Demand forfamily planning satisfied
with modern methods⁷
Pregnancy care⁵ Child immunization
coverage⁶ Treatmentfor pneumonia⁷ 0
50 100
Coverage (%)
69 96 99 58
Reproductive,maternal,newborn and child health
Public spending on health¹⁵
i s det er mi ned by t he capaci t y of t he gover nment t o r ai se r evenues and al l ocat e i t t o heal t h.
A new summary measure ofhealth service coverage,a composite service coverage index,is currently underdevelopment:16 indicators are derived from fourmain areas ofwork:(1)reproductive,maternal,newborn and child health;(2)infectious diseases;(3)noncommunicable diseases;(4)service capacity,access and health security.
Out-of-pocketexpenditure¹⁴
I n most cases, hi gh per cent age of out - of - pocket expendi t ur e out of t he t ot al heal t h expendi t ur e i s associ at ed wi t h l ow f i nanci al pr ot ect i on
UHC coverage index ofessentialhealth services
Li f e expect ancy
Li f e expect ancy at bi rt h³ pr ovi des an i ndi cat i on of over al l mor t al i t y of a count r y' s popul at i on. I n Sr i Lanka, f r om 2000 ( 71. 5 year s) t o 2015 ( 74. 9 year s) , t he l i f e expect ancy at bi r t h has i mpr oved by 3. 4 year s.
Heal t hy l i f e expect ancy
⁴r ef l ect s over al l heal t h f or t he count r y' s popul at i on. I n Sr i Lanka, f r om 2000 ( 63. 9 year s) t o 2015 ( 67. 0 year s) , heal t hy l i f e expect ancy has i mpr oved by 3. 1 year s.
2016 Heal t h SDG Prof i l e: Sri Lanka
Uni versal heal t h coverage: At t he cent re of t he heal t h goal
The goal of uni ver sal heal t h cover age ( UHC) i s t hat al l peopl e and communi t i es r ecei ve t he heal t h car e t hey need, wi t hout suf f er i ng f i nanci al har dshi p. Moni t or i ng UHC r equi r es measur i ng heal t h servi ce coverage and f i nanci al prot ect i on
(SDG target3.8).
Population (000s)¹
20 966
Moni t ori ng t he heal t h SDG goal : I ndi cat ors of overal l progress
Urban population¹
18%
Poverty ²
4. 1%
GDP per capita²
(CurrentUS$)
3794. 9
Totalhealth expenditure as share ofGDP²
3. 5%
38%
2000 2007 2015
0 50 100
Age (years)
64 67
72 75
Life expectancy atbirth Healthy life expectancy
FI NANCI AL PROTECTI ON
To pr ovi de a summar y measur e of cover age, an i ndex of nat i onal ser vi ce cover age i s comput ed by aver agi ng ser vi ce cover age val ues acr oss t he 14 t r acer i ndi cat or s. The UHC cover age i ndex r anges f r om 0% t o 100%, wi t h 100% i mpl yi ng f ul l cover age acr oss a r ange of ser vi ces.
