studied for a doctorate and returned to the USA without completing his studies. Barbara refused to return with him to the USA and stayed in Oxford.

She joined the Institute of Social Anthropology, where she earned a doctorate in Social Anthropology. Barbara called herself a legal anthropologist. She divorced her husband and married Samuel Okeke, a Nigerian engineer, in 1974 while doing fieldwork in Sierra Leone in West Africa. Barbara left him and returned to Oxford to devote her time to refugees. In 1982, she established the RSP at Oxford University.

Barbara worked with many people in her smoke-filled room at the RSP. She listened intently to each speaker. If she had any questions, she would probe them. The discussions prolonged until all agreed on a solution or conclusion. She found time between such meetings, sometimes as little as 15 minutes, to open her unfinished memos and articles to work on them. She gave me her draft memos and papers to comment on. Every month, she received several international journal articles for review. She, with a naughty smile on her face, just palmed them off to me to review. She read and edited each of my draft reviews. Barbara then scanned and emailed it to the concerned journal or the publisher. I remember examining about 10 journal articles.

I prepared detailed notes for each lecture on the field methods course. I distributed them in advance among my students from the Oxford Department of International Development and the Royal Forestry Institute. Barbara read them with interest and encouraged me to include my field experience to substantiate and illuminate my arguments. Sometimes, she attended my classes and initiated lively discussions. Barbara told me that it had been the tradition that the teacher who finishes his/her lecture at 5 p.m. or after should take the students for a beer at a nearby pub. Barbara introduced me to the staff of a large pub. At the bar, I asked her, “Is this the pub where anthropologists meet?” She said, “No, this is a pub where some anthropologists meet.”

She explained that anthropologists were a peculiar and dangerous tribe; one could see many feuds and resentment among them. She said a few of them believed anthropologists should live in primitive societies. She added, “But they smoke pipes and drink whiskey whenever an opportunity arises. They are known for carrying pocket whiskey flasks.” She told me that some of them ridiculed and criticised her for doing refugee studies, which they thought was a field of study in political science.

Barbara was a leader of a local group in Oxford that pressed local authorities to approve an “illegal” structure a sculptor had built in 1986 on a rooftop — a 25-foot colourful fibreglass shark that looked as if it had fallen from the sky and penetrated the roof. The fall symbolised the anger, desperation, and impotence of local people in the wake of the bombing of Libya by American warplanes, which regularly flew over Oxford.

The sculptor also wanted to make a statement against nuclear weapons. The falling shark was a metaphor for a falling atomic bomb. She petitioned local authorities, demanding freedom to protest the state’s follies. Barbara wrote to the House of Commons and House of Lords demanding that the state protect its citizens’ freedom of expression. She emphasised that the state should not encourage aggressors and bullies, such as Americans, to use the UK’s airspace to harm others.

Once Barbara returned from London with four young men and a young woman. They were refugees from Africa who just landed in London. The International Red Cross had received them and handed them over to Barbara to educate and find sources of income for them. She introduced them to the RSP staff, saying they were members of the RSP family. Barbara asked me to meet her at her residence at 6 p.m. on the same day. She wanted to discuss how to accommodate five refugees.

Barbara had a few folded bed frames. She opened a small storeroom in the basement and took out bedding and pillows. The four men and the woman helped her to make temporary beds. Barbara invited the woman to sleep in her bedroom. I asked Barbara about their dinner. She told me, “Let us cook rice and a meat curry. I know you are a good cook.” I cooked rice and beef curry with carrots and made a large salad. Barbara joined the group for dinner. She said, “Today is one of my happiest days. I have you five with me. We can do lots of things together. A refugee is not a burden but an asset, and that is what I always tell the world.”

