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Shortages: Auditor General’s report sheds light on many ills in health sector

By Saman Indrajith
The expenditure on medical supplies in the first quarter of 2022 was only Rs. 12.4 billion, a sharp drop from 2020 and 2021, the Auditor General’s Special Report on Procedures taken to avoid the Shortage of Pharmaceuticals in government hospitals by 13 May 2022, has revealed.
The amounts spent on medical supplies during the year 2020 and year 2021 were Rs. 83.5 billion and Rs. 73.6 billion respectively.
The actual quarterly average expenses on medical supplies in 2020 and 2021 were Rs. 20.8 billion and Rs. 18.4 billion respectively, the report has said.
The number of pharmaceutical items used in hospitals as Vital, Essential and Non-essential is 1,146; the number of surgical items is 8,648; the number of laboratory items is 3,900 and the number of the X-ray items is 44.
By 13 May, the number of Vital and Essential drugs out of stock in the Medical Supplies Division and hospitals was 190 and 51 respectively. Besides, 2,724 and 2,156 Vital and Essential surgical items were out of stock in the Medical Supplies Division and hospitals respectively at that time.
The number laboratory items and X-ray items out of stock in the Medical Supplies Division and hospitals was 850 and 18 respectively.The report says the future annual requirement is estimated by the respective hospital authorities based on the consumption and the remaining stocks, and sent to the Medical Supplies Division 13 months prior to the month in which the supply is required.
In the process of procuring medical supplies, the Medical Supplies Division has to send orders to the State Pharmaceutical Corporation for the procurement of estimated items with a supply period of 11 months.
The report has stated that the National Drug Quality Assurance Laboratory was established under the National Medicine Regulatory Authority to assist in the process of verifying the standards of procured medical supplies. Cabinet approval was given, on 15 October 2009, for the five-year Development Plan from 2010 to 2015, which was prepared at a cost of Rs. 410 million to develop the infrastructure and human resources of the National Pharmaceutical Quality Control Laboratory with a view to increasing the number of laboratory tests to check the quality of medical supplies.
According to the Manual on Management of Drugs, pharmaceuticals should be stored in well-ventilated spaces at specified temperatures. The Medical Supplies Division should maintain a secure stock for three months, and in addition to regular checks by a staff officer, sample testing should be done for the confirmation of the accuracy of drug storage and accounting.
The Auditor General’s report has said a number of other factors have contributed to shortages––poorly maintained computer system, lack of proper coordination and coordination between the Medical Supplies Division, the Ministry of Health, the State Pharmaceutical Corporation of Sri Lanka and the State Pharmaceutical Manufacturing Corporation of Sri Lanka, lack of regular monitoring, and progress of orders issued to the State Pharmaceutical Corporation of Sri Lanka and noncompliance with the procurement schedule.
The AG has found that the Medical Supplies Division submitted lists of orders for the respective year to the State Pharmaceutical Corporation of Sri Lanka through MSMIS or PRONTO computer system with a lead time of 11 months, but the corporation had not immediately commenced procurement process for those orders and the procurement was delayed until written copies of the order list were received by the corporation.
It took more than 18 days to send the written copies of the orders to the Import Division of the State Pharmaceutical Corporation, and since procurement had only begun thereafter, part of the supply period of 11 months had elapsed. Pharmacists and senior officials in the Medical Supplies Division placed the order through the computer system, but there had been a delay in sending written documents., the Auditor General has said.
Although 41 orders out of 90 for eight vital items and essential items were issued by the computer system to the State Pharmaceutical Corporation of Sri Lanka in the first two months of the year, it had taken between 18 days and six months for the Import Division of the State Pharmaceutical Corporation to receive the written copies of the order lists, the report found.
This shows that there is a lack of coordination among the Medical Supplies Division, Ministry of Health, State Pharmaceutical Corporation of Sri Lanka and State Pharmaceutical Manufacturing Corporation, which are mainly involved in the management of medical supplies, the Auditor General has observed in his report.
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Sri Lanka Coast Guard commence clearing oil spill in Maduru Oya Reservoir

The Sri Lanka Coast Guard launched an operation to clear the oil spill caused by the crash of a Sri Lanka Air Force Bell 212 helicopter into the Maduru Oya Reservoir, during a training flight on 09 May 2025.
The efforts to clear the oil spill are ongoing and will continue today, 10 May.
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Maduru Oya helicopter crash: Army, Air Force launch probes

