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Health Care in Sri Lanka : What Can the Private Health Sector Offer?This review represents an attempt to
 bridge the significant knowledge gaps on the private health
 sector in Sri Lanka, and foster a dialogue on opportunities
 for collaboration between the government and the private
 sector. It accomplishes this through a systematic collection
 and analysis of primary and secondary data on the provision,
 financing, and regulation of health care services. On health
 service delivery, the review finds that the private sector:
 includes a range of providers; focuses primarily on curative
 and outpatient services rather than preventive services; is
 heavily dependent on the public sector for its supply of
 human resources; and is concentrated in urban areas. The
 quality of health care services in Sri Lanka in both the
 private and public sectors, while better than in most
 developing countries, still lags behind those in more
 advanced countries. There is also little systematic dialogue
 and collaboration between the public and private sectors. On
 financing, the review finds that private health expenditure
 is more than half of total health expenditure, mostly in the
 form of out-of-pocket payments by households, with clear
 implications for Sri Lanka's progression toward
 universal health coverage. On stewardship and regulation,
 there is a clear and urgent need to bridge the existing gaps
 in the legal and regulatory framework, and in the
 enforcement of health regulations applicable to the private
 sector, as well as to create an enabling environment for
 more effective private sector participation in the health
 sector. The review demonstrates that the private health
 sector in Sri Lanka is a growing force, due both to greater
 investment from private players as well as greater demand
 from the population. The review highlights areas where a
 more effective engagement with the private sector could
 ensure that Sri Lanka is able to offer its citizens
 universal access to good quality health service while also
 stimulating economic growth.
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Good Practices in Health Financing : Lessons from Reforms in Low and Middle-Income CountriesThis volume focuses on nine countries that have completed, or are well along in the process of carrying out, major health financing reforms. These countries have significantly expanded their people's health care coverage or maintained such coverage after prolonged political or economic shocks. In doing so, this report seeks to expand the evidence base on good performance in health financing reforms in low- and middle-income countries. The countries chosen for the study were Chile, Colombia, Costa Rica, Estonia, the Kyrgyz Republic, Sri Lanka, Thailand, Tunisia, and Vietnam. With health at the center of global development policy on humanitarian as well as economic and health security grounds, the international community and developing countries are closely focused on scaling up health systems to meet the Millennium Development Goals (MDGs), improving financial protection, and ensuring long-term financing to sustain these gains. With the scaling up of aid, both donors and countries have come to realize that money alone cannot buy health gains or prevent impoverishment due to catastrophic medical bills. This realization has sent policy makers looking for reliable evidence about what works and what does not, but they have found little to guide their search.
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Colombia Case Study : The Subsidized Regime of Colombia’s National Health Insurance SystemThis case study provides an overview of the contribution of Colombia's compulsory health insurance, particularly its Subsidized Regime (SR), to universal health care coverage in the country, and the current challenges the SR faces. The case study is based on discussions with stakeholders from academia and the public and private sectors. The report is divided into four sections: (1) country context and health outcomes; (2) the SR within the institutional architecture of the national health insurance system; (3) the subsidized regime: considerations on equity in the context of the public debate on the right to health care in Colombia; and (4) policy decisions and key areas of the agenda for the short and medium term.