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

  • Sri Lanka
Geographic location 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
Stage of the project cycle. Stages vary by development bank and can include: pending, approval, implementation, and closed or completed.
Bank Risk Rating
Environmental and social categorization assessed by the development bank as a measure of the planned project’s environmental and social impacts. A higher risk rating may require more due diligence to limit or avoid harm to people and the environment. For example, "A" or "B" are risk categories where "A" represents the highest amount of risk. Results will include projects that specifically recorded a rating, all other projects are marked ‘U’ for "Undisclosed."
Voting Date
Oct 5, 2017
Date when project documentation and funding is reviewed by the Board for consideration and approval. Some development banks will state a "board date" or "decision date." When funding approval is obtained, the legal documents are accepted and signed, the implementation phase begins.
Government of Sri Lanka
A public entity (government or state-owned) provided with funds or financial support to manage and/or implement a project.
  • 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, guarantee, technical assistance, advisory services, equity and fund.
Grant Amount (USD)
$ 0.50 million
Value listed on project documents at time of disclosure. If necessary, this amount is converted to USD ($) on the date of disclosure. 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, this amount is converted to USD ($) on the date of disclosure. Please review updated project documents 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
If provided by the financial institution, the Early Warning System Team writes a short summary describing the purported development objective of the project and project components. Review the complete project documentation for a detailed 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
Here you can find a list of individual development financial institutions that finance the project.

Government US$ 0.1 million

Contact Information
This section aims to support the local communities and local CSO to get to know which stakeholders are involved in a project with their roles and responsibilities. If available, there may be a complaint office for the respective bank which operates independently to receive and determine violations in policy and practice. Independent Accountability Mechanisms receive and respond to complaints. Most Independent Accountability Mechanisms offer two functions for addressing complaints: dispute resolution and compliance review.


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


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:

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