Barbara enrolled the five refugees at the university as part-time students. She found work for them as an unskilled waiters at a restaurant. Three months later, I visited the restaurant with Barbara to see the four men. They served us tea with dignity, style, and happy faces. Barbara had sent the woman of the group to a fashion house to learn how to make fancy clothes. Once, the woman brought a beautiful long dress for Barbara. At the bottom of the dress was a slogan – ‘Do not mess up with Arizona!’ Barbara loved this dress. One day, Barbara showed me one of the men holding hands with a white woman on the road. Barbara was happy to see them and said, “They have gone native!”

Barbara nominated me to represent the RSP at the American Anthropological Association’s annual meetings in New Orleans. At the meetings, I introduced RSP publications and research and action plans. I discussed with agencies the possibility of getting support for refugee studies and summer refugee training programmes. Two months later, Barbara asked me to go to New Delhi, India, to represent the RSP at the international refugee studies conference. My main task at the meeting was identifying potential research and study fellows and encouraging them to visit the RSP. I read a research article at the conference on ‘social structure and political development in Sri Lanka.’ Later, the Journal of Refugee Studies at Oxford published it.

The most challenging task at the RSP was coordinating its summer refugee studies programme. About 20 participants came from several countries, and their demands varied widely. Some reported that English food could have been better in quality and taste. Many were more interested in visiting university colleges and nearby towns than attending the courses. Barbara’s idea was that if at least a few participants learned about refugee issues and were determined to support them, the world would become a better place for all of us.

A friend at the RSP told me that Barbara was absent-minded. A story circulating at the RSP was Barbara had three cats, and one of them had three kittens. The mother cat kept her babies in the washing machine’s drum. One day, without checking, Barbara threw a few pieces of her clothes into the drum, started the machine, and went away. When she returned home, she opened the washing machine to see the tragedy she had caused. Three kittens were beyond recognition, and their fur and flesh clung to her clothes!

By the end of my stay in Oxford, Barbara frantically looked for more funds to keep me at the RSP. Belinda took me to London and Cambridge for interviews with various sponsors. At that time, a development consultancy company called ITAD UK contacted me regarding a senior position in a World Bank-funded project in Sindh, Pakistan. I told Barbara about the new opening. She was happy to hear the news and advised me to take the job. She wanted me to do fieldwork and write about internal displacement in Pakistan. She also sent a recommendation letter to the ITAD saying that whoever gets my services should consider themselves fortunate.

Barbara was bestowed the Order of British Empire (OBE) in 2005 for refugee and forced migration studies and services. She died in 2018 at the age of 85 years. Tributes and obituaries poured in from around the world. In tributes and obituaries, I saw the words ‘campaigner’, ‘activist,’ and ‘champion. ‘An obituary aptly summarised her life – “She grew up riding horses across the plains. Something of the Wild West never left her.”



Continue Reading
Click to comment

Leave a Reply

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

Features

Who Owns the Clock? The Quiet Politics of Time in Sri Lanka

Published

on

(This is the 100th column of the Out of the Box series, which began on 6 September, 2023, at the invitation of this newspaper – Ed.)

A new year is an appropriate moment to pause, not for celebration, but to interrogate what our politics, policies, and public institutions have chosen to remember, forget, and repeat. We celebrate the dawn of another brand-new year. But whose calendar defines this moment?

We hang calendars on our walls and carry them in our phones, trusting them to keep our lives in order, meetings, exams, weddings, tax deadlines, pilgrimages. Yet calendars are anything but neutral. They are among humanity’s oldest instruments of power: tools that turn celestial rhythms into social rules and convert culture into governance. In Sri Lanka, where multiple traditions of time coexist, the calendar is not just a convenience, it is a contested terrain of identity, authority, and fairness.

Time is never just time

Every calendar expresses a political philosophy. Solar systems prioritise agricultural predictability and administrative stability; lunar systems preserve religious ritual even when seasons drift; lunisolar systems stitch both together, with intercalary months added to keep festivals in season while respecting the moon’s phases. Ancient India and China perfected this balancing act, proving that precision and meaning can coexist. Sri Lanka’s own rhythms, Vesak and Poson, Avurudu in April, Ramadan, Deepavali, sit inside this wider tradition.

