Figure 3.6
Financing system related to health-care provision
Funders
Providers
Financing agents
Charity-based health services
NGOs
Other ministries providing health care
Health facilities under other ministries
Indigenous health services Donors Specialized hospitals
Central ministries
Government
Ministry of Health, Nutrition and Indigenous Medicine
Specialized campaigns
Tertiary care services
Treasury
Provincial ministries of health
Finance Commission
Provincial directorates of health
Secondary care services
Local government health services
Primary care services
Individual citizens Insurers Employers
Private health services
Rest of the world
Home-based care, self-care
Source: Perera and Perera, 2017: p.31
3.2.1 Provincial financing mechanisms The Finance Commission of Sri Lanka was established by the Thirteenth Amendment to the Constitution of the Democratic Socialist Republic of Sri Lanka in 1987. Its job was to disburse treasury funds under the decentralized 59