This is a preliminary report assessing the current status of Sri Lanka’s health care system, its problems, future challenges, and issues to consider in the development of potential reform options. It provides an overview of the status of health system in the areas of organization, financing, performance in terms of meeting health status objectives, equity and efficiency, and the interface with the private sector. The health system is assessed in terms of both public and private components, but the description of the public sector is necessarily more detailed, since information on the private sector is weak, and since the public sector remains the dominant actor in the health system. The data and evidence presented is largely secondary owing to time and budgetary constraints, but some new data from a private hospital survey, carried out specially for this report, are used.

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