{"id":6067,"date":"2026-10-02T09:58:16","date_gmt":"2026-10-02T04:28:16","guid":{"rendered":"http:\/\/127.0.0.1\/dashboard\/wordpress-6.9.4\/wordpress\/en_us\/performance-2025\/"},"modified":"2026-10-02T09:58:16","modified_gmt":"2026-10-02T04:28:16","slug":"performance-2025","status":"publish","type":"page","link":"https:\/\/healthdept.nc.gov.lk\/si\/performance-2025\/","title":{"rendered":"Annual Performance 2025"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"6067\" class=\"elementor elementor-6067\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a8f8d0a e-con-boxed e-flex e-con e-parent\" data-id=\"a8f8d0a\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;gradient&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-a228698 e-con-full e-flex e-con e-child\" data-id=\"a228698\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-376862d elementor-widget elementor-widget-text-editor\" data-id=\"376862d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><a href=\"https:\/\/healthdept.nc.gov.lk\/en_us\/en_us\/\" style=\"color:#FFC436;text-decoration:none\">Home<\/a> &nbsp;\u203a&nbsp; About Us &nbsp;\u203a&nbsp; Annual Performance 2025<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-020e4d0 elementor-widget elementor-widget-heading\" data-id=\"020e4d0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Annual Performance 2025<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b4ac5e0 elementor-widget elementor-widget-text-editor\" data-id=\"b4ac5e0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Highlights from the Annual Performance Report 2025 of the Department of Health Services, North Central Province.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-3ee6fde e-con-full elementor-hidden-mobile e-flex e-con e-child\" data-id=\"3ee6fde\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6d11f09 elementor-view-stacked elementor-shape-circle elementor-widget elementor-widget-icon\" data-id=\"6d11f09\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-wrapper\">\n\t\t\t<div class=\"elementor-icon\">\n\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-chart-bar\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M332.8 320h38.4c6.4 0 12.8-6.4 12.8-12.8V172.8c0-6.4-6.4-12.8-12.8-12.8h-38.4c-6.4 0-12.8 6.4-12.8 12.8v134.4c0 6.4 6.4 12.8 12.8 12.8zm96 0h38.4c6.4 0 12.8-6.4 12.8-12.8V76.8c0-6.4-6.4-12.8-12.8-12.8h-38.4c-6.4 0-12.8 6.4-12.8 12.8v230.4c0 6.4 6.4 12.8 12.8 12.8zm-288 0h38.4c6.4 0 12.8-6.4 12.8-12.8v-70.4c0-6.4-6.4-12.8-12.8-12.8h-38.4c-6.4 0-12.8 6.4-12.8 12.8v70.4c0 6.4 6.4 12.8 12.8 12.8zm96 0h38.4c6.4 0 12.8-6.4 12.8-12.8V108.8c0-6.4-6.4-12.8-12.8-12.8h-38.4c-6.4 0-12.8 6.4-12.8 12.8v198.4c0 6.4 6.4 12.8 12.8 12.8zM496 384H64V80c0-8.84-7.16-16-16-16H16C7.16 64 0 71.16 0 80v336c0 17.67 14.33 32 32 32h464c8.84 0 16-7.16 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i{width:42px;height:42px;border-radius:12px;display:flex;align-items:center;justify-content:center;background:#e3f5ea;color:var(--g);font-size:17px;margin-bottom:10px}\n\/* photos *\/\n.ncpp-ph{display:grid;grid-template-columns:repeat(3,1fr);gap:14px;margin-top:24px}\n.ncpp-ph a{position:relative;display:block;border-radius:16px;overflow:hidden;aspect-ratio:4\/3;box-shadow:0 8px 22px rgba(11,46,99,.12)}\n.ncpp-ph img{width:100%;height:100%;object-fit:cover;transition:transform .4s;display:block}\n.ncpp-ph a:hover img{transform:scale(1.06)}\n.ncpp-ph span{position:absolute;left:0;right:0;bottom:0;padding:28px 14px 12px;color:#fff;font-size:13.5px;font-weight:600;line-height:1.35;background:linear-gradient(transparent,rgba(6,20,48,.85))}\n.ncpp-c{text-align:center;margin:26px 0 0}\n.ncpp-btn{display:inline-flex;gap:8px;align-items:center;background:var(--b);color:#fff!important;text-decoration:none;font-weight:700;padding:13px 24px;border-radius:30px;transition:background .2s}\n.ncpp-btn:hover{background:var(--dk)}\n.ncpp-src{font-size:12px;color:#8a95a5;line-height:1.6;padding:24px 16px 