Out-of-pocketexpenditure,as % ofthe health expenditure (2013)
HEALTH SERVI CE COVERAGE
(ppp < $1.25 a day)
42% 11.11.2%2%
TB treatmentsuccess rate⁸ HIV antiretroviral
treatment⁹ Improved watersource and adequate sanitation¹⁰ 0
50 100
Coverage (%) 958583
Infectious diseases
Hypertension treatment coverage¹¹
Diabetes treatment
coverage¹¹ Cervicalcancer screening among 35 years ofage cohort⁵
Tobacco non-use¹¹ 0
50 100
Coverage (%) 857058
45 Noncommunicable diseases
Postnatalcare formothers and babies within two days
ofbirth⁷
Heath workerdensity, expressed as % ofnew globalbenchmark¹²
Health security:IHR compliance¹³ 0
50 100
Coverage (%) 93
72 71
Service capacity,access and health security
Note:Relevantdata are notavailable foraccess to essentialmedicine
Note:Relevantdata are notavailable foriInsecticide-treated bed nets/indoorresidualspray coverage formalaria prevention
12.7% 5.9%
GDP 2014
Est. total government expenditure, 2014 or latest available year
Est. government expenditure on health, 2014 or latest available year
Ministry of Health, Nutrition and Indegenous medicine
Sri Lanka
SDG 3: Heal t h t arget s ¹ ⁶
Mat ernal and chi l d mort al i t y
(SDG target3.1,3.2)Equi t y: Leave no one behi nd
Vari at i on, urban versus rural ⁷
Maternalmortality ratio¹⁷
20102011 2012 2013 20142015 0
25 50 75 100
MMR [100 000 live births]
33 33 38
32
Births attended by skilled health personnel⁵
20102011 2012 2013 20142015 0
50 100
Coverage (%)
99.8 99.9 99.9 99.9
2010 2011 2012 2013 20142015 0
20 40 60
MR [1000 live births]
10 7 12
7 10 10
8 6
Child mortality⁵
Children under-five Neonatal
Communi cabl e di seases
(SDG target3.3)New HIV infections among adults 15 to 49 years⁹
20102011 2012 2013 20142015 0.00
0.01 0.02
HIV IR [1 000 uninfected pop.]
0.010 0.009 0.007
0.011
I ndi cat or s Year Sr i Lanka Regi onal est i mat e Hepat i t i s B i nci dence 2014 -
Number of peopl e r equi r i ng i nt er vent i ons
agai nst negl ect ed t r opi cal di seases 2014 - 824 180 314
TB incidence⁸2011 2012 2013 2014 2015 0
50 100
TB incidence [100 000 pop.]
48.5 43.2 44.1 43.7 44.5
Numberofindigeneous malaria cases¹⁸
2011 2012 2013 2014 2015 0
50 100 150
No. of indigeneous malaria cases
124
23
0 0 0
I ndi cat or Year Femal e Mal e Adul t s aged 18- 69 year s who ar e
obese¹ ¹ ( %) 2015 8. 4
Pr eval ence of t r eat ment cover age f or r ai sed bl ood pr essur e among adul t s
aged 18- 69 year s¹ ¹ ( %) 2015 55. 1 Pr eval ence of t r eat ment cover age f or
di abet esl among adul t s aged 18- 69
year s¹ ¹ ( %) 2015 73. 1
3. 5
62. 3
65. 7
Vari at i on i n ri sk f act ors, by sex
Note:A dash (-)implies relevantdata are notavailable
I ndi cat or s SDG
t ar get Year Sr i Lanka Regi onal est i mat e Mor t al i t y bet ween 30 and 70 year s of
age f r om car di ovascul ar di seases, cancer , di abet es or chr oni c r espi r at or y di seases² ¹ ( %)
3. 4. 1 2015 17. 6 25 Noncommuni cabl e di seases and i nj uri es
2010 2011 2012 2013 2014 2015 2016 0
5 10 15 20 25
suicide mortality [100 000 pop.]
18.1
15.1 14.6 18.8
Suicide mortality rate¹⁹
2011 2012 2013 2014 2015 2016 0
10 20 30
Road traffic mortality [100 000 pop.]
