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India-gifted ambulance service in Sri Lanka in need of critical support 

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Arguably India’s most popular project in Sri Lanka, the ambulance network has attended to about 82 lakh calls and 19 lakh medical emergencies till date, including in remote areas | File Photo

By Meera Sirinivasan

An India-gifted free ambulance service in Sri Lanka, providing vital pre-hospital emergency care across the island for eight years, appears to be in need of critical support, going by a recent social media post by a public health professional.

Yasuni Manikkage, a doctor working at a Colombo-based government hospital, on Tuesday took to ‘X’ to flag a 51-year-old man’s sudden death at his residence in Colombo. “Desperately called Suwaseriya, but they did not have any available ambulances nearby. We could not save him on time. Why is funding Suwaseriya 1990 & saving lives not a priority for Lankan government?” she asked in the post that has since drawn much attention.

The delay in response time — the nearest ambulance was 30 minutes away — is uncharacteristic of the ‘Suwaseriya 1990’ service. From the time it was launched in July 2016, with a $7.56-million Indian grant, and expanded in two years with an additional $15.09 million from India, it has made a mark with its promptness and efficiency. Arguably New Delhi’s most popular project in Sri Lanka, the ambulance network has attended to about 82 lakh calls and 19 lakh medical emergencies till date, including in remote areas.

After the initial Indian grant assistance to set up the service Sri Lanka took over and has since been running it with a team of professionals working in coordination with the Ministry of Health. Over 700 of the medical technicians were trained in India initially, but following the pandemic years Sri Lanka developed its own training programme at the University of Kelaniya.

Despite the service’s reach and wide acclaim — a World Bank report called it one of the world’s most digitally advanced and free ambulance services — sustaining it is proving a challenge after Sri Lanka’s crushing financial meltdown in 2022, according to Dumindra Ratnayaka, Chairman of the Suwaseriya Foundation.

The island nation’s unprecedented economic crisis brought with it hyperinflation and a drastic rise in living costs, pushing many Sri Lankans, including thousands of medical professionals and technicians, to seek opportunities abroad. Consequently, Sri Lanka’s public health system, and the ambulance service that is part of it, are impacted. “Of our nearly 1,500 staff, we have lost 400 since 2022,” Ratnayaka said, speaking of the difficulty in finding technicians and putting them through training before they can come on board.  Staff salaries are currently in the range of LKR 50,000 (roughly ? 13,800), with which an individual, let alone a family, can hardly make ends meet in Sri Lanka.

The government cannot increase salaries for just one section of public service, and it cannot afford salary hikes across the board at the moment, Sri Lanka’s Health Minister Ramesh Pathirana said. “We have made the necessary budgetary allocation for the ambulance service. The country is stabilising, and things are improving in the health sector too,” he told The Hindu on Wednesday.

Despite the budgetary allocation, an apparent funding crunch prompted the ambulance service to seek adoption last year. Through private sector donations and corporate assistance, it has raised LKR 750 million since, but sustaining the service may need more than individual philanthropy, public health experts noted.

Of the ambulance service’s fleet of 322 vehicles, over 50 are currently offline owing to either staff shortages, or a delay in repairs.  “Dimo, who are Tata’s agent here, have also lost many mechanics, they have migrated. That means the time taken to repair a vehicle has increased considerably,” Ratnayaka said, pointing to how the country’s enduring crisis manifests in many ways.

‘Suwaseriya’ is the “last thing” that should be underfunded, contended Colombo-based writer Andrew Fidel Fernando. He recalled how after an unexpected patellar dislocation last year, a call to 1990 brought swift and expert medical care to the spot. “It took barely 5 minutes for the ambulance to reach the park I was at, playing with my kids. The staff were very receptive, incredibly professional, and efficient. There aren’t too many things in Sri Lanka’s public service that I would call world class, but this ambulance service certainly is!” he said.

(The Hindu)



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Prez seeks Harsha’s help to address CC’s concerns over appointment of AG

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Chairman of the Committee on Public Finance (CoPF), MP Dr. Harsha de Silva, told Parliament yesterday that President Anura Kumara Dissanayake had personally telephoned him in response to a letter highlighting the prolonged delay in appointing an Auditor General, a vacancy that has remained unfilled since 07 December.

Addressing the House, Dr. de Silva said the President had contacted him following the letter he sent, in his capacity as CoPF Chairman, regarding the urgent need to appoint the constitutionally mandated head of the National Audit Office. During the conversation, the President had sought his intervention to inform the Constitutional Council (CC) about approving the names already forwarded by the President for consideration.

Dr. de Silva said the President had inquired whether he could convey the matter to the Constitutional Council after their discussion. He stressed that both the President and the CC must act in cooperation and in strict accordance with the Constitution, warning that institutional deadlock should not undermine constitutional governance.

He also raised concerns over the Speaker’s decision to prevent the letter he sent to the President from being shared with members of the Constitutional Council, stating that this had been done without any valid basis. Dr. de Silva subsequently tabled the letter in Parliament.