48px;margin:0}\n@media(max-width:1024px){.ncpp-kpis{grid-template-columns:repeat(2,1fr)}.ncpp-two,.ncpp-two.wide{grid-template-columns:1fr}.ncpp-dig{grid-template-columns:repeat(2,1fr)}.ncpp-dg{grid-template-columns:repeat(2,1fr)}}\n@media(max-width:767px){.ncpp-sec{padding:52px 14px}.ncpp-kpis,.ncpp-ach,.ncpp-dcs,.ncpp-pgs,.ncpp-way,.ncpp-dig{grid-template-columns:1fr}\n .ncpp-kpi{padding-left:84px}.ncpp-br,.ncpp-pb{grid-template-columns:118px 1fr 70px;gap:8px}.ncpp-br .nm,.ncpp-pb .nm{font-size:12.5px}\n .ncpp-im{grid-template-columns:1fr 1fr}.ncpp-im>span{grid-column:1\/-1}.ncpp-ph{grid-template-columns:1fr 1fr}.ncpp-card{padding:18px}.ncpp-tiles{grid-template-columns:1fr 1fr}}\n<\/style><div class=\"ncpp\" id=\"ncp-performance\"><section class=\"ncpp-sec first\"><div class=\"ncpp-w\"><p class=\"ncpp-eb\">Annual Performance Report 2025<\/p><h2>The year at a glance<\/h2><p class=\"ncpp-lead\">Highlights from the Annual Performance Report 2025 of the Department of Health Services, North Central Province \u2013 covering patient care, public health, development projects, finance and staff across Anuradhapura and Polonnaruwa districts.<\/p><div class=\"ncpp-kpis\"><div class=\"ncpp-kpi k0\"><span class=\"ncpp-ki\"><svg viewBox=\"0 0 24 24\"><path d=\"M4 21V7l8-4 8 4v14M9 21v-5h6v5M12 8v5M9.5 10.5h5\"\/><\/svg><\/span><b>3.41M<\/b><em>OPD visits<\/em><span>at provincial base & divisional hospitals<\/span><\/div><div class=\"ncpp-kpi k1\"><span class=\"ncpp-ki\"><svg viewBox=\"0 0 24 24\"><path d=\"M3 18V7M21 18v-5a3 3 0 00-3-3h-8v8M3 14h18M7 11.5a1.5 1.5 0 100-3 1.5 1.5 0 000 3z\"\/><\/svg><\/span><b data-c=\"283744\">283,744<\/b><em>In-patient admissions<\/em><span>Anuradhapura 208,168 \u00b7 Polonnaruwa 75,576<\/span><\/div><div class=\"ncpp-kpi k2\"><span class=\"ncpp-ki\"><svg viewBox=\"0 0 24 24\"><circle cx=\"12\" cy=\"8\" r=\"4\"\/><path d=\"M6 21c0-3.3 2.7-6 6-6s6 2.7 6 6M10.5 8h.01M13.5 8h.01\"\/><\/svg><\/span><b data-c=\"12966\">12,966<\/b><em>Live births<\/em><span>99.9% in health institutions<\/span><\/div><div class=\"ncpp-kpi k3\"><span class=\"ncpp-ki\"><svg viewBox=\"0 0 24 24\"><path d=\"M3 21h18M5 21V10l7-5 7 5v11M9 21v-6h6v6\"\/><\/svg><\/span><b data-c=\"214\">214<\/b><em>Development projects<\/em><span>PSDG 2025 \u2013 133 fully completed<\/span><\/div><div class=\"ncpp-kpi k4\"><span class=\"ncpp-ki\"><svg viewBox=\"0 0 24 24\"><rect x=\"3\" y=\"6\" width=\"18\" height=\"12\" rx=\"2\"\/><circle cx=\"12\" cy=\"12\" r=\"2.5\"\/><path d=\"M7 9.5v.01M17 14.5v.01\"\/><\/svg><\/span><b>Rs. 8.87 Bn<\/b><em>Spent in 2025<\/em><span>97.8% of recurrent and 69.6% of capital allocation used<\/span><\/div><div class=\"ncpp-kpi k5\"><span class=\"ncpp-ki\"><svg viewBox=\"0 0 24 24\"><path d=\"M9 11a3.5 3.5 0 100-7 3.5 3.5 0 000 7zM2.5 20c0-3.6 2.9-6 6.5-6s6.5 2.4 6.5 6M17 11a3 3 0 100-6M18.5 14c1.9.6 3.3 2.6 3.3 5\"\/><\/svg><\/span><b data-c=\"4408\">4,408<\/b><em>Staff in service<\/em><span>of an approved cadre of 5,236<\/span><\/div><\/div><\/div><\/section><section class=\"ncpp-sec alt\" id=\"achievements\"><div class=\"ncpp-w\"><p class=\"ncpp-eb\">Achievements<\/p><h2>Key achievements in 2025<\/h2><p class=\"ncpp-lead\">Despite many challenges, the department achieved the following during the year.<\/p><div class=\"ncpp-ach\"><div><i class=\"fas fa-chart-pie\"><\/i><span>Overall financial progress of 70% on development work<\/span><\/div><div><i class=\"fas fa-stethoscope\"><\/i><span>Laparoscope machine purchased for Base Hospital Thambuttegama<\/span><\/div><div><i class=\"fas fa-flask\"><\/i><span>Cadre plan prepared for the provincial laboratory system<\/span><\/div><div><i class=\"fas fa-network-wired\"><\/i><span>Networking of Outpatient Departments (OPD) started across the province<\/span><\/div><div><i class=\"fas fa-laptop-code\"><\/i><span>New software system introduced for the Planning Unit<\/span><\/div><div><i class=\"fas fa-user-nurse\"><\/i><span>Nursing officer cadre increased by 48 posts<\/span><\/div><div><i class=\"fas fa-ambulance\"><\/i><span>Emergency treatment and accident & emergency services developed at BH Thambuttegama<\/span><\/div><div><i class=\"fas fa-file-signature\"><\/i><span>Internal circulars issued to strengthen