12.0
11.7
13.4 11.5
Mortality from road traffic injuries¹⁹
Demand f or f ami l y pl anni ng sat i sf i ed
wi t h moder n met hods
⁷( %) 3. 7. 1 2007 69. 1
Adol escent bi r t h r at e²
⁰( per 1000 women
aged 15- 19 year s) 3. 7. 2 2012 36
73. 5
33. 9 Sexual and reproduct i ve heal t h
Mor t al i t y r at e at t r i but ed t o househol d and ambi ent ai r pol l ut i on² ¹ ( per 100 000
popul at i on) 3. 9. 1 2012 119. 4 Mor t al i t y r at e at t r i but ed t o exposur e t o
unsaf e WASH ser vi ces² ¹ ( per 100 000
popul at i on) 3. 9. 2 2012 3. 3 Mor t al i t y r at e at t r i but ed t o uni nt ent i onal
poi soni ng² ¹ ( per 100 000 popul at i on) 3. 9. 3 2012 0. 4
117. 1
20. 1
3 Mort al i t y due t o envi ronment al pol l ut i on
Sui ci de mor t al i t y r at e¹
⁹( per 100 000 popul at i on) 3. 4. 2 2015 14. 6 Tot al al cohol per capi t a ( age 15+ year s)
consumpt i on²
⁰3. 5. 2 2015 4. 5 Mor t al i t y r at e f r om r oad t r af f i c i nj ur i es¹
⁹( per 100 000 popul at i on) 3. 6. 1 2015 13. 4
17. 7
3. 7
17
Pr eval ence of t obacco use among
per sons 15 year s and ol der ¹ ¹ - Femal e 3. a. 1 2015 0. 1
Pr eval ence of t obacco use among
per sons 15 year s and ol der ¹ ¹ - Mal e 3. a. 1 2015 29. 4
18
51 Tobacco use
Pr opor t i on of t he popul at i on wi t h access t o af f or dabl e medi ci nes and vacci nes
on a sust ai nabl e basi s 3. b. 1 2015 -
-Essent i al medi ci nes and vacci nes
2011 2012 2013 2014 2015 0
25 50 75 100
Health worker density [10 000 pop.]
31.2
30.6 32.0
Health workerdensity²²
I nt er nat i onal Heal t h Regul at i ons ( I HR)
cor e capaci t y i ndex¹ ³ 3. d. 1 2015 71 80 Nat i onal and gl obal heal t h ri sks
Tot al net of f i ci al devel opment
assi st ance t o medi cal r esear ch 3. b. 2 2013 -
-Heal t h wor ker densi t y² ²
( per 10 000 popul at i on) 3. c. 1 2014 32
-Heal t h workf orce
Ot her heal t h- rel at ed SDGs
Ref erences
1.DepartmentofCensus and Statistics.Census ofPopulation and Housing 2011,SriLanka.http://www.statistics.gov.lk/-accessed 26 October2016.
2.The World Bank.World developmentindicators 2016.Washington,DC.http://databank.worldbank.org/data/reports.aspx?source=world-development-indicators -accessed 19 July 2016.
3.World Health Organization.GlobalHealth Observatory (GHO)data:life expectancy.Geneva.http://www.who.int/gho/mortality_burden_disease/life_tables/en/- accessed 19 July 2016.
4.World Health Organization.GlobalHealth Observatory (GHO)data:Healthy life expectancy (HALE).Geneva.
http://www.who.int/gho/mortality_burden_disease/life_tables/hale/en/-accessed 3 August2016.
5.Reproductive Health ManagementInformation System (RHMIS)/Family Health Bureau (FHB),Ministry ofHealth and Indigenous Medicine 2015,SriLanka.
6.World Health Organization.EPIFactsheet2014.
7.SriLanka DHS 2006-07.http://www.statistics.gov.lk/social/dhs%20sri%20lanka%20preliminary%20report.pdf– accessed 26 October2016.
8.NationalProgramme forTB controland chestdiseases 2011-2015,SriLanka 9.NationalSTD /AIDS ControlProgramme 2011-2015,SriLanka
10.World Health Organization,UNICEF.Progress on Sanitation and Drinking Water– 2015 update and MDG assessment.Geneva,2015.
http://apps.who.int/iris/bitstream/10665/177752/1/9789241509145_eng.pdf-accessed 3 August2016.
11.STEPS Survey 2015,SriLanka.http://www.who.int/chp/steps/STEPS-report-2015-Sri-Lanka.pdf-accessed 26 October2016.
12.MSU,SriLanka.Note:a proxy forhealth workers and distributions (normalized againstglobalbenchmark setatWHA 2016;44.5 per10000 population) 13.World Health Organization.GlobalHealth Observatory (GHO)data:InternationalHealth Regulations (2005)Monitoring Framework.Geneva.
http://www.who.int/gho/ihr/en/-accessed 3 August2016.