What looks “technical” is actually social. A calendar decides when courts sit, when budgets reset, when harvests are planned, when children sit exams, when debts are due, and when communities celebrate. It says who gets to define “normal time,” and whose rhythms must adapt.

The colonial clock still ticks

Like many postcolonial societies, Sri Lanka inherited the Gregorian calendar as the default language of administration. January 1 is our “New Year” for financial statements, annual reports, contracts, fiscal plans, school terms, and parliamentary sittings, an imported date shaped by European liturgical cycles and temperate seasons rather than our monsoons or zodiac transitions. The lived heartbeat of the island, however, is Avurudu: tied to the sun’s movement into Mesha Rāshi, agricultural renewal, and shared rituals of restraint and generosity. The result is a quiet tension: the calendar of governance versus the calendar of lived culture.

This is not mere inconvenience; it is a subtle form of epistemic dominance. The administrative clock frames Gregorian time as “real,” while Sinhala, Tamil, and Islamic calendars are relegated to “cultural” exceptions. That framing shapes everything, from office leave norms to the pace at which development programmes expect communities to “comply”.

When calendars enforce authority

History reminds us that calendar reforms are rarely innocent. Julius Caesar’s reshaping of Rome’s calendar consolidated imperial power. Pope Gregory XIII’s reform aligned Christian ritual with solar accuracy while entrenching ecclesiastical authority. When Britain finally adopted the Gregorian system in 1752, the change erased 11 days and was imposed across its empire; colonial assemblies had little or no say. In that moment, time itself became a technology for governing distant subjects.

Sri Lanka knows this logic. The administrative layers built under colonial rule taught us to treat Gregorian dates as “official” and indigenous rhythms as “traditional.” Our contemporary fiscal deadlines, debt restructurings, even election cycles, now march to that imported drumbeat, often without asking how this timing sits with the island’s ecological and cultural cycles.

Development, deadlines and temporal violence

Modern governance is obsessed with deadlines: quarters, annual budgets, five-year plans, review missions. The assumption is that time is linear, uniform, and compressible. But a farmer in Anuradhapura and a rideshare driver in Colombo do not live in the same temporal reality. Monsoons, harvests, pilgrimage seasons, fasting cycles, school term transitions, these shape when people can comply with policy, pay taxes, attend trainings, or repay loans. When programmes ignore these rhythms, failure is framed as “noncompliance,” when in fact the calendar itself has misread society. This mismatch is a form of temporal violence: harm produced not by bad intentions, but by insensitive timing.

Consider microcredit repayment windows that peak during lean agricultural months, or school examinations scheduled without regard to Avurudu obligations. Disaster relief often runs on the donor’s quarterly clock rather than the community’s recovery pace. In each case, governance time disciplines lived time, and the least powerful bend the most.

Religious time vs administrative time

Sri Lanka’s plural religious landscape intensifies the calendar question. Buddhism, Hinduism, Islam, and Christianity relate to time differently: lunar cycles, solar markers, sacred anniversaries. The state acknowledges these mainly as public holidays, rather than integrating their deeper temporal logic into planning. Vesak is a day off, not a rhythm of reflection and restraint; Ramadan is accommodated as schedule disruption, not as a month that reorganises energy, sleep, and work patterns; Avurudu is celebrated culturally but remains administratively marginal. The hidden assumption is that “real work” happens on the Gregorian clock; culture is decorative. That assumption deserves challenge.

The wisdom in complexity

Precolonial South and East Asian calendars were not confused compromises. They were sophisticated integrations of astronomy, agriculture, and ritual life, adding intercalary months precisely to keep festivals aligned with the seasons, and using lunar mansions (nakshatra) to mark auspicious thresholds. This plural logic admits that societies live on multiple cycles at once. Administrative convenience won with the Gregorian system, but at a cost: months that no longer relate to the moon (even though “month” comes from “moon”), and a yearstart with no intrinsic astronomical significance for our context.

