Annual Report 2008 - Ministry of Finance and Planning

2. Fiscal Developments - 2008
Box 2.3
Financing the Health Sector Contd.
87
Key Project
New Initiatives Targeting Underserved Areas
Total Cost
(Rs.mn)
Kantale – Rehabilitation of Kantale Base Hospital 37
Kalmunai – Construction of an OPD Building at Kalmunai Base Hospital 56
Kalutara – Construction of a clinical complex and an OPD building at Kalutara General Hospital 65
Peradeniya – Construction of Sirimavo Bandaranaike Specialized Children’s Hospital (Stage – II) 426
Matara – Establishment of Korea – Sri Lanka Friendship Hospital with Korean assistance at Matara 6,100
Anuradhapura – Improvements to curative healthcare facilities at Anuradhapura General Hospital with
JICA assistance
950
Kegalle – Construction of a Theatre Complex at Kegalle General Hospital 240
Badulla – Establishment of a Chest Unit 106
Kandy – Construction of a Theatre Complex 230
Kurunegala – Construction of an Oncology Unit and a Maternity Ward at Kurunegala Teaching Hospital 254
Estate Health Sector Development
During 2008, a special emphasis was given to the plantation sector in providing basic healthcare facilities. Plantation sector
reported the highest rate of morbidity and mortality i.e. Nuwara Eliya district, specially in maternal and infant mortality than
in the rest of the country.
The Government decided to integrate the estate health services into National Health System to reduce the existing inequities
and disparities in health service provision between the plantation and other sectors. Under these circumstances, the Provincial
Government has taken over 26 Estate Hospitals under provincial health authorities which were previously managed by the
plantation companies or Janatha Estate Development Board (JEDB), with appointment of MBBS qualified medical officers to
those institutions.
Developments in Estate Health Sector
Category
No.
No. of Estate Hospitals taken over by the Provincial Government 26
No. of Medical Officers appointed 26
No. of Public Health Inspectors appointed 28
No. of Public Health Midwives appointed 110
No. of Sanitary facilities constructed 1,534
Source: Ministry of Healthcare and Nutrition
Funds were provided in 2008 to develop curative as well as preventive health services in the plantation sector as a special
project under the Ministry of Health utilizing Rs 110 Million for health infrastructure development in the estates.
Moreover, boundaries of the areas coming under the Medical s of Health (MOH) were re-demarcated to encompass the plantation
areas into the MOH divisions as a result of a policy decision taken by the Government to take over preventive and public health
services of the estate health sector in to the district health system. The provision of the cadre; Public Health Inspectors, Public
Health Midwives and Medical Officers, for the districts covering estate areas was increased on par with other areas.
Ministry of Finance and Planning Sri Lanka
Annual Report 2008