“Vehicle Plan for WB project Reflects Structural Gaps in Public Health”

Sri Lanka’s decision to divert US$150 million in World Bank IDA funds into a massive vehicle procurement programme has exposed a truth long whispered inside the health sector: frontline public health services have been running on a fragile, hollowed-out system, where workers are expected to deliver community care without the most basic tools to reach the communities they serve.

The move made under the banner of the Primary Health Care System Improvement Project (2024–2028) has ignited questions about whether the government is using development financing to plug years of chronic neglect rather than to deliver the reforms the World Bank originally intended.

At its core, the IDA project was designed to tackle non-communicable diseases, strengthen elderly care and improve climate-resilient health services.

But the Cabinet’s approval of more than 4,000 vehicles, from scooters and motorbikes to clinical-waste Lorries, double cabs, freezer trucks and even an ambulance boat, signals a far more uncomfortable reality:

 

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