Towards temporal pluralism

The solution is not to abandon the Gregorian calendar. Global coordination, trade, aviation, science, requires shared reference points. But ‘shared’ does not mean uncritical. Sri Lanka can lead by modelling temporal pluralism: a policy posture that recognises different ways of organising time as legitimate, and integrates them thoughtfully into governance.

Why timing is justice

In an age of economic adjustment and climate volatility, time becomes a question of justice: Whose rhythms does the state respect? Whose deadlines dominate? Whose festivals shape planning, and whose are treated as interruptions? The more governance assumes a single, imported tempo, the wider the gap between the citizens and the state. Conversely, when policy listens to local calendars, legitimacy grows, as does efficacy. People comply more when the schedule makes sense in their lives.

Reclaiming time without romanticism

This is not nostalgia. It is a pragmatic recognition that societies live on multiple cycles: ecological, economic, ritual, familial. Good policy stitches these cycles into a workable fabric. Poor policy flattens them into a grid and then blames citizens for falling through the squares.

Sri Lanka’s temporal landscape, Avurudu’s thresholds, lunar fasts, monsoon pulses, exam seasons, budget cycles, is rich, not chaotic. The task before us is translation: making administrative time converse respectfully with cultural time. We don’t need to slow down; we need to sync differently.

The last word

When British subjects woke to find 11 days erased in 1752, they learned that time could be rearranged by distant power. Our lesson, centuries later, is the opposite: time can be rearranged by near power, by a state that chooses to listen.

Calendars shape memory, expectation, discipline, and hope. If Sri Lanka can reimagine the governance of time, without abandoning global coordination, we might recover something profound: a calendar that measures not just hours but meaning. That would be a reform worthy of our island’s wisdom.

(The writer, a senior Chartered Accountant and professional banker, is Professor at SLIIT, Malabe. The views and opinions expressed in this article are personal.)

Continue Reading

Features

Medicinal drugs for Sri Lanka:The science of safety beyond rhetoric

Published

on

The recent wave of pharmaceutical tragedies in Sri Lanka, as well as some others that have occurred regularly in the past, has exposed a terrifying reality: our medicine cabinets have become a frontline of risk and potential danger. In recent months, the silent sanctuary of Sri Lanka’s healthcare system has been shattered by a series of tragic, preventable deaths. The common denominator in these tragedies has been a failure in the most basic promise of medicine: that it will heal, not harm. This issue is entirely contrary to the immortal writings of the Father of Medicine, Hippocrates of the island of Kos, who wrote, “Primum non nocere,” which translates classically from Latin as “First do no harm.” The question of the safety of medicinal drugs is, at present, a real dilemma for those of us who, by virtue of our vocation, need to use them to help our patients.

For a nation that imports the vast majority of its medicinal drugs, largely from regional hubs like India, Pakistan, and Bangladesh, the promise of healing is only as strong as the laboratory that verifies these very same medicinal drugs. To prevent further problems, and even loss of lives, we must demand a world-class laboratory infrastructure that operates on science, not just sentiment. We desperately need a total overhaul of our pharmaceutical quality assurance architecture.

The detailed anatomy of a national drug testing facility is not merely a government office. It is a high-precision fortress. To meet international standards like ISO/IEC 17025 and World Health Organisation (WHO) Good Practices for Pharmaceutical Quality Control Laboratories, such a high-quality laboratory must be zoned into specialised units, each designed to catch a different type of failure.

*  The Physicochemical Unit: This is where the chemical identity of a drug is confirmed. Using High-Performance Liquid Chromatography (HPLC) and Gas Chromatography-Mass Spectrometry (GC-MS), scientists determine if a “500mg” tablet actually contains 500mg of the active ingredient or if it is filled with useless chalk.

