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Published by:
Global Health Delivery Project (GHD) (2018)
Version:
October 2018
Revision date:
21-Jan-2019
Length:
44 pages
Data source:
Published sources

Abstract

This case describes the development and structure of Sri Lanka's health system, which has yielded health outcomes far superior to any of its South Asian neighbors. The case highlights factors supporting the health outcomes, including the availability of free health services to all citizens, government investment in the health workforce, and the care-seeking behavior of Sri Lankan citizens. After providing an overview of Sri Lanka's history, geography, demographics, and economy, the case traces the evolution of the public sector health system from the precolonial era through the period of heavy investment in health from the 1930s through 1950s and on into the 21st century. The case describes the management of the system and the relationship between the national health ministry and provincial and local governments. It examines how health professionals are trained and deployed throughout the system, the supply chain, and financing. The case then examines the growing private health sector, its relationship with the public sector, and the role of innovation. After a summary of the country's health outcomes, readers are pushed to think about what it will take to address the changing epidemiological burden to continue to boast exemplary health outcomes and provide quality health care to those who need it. This case is part of the Global Health Delivery Project free case collection (visit www.thecasecentre.org/ghdfreecases for more information on the collection).

Topics

Public health; Program management, health care delivery; Infrastructure; Universal health care; Behavioral economics; Operational effectiveness; Employee retention; Health care policy; Government policy

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