the provincial health system<\/span><\/div><div><i class=\"fas fa-vials\"><\/i><span>Laboratory Information Management System (LIMS) set up in Anuradhapura district<\/span><\/div><div><i class=\"fas fa-clipboard-check\"><\/i><span>Health facility survey of all service-providing institutions completed<\/span><\/div><\/div><\/div><\/section><section class=\"ncpp-sec \" id=\"patient-care\"><div class=\"ncpp-w\"><p class=\"ncpp-eb\">Patient care<\/p><h2>Services at provincial hospitals<\/h2><p class=\"ncpp-lead\">Outpatient, clinic and in-patient services at the base and divisional hospitals managed by the department.<\/p><div class=\"ncpp-dcs\"><div class=\"ncpp-dc \"><h3>Anuradhapura district<\/h3><p class=\"sub\">39 base &amp; divisional hospitals<\/p><div class=\"ncpp-dg\"><div><b>2,564,174<\/b><span>OPD visits<\/span><\/div><div><b>610,771<\/b><span>Clinic visits<\/span><\/div><div><b>208,168<\/b><span>Admissions<\/span><\/div><div><b>2,231<\/b><span>Hospital beds<\/span><\/div><\/div><\/div><div class=\"ncpp-dc pol\"><h3>Polonnaruwa district<\/h3><p class=\"sub\">11 base &amp; divisional hospitals<\/p><div class=\"ncpp-dg\"><div><b>842,568<\/b><span>OPD visits<\/span><\/div><div><b>292,862<\/b><span>Clinic visits<\/span><\/div><div><b>75,576<\/b><span>Admissions<\/span><\/div><div><b>685<\/b><span>Hospital beds<\/span><\/div><\/div><\/div><\/div><div class=\"ncpp-card\"><h3>Busiest outpatient departments<\/h3><p class=\"sub\">Total OPD visits in 2025, top 10 provincial hospitals<\/p><div class=\"ncpp-lg\"><span><i style=\"background:#1450A3\"><\/i>Anuradhapura district<\/span><span><i style=\"background:#1f9d55\"><\/i>Polonnaruwa district<\/span><\/div><div class=\"ncpp-br\"><span class=\"nm\">BH Thambuttegama<small>Anuradhapura<\/small><\/span><span class=\"tr\"><i class=\"ncpp-grow \" style=\"--w:100.0%\" title=\"BH Thambuttegama: 173,234 OPD visits\"><\/i><\/span><b>173,234<\/b><\/div><div class=\"ncpp-br\"><span class=\"nm\">BH Kekirawa<small>Anuradhapura<\/small><\/span><span class=\"tr\"><i class=\"ncpp-grow \" style=\"--w:80.9%\" title=\"BH Kekirawa: 140,137 OPD visits\"><\/i><\/span><b>140,137<\/b><\/div><div class=\"ncpp-br\"><span class=\"nm\">BH Medirigiriya<small>Polonnaruwa<\/small><\/span><span class=\"tr\"><i class=\"ncpp-grow pol\" style=\"--w:80.8%\" title=\"BH Medirigiriya: 139,992 OPD visits\"><\/i><\/span><b>139,992<\/b><\/div><div class=\"ncpp-br\"><span class=\"nm\">DH Nochchiyagama<small>Anuradhapura<\/small><\/span><span class=\"tr\"><i class=\"ncpp-grow \" style=\"--w:76.8%\" title=\"DH Nochchiyagama: 132,987 OPD visits\"><\/i><\/span><b>132,987<\/b><\/div><div class=\"ncpp-br\"><span class=\"nm\">BH Medawachchiya<small>Anuradhapura<\/small><\/span><span class=\"tr\"><i class=\"ncpp-grow \" style=\"--w:70.8%\" title=\"BH Medawachchiya: 122,650 OPD visits\"><\/i><\/span><b>122,650<\/b><\/div><div class=\"ncpp-br\"><span class=\"nm\">BH Kahatagasdigiliya<small>Anuradhapura<\/small><\/span><span class=\"tr\"><i class=\"ncpp-grow \" style=\"--w:65.6%\" title=\"BH Kahatagasdigiliya: 113,618 OPD visits\"><\/i><\/span><b>113,618<\/b><\/div><div class=\"ncpp-br\"><span class=\"nm\">DH Horowpothana<small>Anuradhapura<\/small><\/span><span class=\"tr\"><i class=\"ncpp-grow \" style=\"--w:64.0%\" title=\"DH Horowpothana: 110,880 OPD visits\"><\/i><\/span><b>110,880<\/b><\/div><div class=\"ncpp-br\"><span class=\"nm\">DH Eppawala<small>Anuradhapura<\/small><\/span><span class=\"tr\"><i class=\"ncpp-grow \" style=\"--w:63.4%\" title=\"DH Eppawala: 109,867 OPD visits\"><\/i><\/span><b>109,867<\/b><\/div><div class=\"ncpp-br\"><span class=\"nm\">BH Hingurakgoda<small>Polonnaruwa<\/small><\/span><span class=\"tr\"><i class=\"ncpp-grow pol\" style=\"--w:59.7%\" title=\"BH Hingurakgoda: 103,445 OPD visits\"><\/i><\/span><b>103,445<\/b><\/div><div class=\"ncpp-br\"><span class=\"nm\">DH Galenbindunuwewa<small>Anuradhapura<\/small><\/span><span class=\"tr\"><i class=\"ncpp-grow \" style=\"--w:55.6%\" title=\"DH Galenbindunuwewa: 96,308 OPD visits\"><\/i><\/span><b>96,308<\/b><\/div><\/div><\/div><\/section><section class=\"ncpp-sec alt\" id=\"mch\"><div class=\"ncpp-w\"><p class=\"ncpp-eb\">Maternal & child health<\/p><h2>Healthy mothers, healthy children<\/h2><div class=\"ncpp-two\"><div class=\"ncpp-card\"><h3>Where we stand against the SDG 2030 targets<\/h3><p class=\"sub\">North Central Province, 2025. The marker shows the 2030 target.