*  The Microbiology Suite: This is the most critical area for preventing “injection deaths.” It requires an ISO Class 5 Cleanroom: sterile environments where air is filtered to remove every microscopic particle. Here, technicians perform Sterility Testing to ensure no bacteria or fungi are present in medicines that have to be injected.

*  The Instrumentation Wing: Modern testing requires Atomic Absorption Spectrometers to detect heavy metal contaminants (like lead or arsenic) and Stability Chambers to see how drugs react to Sri Lanka’s high humidity.

*  The injectable drug contamination is a serious challenge. The most recent fatalities in our hospitals were linked to Intravenous (IV) preparations. When a drug is injected directly into the bloodstream, there is no margin for error. A proper national laboratory must conduct two non-negotiable tests:

*  Bacterial Endotoxin Testing (BET): Even if a drug is “sterile” (all bacteria are dead), the dead bacteria leave behind toxic cell wall products called endotoxins. If injected, these residual compounds cause “Pyrogenic Reactions” with violent fevers, organ failure, and death. A functional lab must use the Limulus Amoebocyte Lysate (LAL) test to detect these toxins at the parts-per-billion level.

*  Particulate Matter Analysis: Using laser obscuration, labs must verify that no microscopic shards of glass or plastic are floating in the vials. These can cause fatal blood clots or embolisms in the lungs.

It is absolutely vital to assess whether the medicine is available in the preparation in the prescribed amounts and whether it is active and is likely to work. This is Bioavailability. Sri Lanka’s heavy reliance on “generic” imports raises a critical question: Is the cheaper version from abroad as effective as the original, more expensive branded formulation? This is determined by Bioavailability (BA) and Bioequivalence (BE) studies.

A drug might have the right chemical formula, but if it does not dissolve properly in the stomach or reach the blood at the right speed, it is therapeutically useless. Bioavailability measures the rate and extent to which the active ingredient is absorbed into the bloodstream. If a cheaper generic drug is not “bioequivalent” to the original brand-named version, the patient is essentially taking a useless placebo. For patients with heart disease or epilepsy, even a 10% difference in bioavailability can lead to treatment failure. A proper national system must include a facility to conduct these studies, ensuring that every generic drug imported is a true “therapeutic equivalent” to the brand-named original.

As far as testing goes, the current testing philosophy is best described as Reactive, rather than Proactive. The current Sri Lankan system is “reactive”: we test a drug only after a patient has already suffered. This is a proven recipe for disaster. To protect the public, we must shift to a Proactive Surveillance Model of testing ALL drugs at many stages of their dispensing.

*  Pre-Marketing Approval: No drug should reach a hospital shelf without “Batch Release” testing. Currently, we often accept the manufacturer’s own certificate of analysis, which is essentially like allowing students to grade their own examination answers.

*  Random Post-Marketing Surveillance (PMS): Regulatory inspectors must have the power to walk into any rural pharmacy or state hospital, pick a box of medicine at random, and send it to the lab. This could even catch “substandard” drugs that may have degraded during shipping or storage in our tropical heat. PMS is the Final Safety Net. Even the best laboratories cannot catch every defect. Post-Marketing Surveillance is the ongoing monitoring of a drug’s safety after it has been released to the public. It clearly is the Gold Standard.

*  Pharmacovigilance: A robust digital system where every “Adverse Drug Reaction” (ADR) is logged in a national database.

*  Signal Detection: An example of this is if three hospitals in different provinces report a slight rash from the same batch of an antibiotic, the system should automatically “flag” that batch for immediate recall before a more severe, unfortunate event takes place.

*  Testing for Contaminants: Beyond the active ingredients, we must test for excipient purity. In some global cases, cheaper “glycerin” used in syrups was contaminated with diethylene glycol, a deadly poison. A modern lab must have the technology to screen for these hidden killers.

When one considers the Human Element, Competence and Integrity, the very best equipment in the world is useless without the human capital to run it. A national lab would need the following:

*  Highly Trained Pharmacologists and Microbiologists and all grades of staff who are compensated well enough to be immune to the “lobbying” of powerful external agencies.