Last week, Dr. de Silva formally urged President Dissanayake to immediately fill the Auditor General’s post, warning that the continued vacancy was disrupting key constitutional functions. In his letter, dated 22 December, he pointed out that the absence of an Auditor General undermines Articles 148 and 154 of the Constitution, which vest Parliament with control over public finance.

He said that the vacancy has severely hampered the work of oversight bodies such as the Committee on Public Accounts (COPA) and the Committee on Public Enterprises (COPE), particularly at a time when the country is grappling with a major flood disaster.

As Chair of the Committee responsible for overseeing the National Audit Office, Dr. de Silva stressed that a swift appointment was essential to safeguard transparency, accountability and financial oversight.

In a separate public statement, he warned that Sri Lanka was operating without its constitutionally mandated Chief Auditor at a critical juncture. In a six-point appeal to the President, Dr. de Silva emphasised that an Auditor General must be appointed urgently in the context of ongoing disaster response and reconstruction efforts.

“Given the large number of transactions taking place now with Cyclone Ditwah reconstruction and the yet-to-be-legally-established Rebuilding Sri Lanka Fund, an Auditor General must be appointed urgently,” he said in a post on X.

By Saman Indrajith

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Govt. exploring possibility of converting EPF benefits into private sector pensions

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The NPP government was exploring the feasibility of introducing a regular pension, or annuity scheme, for Employees’ Provident Fund (EPF) contributors, Deputy Minister of Labour Mahinda Jayasinghe told Parliament yesterday.

Responding to a question raised by NPP Kalutara District MP Oshani Umanga in the House, Jayasinghe said the government was examining whether EPF benefits, which are currently paid as a lump sum at retirement, could instead be converted into a system that provides regular payments throughout a retiree’s lifetime.

“We are looking at whether it is possible to provide a pension,” Jayasinghe said, stressing that there was no immediate plan to abolish the existing lump-sum payment. “But we are paying greater attention to whether a regular payment can be provided throughout their retired life.”

Jayasinghe noted that the EPF was established as a social security mechanism for private sector employees after retirement and warned that receiving the entire fund in a single installment could place retirees at financial risk, particularly as life expectancy increases.

He also cautioned that interim withdrawals from the EPF undermined its long-term sustainability. “Even the interim payments that are given from time to time undermine the ability to give security at the time of retirement,” he said, distinguishing the EPF from the Employees’ Trust Fund, which provides more frequent interim benefits.

Addressing concerns over early withdrawals, the Deputy Minister explained that contributors have been allowed to withdraw up to 30 percent of their EPF balance since 2015, with a further 20 percent permitted after 10 years, subject to specific conditions and documentary proof.

Of 744 applications received for such withdrawals, 702 had been approved, he said.

The proposed shift towards an annuity-based system comes amid broader concerns over Sri Lanka’s ageing population and pressures on retirement financing. While state sector employees receive pensions funded by taxpayers, including EPF contributors, the EPF itself has been facing growing strain as it is also used to finance budget deficits.

Jayasinghe said the government’s focus was to formulate a mechanism that would ensure long-term income security for private sector employees, placing them on a footing closer to a pension scheme rather than a one-time retirement payout.

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Sajith accuses govt. of exacerbating people’s suffering to please IMF

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Opposition Leader Sajith Premadasa yesterday strongly criticised proposals to increase electricity tariffs, warning that the move would deepen the hardships faced by the public already reeling from disasters and rising fuel costs.

Premadasa, who is also the leader of the SJB, told Parliament that the government was considering an electricity price hike at a time when people were struggling to recover from recent crises, while coping with higher fuel prices. He accused the administration of acting contrary to its own election pledges and the expectations of suffering people.

Making a special statement, the Opposition Leader recalled that the government had come to power promising to reduce electricity bills by 30 percent, within three years, by shifting from fuel-based power generation to cheaper renewable sources, such as solar, wind and hydropower. Instead, he said, those commitments had been abandoned.

Premadasa pointed out that the CEB has sought approval from the Public Utilities Commission of Sri Lanka (PUCSL) for an 11.57 per cent tariff increase for the first quarter of 2026 to cover its losses. He questioned whether the government had assessed the impact of such an increase on low- and middle-income households, as well as state institutions.

He also asked why the government had failed to honour its promise to cut electricity tariffs by one-third through a transparent pricing mechanism.

The Opposition Leader further criticised the limited time allocated for public consultations on the proposed new energy policy, saying it was unfair and should be extended, particularly given the prevailing national crises.

Premadasa warned that the removal of competitive tariff structures for industries would be unjust to large-scale consumers using more than five million units of electricity, and called for comparative reports before any subsidies are withdrawn.

He added that despite earlier assurances to reduce electricity bills by 33 percent, the government has once again increased fuel prices, even as global fuel prices decline, continuing, what he described as, a pattern of broken election promises.

Accusing the government of being constrained by International Monetary Fund (IMF) conditions, Premadasa said the simultaneous increases in fuel and electricity prices were exacerbating the economic burden on the public.

By Saman Indrajith

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