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  • Accelerating reforms of primary health care towards universal health coverage in Sri Lanka / Susie Perera;Olivia Nieveras;Padmal de Silva;Chatura Wijesundara;Razia Pendse
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Accelerating reforms of primary health care towards universal health coverage in Sri Lanka / Susie Perera;Olivia Nieveras;Padmal de Silva;Chatura Wijesundara;Razia Pendse

Tác giả : Susie Perera;Olivia Nieveras;Padmal de Silva;Chatura Wijesundara;Razia Pendse

Nhà xuất bản : World Health Organization. Regional Office for South-East Asia

Năm xuất bản : 2019

Chủ đề : 1. Primary Health Care. 2. Journal / periodical articles.

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Since the late 1920s, the Sri Lankan health system has been based on a firm foundation of primaryhealth care, and it has been recognized internationally as a highly successful low-cost model.However, rethinking the future health-care model has been essential, owing to the country havingone of the fastest ageing populations in the world, coupled with a high premature mortality fromnoncommunicable diseases. To sustain past gains and meet new challenges, several models centredon an expanded primary health-care system have been trialled and refined in the past decade. Primaryhealth care was identified as a key priority in the National Health Strategic Master Plan 2016–2025,and in 2018 the Cabinet approved the Policy on healthcare delivery for universal health coverage.This policy introduces the “shared care cluster” system, whereby an apex specialist institution servesthe local primary care referral institutions. The catchment population is divided into populations ofapproximately 5000, for which one family doctor is responsible. Strengthening and retaining humanresources at these primary-level curative institutions will be essential, especially in rural locations.Also critical will be initiatives to orient the population’s health-seeking behaviours. Sustained politicalcommitment, an effective communication strategy, a tailored health workforce policy, performancemonitoring and evaluation, coordination mechanisms, and changes in administrative and financialregulations are some of the future factors that will be critical to realizing the full potential of primaryhealth care and accelerating universal health coverage in Sri Lanka.
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https://iris.who.int/handle/10665/329437