<\/p><div class=\"ncpp-mr\"><div class=\"hd\"><span>Maternal mortality ratio<small>per 100,000 live births<\/small><\/span><b class=\"gap\">32.6<\/b><\/div><div class=\"sc\"><i class=\"ncpp-grow\" style=\"--w:65.2%\"><\/i><u style=\"left:40.0%\" title=\"SDG 2030 target: 20\"><\/u><\/div><div class=\"ft\"><span>Target 2030: <b>20<\/b><\/span><span>Sri Lanka: <b>25<\/b><\/span><span class=\"st gap\">Target not yet met<\/span><\/div><\/div><div class=\"ncpp-mr\"><div class=\"hd\"><span>Under-5 mortality rate<small>per 1,000 live births<\/small><\/span><b class=\"gap\">13.3<\/b><\/div><div class=\"sc\"><i class=\"ncpp-grow\" style=\"--w:66.5%\"><\/i><u style=\"left:45.0%\" title=\"SDG 2030 target: 9\"><\/u><\/div><div class=\"ft\"><span>Target 2030: <b>9<\/b><\/span><span>Sri Lanka: <b>11.1<\/b><\/span><span class=\"st gap\">Target not yet met<\/span><\/div><\/div><div class=\"ncpp-mr\"><div class=\"hd\"><span>Neonatal mortality rate<small>per 1,000 live births<\/small><\/span><b class=\"gap\">7.3<\/b><\/div><div class=\"sc\"><i class=\"ncpp-grow\" style=\"--w:73.0%\"><\/i><u style=\"left:55.0%\" title=\"SDG 2030 target: 5.5\"><\/u><\/div><div class=\"ft\"><span>Target 2030: <b>5.5<\/b><\/span><span>Sri Lanka: <b>6.9<\/b><\/span><span class=\"st gap\">Target not yet met<\/span><\/div><\/div><div class=\"ncpp-mr\"><div class=\"hd\"><span>Family planning \u2013 modern methods<small>% of need satisfied<\/small><\/span><b class=\"gap\">66.8<\/b><\/div><div class=\"sc\"><i class=\"ncpp-grow\" style=\"--w:66.8%\"><\/i><u style=\"left:81.0%\" title=\"SDG 2030 target: 81\"><\/u><\/div><div class=\"ft\"><span>Target 2030: <b>81<\/b><\/span><span>Sri Lanka: <b>80.7<\/b><\/span><span class=\"st gap\">Target not yet met<\/span><\/div><\/div><div class=\"ncpp-mr\"><div class=\"hd\"><span>Births with skilled attendance<small>%<\/small><\/span><b class=\"ok\">99.9<\/b><\/div><div class=\"sc\"><i class=\"ncpp-grow\" style=\"--w:99.9%\"><\/i><u style=\"left:99.9%\" title=\"SDG 2030 target: 99.9\"><\/u><\/div><div class=\"ft\"><span>Target 2030: <b>99.9<\/b><\/span><span>Sri Lanka: <b>99.9<\/b><\/span><span class=\"st ok\">Target met<\/span><\/div><\/div><\/div><div><div class=\"ncpp-tiles\"><div><b>84.9%<\/b><span>mothers registered before 8 weeks of pregnancy<\/span><\/div><div><b>98.1%<\/b><span>attended 4 or more antenatal clinics<\/span><\/div><div><b>95.0%<\/b><span>had a postnatal home visit within 10 days<\/span><\/div><div><b>11.3<\/b><span>infant mortality rate per 1,000 live births<\/span><\/div><div><b>15.5%<\/b><span>babies born with low birth weight<\/span><\/div><div><b>1,823<\/b><span>survivors of gender-based violence supported<\/span><\/div><\/div><\/div><\/div><\/div><\/section><section class=\"ncpp-sec \" id=\"disease-control\"><div class=\"ncpp-w\"><p class=\"ncpp-eb\">Disease prevention<\/p><h2>Immunisation and disease control<\/h2><div class=\"ncpp-two\"><div class=\"ncpp-card\"><h3>Vaccination coverage 2025<\/h3><p class=\"sub\">Percentage of eligible children \/ students vaccinated<\/p><div class=\"ncpp-lg\"><span><i style=\"background:#1450A3\"><\/i>Anuradhapura<\/span><span><i style=\"background:#1f9d55\"><\/i>Polonnaruwa<\/span><\/div><div class=\"ncpp-im\"><span>BCG<\/span><div class=\"pr\"><i class=\"ncpp-grow\" style=\"--w:94.5%\" title=\"Anuradhapura 94.5%\"><\/i><b>94.5%<\/b><\/div><div class=\"pr pol\"><i class=\"ncpp-grow\" style=\"--w:100%\" title=\"Polonnaruwa 100%\"><\/i><b>100%<\/b><\/div><\/div><div class=\"ncpp-im\"><span>Pentavalent \/ polio 3<\/span><div class=\"pr\"><i class=\"ncpp-grow\" style=\"--w:99.6%\" title=\"Anuradhapura 99.6%\"><\/i><b>99.6%<\/b><\/div><div class=\"pr pol\"><i class=\"ncpp-grow\" style=\"--w:100%\" title=\"Polonnaruwa 100%\"><\/i><b>100%<\/b><\/div><\/div><div