DOI: http://doi.org/10.4038/jccpsl.v25i3.8229 Oral Presentations Day 1: 19th September 2019, 8:30 am - 10:30 am, Oak Room 1 FREE PAPER SESSION 1: UNIVERSAL HEALTH COVERAGE Chairpersons : Prof. Upul Senarath Dr. Anil C. Mathew OP 001 and feasible policy option through which OOPE can be reduced. Determinants of out-of-pocket health care expenditure in Sri Lanka: From Diagnosis to Reforms Key words: Out-of-pocket-expenditure, Root-cause- analysis, Healthcare effciency A. U. Gamage1*, S. C. Athukorale1, E. Undurraga2, C. Fabrizio3 OP 002 1Ministry of Health, Nutrition and Indigenous Medicine; 2Pontifcia Universidad Católica de Chile; 3Vital Strategies Barriers for seeking health care for refractive errors among children aged 5-15 years in the Colombo District *Correspondence:
[email protected] Background: Out-of-pocket-expenditure (OOPE) is rising Dushyanthi Jayawardene1*, Nalika Gunawardena2, and currently, remains at 51% (2016) of the current health Madhuwanthi Dissanayake3 expenditure of the country. High out-of-pocket expenses for 1Department of Community Medicine, Faculty of Medicine, University healthcare have been shown to impede seeking healthcare, of Colombo; 2World Health Organisation, Country Offce, Sri Lanka; health status and quality of life. It can drive families 3Department of Anatomy, Faculty of Medicine, University of Colombo towards impoverishment and threaten equity in healthcare. *Correspondence:
[email protected] An effectively conducted Root-cause-analysis (RCA) Background: Although Sri Lanka has a well-established could help to identify determinants of ineffcient healthcare primary health-care system, which screens the vision of performance leading to high OOPE. school children of grades one, four seven and ten, the burden Aims: To identify determinants of high out-of-pocket of refractive errors implies that further provoking into the expenditure for modifable and impactful policy options issue is needed to identify and rectify causative situations.