2018 Health SDG Profile: Sri Lanka
Last updated October, 2018
Financial protection is measured through two indicators:
(1) impoverishment, and (2) catastrophic health expenditure.
Impoverishment: 0.1% or approximately 14 000 people are being pushed into poverty because of out-of-pocket health spending.¹⁷ Catastrophic expenditure on health: 5.3% of people spent more than 10% of their household's total expenditure on health care.¹⁷
Public spending on health³ is determined by the capacity of the government to raise revenues and allocate it to health.
A summary measure of essential health services coverage, a composite service coverage index, is used:16 indicators are derived from four main areas of work: (1) reproductive, maternal, newborn and child health; (2) infectious diseases; (3) noncommunicable diseases;
(4) service capacity, access and health security.
Family planning
coverage⁵ Pregnancy care⁵ Care seeking behaviour suspected
pneumonia⁵
Child immunization coverage (DPT3)⁶ 0
50 100
Coverage (%)
74 99
52
99
Reproductive, maternal, newborn and child health
Out-of-pocket expenditure³ In most cases, high percentage of out-of-pocket expenditure out of the total health expenditure is associated with low financial protection
UHC services coverage index of essential health services
Life expectancy
Life expectancy at birth⁴provides an indication of overall mortality of a country's population. In Sri Lanka, from 2000 (71.5 years) to 2016 (74.9 years), the life expectancy at birth has improved by 3.4 years.
Healthy life expectancy⁴ reflects overall health for the country's population. In Sri Lanka, from 2000 (63.9 years) to 2016 (67.0 years), healthy life expectancy has improved by 3.1 years.
Sri Lanka
Universal health coverage: At the centre of the health goal
The goal of universal health coverage (UHC) is that all people and communities receive the health care they need, without suffering financial hardship. Monitoring UHC requires measuring health service coverage and financial protection (SDG target 3.8).
Population (000s)¹
20 877
Monitoring the health SDG goal: Indicators of overall progress
Urban population²
18.4%
Poverty³ 1.9%
GDP per capita³
(Current US$)
4065.2
Current health expenditure as share of GDP³ 3.0%
2000 2007 2015 2016
0 50 100
Age (years)
64 67
72 75
Life expectancy at birth Healthy life expectancy
FINANCIAL PROTECTION
To provide a summary measure of coverage, an index of national service coverage is computed by averaging service coverage values across the 16 tracer indicators.The UHC coverage index ranges from 0% to 100%, with 100% implying full coverage across a range of
services. UHC services coverage index
0 50 100
Coverage (%)
68
UHC services coverage index
Latest available data (2010-2017)
Out-of-pocket expenditure, as % of the health expenditure (2015) HIV antiretroviral
therapy coverage⁷ Access to basic
sanitation⁸ (%) Tuberculosis
treatment Coverage⁹ Insecticide-treated bednets/indoor residual spray coverage for malaria
prevention⁹ 0
50 100
Coverage (%)
27
94
64
Infectious diseases
HEALTH SERVICE COVERAGE
Prevalence of normal blood pressure in
population⁸
Prevalence of normal
fasting glucose level⁸ Cervical cancer
screening¹⁰ Tobacco non-use¹¹ 0
50 100
Coverage (%)
78 93
25
74
Noncommunicable diseases
Health security:IHR
compliance⁸ Density of hospital beds¹², expressed as
% of global threshold, 18/10 000
Heath worker density¹³, expressed
as % of new global threshold, 44.5/10 000
Acess to essential medicines 0
50 100
Coverage (%) 100
76 71
Service capacity, access and health security
(ppp < $1.90 a day)
This profile provides an overview of the current status of achieving better health towards the 13 targets under the Sustainable Development Goal #3 (SDG3):
Ensure healthy lives and promote well-being for all at all ages. 25 SDG3 indicators plus other selected
health-related indicators are presented where data is available.
