Publication:
Health Care in Sri Lanka : What Can the Private Health Sector Offer?

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dc.contributor.authorNavaratne, Kumari
dc.contributor.authorGovindaraj, Ramesh
dc.contributor.authorCavagnero, Eleonora
dc.contributor.authorSeshadri, Shreelata Rao
dc.date.accessioned2014-09-09T21:23:52Z
dc.date.available2014-09-09T21:23:52Z
dc.date.issued2014-06
dc.description.abstractThis review represents an attempt to bridge the significant knowledge gaps on the private health sector in Sri Lanka, and foster a dialogue on opportunities for collaboration between the government and the private sector. It accomplishes this through a systematic collection and analysis of primary and secondary data on the provision, financing, and regulation of health care services. On health service delivery, the review finds that the private sector: includes a range of providers; focuses primarily on curative and outpatient services rather than preventive services; is heavily dependent on the public sector for its supply of human resources; and is concentrated in urban areas. The quality of health care services in Sri Lanka in both the private and public sectors, while better than in most developing countries, still lags behind those in more advanced countries. There is also little systematic dialogue and collaboration between the public and private sectors. On financing, the review finds that private health expenditure is more than half of total health expenditure, mostly in the form of out-of-pocket payments by households, with clear implications for Sri Lanka's progression toward universal health coverage. On stewardship and regulation, there is a clear and urgent need to bridge the existing gaps in the legal and regulatory framework, and in the enforcement of health regulations applicable to the private sector, as well as to create an enabling environment for more effective private sector participation in the health sector. The review demonstrates that the private health sector in Sri Lanka is a growing force, due both to greater investment from private players as well as greater demand from the population. The review highlights areas where a more effective engagement with the private sector could ensure that Sri Lanka is able to offer its citizens universal access to good quality health service while also stimulating economic growth.en
dc.identifierhttp://documents.worldbank.org/curated/en/2014/06/20053127/health-care-sri-lanka-can-private-health-sector-offer
dc.identifier.doi10.1596/20018
dc.identifier.urihttps://hdl.handle.net/10986/20018
dc.languageEnglish
dc.language.isoen_US
dc.publisherWorld Bank, Washington, DC
dc.relation.ispartofseriesHealth, Nutrition and Population (HNP) discussion paper;
dc.rightsCC BY 3.0 IGO
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo/
dc.subjectACCESS TO HEALTH SERVICES
dc.subjectACCOUNTABILITY
dc.subjectACCOUNTING
dc.subjectAGE STRUCTURE
dc.subjectAGING
dc.subjectAMBULATORY CARE
dc.subjectANCILLARY SERVICES
dc.subjectANTENATAL CARE
dc.subjectAVAILABILITY OF DRUGS
dc.subjectBLOOD BANK
dc.subjectBLOOD PRESSURE
dc.subjectBREASTFEEDING
dc.subjectBURDEN OF DISEASE
dc.subjectCATASTROPHIC EXPENDITURE
dc.subjectCATASTROPHIC EXPENDITURES
dc.subjectCHILD HEALTH
dc.subjectCHILDBIRTH
dc.subjectCHILDHOOD VACCINATION
dc.subjectCLEANLINESS
dc.subjectCLINICS