14.SriLanka NationalHealth Accounts 2013,Health Economics Cell,Ministry ofHealth,Nutrition & Indigenous Medicine,978-955-0505-76-0,April2016 15.CentralBank Report,SriLanka 2014 and AnnualHealth Bulletin,SriLanka 2014-accessed 28 November2016.
16.Inter-agency expertgroup on SDG indicators:Compilation ofmetadata forthe proposed globalindicators forthe review ofthe 2030 agenda forsustainable development.http://unstats.un.org/sdgs/iaeg-sdgs/metadata-compilation/-accesed 6 January 2017.
17.MaternalDeaths Surveillance 2011-2015,SriLanka.
18.Anti-Malaria Campaign 2011-2015,SriLanka.
19.SriLanka police 2011-2015.
20.DepartmentofCensus and Statistics.Census ofPopulation and Housing 2012.SriLanka
21.World Health Organization.World health statistics 2016:monitoring health forthe SDGs.Geneva,2016.
http://www.who.int/gho/publications/world_health_statistics/2016/en/-accessed 3 August2016.
22.MedicalStatistics Unit,SriLanka:Note:Health work density includes medicalofficer,nurses,public health midwives,hospitalmidwives,and public health inspectors.
23.Nutrition Month Data/Family Health Bureau 2011-2015,SriLanka 24.Ministry ofDisasterManagement2011-2015,SriLanka Note:A dash (-)implies relevantdata are notavailable
I ndi cat ors SDG
t arget Year Sri Lanka Regi onal est i mat e Chi l dr en under 5 year s who
ar e st unt ed² ³ ( %) 2. 2. 1 2015 9. 6 Chi l dr en under 5 year s who
ar e wast ed² ³ ( %) 2. 2. 2 2015 12. 2
32. 9 13. 5 Chi l d nut ri t i on
2011 2012 2013 2014 2015 0
25 50 75 100
Proportion (%)
12.8 11.3 11.2 10.5 9.6 Prevalence ofstunting in children under5 years of
age²³
2011 2012 2013 2014 2015 0
25 50 75 100
Proportion (%)
15 14 13 12 12
Prevalence ofwasting in children under5 years of age²³
Pr opor t i on of popul at i on usi ng i mpr oved dr i nki ng wat er
sour ces¹
⁰( %) 6. 1 2012 93. 6 Pr opor t i on of popul at i on usi ng
i mpr oved sani t at i on¹
⁰( %) 6. 2 2012 80. 9
92
49 Dri nki ng wat er servi ces and sani t at i on
Pr opor t i on of popul at i on wi t h
access t o el ect r i ci t y¹ ( %) 7. 1. 1 2012 87
-Cl ean househol d energy
Ai r pol l ut i on l evel i n ci t i es ( PM
2. 5) ( µg/ m³ ) 11. 6. 2 2014 - 60. 2 Ambi ent ai r pol l ut i on
Number of deat hs by di sast er ²
⁴( per 100 000
peopl e) 13. 1. 2 2015 0. 5 0. 3 Nat ural di sast ers
Mor t al i t y r at e due t o homi ci de¹
⁹( per 100 000 popul at i on) 16. 1. 1 2014 2. 6 Est i mat ed di r ect deat hs f r om
maj or conf l i ct s
( per 100 000 popul at i on) 16. 1. 2 2011- 2015 -
4. 3
0. 1 Homi ci de and conf l i ct s
Bi r t h r egi st r at i on cover age 16. 9. 1
--
-Bi rt h regi st rat i on
2012 2014 2013 2015 2011 0
2 4 6 8 10
Deaths [100 000 ]
0.6
0.7 0.5 0.5
0.5 Numberofdeaths by disaster²⁴
2011 2012 2013 2014
0 2 4 6 8 10
Mortality [100 000]
0.8 2.8 2.6 3.4
Mortality rate due to homicide¹⁸
