Sri Lanka: Primary Health Care System Strengthening Project

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The development objective of the Primary Health Care System Strengthening Project for Sri Lanka is to increase the utilization and quality of primary health care services, with an emphasis on detection and management of non-communicable diseases in high-risk population groups, in selected areas of the country. It has three components. First component, Implementation of the Primary Health Care (PHC) system reorganization and strengthening strategies will support the Ministry of Health, Nutrition and Indigenous Medicine (MoH) and the provinces to implement the PHC system reorganization and strengthening strategies through the routine health sector planning and budget execution systems.This approach will further strengthen the capacity of the sector for strategic planning, results monitoring, and budget absorption. following consultations with relevant stakeholders during project preparation, the three thematic areas were further translated into five results areas to be supported by the project—(a) PHC policy and standards defined to support implementation; (b) Primary Medical Care Institution (PMCI) capabilities and services strengthened for more comprehensive and quality care; (c) supportive systems developed to facilitate improved PHC delivery, with a focus on Non communicable Disease (NCDs); (d) health system empowers and becomes more responsive to the demands of the population; and (e) utilization of PHC services, with a focus on NCD detection and active follow-up, is increased; Second component, Project implementation support and innovation grants will provide direct support to the MoH and through the MoH to provinces for activities that would be difficult to implement through the country’s regular public financial management systems. The component would provide essential support to facilitate and enhance the implementation of the PHC system reorganization and strengthening strategies; Third component, Contingent emergency response component provides the country with rapid reallocation of undisbursed funds of other traditional investment project components following an emergency to address immediate financing needs to mitigate, respond, and recover from the potential harmful consequences arising from such emergency. The availability of immediate financing is critically important in (a) supporting the client in the first response, (b) helping coordinate the early recovery phase, and (c) bridging the gap to longer-term recovery and reconstruction phases.