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High out-of-pocket expenditure seen as affecting healthcare access of local households

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Dr. Anuji Gamage

By Ifham Nizam

Although the general understanding is that universal health coverage (UHC) could be achieved only through publicly- funded healthcare systems, high out-of-pocket expenditure (OOPE) is a tax on health and leaves many a local household behind with regard to availing substantial healthcare, General Sir John Kotelawala Defense University’s, Senior Lecturer, Dr. Anuji Gamage said.

Speaking at a recent symposium held at the BMICH titled ‘Poverty Alleviation in an Era of Economic Crisis; Impact of Socioeconomic Disparities on Vulnerabilities’ under the specific topic, `Unravelling the Facts Influencing Health Care Access Outcomes’, she said that OOPE accounts for about 50 percent of total health expenditures in Sri Lanka.

Dr. Gamage added: ‘Sri Lankan households spend private money on healthcare services due to various reasons. Considering NCD care, monthly household expenditure is approximately Rs. 5000.00. The direct health and non-health costs incurred on regular clinic follow-up for NCD (Non-communicable diseases care) at public and private healthcare facilities lead to high Catastrophic Health Expenditure (25%).

‘Patients incur high OOPE on direct medical costs. There are sector-wise variations in OOPE. Costs incurred for vehicle hiring are higher for the estate sector, whereas by-stander cost was very high for urban dwellers. These sectoral determinants should be studied. When we analyze for direct non-health reasons for OOPE, it was for by-standers and transport-related costs.

‘High out-of-pocket expenditures by families to obtain medical care can impoverish them and affect their healthcare-seeking decisions, ultimately hindering Sri Lanka from achieving universal health coverage (UHC).

‘Sri Lanka is a welfare state that provides free healthcare and education. The assumption is that a healthy human would contribute to growth by being economically active. Hence, these have high returns on investments (ROI). The understanding is that UHC can only be achieved through publicly funded healthcare systems.

‘Recent studies have revealed that the proportion of chronic diseases and complications are high in Sri Lanka. Patients with chronic conditions incur high OOPE for hospital admission and are prone to catastrophic health expenses. Studies have repeatedly found that services rendered to patients with chronic conditions warrant a more integrative approach to reduce the burden of costs and that essential services need to be delivered uninterruptedly.’



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Global Insurance leaders to converge in Colombo for MDRT Sri Lanka Day 2026

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In a first for Sri Lanka’s insurance industry, the country will host MDRT Sri Lanka Day 2026, also known as International Insurance Day, bringing together global leaders, professionals and organisations from the international financial services and insurance sectors.

The initiative, organised by the Million Dollar Round Table (MDRT), will mark Sri Lanka’s inaugural MDRT Day and is scheduled to be held on 18 May 2026.

MDRT Country Chair – Sri Lanka, Lahiru Maduranga, said the event would provide a significant opportunity to position Sri Lanka on the global insurance and financial services map.

“This is an excellent opportunity for Sri Lanka to host such a prestigious event and to promote the country’s standing globally,” Maduranga said.

He made these remarks at the official sundown launch announcing the event, held on 26 January at 8 Degrees on the Lake, Cinnamon Lakeside, Colombo.

The launch was attended by the Chairman and Director General of the Insurance Regulatory Commission of Sri Lanka, chief executive officers of insurance companies, and regional and zonal chairs of MDRT, at which the official date of MDRT Sri Lanka Day 2026 was unveiled.

Maduranga said the landmark event aims to bring the spirit and experience of the MDRT Annual Meeting to the Sri Lankan MDRT community. The programme will feature the MDRT President, Executive Committee members and internationally renowned speakers, offering world-class insights, inspiration and professional development aligned with MDRT values.

He noted that many Sri Lankan MDRT members face challenges in attending the Annual Meeting overseas due to foreign exchange constraints and visa limitations. Of more than 1,200 MDRT achievers in Sri Lanka, only around 50 were able to attend the Annual Meeting in the United States.

