The bank document stated that Sri Lanka's health system today is facing challenges to sustain its performance due to rapidly changing demographics and epidemiological transitions. In particular, the cost of health care has been increasing due to the sharp rise in noncommunicable diseases linked to lifestyles and rapidly aging population. The national health system also needs to further improve to expand services to vulnerable populations with lagging health indicators. In addition, there is increased threat of emerging and resurging infectious diseases linked to environmental factors and increased cross-border migration. The status quo of the health system is inadequately prepared to deal with these evolving challenges without significant reorientation and further improvements. The proposed assistance will enhance the Sri Lanka health system to adapt to emerging challenges and deal with shifting disease burdens. It is included in Asian Development Bank (ADB)'s Sri Lanka country partnership strategy, 2018 2022.
Output 1: Primary health care strengthened, especially in lagging areas. Investments will indicatively target four provinces with underserved communities, namely Sabaragamuwa, Uva, Central, and North Central provinces, where estate and chronic kidney disease of unknown etiology (CKDu)-affected communities are present. Support for primary health care (PHC) in these provinces will focus on strengthening primary care services and community-based preventive health services to reach vulnerable areas.
Output 2: Health and disease surveillance capacity improved. This component will support health system resilience against emerging and resurging infectious diseases. Key investments will align with forthcoming recommendations of Sri Lanka’s Joint External Evaluation of International Health Regulations (2005) core capacities.
Output 3: Policy development supported. The output will support (i) further policy development in PHC reform and health care rationalization (linked with Output 1), including possible packaging of government reform program; and (ii) project management, including monitoring, procurement, and financial management.
A total of 37 person-months (14.5 international and 22.5 national) of consulting inputs will be provided under the TA. ADB will engage a firm (a total of 32 person-months) as well as two individual consultants (a total of 5 person-months).
Government US$ 0.1 million
Ministry of Health, Nutrition and Indigenous Medicine
385 Baddegama Wimalavansha Mawata
ACCOUNTABILITY MECHANISM OF ADB
The Accountability Mechanism is an independent complaint mechanism and fact-finding body for people who believe they are likely to be, or have been, adversely affected by an Asian Development Bank-financed project. If you submit a complaint to the Accountability Mechanism, they may investigate to assess whether the Asian Development Bank is following its own policies and procedures for preventing harm to people or the environment. You can learn more about the Accountability Mechanism and how to file a complaint at: http://www.adb.org/site/accountability-mechanism/main