class=\"ncpp-im\"><span>MMR 1<\/span><div class=\"pr\"><i class=\"ncpp-grow\" style=\"--w:99.2%\" title=\"Anuradhapura 99.2%\"><\/i><b>99.2%<\/b><\/div><div class=\"pr pol\"><i class=\"ncpp-grow\" style=\"--w:100%\" title=\"Polonnaruwa 100%\"><\/i><b>100%<\/b><\/div><\/div><div class=\"ncpp-im\"><span>Japanese encephalitis<\/span><div class=\"pr\"><i class=\"ncpp-grow\" style=\"--w:99.9%\" title=\"Anuradhapura 99.9%\"><\/i><b>99.9%<\/b><\/div><div class=\"pr pol\"><i class=\"ncpp-grow\" style=\"--w:98%\" title=\"Polonnaruwa 98%\"><\/i><b>98%<\/b><\/div><\/div><div class=\"ncpp-im\"><span>HPV \u2013 1st dose (girls)<\/span><div class=\"pr\"><i class=\"ncpp-grow\" style=\"--w:95.0%\" title=\"Anuradhapura 95%\"><\/i><b>95%<\/b><\/div><div class=\"pr pol\"><i class=\"ncpp-grow\" style=\"--w:99.1%\" title=\"Polonnaruwa 99.1%\"><\/i><b>99.1%<\/b><\/div><\/div><div class=\"ncpp-im\"><span>aTd (grade 7)<\/span><div class=\"pr\"><i class=\"ncpp-grow\" style=\"--w:94.0%\" title=\"Anuradhapura 94%\"><\/i><b>94%<\/b><\/div><div class=\"pr pol\"><i class=\"ncpp-grow\" style=\"--w:95.8%\" title=\"Polonnaruwa 95.8%\"><\/i><b>95.8%<\/b><\/div><\/div><\/div><div class=\"ncpp-card\"><h3>Disease control in numbers<\/h3><p class=\"sub\">2025, North Central Province<\/p><div class=\"ncpp-tiles sm\"><div><b>642<\/b><span>dengue cases in the province<\/span><\/div><div><b>706<\/b><span>leptospirosis cases notified (both districts)<\/span><\/div><div><b>751,500<\/b><span>doxycycline doses given to farmers in Polonnaruwa<\/span><\/div><div><b>159,192<\/b><span>dogs vaccinated against rabies<\/span><\/div><div><b>131<\/b><span>leprosy patients treated<\/span><\/div><div><b>1<\/b><span>malaria case \u2013 imported, detected and treated<\/span><\/div><\/div><\/div><\/div><\/div><\/section><section class=\"ncpp-sec alt\" id=\"development\"><div class=\"ncpp-w\"><p class=\"ncpp-eb\">Development<\/p><h2>Building better health facilities<\/h2><p class=\"ncpp-lead\">Construction, renovation, equipment and training funded by provincial, national and donor programmes.<\/p><div class=\"ncpp-two\"><div class=\"ncpp-card\"><h3>Provincial Specific Development Grant (PSDG)<\/h3><p class=\"sub\">Spent vs allocation by category, Rs. million \u2013 total Rs. 548.0 Mn of Rs. 806.9 Mn<\/p><div class=\"ncpp-lg\"><span><i style=\"background:#0b2e63\"><\/i>Spent<\/span><span><i style=\"background:#c9d8ee\"><\/i>Allocation<\/span><\/div><div class=\"ncpp-pb\"><span class=\"nm\">Equipment & purchasing<\/span><span class=\"tr\"><i class=\"al ncpp-grow\" style=\"--w:100.0%\" title=\"Allocation Rs. 302.44 Mn\"><\/i><i class=\"ex ncpp-grow\" style=\"--w:75.3%\" title=\"Spent Rs. 227.83 Mn\"><\/i><\/span><b>227.8<small> \/ 302.4<\/small><\/b><\/div><div class=\"ncpp-pb\"><span class=\"nm\">Divisional hospitals<\/span><span class=\"tr\"><i class=\"al ncpp-grow\" style=\"--w:69.7%\" title=\"Allocation Rs. 210.80 Mn\"><\/i><i class=\"ex ncpp-grow\" style=\"--w:40.2%\" title=\"Spent Rs. 121.44 Mn\"><\/i><\/span><b>121.4<small> \/ 210.8<\/small><\/b><\/div><div class=\"ncpp-pb\"><span class=\"nm\">Base hospitals<\/span><span class=\"tr\"><i class=\"al ncpp-grow\" style=\"--w:48.2%\" title=\"Allocation Rs. 145.84 Mn\"><\/i><i class=\"ex ncpp-grow\" style=\"--w:31.7%\" title=\"Spent Rs. 96.01 Mn\"><\/i><\/span><b>96.0<small> \/ 145.8<\/small><\/b><\/div><div class=\"ncpp-pb\"><span class=\"nm\">MOH offices<\/span><span class=\"tr\"><i class=\"al ncpp-grow\" style=\"--w:30.1%\" title=\"Allocation Rs. 91.10 Mn\"><\/i><i class=\"ex ncpp-grow\" style=\"--w:21.1%\" title=\"Spent Rs. 63.67 Mn\"><\/i><\/span><b>63.7<small> \/ 91.1<\/small><\/b><\/div><div class=\"ncpp-pb\"><span class=\"nm\">Primary medical care units<\/span><span class=\"tr\"><i class=\"al ncpp-grow\" style=\"--w:7.6%\" title=\"Allocation Rs. 23.12 Mn\"><\/i><i class=\"ex ncpp-grow\" style=\"--w:5.8%\" title=\"Spent Rs. 17.51 Mn\"><\/i><\/span><b>17.5<small> \/ 23.1<\/small><\/b><\/div><div class=\"ncpp-pb\"><span class=\"nm\">RDHS offices<\/span><span class=\"tr\"><i class=\"al ncpp-grow\" style=\"--w:5.8%\" title=\"Allocation