Multisectoral Preventive Health Services in Sri Lanka: Lessons for Developing Countries in Providing Public Goods in Health

Das Gupta, Monica ; Dalpatadu, K. C. S. ; Shanmugarajah, C. K. ; Herath, H. M. S. S. D.

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Lizenz: Creative Commons LizenzvertragMultisectoral Preventive Health Services in Sri Lanka: Lessons for Developing Countries in Providing Public Goods in Health von Das Gupta, Monica ; Dalpatadu, K. C. S. ; Shanmugarajah, C. K. ; Herath, H. M. S. S. D. underlies the terms of Creative Commons Attribution-ShareAlike 3.0 Germany

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Abstract

What 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.

Document type: Working paper
Place of Publication: Washington, D.C.
Date: 2013
Version: Secondary publication
Date Deposited: 7 August 2015
Number of Pages: 35
Faculties / Institutes: Miscellaneous > Individual person
DDC-classification: "Social services; association"
Controlled Subjects: Sri Lanka, Gesundheitsfürsorge, Prävention
Uncontrolled Keywords: Sri Lanka, Gesundheitsversorgung, Prävention / Sri Lanka, Health Care, Prevention
Subject (classification): Medicine
Sociology
Countries/Regions: Sri Lanka
Additional Information: © World Bank. https://openknowledge.worldbank.org/handle/10986/21475 License: CC BY 3.0 IGO
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