Sri Lanka is pursuing financial sustainability for its immunization services through expenditure tracking. The Sabin Sustainable Immunization Financing (SIF) Program began its efforts in Sri Lanka in December 2008.
Immunization Program Structure
Sri Lanka’s Epidemiology Unit is located in the Family Health Bureau, Ministry of Health (MOH).
Sri Lanka’s Progress to Date
Over the period 2006-2014, Sri Lanka’s Gross National Income rose from US$1,350 to US$3,400 per capita, a 152% increase. According to WHO/UNICEF Joint Reporting Form (JRF), the Sri Lankan government spent $25 on routine immunization per surviving infant in 2006. By 2014, this figure had dropped to $19, a 24% decrease. While decreasing in absolute terms, the government reported that its share of total routine immunization expenditures rose from 77% to 93% over the period. Since 2010, Sri Lanka has reported inconsistently on JRF financial indicators. The data nevertheless suggest that Sri Lanka has progressed towards country ownership of its immunization program. Among SIF countries, Sri Lanka ranked fifth in terms of routine immunization spending per surviving infant in 2014.
A National Immunization Policy was approved by the Ministry of Health in April 2014. Chapter 5 of the policy guarantees that the government will provide sufficient funding for the timely procurement and supply of quality vaccines and logistical support. It further stipulates that the government will establish a separate line item for the National Immunization Program (NIP) within the Ministry of Health budget, and that all provincial authorities must ensure the timely availability of adequate funds and other resources. Chapter 5 also establishes a mechanism to monitor the financial sustainability of the NIP.
The Epidemiology Unit examined immunization costs in Kalutara district in September 2014.
- July 2014: Sri Lankan counterparts join Nepalese, Cambodian, Mongolian, Vietnamese, and Indonesian delegates in Sabin-sponsored peer review workshop
- August 2013: Sri Lankan counterparts attend Sabin-sponsored colloquium
- June 2013: Senior Program Officer organizes national briefing
- February 2013: Senior Program Officer organizes subnational briefing
- March 2012: Senior Program Officer and Program Director organize parliamentary briefing
- August 2011: Senior Program Officer and MOH organize parliamentary briefing
- March 2011: Sri Lankan counterparts attend Sabin-sponsored colloquium
- July 2010: Senior Program Officer, MOH, and parliament co-organize parliamentary symposium
- February 2010: Senior Program Officer and UNICEF co-organize parliamentary symposium
- December 2008: Senior Program Officer and Program Director introduce SIF program to Sri Lankan government