Preparing the Health System Enhancement Project (ADB-51107-001)

  • Sri Lanka
Where the impacts of the investment may be experienced.
Financial Institutions
  • Asian Development Bank (ADB)
International, regional and national development finance institutions. Many of these banks have a public interest mission, such as poverty reduction.
Project Status
Bank Risk Rating
Risk rating varies among banks and may refer only to the particular investment and not to the risk for the project as a whole. Projects marked 'U' have an 'Unknown' risk rating at the time of disclosure.
Voting Date
Oct 5, 2017
The estimate day the bank will vote on a proposed investment. The decision dates may change, so review updated project documents or contact the EWS team.
Government of Sri Lanka
The holder of the loan, grant, or other investment.
  • Education and Health
The service or industry focus of the investment. A project can have several sectors.
Investment Type(s)
The categories of the bank investment: loan, grant, etc.
Grant Amount (USD)
$ 0.50 million
Value listed on project documents at time of disclosure. If necessary, converted to USD$. Please review updated project documents for more information.
Project Cost (USD)
$ 0.60 million
Value listed on project documents at time of disclosure. If necessary, converted to USD$. Please see updated project documentation for more information.
Primary Source

Original disclosure @ ADB website

Updated in EWS Jul 20, 2020

Disclosed by Bank Oct 6, 2017

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Project Description

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).

Investment Description
  • Asian Development Bank (ADB)

Government US$ 0.1 million

Contact Information


Ministry of Health, Nutrition and Indigenous Medicine
385 Baddegama Wimalavansha Mawata
Colombo 10
Sri Lanka


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