Rs. 17.42 Mn\"><\/i><i class=\"ex ncpp-grow\" style=\"--w:3.0%\" title=\"Spent Rs. 9.01 Mn\"><\/i><\/span><b>9.0<small> \/ 17.4<\/small><\/b><\/div><div class=\"ncpp-pb\"><span class=\"nm\">Common<\/span><span class=\"tr\"><i class=\"al ncpp-grow\" style=\"--w:3.5%\" title=\"Allocation Rs. 10.58 Mn\"><\/i><i class=\"ex ncpp-grow\" style=\"--w:2.5%\" title=\"Spent Rs. 7.50 Mn\"><\/i><\/span><b>7.5<small> \/ 10.6<\/small><\/b><\/div><div class=\"ncpp-pb\"><span class=\"nm\">Training<\/span><span class=\"tr\"><i class=\"al ncpp-grow\" style=\"--w:1.9%\" title=\"Allocation Rs. 5.61 Mn\"><\/i><i class=\"ex ncpp-grow\" style=\"--w:1.7%\" title=\"Spent Rs. 5.08 Mn\"><\/i><\/span><b>5.1<small> \/ 5.6<\/small><\/b><\/div><\/div><div><div class=\"ncpp-card\"><h3>Status of the 214 PSDG projects<\/h3><p class=\"sub\">Physical progress at 31 December 2025 \u2013 96 continue into 2026<\/p><div class=\"ncpp-stk\"><i style=\"flex:133;background:#0b2e63\" title=\"Completed: 133 projects\">133<\/i><i style=\"flex:47;background:#1450A3\" title=\"50\u201399% done: 47 projects\">47<\/i><i style=\"flex:27;background:#6b9ae0\" title=\"Below 50%: 27 projects\">27<\/i><i style=\"flex:7;background:#b9c4d4\" title=\"Not started: 7 projects\"><\/i><\/div><div class=\"ncpp-lg col\"><span><i style=\"background:#0b2e63\"><\/i>Completed \u2013 133<\/span><span><i style=\"background:#1450A3\"><\/i>50\u201399% done \u2013 47<\/span><span><i style=\"background:#6b9ae0\"><\/i>Below 50% \u2013 27<\/span><span><i style=\"background:#b9c4d4\"><\/i>Not started \u2013 7<\/span><\/div><\/div><div class=\"ncpp-pgs\"><div class=\"ncpp-pg\"><i class=\"fas fa-tools\"><\/i><div><b>Maintenance plan<\/b><em>137 projects<\/em><span>Rs. 224.1 Mn spent of Rs. 284.2 Mn<\/span><\/div><\/div><div class=\"ncpp-pg\"><i class=\"fas fa-landmark\"><\/i><div><b>Provincial Council grant (PCDG)<\/b><em>16 activities<\/em><span>Rs. 24.3 Mn spent of Rs. 28.9 Mn (84%)<\/span><\/div><\/div><div class=\"ncpp-pg\"><i class=\"fas fa-hospital-alt\"><\/i><div><b>Health System Enhancement Project (ADB)<\/b><em>84 sub-projects<\/em><span>Rs. 1,017.5 Mn spent, 2019\u20132025<\/span><\/div><\/div><div class=\"ncpp-pg\"><i class=\"fas fa-clinic-medical\"><\/i><div><b>Primary Healthcare System Enhancement Project (World Bank)<\/b><em>22 activities<\/em><span>Rs. 68.1 Mn, paid through PSDG<\/span><\/div><\/div><\/div><\/div><\/div><h3 class=\"ncpp-h3\">Digital transformation<\/h3><div class=\"ncpp-dig\"><div><i class=\"fas fa-tachometer-alt\"><\/i><h4>Hospital dashboard<\/h4><p>A low-cost daily dashboard started at BH Thambuttegama and extended to the PDHS office for province-wide monitoring.<\/p><\/div><div><i class=\"fas fa-project-diagram\"><\/i><h4>Procurement dashboard<\/h4><p>Tracks about 280 development projects worth Rs. 1.01 billion \u2013 about 80% completed, with Rs. 53 million saved after contract award.<\/p><\/div><div><i class=\"fas fa-network-wired\"><\/i><h4>OPD networking<\/h4><p>Computer networking of outpatient departments began in 2025.<\/p><\/div><div><i class=\"fas fa-vials\"><\/i><h4>Laboratory information system<\/h4><p>LIMS introduced in Anuradhapura district laboratories.<\/p><\/div><\/div><\/div><\/section><section class=\"ncpp-sec \" id=\"finance\"><div class=\"ncpp-w\"><p class=\"ncpp-eb\">Finance<\/p><h2>Financial performance 2025<\/h2><div class=\"ncpp-two\"><div class=\"ncpp-card\"><h3>Use of the 2025 allocation<\/h3><p class=\"sub\">Expenditure Head 631 \u2013 Department of Health Services, NCP<\/p><div class=\"ncpp-rings\"><div class=\"ncpp-ring\"><div class=\"rw\"><svg viewBox=\"0 0 120 120\"><circle cx=\"60\" cy=\"60\" r=\"50\" class=\"bg\"\/><circle cx=\"60\" cy=\"60\" r=\"50\" class=\"fg ncpp-arc\" style=\"--p:97.8\" pathLength=\"100\"\/><\/svg><b>97.8%<\/b><\/div><em>Recurrent<\/em><span>Rs. 8,238.5 Mn of Rs. 8,427.8 Mn<\/span><\/div><div class=\"ncpp-ring\"><div class=\"rw\"><svg viewBox=\"0 0 120 120\"><circle cx=\"60\" cy=\"60\" r=\"50\" class=\"bg\"\/><circle cx=\"60\" cy=\"60\" r=\"50\" class=\"fg ncpp-arc\" style=\"--p:69.6\" pathLength=\"100\"\/><\/svg><b>69.6%<\/b><\/div><em>Capital<\/em><span>Rs. 