*  Digital Transparency: A database accessible to the public, where any citizen can enter a batch number from their medicine box and see the lab results.

Once a proper system is put in place, we need to assess as to how our facilities measure up against the WHO’s “Model Quality Assurance System.” That will ensure maintenance of internationally recognised standards. The confirmed unfavourable results of any testing procedure, if any, should lead to a very prompt “Blacklist” Initiative, which can be used to legally bar failing manufacturers from future tenders. Such an endeavour would help to keep all drug manufacturers and importers on their toes at all times.

This author believes that this article is based on the premise that the cost of silence by the medical profession would be catastrophic. Quality assurance of medicinal compounds is not an “extra” cost. It is a fundamental right of every Sri Lankan citizen, which is not at all subject to any kind of negotiation. Until our testing facilities match the sophistication of the manufacturers we buy from, we are not just importing medicine; we are importing potential risk.

The promises made by the powers-that-be to “update” the testing laboratories will remain as a rather familiar, unreliable, political theatre until we see a committed budget for mass spectrometry, cleanroom certifications, highly trained and committed staff and a fleet of independent inspectors. Quality control of therapeutic medicines is not a luxury; it is the price to be paid for a portal of entry into a civilised and intensively safe healthcare system. Every time we delay the construction of a comprehensive, proactive testing infrastructure, we are playing a game of Russian Roulette with the lives of our people.

The science is available, and the necessary technology exists. What is missing is the political will to put patient safety as the premier deciding criterion. The time for hollow rhetoric has passed, and the time for a scientifically fortified, transparent, and proactive regulatory mechanism is right now. The good health of all Sri Lankans, as well as even their lives, depend on it.

Dr B. J. C. Perera  

MBBS(Cey), DCH(Cey), DCH(Eng), MD(Paediatrics), MRCP(UK), FRCP(Edin), FRCP(Lond), FRCPCH(UK), FSLCPaed, FCCP, Hony. FRCPCH(UK), Hony. FCGP(SL) 

Specialist Consultant Paediatrician and Honorary Senior Fellow, Postgraduate Institute of Medicine, University of Colombo, Sri Lanka.

Joint Editor, Sri Lanka Journal of Child Health

Section Editor, Ceylon Medical Journal

Continue Reading

Features

Rebuilding Sri Lanka Through Inclusive Governance

Published

on

Management Committee of the 'Rebuilding Sri Lanka' Fund Appointed with Representatives from the Public and Private Sectors - PMD

In the immediate aftermath of Cyclone Ditwah, the government has moved swiftly to establish a Presidential Task Force for Rebuilding Sri Lanka with a core committee to assess requirements, set priorities, allocate resources and raise and disburse funds. Public reaction, however, has focused on the committee’s problematic composition. All eleven committee members are men, and all non-government seats are held by business personalities with no known expertise in complex national development projects, disaster management and addressing the needs of vulnerable populations. They belong to the top echelon of Sri Lanka’s private sector which has been making extraordinary profits. The government has been urged by civil society groups to reconsider the role and purpose of this task force and reconstitute it to be more representative of the country and its multiple  needs.

 The group of high-powered businessmen initially appointed might greatly help mobilise funds from corporates and international donors, but this group may be ill equipped to determine priorities and oversee disbursement and spending. It would be necessary to separate fundraising, fund oversight and spending prioritisation, given the different capabilities and considerations required for each. International experience in post disaster recovery shows that inclusive and representative structures are more likely to produce outcomes that are equitable, efficient and publicly accepted. Civil society, for instance, brings knowledge rooted in communities, experience in working with vulnerable groups and a capacity to question assumptions that may otherwise go unchallenged.

