Sri Lanka is to obtain US$ 200 million from the International Bank for Reconstruction and Development (IBRD) of the World Bank to implement the Primary Health Care System Strengthening Project.
The project will support the development and roll out of policies and standards and strengthening of various supportive systems. The project will lay the foundation for a more integrated, coordinated and people-centered delivery system.
The primary beneficiaries of the project will be the users of public Primary Health Care (PHC) Institutions in the selected communities.The primary users of the public PHC Institutions tend to be the poorer segments of the population.
The development objective of the Primary Health Care System Strengthening Project for Sri Lanka is to increase the utilization and quality of primary health care services, with an emphasis on detection and management of non-communicable diseases in high-risk population groups, in selected areas of the country. It has three components. First component, Implementation of the Primary Health Care (PHC) system reorganization and strengthening strategies will support the Ministry of Health, Nutrition and Indigenous Medicine (MoH) and the provinces to implement the PHC system reorganization and strengthening strategies through the routine health sector planning and budget execution systems.This approach will further strengthen the capacity of the sector for strategic planning, results monitoring, and budget absorption. following consultations with relevant stakeholders during project preparation, the three thematic areas were further translated into five results areas to be supported by the project—(a) PHC policy and standards defined to support implementation; (b) Primary Medical Care Institution (PMCI) capabilities and services strengthened for more comprehensive and quality care; (c) supportive systems developed to facilitate improved PHC delivery, with a focus on Non communicable Disease (NCDs); (d) health system empowers and becomes more responsive to the demands of the population; and (e) utilization of PHC services, with a focus on NCD detection and active follow-up, is increased; Second component, Project implementation support and innovation grants will provide direct support to the MoH and through the MoH to provinces for activities that would be difficult to implement through the country’s regular public financial management systems. The component would provide essential support to facilitate and enhance the implementation of the PHC system reorganization and stre
The Health System Enhancement Project (HSEP) is a primary health care serve development project financed by ADB. The value of the project is USD 60 million comprising USD 37.5 million in concessionary loan, USD 12.5 million grant and USD 10 million as counterpart contribution from the Government of Sri Lanka . The project is delivered through a project investment modality and is effective from 05th February 2019 and will be closed on November 2023. The project will be implemented in all nine districts of Central, North Central, Uva and Sabaragamuwa Provinces.
The proposed project will improve efficiency, equity, and responsiveness of the primary health care (PHC) system based on the concept of providing universal health coverage and continuum of care to quality essential health services.
The project pursues an equity perspective in planning and delivering of essential primary health services. It expects to further inform and operationalize government PHC reform initiatives to reduce bypassing of PHC facilities by providing more comprehensive services, including for NCDs, develop a referral system, and functionally integrating preventive and curative services. Furthermore, the project will target underserved communities’ access to PHC, and address selected gaps in core public health surveillance in line with the international health regulations (IHR). The project is targeting all nine districts in four provinces of Central, North Central, Sabaragamuwa, and Uva with a special focus on the geographically, socially, and economicallydeprived populations. The beneficiary population of the project is approximately 7 million which is 33% of the Sri Lanka population (21 million) while the target population within the four provinces, is estimated to be approximately 2.4 million.Impact and OutcomeThe expected project impact is to contribute to the Government development objective1 of ensuring a healthier nation with a more comprehensive PHC system. The project outcome is to improve efficiency, equity, and responsiveness of the PHC system.
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