전망·동향
Strengthening health systems in Sri Lanka : current socioeconomic developments with special emphasis on population ageing, climate change, disasters and technological advancements
Social development trends are invariably linked to achieving the Sustainable Development Goals (SDGs) by 2030. However, the SGDs will most likely not be achieved as expected in Asia and the Pacific, a region that faces many challenges, including rapid population ageing. Sri Lanka, hailed for its robust public health system at a relatively low cost, is one of the countries in the region experiencing rapid population ageing that needs urgent reform to ensure all people have access to affordable and good quality healthcare. This paper explores the current situation, and ways forward to strengthen health systems in Sri Lanka in the context of population ageing, climate change, disaster preparedness and investing in technology solutions for health. The analysis in the paper shows that, despite having a robust public health system and having achieved universal healthcare coverage long before many other countries, the Sri Lankan health system is only partially prepared to face the challenges ahead with regard to population ageing, climate change and technological advancements. While political intentions and policy formulation to prepare for the next few decades are evident to some extent, realization of such intentions at the ground level shows many gaps and lapses in the implementation process. Coherent policy support across all sectors and intersectoral coordination of implementation plans are much needed for a more comprehensive, equitable and sustainable future of the country’s health system, especially considering rapid population ageing. Climate change impacts on all aspects of life are increasingly evident in Sri Lanka, as in other countries. These have unequal and profound effects on vulnerable segments of the community, emphasizing the need for ensuring gender and social inclusion in disaster risk reduction planning. It is also evident that, while the current health system is catering to requirements of the overall population to a large extent, many people, includ
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