Sri Lanka Health System Review

Figure 3.6

Financing system related to health-care provision

Funders

Providers

Financing agents

Charity-based health services

NGOs

Other ministries providing health care

Health facilities under other ministries

Indigenous health services Donors Specialized hospitals

Central ministries

Government

Ministry of Health, Nutrition and Indigenous Medicine

Specialized campaigns

Tertiary care services

Treasury

Provincial ministries of health

Finance Commission

Provincial directorates of health

Secondary care services

Local government health services

Primary care services

Individual citizens Insurers Employers

Private health services

Rest of the world

Home-based care, self-care

Source: Perera and Perera, 2017: p.31

3.2.1 Provincial financing mechanisms The Finance Commission of Sri Lanka was established by the Thirteenth Amendment to the Constitution of the Democratic Socialist Republic of Sri Lanka in 1987. Its job was to disburse treasury funds under the decentralized 59

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9. Appendices ................................................................................................ 206 9.1 References

21min

pages 230-247

Sri Lanka Health System Review

Articles inside

9. Appendices ................................................................................................ 206 9.1 References

9.3 About the authors

7.6 Transparency and accountability

9.2 HiT methodology and production process

7.4 Health outcomes, health service outcomes and quality of care

7.3 User experience and equity of access to health care

7.1 Objectives of the health system

7. Assessment of the health system .......................................................... 157 Chapter summary

6.3 Future developments

developments in Sri Lanka

6.2 Analysis of recent major reforms

6. Principal health reforms ......................................................................... 139 Chapter summary

medicine

5.11 Mental health care

5.13 Health services for specific populations

5.8 Rehabilitation

5.7 Pharmaceutical care

5.6 Emergency care

5.2 Curative care services

5.4 Inpatient care

4.2 Human resources

5. Provision of services ................................................................................ 113 Chapter summary

4.1 Physical resources

4. Physical and human resources ................................................................ 78 Chapter summary

3.7 Payment mechanisms

3.6 Other financing

Figure 3.8 OOP spending on health by expenditure deciles, 2016

3.5 Voluntary private health insurance

3.2 Sources of revenue and financial flows

3.3 Overview of the public financing schemes

Figure 3.6 Financing system related to health-care provision

3. Health financing ......................................................................................... 48 Chapter summary

2.9 Patient empowerment

2.8 Regulation

2.7 Health information management

2.6 Intersectorality

2.4 Decentralization and centralization

2.2 Overview of the health system

2.1 Historical background

2.3 Organization

2. Organization and governance ................................................................... 26 Chapter summary

1. Introduction .................................................................................................. 1 Chapter summary

1.4 Health status

1.3 Political context

1.5 Human-induced and natural disasters

Figure 1.1 Map of Sri Lanka

1.1 Geography and sociodemography

1.2 Economic context

1 Analysis of the significant health reforms that affected health