38%
11.2%
11.2%
11.2%
(ppp < $1.90 a day)
8.0%
GDP 2015
Estimated total government expenditure, 2015 or latest available year
Estimated government expenditure on health, 2015 or latest available year
2018 Health SDG Profile: Sri Lanka
Variation by wealth
SDG 3: Health targets
Maternal and child mortality(SDG target 3.1, 3.2) Maternal mortality ratio¹⁶
2000 2005 2010 2015
0 250 500 750
MMR [100 000 live births]
57 30
Births attended by skilled health personnel⁵
1993 2000 2007 2016
0 50 100 150
Coverage (%)
99 100
94 96
2000 2005 2010 2015 2016 0
50 100
MR [1000 live births]
10.1 5.3
16.3 9.4
Child mortality¹⁷
Children under-five Neonatal
Equity: Leave no one behind
SDGs emphasis on equity
SDG target 17.18 emphasizes the need for disaggregated data. By 2020, enhance capacity-building support to developing countries to increase significantly the availability of high-quality, timely and reliable data disaggregated by income, gender, age, race, location and other characteristics relevant in national contexts.
Variation by residence
SDG emphasis on mortality statistics
More reliable vital statistics on births, deaths and causes of death from civil registration and vital statistics (CRVS) systems are required for reporting on 14 health-related SDG mortality indicators. Understanding better what people are dying from can lead to stronger health policies and plans, and improve monitoring of the health-related SDGs.
Strengthening Civil Registration and Vital Statistics (CRVS)
Variation by education
2000 2005 2010 2015
0 50 100
Percentage
Sanitation⁸
Rural Urban
2000 2005 2010 2015
0 50 100
Percentage
Under five mortality⁵
2000 2005 2010 2015
0 50 100
Percentage
Antenatal care coverage⁵
2000 2005 2010 2015
0 50 100
Percentage
Demand for family planning satisfied need⁵
2000 2005 2010 2015
0 50 100
Percentage
Stunting⁵
2000 2005 2010 2015
0 50 100
Percentage
Full Immunization⁵
Quintile 1 (poorest) Quintile 5 (highest)
No education Secondary school+
Primary school
2000 2005 2010 2015
0 50 100
Percentage
97.0 97.2
Birth registration⁵ʹ¹⁴
2000 2005 2010 2015
0 50 100
Percentage
90.0 93.0 Death registration¹⁵
2000 2005 2010 2015
0 50 100
Percentage
82.0 93.0 Cause of Death¹⁵ʹ⁴
2018 Health SDG Profile: Sri Lanka
Indicators SDG
target Year Sri Lanka Regional estimate Mortality between 30 and 70 years
of age from cardiovascular diseases, cancer, diabetes or chronic respiratory diseases⁴ (%)
3.4.1 2015 17.4 23.1
Noncommunicable diseases and injuries
Malaria incidence¹⁸
2013 2014 2015 0
5 10 15 20
Malaria IR [1000 pop. at risk]
Total alcohol per capita (age 15+ years) consumption⁴
2003 2008 2010 2015 2016
0 3 6 9
Litres
0.3
4.3 New HIV infections among
adults 15 to 49 years⁷
2012 2013 2014 2015 2016
0.0 0.2 0.4
HIV IR [1000 uninfected pop.]
Indicators Year Sri Lanka Regional estimate Hepatitis B surface
antigen prevalance among children under 5 years⁴ (%)
2015 0.64
Number of people requiring interventions against neglected tropical diseases⁴
2016 55,720
0.70
671,797,672 Communicable diseases (SDG target 3.3)
TB incidence⁹
2012 2013 2014 2015 2016 0
100 200 300 400 500
TB incidence [100 000 pop.]
