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COI Report March 2012 - UK Border Agency - Home Office

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7 MARCH <strong>2012</strong> SRI LANKA<br />

Besides that there were independent outlets which also operated on a commission<br />

basis. The main storage depot for SPC is in Ratmalana, and holds between 3 to 6<br />

months supplies of most popular drugs.‖<br />

23.02 The same BHC letter 443 added:<br />

―SPC are able to procure all Western drugs. Sometimes there were difficulties obtaining<br />

some narcotic items in India, and also Indian drugs were occasionally sub-standard, but<br />

SPC also deal with European suppliers, and often obtained specific drugs from the <strong>UK</strong>,<br />

France, Germany or Switzerland. For very specific individual cases, a search would be<br />

conducted over the internet to locate the required items and the request to purchase<br />

them would be assessed by the Ministry of Health. If the costs could not be met by the<br />

government, an individual had the option to contribute towards them.<br />

―Prescription and dispensing charges are cheaper in Sri Lanka than in the United<br />

Kingdom. As of 1st January 2008, the Healthcare and Nutrition Ministry banned the<br />

prescription of drugs by their trade names, instead insisting on the use of their generic<br />

names. This applies to doctors in government service as well as in the private sector…<br />

‗The State Pharmaceutical Corporation (SPC) markets drugs under the generic name<br />

and is most of the time cheaper than the branded versions.‖<br />

23.03 The WHO (World Health Organisation) Country Health System Profile Sri Lanka 444<br />

(undated, website accessed on 1 June 2011) provides useful general information on the<br />

health resources in Sri Lanka:<br />

―A wide disparity in the regional distribution of health personnel is evident. The Colombo<br />

district has a high concentration of most categories of health personnel except public<br />

health staff. In 2001, 35 percent of the specialists were concentrated in the Colombo<br />

district…The government health sector takes care of healthcare needs of the vast<br />

majority of the population. The private sector in health had been small in terms of<br />

service provisions and financing. It is only recently that the private sector has been<br />

growing mostly in urban areas. The private sector contribution has been mainly in urban<br />

areas…Adequate emphasis is given in the past in building physical infrastructure,<br />

including facilities and equipment, as a means of developing national healthcare<br />

system. This has lead to a countrywide, comprehensive network of health centres,<br />

hospitals and other medical institutions.‖<br />

23.04 The WHO Mini profile 2007 445 (accessed on 1 June 2011), Sri Lanka recorded that:<br />

―The public sector provides health care for nearly 60% of the population and caters to<br />

95% of inpatient care. The private sector provides mainly curative care, which is<br />

estimated to be nearly 50% of outpatient care. This is largely concentrated in urban and<br />

suburban areas...The public sector provides care under allopathy and ayurvedic<br />

systems. But there are private practioners [sic] of Unani, Siddha and <strong>Home</strong>opathy<br />

443 British High Commission Colombo, letter to the <strong>UK</strong>BA <strong>COI</strong> Service, dated 25 October 2010<br />

444 World Health Organisation (WHO),Country Health System Profile Sri Lanka, undated<br />

http://www.searo.who.int/EN/Section313/Section1524_10878.htm date accessed 1 June 2011<br />

445 World Health Organisation (WHO), Mini profile 2007, Sri Lanka, undated,<br />

http://www.searo.who.int/LinkFiles/Country_Health_System_Profile_9-Sri-Lanka.pdf date accessed 1<br />

June 2011, p14<br />

The main text of this <strong>COI</strong> <strong>Report</strong> contains the most up to date publicly available information as at 3 February <strong>2012</strong>.<br />

Further brief information on recent events and reports has been provided in the Latest News section<br />

to 2 <strong>March</strong> <strong>2012</strong>.<br />

173

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