dc.subjectCOMMUNICABLE DISEASES
dc.subjectCOST OF CARE
dc.subjectCOST OF HEALTH CARE
dc.subjectDEATHS
dc.subjectDECISION MAKING
dc.subjectDELIVERY OF SERVICES
dc.subjectDELIVERY SYSTEM
dc.subjectDENTAL SURGERY
dc.subjectDIAGNOSIS
dc.subjectDIAGNOSTIC SERVICES
dc.subjectDIAGNOSTIC TESTS
dc.subjectDISPENSARIES
dc.subjectDOCTORS
dc.subjectECONOMIC GROWTH
dc.subjectEMBRYO TRANSFER
dc.subjectEMPLOYMENT
dc.subjectEPIDEMIOLOGICAL TRANSITION
dc.subjectETHICAL ISSUES
dc.subjectFAMILY PLANNING
dc.subjectFINANCIAL INFORMATION
dc.subjectGENERAL PRACTITIONERS
dc.subjectGROSS DOMESTIC PRODUCT
dc.subjectGYNECOLOGY
dc.subjectHEALTH AUTHORITIES
dc.subjectHEALTH CARE
dc.subjectHEALTH CARE ACCESS
dc.subjectHEALTH CARE FACILITY
dc.subjectHEALTH CARE FINANCING
dc.subjectHEALTH CARE INSTITUTIONS
dc.subjectHEALTH CARE POLICY
dc.subjectHEALTH CARE PROVIDER
dc.subjectHEALTH CARE PROVIDERS
dc.subjectHEALTH CARE PROVISION
dc.subjectHEALTH CARE SERVICES
dc.subjectHEALTH CARE SYSTEM
dc.subjectHEALTH CLINIC
dc.subjectHEALTH COVERAGE
dc.subjectHEALTH DATA
dc.subjectHEALTH DATABASE
dc.subjectHEALTH EXPENDITURE
dc.subjectHEALTH EXPENDITURES
dc.subjectHEALTH FACILITIES
dc.subjectHEALTH FINANCING
dc.subjectHEALTH INDICATORS
dc.subjectHEALTH INFORMATION
dc.subjectHEALTH INSTITUTIONS
dc.subjectHEALTH INSURANCE
dc.subjectHEALTH INSURANCE COVER
dc.subjectHEALTH INSURANCE COVERAGE
dc.subjectHEALTH INSURANCE POLICIES
dc.subjectHEALTH POLICY
dc.subjectHEALTH PROMOTION
dc.subjectHEALTH PROVIDERS
dc.subjectHEALTH REGULATIONS
dc.subjectHEALTH RESEARCH
dc.subjectHEALTH SCREENING
dc.subjectHEALTH SECTOR
dc.subjectHEALTH SERVICE
dc.subjectHEALTH SERVICE DELIVERY
dc.subjectHEALTH SERVICE PROVISION
dc.subjectHEALTH SERVICES
dc.subjectHEALTH SERVICE­DELIVERY
dc.subjectHEALTH SPECIALIST
dc.subjectHEALTH STATUS
dc.subjectHEALTH SYSTEM
dc.subjectHEALTH UNIT
dc.subjectHEALTH UNITS
dc.subjectHEALTHCARE
dc.subjectHEALTHCARE SERVICES
dc.subjectHOMEOPATHY
dc.subjectHOSPITAL BEDS
dc.subjectHOSPITAL CARE
dc.subjectHOSPITALS
dc.subjectHOUSEHOLD BUDGETS
dc.subjectHOUSEHOLD EXPENDITURE
dc.subjectHOUSEHOLD INCOME
dc.subjectHUMAN DEVELOPMENT
dc.subjectHUMAN RESOURCES
dc.subjectHUMAN TISSUES
dc.subjectHYGIENE
dc.subjectILLNESS
dc.subjectIMMUNIZATION
dc.subjectINCOME
dc.subjectINCOME COUNTRIES
dc.subjectINDEPENDENT MEDICAL PRACTITIONERS
dc.subjectINEQUALITIES IN HEALTH CARE
dc.subjectINFORMATION SYSTEM
dc.subjectINPATIENT CARE
dc.subjectINSURANCE
dc.subjectINSURANCE COMPANIES
dc.subjectINSURANCE FIRMS
dc.subjectINSURANCE PREMIUM
dc.subjectINSURANCE PREMIUMS
dc.subjectINTEREST RATE
dc.subjectIRON
dc.subjectLABORATORY SERVICES
dc.subjectLABORATORY TECHNICIANS
dc.subjectLABORATORY TESTING
dc.subjectLEGAL FRAMEWORK
dc.subjectLIFE EXPECTANCY
dc.subjectLIFE INSURANCE
dc.subjectMARKETING
dc.subjectMEDICAL BENEFITS
dc.subjectMEDICAL BILLS
dc.subjectMEDICAL EQUIPMENT
dc.subjectMEDICAL GOODS
dc.subjectMEDICAL INSURANCE
dc.subjectMEDICAL RECORDS
dc.subjectMEDICAL SERVICES
dc.subjectMEDICAL STAFF
dc.subjectMEDICAL SUPPLIES
dc.subjectMEDICATION
dc.subjectMEDICINES
dc.subjectMENTAL HEALTH
dc.subjectMINISTRY OF FINANCE
dc.subjectMORBIDITY
dc.subjectMORTALITY
dc.subjectNONPROFIT SECTOR
dc.subjectNOTIFIABLE DISEASES
dc.subjectNURSES
dc.subjectNURSING
dc.subjectNURSING CARE
dc.subjectNURSING HOMES
dc.subjectNUTRITION
dc.subjectOUTCOME INDICATORS
dc.subjectOUTPATIENT CARE
