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Annual Performance 2025

Highlights from the Annual Performance Report 2025 of the Department of Health Services, North Central Province.

Annual Performance Report 2025

The year at a glance

Highlights from the Annual Performance Report 2025 of the Department of Health Services, North Central Province – covering patient care, public health, development projects, finance and staff across Anuradhapura and Polonnaruwa districts.

3.41MOPD visitsat provincial base & divisional hospitals
283,744In-patient admissionsAnuradhapura 208,168 · Polonnaruwa 75,576
12,966Live births99.9% in health institutions
214Development projectsPSDG 2025 – 133 fully completed
Rs. 8.87 BnSpent in 202597.8% of recurrent and 69.6% of capital allocation used
4,408Staff in serviceof an approved cadre of 5,236

Achievements

Key achievements in 2025

Despite many challenges, the department achieved the following during the year.

Overall financial progress of 70% on development work
Laparoscope machine purchased for Base Hospital Thambuttegama
Cadre plan prepared for the provincial laboratory system
Networking of Outpatient Departments (OPD) started across the province
New software system introduced for the Planning Unit
Nursing officer cadre increased by 48 posts
Emergency treatment and accident & emergency services developed at BH Thambuttegama
Internal circulars issued to strengthen the provincial health system
Laboratory Information Management System (LIMS) set up in Anuradhapura district
Health facility survey of all service-providing institutions completed

Patient care

Services at provincial hospitals

Outpatient, clinic and in-patient services at the base and divisional hospitals managed by the department.

Anuradhapura district

39 base & divisional hospitals

2,564,174OPD visits
610,771Clinic visits
208,168Admissions
2,231Hospital beds

Polonnaruwa district

11 base & divisional hospitals

842,568OPD visits
292,862Clinic visits
75,576Admissions
685Hospital beds

Busiest outpatient departments

Total OPD visits in 2025, top 10 provincial hospitals

Anuradhapura districtPolonnaruwa district
BH ThambuttegamaAnuradhapura173,234
BH KekirawaAnuradhapura140,137
BH MedirigiriyaPolonnaruwa139,992
DH NochchiyagamaAnuradhapura132,987
BH MedawachchiyaAnuradhapura122,650
BH KahatagasdigiliyaAnuradhapura113,618
DH HorowpothanaAnuradhapura110,880
DH EppawalaAnuradhapura109,867
BH HingurakgodaPolonnaruwa103,445
DH GalenbindunuwewaAnuradhapura96,308

Maternal & child health

Healthy mothers, healthy children

Where we stand against the SDG 2030 targets

North Central Province, 2025. The marker shows the 2030 target.

Maternal mortality ratioper 100,000 live births32.6
Target 2030: 20Sri Lanka: 25Target not yet met
Under-5 mortality rateper 1,000 live births13.3
Target 2030: 9Sri Lanka: 11.1Target not yet met
Neonatal mortality rateper 1,000 live births7.3
Target 2030: 5.5Sri Lanka: 6.9Target not yet met
Family planning – modern methods% of need satisfied66.8
Target 2030: 81Sri Lanka: 80.7Target not yet met
Births with skilled attendance%99.9
Target 2030: 99.9Sri Lanka: 99.9Target met
84.9%mothers registered before 8 weeks of pregnancy
98.1%attended 4 or more antenatal clinics
95.0%had a postnatal home visit within 10 days
11.3infant mortality rate per 1,000 live births
15.5%babies born with low birth weight
1,823survivors of gender-based violence supported

Disease prevention

Immunisation and disease control

Vaccination coverage 2025

Percentage of eligible children / students vaccinated

AnuradhapuraPolonnaruwa
BCG
94.5%
100%
Pentavalent / polio 3
99.6%
100%
MMR 1
99.2%
100%
Japanese encephalitis
99.9%
98%
HPV – 1st dose (girls)
95%
99.1%
aTd (grade 7)
94%
95.8%

Disease control in numbers

2025, North Central Province

642dengue cases in the province
706leptospirosis cases notified (both districts)
751,500doxycycline doses given to farmers in Polonnaruwa
159,192dogs vaccinated against rabies
131leprosy patients treated
1malaria case – imported, detected and treated

Development

Building better health facilities

Construction, renovation, equipment and training funded by provincial, national and donor programmes.