630.9 Mn of Rs. 906.4 Mn<\/span><\/div><\/div><\/div><div class=\"ncpp-card\"><h3>Where the money went<\/h3><p class=\"sub\">Total expenditure Rs. 8,869.3 million<\/p><div class=\"ncpp-stk tall\"><i style=\"flex:6900.12;background:#0b2e63\" title=\"Salaries & staff benefits: Rs. 6,900.1 Mn\">78%<\/i><i style=\"flex:1333.1;background:#1450A3\" title=\"Goods & services: Rs. 1,333.1 Mn\">15%<\/i><i style=\"flex:630.86;background:#1f9d55\" title=\"Capital works & equipment: Rs. 630.9 Mn\">7%<\/i><i style=\"flex:5.26;background:#b9c4d4\" title=\"Subsidies & transfers: Rs. 5.3 Mn\"><\/i><\/div><div class=\"ncpp-lg col\"><span><i style=\"background:#0b2e63\"><\/i>Salaries & staff benefits \u2013 Rs. 6,900.1 Mn<\/span><span><i style=\"background:#1450A3\"><\/i>Goods & services \u2013 Rs. 1,333.1 Mn<\/span><span><i style=\"background:#1f9d55\"><\/i>Capital works & equipment \u2013 Rs. 630.9 Mn<\/span><span><i style=\"background:#b9c4d4\"><\/i>Subsidies & transfers \u2013 Rs. 5.3 Mn<\/span><\/div><div class=\"ncpp-mini\"><div><b>Rs. 4.87 Bn<\/b><span>total assets at 31.12.2025<\/span><\/div><div><b>Rs. 3.73 Mn<\/b><span>own revenue collected<\/span><\/div><\/div><\/div><\/div><\/div><\/section><section class=\"ncpp-sec alt\" id=\"staff\"><div class=\"ncpp-w\"><p class=\"ncpp-eb\">Human resources<\/p><h2>Our workforce<\/h2><div class=\"ncpp-two\"><div class=\"ncpp-card\"><h3>Staff in service vs approved cadre<\/h3><p class=\"sub\">By staff category at 31 December 2025<\/p><div class=\"ncpp-lg\"><span><i style=\"background:#1f9d55\"><\/i>In service<\/span><span><i style=\"background:#c9d8ee\"><\/i>Approved cadre<\/span><\/div><div class=\"ncpp-pb\"><span class=\"nm\">Senior<\/span><span class=\"tr\"><i class=\"al ncpp-grow\" style=\"--w:27.2%\" title=\"Approved 697\"><\/i><i class=\"ex grn ncpp-grow\" style=\"--w:25.8%\" title=\"In service 662\"><\/i><\/span><b>662<small> \/ 697<\/small><\/b><\/div><div class=\"ncpp-pb\"><span class=\"nm\">Tertiary<\/span><span class=\"tr\"><i class=\"al ncpp-grow\" style=\"--w:2.3%\" title=\"Approved 58\"><\/i><i class=\"ex grn ncpp-grow\" style=\"--w:1.4%\" title=\"In service 37\"><\/i><\/span><b>37<small> \/ 58<\/small><\/b><\/div><div class=\"ncpp-pb\"><span class=\"nm\">Secondary<\/span><span class=\"tr\"><i class=\"al ncpp-grow\" style=\"--w:100.0%\" title=\"Approved 2,562\"><\/i><i class=\"ex grn ncpp-grow\" style=\"--w:84.7%\" title=\"In service 2,169\"><\/i><\/span><b>2,169<small> \/ 2,562<\/small><\/b><\/div><div class=\"ncpp-pb\"><span class=\"nm\">Primary<\/span><span class=\"tr\"><i class=\"al ncpp-grow\" style=\"--w:74.9%\" title=\"Approved 1,919\"><\/i><i class=\"ex grn ncpp-grow\" style=\"--w:60.1%\" title=\"In service 1,540\"><\/i><\/span><b>1,540<small> \/ 1,919<\/small><\/b><\/div><\/div><div><div class=\"ncpp-tiles\"><div><b>828<\/b><span>vacancies in the approved cadre (15.8%)<\/span><\/div><div><b>10,156<\/b><span>staff proposed in the new cadre<\/span><\/div><div><b>+48<\/b><span>new nursing officer posts approved<\/span><\/div><div><b>1,722<\/b><span>appointments, promotions & other HR actions<\/span><\/div><div><b>290<\/b><span>officers trained in office, finance & procurement<\/span><\/div><div><b>35<\/b><span>training programmes under PSDG<\/span><\/div><\/div><\/div><\/div><\/div><\/section><section class=\"ncpp-sec \" id=\"outlook\"><div class=\"ncpp-w\"><p class=\"ncpp-eb\">Looking ahead<\/p><h2>Challenges and the way forward<\/h2><div class=\"ncpp-two wide\"><div class=\"ncpp-card dark\"><h3>Challenges we face<\/h3><ul class=\"ncpp-ch\"><li>Lowest approved health staff cadre of the nine provinces (cadre approved in 2017)<\/li><li>Largest province in Sri Lanka \u2013 about one-sixth of the country's land area<\/li><li>Buildings and their maintenance need to reach expected standards<\/li><li>Data systems need strengthening to support evidence-based planning<\/li><li>Shortage of specialists such as community physicians, health planners and IT professionals<\/li><li>Round-the-clock services with limited technical and administrative support<\/li><\/ul><\/div><div class=\"ncpp-way\"><div><i class=\"fas fa-bullseye\"><\/i><h4>Reach the SDG health targets by 2030<\/h4><p>Plans and resources aligned to the Sustainable Development Goals.