Bell 212 accident during passing out parade kills six military personnel, injures six others
A Bell 212 helicopter, belonging to the Sri Lanka Air Force (SLAF), crashed into the Maduru Oya reservoir yesterday morning, killing six forces personnel and injuring six others. The helicopter was on a routine mission in support of a Special Forces passing-out parade when it encountered technical difficulties and attempted an emergency landing.
The crash occurred at approximately 8:17 a.m., after the helicopter took off from the SLAF Base Hingurakgoda, at 6:47 a.m., and picked up Army personnel in Maduru Oya around 7:08 a.m. According to the SLAF, the aircraft was conducting a heli-rappelling drill as part of a military demonstration when it suffered a technical malfunction shortly after takeoff.
The aircraft was carrying 12 individuals—six from the Army and six from the Air Force, including two pilots. Initial rescue efforts led to all passengers being retrieved alive and transported to the Aralaganwila Regional Hospital, with eight later transferred to the Polonnaruwa General Hospital due to the severity of their injuries.
Despite emergency medical care, six of the personnel succumbed to their injuries—four Army Special Forces soldiers and two Air Force members. Among the deceased were helicopter gunmen and elite Special Forces troops.
In the wake of the tragedy, both the Army and Air Force have launched separate investigations to determine the cause of the crash. Air Force Commander Air Marshal Bandu Edirisinghe has appointed a nine-member inquiry committee, while Army Commander Lieutenant General Lasantha Rodrigo confirmed that expert teams have been dispatched to the crash site to gather evidence.
Air Force spokesperson Group Captain Eranda Geeganage said the crash occurred during a drill demonstration at the training school and that the exact cause of the accident remains unknown at this time.The remaining six injured personnel are still receiving treatment, with their conditions being closely monitored.
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News
Cardinal Prevost becomes Pope Leo XIV

Nearly half a century has passed since the Catholic Church last had an Italian Pope. In the hallowed corridors of the Vatican, as the Conclave began deliberations to elect a successor to Pope Francis, several Italian names were whispered with increasing frequency. Chief among them was Cardinal Pietro Parolin, the Vatican’s Secretary of State, a seasoned diplomat, and well-known among the electors. Others, like Cardinals Pierbattista Pizzaballa and Matteo Zuppi, also had their share of admirers.
Yet, when the white smoke rose above the Sistine Chapel, it was not an Italian who emerged. Instead, the Cardinals turned to an unheralded American – Robert Francis Prevost, a canon law professor and lifelong missionary – electing him as successor to St. Peter. He has taken the name Pope Leo XIV.
Though born in the United States, Pope Leo’s spiritual and pastoral heart lies in Peru, where he spent much of his life in missionary service. His elevation comes as a surprise to many as he had been made a Cardinal just two years earlier, appointed by Pope Francis himself. A relative newcomer in the College of Cardinals, he was seen by many as a wildcard – yet perhaps that’s exactly what the Church needed.
At 69, Pope Leo is poised for what could be a lengthy pontificate – time enough, perhaps, to carry forward the reforms initiated by his predecessor. It’s no secret that Pope Francis saw in him a leader fit for the challenges of global Catholicism. When Prevost returned from Peru to head the Augustinian Order – a role he held for 12 years – it was Francis who sent him back across continents, appointing him Bishop of Chiclayo and entrusting him with pastoral care once more in Peru.
Those close to the new Pontiff describe him as deeply spiritual, a steady hand, and a bridge-builder, qualities sorely needed in a Church increasingly split between traditionalists and reformists. He is expected to offer a more measured, balanced approach on key issues, fostering dialogue rather than division.
In many ways, this Conclave echoed the dramatic scenes of October 1978, when an unknown outsider from Poland – Karol Wojtyla – was chosen as Pope John Paul II. Like then, the Cardinals have once again looked beyond the obvious front-runners. But, unlike 1978, when it took eight ballots to break the deadlock and settle on a compromise, this time it took just four.
That speed speaks volumes. The Cardinals were not merely settling – they were convinced that here’s the man to take the Church forward. In Cardinal Prevost, they found a shepherd capable of steering the Church through a time of transition, someone who could temper Franciscan reform with pastoral wisdom and unite a divided flock under the banner of faith and humility.
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