Das Gupta, MonicaDalpatadu, K.C.S.Shanmugarajah, C.K.Herath, H.M.S.S.D.2015-02-232015-02-232013-08https://hdl.handle.net/10986/21475What can other developing countries learn from Sri Lanka on achieving good health at low cost? While its well-organized medical and maternal-child health services have been documented elsewhere, this paper fills a gap in documenting how it organizes services to reduce the population's exposure to disease -- a pure public good. The key factors underlying the effectiveness of these services are (1) strong focal points in the central Health Ministry for supporting preventive services; (2) pro-active outreach by the health line agency to collaborate with other sectors / agents whose work influences public health outcomes; and (3) community-level delivery institutions with well-trained multivalent Public Health Inspectors -- all underpinned by (4) assured tax-based financing. This paper describes this system in some detail such that other countries can learn from Sri Lanka's successful approach to improving population health. It also makes some recommendations for strengthening the system in response to changing conditions.en-USCC BY 3.0 IGOADOLESCENT HEALTHANTENATAL CAREAVIAN FLUBABYBLOOD TRANSFUSIONBURDEN OF DISEASECAPACITY BUILDINGCERTIFICATIONCHILD CARECHILD HEALTHCHILD HEALTH SERVICESCHOLERACITIZENCITIZENSCIVIL WARCLEANLINESSCLINICSCOLD CHAINCOMMUNICABLE DISEASECOMMUNICABLE DISEASE CONTROLCOMMUNICABLE DISEASE SURVEILLANCECOMMUNICABLE DISEASESCOMMUNITY DEVELOPMENTCOMMUNITY PARTICIPATIONDEAD BODIESDENGUEDEVELOPING COUNTRIESDEVELOPMENT POLICYDISASTERSDISEASEDISEASE CONTROLDISEASE OUTBREAKDISEASE OUTBREAKSDISEASE PREVENTIONDISEASE PREVENTION AND CONTROLDISEASE SURVEILLANCEDISPENSARIESDRUGSELDERLYELDERLY CAREEMERGENCIESENCEPHALITISENFORCEMENT MECHANISMSENVIRONMENTAL HEALTHEPIDEMICSEPIDEMIOLOGICAL SURVEILLANCEEPIDEMIOLOGISTSEPIDEMIOLOGYFAMILY HEALTHFAMILY PLANNINGFEVERFILARIASISFIRST AIDFOOD CONTROLFOOD HANDLINGFOOD POISONINGFOOD PROCESSINGFOOD SAFETYGOVERNMENT AGENCIESGRASSROOTS WORKERSHAEMATOLOGYHAZARDSHEALTH AUTHORITIESHEALTH CAREHEALTH CARE COVERAGEHEALTH CARE WASTEHEALTH CENTRESHEALTH CONDITIONSHEALTH EDUCATIONHEALTH EXPENDITUREHEALTH FINANCINGHEALTH INFORMATIONHEALTH LEGISLATIONHEALTH MINISTRIESHEALTH OFFICIALSHEALTH OUTCOMESHEALTH PLANHEALTH PLANNINGHEALTH POLICIESHEALTH POLICYHEALTH PROFESSIONALSHEALTH PROMOTIONHEALTH REGULATIONSHEALTH SECTORHEALTH SERVICEHEALTH SERVICE DELIVERYHEALTH SERVICE PROVISIONHEALTH SERVICESHEALTH SYSTEMHEALTH SYSTEM STRENGTHENINGHEALTH SYSTEMSHEALTH SYSTEMS STRENGTHENINGHEALTH WORKERSHEALTH WORKFORCEHEALTHY DEVELOPMENTHOME VISITSHOSPITALHOSPITAL SANITATIONHOSPITALSHUMAN HEALTHHYGIENEILLNESSIMMUNIZATIONINCOMEINDOOR AIR POLLUTIONINDUSTRIALIZATIONINFECTIONINFECTIONSINFECTIOUS DISEASESINFLUENZAINFORMATION SYSTEMISOLATIONIUDSLABORATORY SERVICESLATRINESLAWSLEPROSYLEPTOSPIROSISLIFE EXPECTANCYLIMITED RESOURCESLOCAL AUTHORITIESLOCAL GOVERNMENTSLOW FERTILITYMALARIAMANAGEMENT OF HEALTHMASS MEDIAMATERNAL AND CHILD HEALTHMATERNAL CAREMATERNAL DEATHMATERNAL DEATHSMATERNAL HEALTHMEATMEDICAL CAREMEDICAL FACILITIESMEDICAL INSPECTIONMEDICAL OFFICERMEDICAL OFFICERSMEDICAL PRACTICEMEDICAL RESEARCHMEDICAL SERVICESMEDICAL STATISTICSMEDICINEMIDWIVESMIGRATIONMINISTRY OF HEALTHMORBIDITYMORBIDITY AND MORTALITYMORTALITYNATIONAL ACTIONNATIONAL ACTION PLANNATIONAL LEVELNATIONAL LEVELSNATURAL DISASTERSNCDNEEDS ASSESSMENTNEONATAL TETANUSNEWBORNNEWBORN HEALTHNONCOMMUNICABLE DISEASESNOTIFIABLE DISEASESNURSESNURSINGNUTRITIONOCCUPATIONAL HEALTHORAL HEALTHPANDEMICSPARASITOLOGYPATIENTPATIENTSPERSONAL HYGIENEPHYSICIANSPHYSIOLOGYPOLICY DISCUSSIONSPOLICY FORMULATIONPOLICY RESEARCHPOLICY RESEARCH WORKING PAPERPOLIOPOLITICAL PARTYPOLLUTIONPOOR HEALTHPOSTNATAL CAREPREGNANT WOMENPREVENTION ACTIVITIESPREVENTIVE HEALTH SERVICESPRIMARY CAREPRIVATE DOCTORSPROGRESSPUBLIC ATTENTIONPUBLIC HEALTHPUBLIC HEALTH ADMINISTRATIONPUBLIC HEALTH SERVICESPUBLIC SERVICEQUARANTINERABIESREFUGEEREFUGEE CAMPSRESPECTRESPIRATORY DISEASESRESTAURANTSROOMSRURAL AREASSAFE DRINKING WATERSANITARY CONDITIONSSANITARY FACILITIESSANITATIONSCHOOL HEALTHSEPTIC TANKSSERVICE DELIVERYSERVICE PROVISIONSERVICE QUALITYSICK LEAVESMOKINGSTDSSTERILIZATIONSYMPTOMST.V.TBTERRORISTTOBACCO PRODUCTSTREATMENTTUBERCULOSISUNIFORMSURBAN AREASURBAN DEVELOPMENTURBANIZATIONVACCINATIONVACCINESVECTOR CONTROLVECTORSWASTEWASTE DISPOSALWATER SUPPLIESWATERBORNE DISEASESWORKERSWORKING CONDITIONSWORLD HEALTH ORGANIZATIONZOONOTIC DISEASEZOONOTIC DISEASES10.1596/1813-9450-6558