dc.subjectOUTPATIENT SERVICES
dc.subjectPATIENT
dc.subjectPATIENT SATISFACTION
dc.subjectPATIENTS
dc.subjectPEDIATRICS
dc.subjectPHARMACISTS
dc.subjectPHYSICIAN
dc.subjectPOCKET PAYMENTS
dc.subjectPOCKET PAYMENTS BY HOUSEHOLDS
dc.subjectPOLICY RESEARCH
dc.subjectPOSTNATAL CARE
dc.subjectPREVENTIVE CARE
dc.subjectPREVENTIVE HEALTH SERVICES
dc.subjectPRIMARY CARE
dc.subjectPRIMARY HEALTH CARE
dc.subjectPRIVATE FINANCING
dc.subjectPRIVATE HEALTH INSURANCE
dc.subjectPRIVATE HEALTH SERVICES
dc.subjectPRIVATE HOSPITAL SECTOR
dc.subjectPRIVATE HOSPITALS
dc.subjectPRIVATE INSURANCE
dc.subjectPRIVATE PHARMACIES
dc.subjectPRIVATE PROVIDERS
dc.subjectPRIVATE SECTOR
dc.subjectPRIVATE SECTOR ACTORS
dc.subjectPRIVATE SECTOR FINANCING
dc.subjectPRIVATE SECTORS
dc.subjectPRIVATE SPENDING
dc.subjectPROVISION OF HEALTH CARE
dc.subjectPROVISION OF HEALTH SERVICES
dc.subjectPROVISION OF SERVICES
dc.subjectPUBLIC EXPENDITURE
dc.subjectPUBLIC HEALTH
dc.subjectPUBLIC HEALTH CARE
dc.subjectPUBLIC HEALTH CARE SYSTEM
dc.subjectPUBLIC HEALTH OBJECTIVES
dc.subjectPUBLIC HEALTH PROGRAMS
dc.subjectPUBLIC HEALTH SERVICES
dc.subjectPUBLIC HEALTH SYSTEM
dc.subjectPUBLIC HOSPITAL
dc.subjectPUBLIC HOSPITALS
dc.subjectPUBLIC SECTOR
dc.subjectPUBLIC SECTORS
dc.subjectPUBLIC SERVICES
dc.subjectQUALITY OF CARE
dc.subjectQUALITY OF HEALTH
dc.subjectQUALITY OF HEALTH CARE
dc.subjectQUALITY OF SERVICES
dc.subjectQUALITY STANDARDS
dc.subjectREGULATORY FRAMEWORK
dc.subjectRURAL HOSPITALS
dc.subjectSCHOOL HEALTH
dc.subjectSCREENING
dc.subjectSERVICE PROVIDERS
dc.subjectSHARE OF HEALTH EXPENDITURE
dc.subjectSMOKING
dc.subjectSMOKING CESSATION
dc.subjectSURGERY
dc.subjectTEACHING HOSPITALS
dc.subjectTOTAL EXPENDITURE
dc.subjectTRANSPARENCY
dc.subjectTREATMENTS
dc.subjectUNIVERSAL ACCESS
dc.subjectVACCINATION
dc.subjectVISITS
dc.subjectWASTE
dc.titleHealth Care in Sri Lanka : What Can the Private Health Sector Offer?en
dspace.entity.typePublication
okr.date.disclosure2014-08-12
okr.date.doiregistration2025-05-05T12:15:38.531835Z
okr.doctypePublications & Research::Working Paper
okr.doctypePublications & Research
okr.docurlhttp://documents.worldbank.org/curated/en/2014/06/20053127/health-care-sri-lanka-can-private-health-sector-offer
okr.globalpracticeHealth, Nutrition, and Population
okr.globalpracticeGovernance
okr.globalpracticeHealth, Nutrition, and Population
okr.guid423511468307190661
okr.identifier.externaldocumentum000469775_20140812182205
okr.identifier.internaldocumentum20053127
okr.identifier.report89954
okr.language.supporteden
okr.pdfurlhttp://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2014/08/12/000469775_20140812182205/Rendered/PDF/899540WP0Box380th0Care0in0Sri0Lanka.pdfen
okr.region.administrativeSouth Asia
okr.region.countrySri Lanka
okr.topicHealth Monitoring and Evaluation
okr.topicLaw and Development::Health Law
okr.topicHealth Economics and Finance
okr.topicHealth Systems Development and Reform
okr.topicPublic Sector Expenditure Policy
okr.topicPublic Sector Development
okr.topicHealth, Nutrition and Population
okr.unitHealth, Nutrition, and Population Family (HNP) of the World Bank's Human Development Network (HDN)
okr.volume1 of 1
relation.isAuthorOfPublicationa1e69d35-3306-5de0-937c-3b0f2a30022c
relation.isAuthorOfPublication.latestForDiscoverya1e69d35-3306-5de0-937c-3b0f2a30022c
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