 A positive and important development is that the government has been responsive to these criticisms and has invited at least one civil society representative to join the Rebuilding Sri Lanka committee. This decision deserves to be taken seriously and responded to positively by civil society which needs to call for more representation rather than a single representative.  Such a demand would reflect an understanding that rebuilding after a national disaster cannot be undertaken by the state and the business community alone. The inclusion of civil society will strengthen transparency and public confidence, particularly at a moment when trust in institutions remains fragile. While one appointment does not in itself ensure inclusive governance, it opens the door to a more participatory approach that needs to be expanded and institutionalised.

Costly Exclusions

 Going  down the road of history, the absence of inclusion in government policymaking has cost the country dearly. The exclusion of others, not of one’s own community or political party, started at the very dawn of Independence in 1948. The Father of the Nation, D S Senanayake, led his government to exclude the Malaiyaha Tamil community by depriving them of their citizenship rights. Eight years later, in 1956, the Oxford educated S W R D Bandaranaike effectively excluded the Tamil speaking people from the government by making Sinhala the sole official language. These early decisions normalised exclusion as a tool of governance rather than accommodation and paved the way for seven decades of political conflict and three decades of internal war.

Exclusion has also taken place virulently on a political party basis. Both of Sri Lanka’s post Independence constitutions were decided on by the government alone. The opposition political parties voted against the new constitutions of 1972 and 1977 because they had been excluded from participating in their design. The proposals they had made were not accepted. The basic law of the country was never forged by consensus. This legacy continues to shape adversarial politics and institutional fragility. The exclusion of other communities and political parties from decision making has led to frequent reversals of government policy. Whether in education or economic regulation or foreign policy, what one government has done the successor government has undone.

 Sri Lanka’s poor performance in securing the foreign investment necessary for rapid economic growth can be attributed to this factor in the main. Policy instability is not simply an economic problem but a political one rooted in narrow ownership of power. In 2022, when the people went on to the streets to protest against the government and caused it to fall, they demanded system change in which their primary focus was corruption, which had reached very high levels both literally and figuratively. The focus on corruption, as being done by the government at present, has two beneficial impacts for the government. The first is that it ensures that a minimum of resources will be wasted so that the maximum may be used for the people’s welfare.

Second Benefit

 The second benefit is that by focusing on the crime of corruption, the government can disable many leaders in the opposition. The more opposition leaders who are behind bars on charges of corruption, the less competition the government faces. Yet these gains do not substitute for the deeper requirement of inclusive governance. The present government seems to have identified corruption as the problem it will emphasise. However, reducing or eliminating corruption by itself is not going to lead to rapid economic development. Corruption is not the sole reason for the absence of economic growth. The most important factor in rapid economic growth is to have government policies that are not reversed every time a new government comes to power.

 For Sri Lanka to make the transition to self-sustaining and rapid economic development, it is necessary that the economic policies followed today are not reversed tomorrow. The best way to ensure continuity of policy is to be inclusive in governance. Instead of excluding those in the opposition, the mainstream opposition in particular needs to be included. In terms of system change, the government has scored high with regard to corruption. There is a general feeling that corruption in the country is much reduced compared to the past. However, with regard to inclusion the government needs to demonstrate more commitment. This was evident in the initial choice of cabinet ministers, who were nearly all men from the majority ethnic community. Important committees it formed, including the Presidential Task Force for a Clean Sri Lanka and the Rebuilding Sri Lanka Task Force, also failed at first to reflect the diversity of the country.

 In a multi ethnic and multi religious society like Sri Lanka, inclusivity is not merely symbolic. It is essential for addressing diverse perspectives and fostering mutual understanding. It is important to have members of the Tamil, Muslim and other minority communities, and women who are 52 percent of the population, appointed to important decision making bodies, especially those tasked with national recovery. Without such representation, the risk is that the very communities most affected by the crisis will remain unheard, and old grievances will be reproduced in new forms. The invitation extended to civil society to participate in the Rebuilding Sri Lanka Task Force is an important beginning. Whether it becomes a turning point will depend on whether the government chooses to make inclusion a principle of governance rather than treat it as a show of concession made under pressure.

by Jehan Perera

Continue Reading

Trending