“This initiative marks a significant step forward in strengthening the MDRT culture in Sri Lanka and in elevating professional standards within the local insurance services sector,” Maduranga said.

The MDRT Membership Communication Committee (MCC) serves as the official liaison between MDRT Headquarters in the United States and the Sri Lankan MDRT community, overseeing communication, engagement and coordination with the local financial services sector.

Founded in 1927 in the United States, the Million Dollar Round Table (MDRT) is the world’s most prestigious association of insurance and financial services professionals. MDRT represents the highest standards of professional excellence, ethics and performance in the industry. Its Annual Meeting, traditionally held in the United States, attracts more than 10,000 top-performing members from around the world each year.

By Hiran H Senewiratne

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ESOFT UNI Kandy leads the charge in promoting rugby among private universities

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With the aim of fostering a passion for rugby among students in private universities and higher education institutes across Sri Lanka, ESOFT UNI Kandy has launched a special sports development initiative.

As a part of this program, a series of rugby encounters were recently organized between the ESOFT UNI Kandy rugby team and the SLIIT Kandy Uni rugby team. The matches were held at the Peradeniya University Rugby Grounds.

Two highly competitive matches were played during the event. In the first game, the ESOFT UNI Kandy rugby team secured a victory over SLIIT Kandy Uni with a score of 17-07. They maintained their winning streak in the second match as well, defeating their opponents with a final score of 12-07.

This initiative is seen as a significant step toward building a robust sporting culture within the private higher education sector in the hill capital.

The initiation has been started with Rugby and will soon be extended to Cricket, Football, Martial Arts, Badminton, Hockey, Chess, and other areas of sports as well. ESU believes that the development of soft skills, parallel to higher education, will help shape highly capable, industry-ready, and employable students who can confidently face any personal and professional challenges they encounter during their journey.

Dimuthu Thammitage, General Manager, ESU Central Region said: Today’s job market demands highly employable individuals who possess not only educational qualifications but also strong soft skills, which can be effectively developed through sports. Therefore, we warmly invite other educational institutions to join hands with us in producing highly employable students together through sports.

Lakpriya Weerasinghe, Deputy General Manager, ESU Kandy said: At ESOFT Uni, we believe that sports play a vital role in improving students’ personalities through the development of essential soft skills. Therefore, we encourage our students to actively join our clubs and enhance their soft skills alongside their academic education.

Oshara Chamod Bandara, MIC Rugby Club, ESU Kandy said: Sports are iconic to Kandy. As the MIC of the ESU Kandy Rugby Team, I am truly happy to see the enthusiasm of our students towards sports while actively engaging in their studies. I warmly invite other students to join our clubs and further develop their skills alongside their academic journey.

Text and Pix By S.K. Samaranayake

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Altair issues over 100+ title deeds post ownership change

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Altair Residences have, over the past six months, seen more than 100 individual title deeds being executed by apartment owners, providing owners with a clear, registered, legal title to their apartments in accordance with Sri Lankan property law. This has been a key initiative by the new owners and management of Altair to improve governance and will continue in an orderly manner in the coming months.

With the transition of ownership to Blackstone India, Altair’s Management Council has also been formally constituted, enabling owners to play an active and proactive role in the management of the Altair building. In addition, the management council has appointed Realty Management Services (RMS), a subsidiary of Overseas Realty Ceylon PLC, as the new facility manager of Altair.

Commenting on these milestones, Thilan Wijesinghe, Chairman of TWC Holdings, who, together with a team from TWC, represents Blackstone’s interests in Sri Lanka, said, “The issuance of individual title deeds is a critical step in any professionally developed residential asset. Over the past six months, this process at Altair has moved forward in a structured and transparent manner, alongside the formal establishment of owner-led governance. This, combined with the appointment of experienced facility managers are fundamental building block for long-term value-creation for apartment owners and proper asset stewardship.”

With ongoing improvements to the building being undertaken by Indocean Developers Pvt Ltd (IDPL), the owning company of Altair, the issuance of deeds to owners is expected to accelerate over the coming months.

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