The Government of Sri Lanka has received a major financial boost from the Asian Development Bank (ADB), securing $106.9 million to enhance the country’s health care system and governance under the Strengthening Integrated Health Care and Governance for Universal Health Coverage Program.
The agreement comprises a $100 million loan from ADB’s Regular Ordinary Capital Resources and an additional $6.9 million grant from the Pandemic Prevention, Preparedness, and Response Trust Fund (Pandemic Fund). The funds will be disbursed under the Result-based Lending modality, ensuring that payments are tied to measurable outcomes.
The program is designed to reinforce Sri Lanka’s national health strategy, focusing on improving the efficiency and quality of secondary health services as the primary point of referral care. Its objectives include:
Enhancing first-referral care services,
Strengthening pandemic prevention, preparedness, and response, and
Building technical capacity in the health sector while improving the management of the pharmaceutical supply chain.
The Ministry of Health and Mass Media will act as both the Executing and Implementing Agency, with the nine Provincial Departments of Health Services serving as regional Implementing Agencies.
The Loan and Grant Agreements were officially signed yesterday at the Treasury in Colombo by Dr. Harshana Suriyapperuma, Secretary to the Ministry of Finance, Planning and Economic Development, on behalf of the Sri Lankan Government, and Mr. Takafumi Kadono, Country Director of the ADB Sri Lanka Resident Mission, representing the Asian Development Bank.
This partnership marks another milestone in Sri Lanka’s ongoing efforts to strengthen its public health infrastructure, improve access to quality healthcare, and better prepare the nation for future health emergencies.

