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Health Scenario in Sri Lanka

Health Scenario in Sri Lanka. Dr.Sarath Samaraga Deputy Director General (Planning). Sri Lanka. Total Population 20.064 m (2004). GDP per capita 947 USD (2003). GDP per capita (PPP US$) 4,300. Human Development Index (HDI) 0.751 (2005).

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Health Scenario in Sri Lanka

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  1. Health Scenario in Sri Lanka Dr.Sarath Samaraga Deputy Director General (Planning)

  2. Sri Lanka Total Population 20.064 m (2004) GDP per capita 947 USD (2003) GDP per capita (PPP US$) 4,300 Human Development Index (HDI) 0.751 (2005) Sri Lanka is ranked 93rd in the 2005 Human Development Report, with an HDI value of 0.751.

  3. Sri Lanka • Life expectancy at birth (years) 73 • Adult literacy rate 92.3 • Infant Mortality Rate 14.35 / 1000 LB • Hospital beds: 3.6 per 1,000 persons • Doctors: 2,300 persons per doctor • Nurses: 826 persons per staff nurse

  4. Problems • Malnutrition • rapid increase in noncommunicable diseases • violence and injuries (intentional and unintentional) • malaria, TB, dengue and filariasis • the above-mentioned problems are compounded for the poor population, with an estimated 25% of the population below the ‘national’ poverty line and 7% on less than one dollar/day.

  5. Management Organisation Resource Inputs Service Provision Financial Support Health Sector as an organic system

  6. Government Private Western + + Indigenous + + Others + SECTORS

  7. Human Resources

  8. Doctors and Nurses in the Health Sector over the years.

  9. Health Financing

  10. Public Resource Mobilization and Resource Allocation:Issues Facing the Health Sector in Sri Lanka

  11. MINIMUM FINANCING NEED $ 30-40 PER PERSON PER YEAR TO COVER ESSENTIAL INTERVENTIONS Sri Lanka currently spending about $ 29 per capita 50% by the state 50% Private Only 1% Private Health Insurance Per capita health expenditure 3.2% of GDP

  12. Who Pays? Source: Annual Health Accounts, Ministry of Health 2002

  13. IS SRI LANKA INVESTING ENOUGH IN HEALTH? NOT BY INTERNATIONAL STANDARDS NHE/GDP% NHE/GDP% Sri Lanka 3.2% UK 6.8% Philippines 3.6% Canada 9.2% Thailand 3.7% Australia 8.3% Bangladesh 3.9% Japan 7.5% Myanmar ? Source: IPS-NHA 2002

  14. Sri Lanka MOH Health Expenditure Share of GDP, 1939 to 2003 Figure 01 * MOH Health Expenditure combines Recurrent & Capital Expenditures , 2003 is based on Estimates

  15. Trends in Sri Lanka Public Expenditure Shares of GDP for Health, Education and Defence, 1972-2003 Figure 02

  16. Scenario A = GDP share growing to 1.49 120 100 80 Billions of Rps 60 40 20 Low GDP Growth 0 Medium GDP Growth 1996 1997 1998 1999 2000 2001 2002 2004 2005 2006 2007 2009 2010 2011 2012 2014 2015 2003 2008 2013 High GDP Growth Year Estimated Growth of Health Expenditure by Government of Sri Lanka 2001-2015 Source: Health sector master plan study 2003

  17. Age Pyramid 1981 and 2001

  18. Planning Issues & Challenges Required Policy Framework and Guiding Principles 1: Responding to Epidemiology (Service and System) In order to meet the epidemiological changes, reorientation of the health care services and their delivery system is a must. This can be derived from the following three principles: • Principle 1: Prioritisation and Characterisation of Disease (Communicable/Non Communicable) • Principle 2: Exploration and Development of New Strategy • Principle 3: Linking and Integrating Services and Systems

  19. Planning Issues & Challenges Required Policy Framework and Guiding Principles 2: Responding to Patients’ Expectation (Culture and Care) Not only through the global awakening of patient’s right and equity, but also by looking at the characteristics of the disease itself, patient participation and satisfaction bears greater importance in the success of treatment. Greater efforts are needed in educating patients as well as health service providers to make better choices. This calls for reorientation of people’s cultural norm on the health care in association with the following principles: Principle 1: Improvement of “Quality and Safety” Principle 2: Securing of “Patient Right” Principle 3: Enhancement of “Client Satisfaction”

  20. Planning Issues & Challenges Required Policy Framework and Guiding Principles 3: Responding to Efficacy of the System (Mission and Management) Reorientation of the health sector organisation, management and information systems is required to respond to efficacy of the system. In the changing situation, it must reframe the entire management system to: Principle 1: Be Accountable Principle 2: Be Flexible Principle 3: Be Efficient

  21. thank you!

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