Provincial Specific Development Grant (PSDG)

Spent vs allocation by category, Rs. million – total Rs. 548.0 Mn of Rs. 806.9 Mn

SpentAllocation
Equipment & purchasing227.8 / 302.4
Divisional hospitals121.4 / 210.8
Base hospitals96.0 / 145.8
MOH offices63.7 / 91.1
Primary medical care units17.5 / 23.1
RDHS offices9.0 / 17.4
Common7.5 / 10.6
Training5.1 / 5.6

Status of the 214 PSDG projects

Physical progress at 31 December 2025 – 96 continue into 2026

1334727
Completed – 13350–99% done – 47Below 50% – 27Not started – 7
Maintenance plan137 projectsRs. 224.1 Mn spent of Rs. 284.2 Mn
Provincial Council grant (PCDG)16 activitiesRs. 24.3 Mn spent of Rs. 28.9 Mn (84%)
Health System Enhancement Project (ADB)84 sub-projectsRs. 1,017.5 Mn spent, 2019–2025
Primary Healthcare System Enhancement Project (World Bank)22 activitiesRs. 68.1 Mn, paid through PSDG

Digital transformation

Hospital dashboard

A low-cost daily dashboard started at BH Thambuttegama and extended to the PDHS office for province-wide monitoring.

Procurement dashboard

Tracks about 280 development projects worth Rs. 1.01 billion – about 80% completed, with Rs. 53 million saved after contract award.

OPD networking

Computer networking of outpatient departments began in 2025.

Laboratory information system

LIMS introduced in Anuradhapura district laboratories.

Finance

Financial performance 2025

Use of the 2025 allocation

Expenditure Head 631 – Department of Health Services, NCP

97.8%
RecurrentRs. 8,238.5 Mn of Rs. 8,427.8 Mn
69.6%
CapitalRs. 630.9 Mn of Rs. 906.4 Mn

Where the money went

Total expenditure Rs. 8,869.3 million

78%15%7%
Salaries & staff benefits – Rs. 6,900.1 MnGoods & services – Rs. 1,333.1 MnCapital works & equipment – Rs. 630.9 MnSubsidies & transfers – Rs. 5.3 Mn
Rs. 4.87 Bntotal assets at 31.12.2025
Rs. 3.73 Mnown revenue collected

Human resources

Our workforce

Staff in service vs approved cadre

By staff category at 31 December 2025

In serviceApproved cadre
Senior662 / 697
Tertiary37 / 58
Secondary2,169 / 2,562
Primary1,540 / 1,919
828vacancies in the approved cadre (15.8%)
10,156staff proposed in the new cadre
+48new nursing officer posts approved
1,722appointments, promotions & other HR actions
290officers trained in office, finance & procurement
35training programmes under PSDG

Looking ahead

Challenges and the way forward

Challenges we face

  • Lowest approved health staff cadre of the nine provinces (cadre approved in 2017)
  • Largest province in Sri Lanka – about one-sixth of the country's land area
  • Buildings and their maintenance need to reach expected standards
  • Data systems need strengthening to support evidence-based planning
  • Shortage of specialists such as community physicians, health planners and IT professionals
  • Round-the-clock services with limited technical and administrative support

Reach the SDG health targets by 2030

Plans and resources aligned to the Sustainable Development Goals.

Restructure the department

A proposed Strategic Health Planning & Development Division with planning, public health, M&E and digital health, HR development, engineering, admin and accounts units.

Five-year health plan

Based on a situation and gap analysis, in line with the Health Master Plan and national policies.

Digital health

Hospital information systems (HHIMS, OpenMRS), DHIS2, telemedicine and e-learning.

Complete ongoing projects

Rs. 247.7 million needed in 2026 to finish projects started in 2025.

Better data from 2026

A new mechanism to collect data from all health programmes for future reports.

Progress in pictures

Development projects in 2025

DH Negampaha – OPD roof improvement (completed)DH Negampaha – OPD roof improvement (completed)DH Ranorawa – on-call rooms improvement (in progress)DH Ranorawa – on-call rooms improvement (in progress)BH Hingurakgoda – main auditorium improvementBH Hingurakgoda – main auditorium improvementMOH Welikanda – minor repairsMOH Welikanda – minor repairsClinic Centre Nelumwila – repairClinic Centre Nelumwila – repairMOH Nachchaduwa – office building improvement (completed)MOH Nachchaduwa – office building improvement (completed)

View all project photos

Source: Annual Performance Report 2025, Department of Health Services – 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. Maternal and child health figures are from the 2025 MCH data (Annex XIV) and SDG review (Annex XV).

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