<\/p><\/div><div><i class=\"fas fa-sitemap\"><\/i><h4>Restructure the department<\/h4><p>A proposed Strategic Health Planning & Development Division with planning, public health, M&E and digital health, HR development, engineering, admin and accounts units.<\/p><\/div><div><i class=\"fas fa-calendar-alt\"><\/i><h4>Five-year health plan<\/h4><p>Based on a situation and gap analysis, in line with the Health Master Plan and national policies.<\/p><\/div><div><i class=\"fas fa-laptop-medical\"><\/i><h4>Digital health<\/h4><p>Hospital information systems (HHIMS, OpenMRS), DHIS2, telemedicine and e-learning.<\/p><\/div><div><i class=\"fas fa-hard-hat\"><\/i><h4>Complete ongoing projects<\/h4><p>Rs. 247.7 million needed in 2026 to finish projects started in 2025.<\/p><\/div><div><i class=\"fas fa-database\"><\/i><h4>Better data from 2026<\/h4><p>A new mechanism to collect data from all health programmes for future reports.<\/p><\/div><\/div><\/div><\/div><\/section><section class=\"ncpp-sec alt\" id=\"photos\"><div class=\"ncpp-w\"><p class=\"ncpp-eb\">Progress in pictures<\/p><h2>Development projects in 2025<\/h2><div class=\"ncpp-ph\"><a href=\"https:\/\/healthdept.nc.gov.lk\/en_us\/en_us\/gallery\/\" class=\"ph\"><img decoding=\"async\" src=\"https:\/\/healthdept.nc.gov.lk\/wp-content\/uploads\/2026\/10\/dh-negampaha-opd-roof-improvement-2.jpg\" alt=\"DH Negampaha \u2013 OPD roof improvement (completed)\" loading=\"lazy\"><span>DH Negampaha \u2013 OPD roof improvement (completed)<\/span><\/a><a href=\"https:\/\/healthdept.nc.gov.lk\/en_us\/en_us\/gallery\/\" class=\"ph\"><img decoding=\"async\" src=\"https:\/\/healthdept.nc.gov.lk\/wp-content\/uploads\/2026\/10\/dh-ranorawa-on-call-rooms-improvement-2.jpg\" alt=\"DH Ranorawa \u2013 on-call rooms improvement (in progress)\" loading=\"lazy\"><span>DH Ranorawa \u2013 on-call rooms improvement (in progress)<\/span><\/a><a href=\"https:\/\/healthdept.nc.gov.lk\/en_us\/en_us\/gallery\/\" class=\"ph\"><img decoding=\"async\" src=\"https:\/\/healthdept.nc.gov.lk\/wp-content\/uploads\/2026\/10\/bh-hingurakgoda-main-auditorium-improvement-1.jpg\" alt=\"BH Hingurakgoda \u2013 main auditorium improvement\" loading=\"lazy\"><span>BH Hingurakgoda \u2013 main auditorium improvement<\/span><\/a><a href=\"https:\/\/healthdept.nc.gov.lk\/en_us\/en_us\/gallery\/\" class=\"ph\"><img decoding=\"async\" src=\"https:\/\/healthdept.nc.gov.lk\/wp-content\/uploads\/2026\/10\/moh-welikanda-minor-repairs-1.jpg\" alt=\"MOH Welikanda \u2013 minor repairs\" loading=\"lazy\"><span>MOH Welikanda \u2013 minor repairs<\/span><\/a><a href=\"https:\/\/healthdept.nc.gov.lk\/en_us\/en_us\/gallery\/\" class=\"ph\"><img decoding=\"async\" src=\"https:\/\/healthdept.nc.gov.lk\/wp-content\/uploads\/2026\/10\/clinic-centre-nelumwila-repair-1.jpg\" alt=\"Clinic Centre Nelumwila \u2013 repair\" loading=\"lazy\"><span>Clinic Centre Nelumwila \u2013 repair<\/span><\/a><a href=\"https:\/\/healthdept.nc.gov.lk\/en_us\/en_us\/gallery\/\" class=\"ph\"><img decoding=\"async\" src=\"https:\/\/healthdept.nc.gov.lk\/wp-content\/uploads\/2026\/10\/moh-nachchaduwa-office-building-improvement-2.jpg\" alt=\"MOH Nachchaduwa \u2013 office building improvement (completed)\" loading=\"lazy\"><span>MOH Nachchaduwa \u2013 office building improvement (completed)<\/span><\/a><\/div><p class=\"ncpp-c\"><a class=\"ncpp-btn\" href=\"https:\/\/healthdept.nc.gov.lk\/en_us\/en_us\/gallery\/\">View all project photos <i class=\"fas fa-arrow-right\"><\/i><\/a><\/p><\/div><\/section><div class=\"ncpp-w\"><p class=\"ncpp-src\">Source: Annual Performance Report 2025, Department of Health Services \u2013 North Central Province (Expenditure Head 631), Office of the Provincial Director of Health Services, Anuradhapura, 29 April 2026. Provincial OPD and admission totals are calculated from the hospital tables in the report. 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