Proportion of married or in-union women of reproductive age who have their need for family planning satisfied with modern methods⁵ (%)
3.7.1 2016 74.2
Adolescent birth rate⁵ (per 1000
women aged 15 to 19 years) 3.7.2 2016 30
75.1
- Sexual and reproductive health
Mortality rate attributed to household and ambient air
pollution⁴ (per 100 000 population) 3.9.1 2016 79.8 Mortality rate attributed to exposure
to unsafe WASH services⁴
(per 100 000 population) 3.9.2 2016 1.2
Mortality rate attributed to unintentional poisoning⁴
(per 100 000 population) 3.9.3 2016 0.4
164.0
15.4
1.8 Mortality due to environmental pollution
Tobacco use among persons
(18-69 yrs) and older - Female¹¹ 3.a.1 2015 5.3 Tobacco use among persons
(18-69 yrs) and older - Male¹¹ 3.a.1 2015 45.7
-
- Tobacco use
Health worker density¹³ (per 10
000 population) 3.c.1 2016 31.7 -
Health workforce
Malaria incidence is calculated for confirmed malaria cases. Only small number of imported malaria cases have been reported.
International Health Regulations
Core Capacity Index⁸ 3.d.1 2017 76 80
National and global health risks Proportion of the population with access to affordable medicines and
vaccines on a sustainable basis 3.b.1 - -
Total net official development assistance to medical research and
basic health per capita⁴ 3.b.2 2016 0.98
-
- Essential medicines and vaccines
Note: A dash (-) implies relevant data are not available
<0.1
0.06 66 65
Suicide mortality rate¹⁹ (per 100
000 population) 3.4.2 2016 14.3
Total alcohol per capita (age 15+
years) consumption⁴ 3.5.2 2016 4.3
Mortality rate from road traffic
injuries¹⁹ (per 100 000 population) 3.6.1 2016 14.2
13.2 4.3
17
Total NCD mortality⁸
2000 2005 2010 2015
0 250 500 750 1000
Total NCD mortality rate (per 100 000 pop.)
Female Male
Adolescent birth rate (per 1000 women aged 15 to 19 years)
Current data are insufficient to determine trend
2018 Health SDG Profile: Sri Lanka
Prevalence of children under 5 years who are overweight⁵
2009 2012 2016
0 7.5 15
Proportion (%)
2.0 0.8
Prevalence of children under 5 years who are wasted⁵
2009 2012 2016
0 25 50
Proportion (%)
Prevalence of children under 5 years who are stunted⁵
2009 2012 2016
0 50 100
Proportion (%)
Children under 5 years who are stunted⁵ 2.2.1 2016 17.3 Children under 5 years who are wasted⁵ 2.2.2 2016 15.1 Children under 5 years who are overweight⁵ 2.2.3 2016 2.0
33.0 15.2 3.4 Child nutrition
Other health-related SDGs
Proportion of population using improved
drinking water sources⁴ 6.1 2015 -
Proportion of population using improved
sanitation⁴ 6.2 2015 -
- - Drinking water services and sanitation
Proportion of population with primary
reliance on clean fuel⁴ 7.1 2016 26 41
Clean household energy
Air pollution level in cities⁴ (PM 2.5)
(µg/m³) 11.6.2 2016 15.1 57.3
Ambient air pollution
Number of deaths by disaster⁴ (per 100 000
people) 13.1.2 2012-16 0.3 0.2
Natural disasters
Mortality rate due to homicide¹⁹
(per 100 000 population) 16.1.1 2016 2.5
Estimated direct deaths from major
conflicts⁴ (per 100 000 population) 16.1.2 2011-2015 <0.1
4.1 0.1 Homicide and conflicts
Birth registration coverage¹⁴ 16.9.1 2012 97.2 -
Birth registration
19.2 17.3
11.8 15.1
Note: A dash (-) implIes relevant data are not available
Indicators SDG
target Year Sri
Lanka Regional Estimate General government health expenditure as %
of general government expenditure⁴ 1.a 2016 7.9 8.5
General government health expenditure
Completeness of cause-of-death data¹⁵(%) 17.19.2 2005-2015 93 10 Cause-of-death
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http://apps.who.int/immunization_monitoring/globalsummary/countries?countrycriteria%5Bcountry%5D%5B%5D=TLS&commit=OK -accessed 20 June 2018.See for DTP3 coverage: a proxy for immunization coverage.
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16. Trends in maternal mortality: 1990 to 2015 http://www.who.int/reproductivehealth/publications/monitoring/maternal-mortality-2015/en/ - accessed 9 July 2018).
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