Business
High out-of-pocket expenditure seen as affecting healthcare access of local households
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.’
Business
HNB Finance strengthens Board with four independent directors
HNB FINANCE PLC has strengthened its Board with the appointment of four Independent Non-Executive Directors, effective September 8, 2026.
The new directors are Renuke Wijayawardhane, Shanti Gnanapragasam, Nabiha Mohamed and Dr. Thisuri Wanniarachchi, who collectively bring extensive experience in financial regulation, banking, risk management, corporate finance, investment strategy, development finance and public policy.
Wijayawardhane, an Attorney-at-Law and capital market professional, retired in July 2025 as Chief Regulatory Officer of the Colombo Stock Exchange after more than 31 years with the Exchange. His experience covers securities regulation, corporate governance, market infrastructure and compliance.
Gnanapragasam has over four decades of banking experience spanning treasury, risk management, credit and trade finance. She currently serves as an Independent Non-Executive Director of Cargills Bank, Wealth Trust and Vision Fund Lanka.
Mohamed is a corporate finance and investment professional who previously served as Lead Transaction Advisor at the State-Owned Enterprise Restructuring Unit of the Ministry of Finance, where she led five divestiture transactions worth over US$600 million.
Dr. Wanniarachchi brings over a decade of experience in development finance, institutional reform and social protection, including work with the World Bank and the Government of Sri Lanka.
Business
Prime Residencies hands over The Palace Gampaha
Prime Lands Residencies PLC has completed and officially handed over The Palace Gampaha, described as the largest planned gated residential community in Gampaha, to its homeowners.
The development, which commenced construction in 2021, is located two kilometres from Gampaha town and 100 metres from the Colombo-Kandy main road.
Spread across 13.5 acres, The Palace Gampaha comprises 480 two- and three-bedroom apartments in a ground-plus-three-floor development, with prices starting from Rs. 27.5 million.
The project allocates about 80% of its land to landscaped areas and common facilities, while the remaining 20% is used for apartment development. Facilities include a swimming pool, gymnasium, clubhouse, library, community kitchen, laundry, mini-mart and a daycare centre managed by the Lyceum Group.
The fully gated community also incorporates solar power for common areas, underground electricity cabling and a sewage treatment plant with water recycling facilities.
Prime Residencies said all statutory approvals required for the handover had been secured, including certifications from the Condominium Management Authority and registration of the Condominium Plan and Deed of Declaration.
Prime Group Chairman Premalal Brahmanage said the project reflected the company’s vision of creating large-scale residential communities designed to enhance the quality of life of Sri Lankan families.
The project is the latest addition to Prime Group’s portfolio of more than 70 gated community and apartment developments.
Business
SLANA warns NVOCC business losing ground amid THC concerns
Sri Lanka’s Non-Vessel Operating Common Carrier (NVOCC) sector is losing ground despite the expansion of the industry in several regional markets, Sri Lanka Association of NVOCC Agents (SLANA) Chairperson Swabha Wickramasinghe said.
Wickramasinghe, re-elected for a third consecutive term at SLANA’s ninth Annual General Meeting last week said the continued difficulty in collecting Colombo Terminal Handling Charges (THC) as a separate land-based cost was among the key challenges facing the industry.
She said the practice placed Sri Lanka at a competitive disadvantage as principals consider the overall economics of operating through Colombo.
“When Sri Lanka becomes less commercially attractive compared with other regional destinations, the consequences eventually reach our members,” she said.
Wickramasinghe said a committee had been proposed at a recent meeting with the Minister and Deputy Minister to evaluate the THC issue, urging the authorities to expedite its appointment and review.
She also called for an early solution to the problem of uncleared salt containers at the Port of Colombo, which has resulted in delays in releasing empty containers.
With more than 75 NVOCC lines operating in Sri Lanka, she stressed the sector’s importance to regional trade, particularly links with India and China.
Ports Minister Anura Karunathilaka said Sri Lanka should expand regional business while exploring areas such as bunkering, freight forwarding and e-commerce logistics.
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