10 Thursday 20th April, 2006 beat New Zealand CENTURION, South Africa, overnight 24. struggling after April 19, (AFP) - Marshall was dropped at first completed his second successive slip by Boeta Dippenaar off Steyn ten- haul as South Africa on 25 but without adding to his beat New Zealand by 128 runs on score he was out to Ntini, when he the fifth day of the first Test at edged a lifting ball to wicketkeep- Centurion Park Wednesday. er . Gillespie’s double-ton Ntini and fellow new ball Four balls later Vettori flashed CHITTAGONG, Bangladesh, (AFP) - allowed the tourists to declare 25 min- bowler Dale Steyn captured five at Steyn and was caught by each as New Zealand were A DOUBLE FOR THE BIRTHDAY BOY Bangladesh were struggling to avoid utes after lunch. They had plundered Boucher. Steyn then produced a an innings defeat on Wednesday after runs at will in the morning session bowled out for 120. fast, straight ball to bowl last man It took South Africa just six an astonishing double- from after resuming on 364-3. Chris Martin. Ntini took five for overs to capture the remaining Australian fast bowler Gillespie, who had completed his 51 and Steyn five for 47. Ntini fin- three wickets after New Zealand in the second and final Test. maiden ton on Tuesday,batted on with ished with match figures of ten for resumed on 98 for seven. At close on day four, Bangladesh ease and his fourth-wicket stand with 146. It was his fourth ten-wicket New Zealand left-hander Daniel were 195-4 and needing 189 more runs Hussey (182) was worth 320. Gillespie’s Vettori went on the attack, racing haul and he became the first South to make Australia bat again after con- innings lasted 425 balls and included to 38 but opening batsman Hamish African to do the feat in successive ceding a 384-run first-innings lead. 26 fours and two sixes. Marshall, who batted through the matches after taking ten for 178 in (75) and Aftab He got past 200 with a glance off left- team’s collapse on the fourth day, a losing cause against Australia Ahmed (one) were the not-out bats- arm spinner Mohammad Rafique and earlier this month. added only one run to his men. Gillespie, whose previous Test went back to the pavilion with his best was 54 , ended on 201 not hands raised and nodding his head in SCOREBOARD out — a record for a nightwatchman — disbelief, as Ricky Ponting as Australia declared on 581-4 in reply South Africa, first innings, 276 B Mc’llum c Dippenaar b Steyn 33 made the declaration. New Zealand, first innings, 327 D Vettori c Boucher b Steyn 38 to Bangladesh’s first-innings 197. Hussey got to his fourth century in South Africa, second innings, 299 J Franklin not out 0 The lower-order batsman, who had 11 Tests with a drive through covers off New Zealand, second innings C Martin b Steyn 0 never got to three figures even in a (overnight 98-7) Extras (lb2, nb6) 8 first-class game, gave himself a won- paceman and went H Marshall c Boucher b Ntini 25 Total (36 overs) 120 derful present on his 31st birthday. on to surpass his previous highest of P Fulton c Boucher b Ntini 4 Falls: 1-5, 2-5, 3-17, 4-23, 5-26, 7-73, Coming in at number three towards 137 against the West Indies in Hobart K Mills c Dippenaar b Ntini 0 8-119, 9-119 the end of the first day,Gillespie batted last year. Hussey, 93 overnight, S Fleming c Kallis b Steyn 6 Bowling: Ntini 14-3-51-5, Steyn 17-4- through two rain-hit days to surprise smashed 21 fours and a six off 203 balls S Styris c Boucher b Steyn 2 47-5 (2nb), Pollock 5-1-20-0 (4nb). everyone including himself. before holing out to Hossain at the N Astle c De Villiers b Ntini 2 Result: South Africa won by 128 runs. square-leg fence off part-time seamer J Oram b Ntini 2 Man of match: Makhaya Ntini (RSA). Gillespie and , who also achieved a career-best innings, Ahmed in a bid to step up the run-rate.

SCOREBOARD Sergei Bubka takes to tennis Bangladesh 1st innings: 197 (Rajin Saleh Overs: 152.3 71, 34 not out, Gillespie 3- Bangladesh 2nd innings: NEW DELHI, India, April 19, 2006 “I love tennis, I enjoy the game 11, Warne 3-47, MacGill 3-68). Javed Omar lbw b Lee 19 (AFP) - Sergei Bubka, the greatest and it is a choice that I have made,” Australia 1st innings (overnight 364-3): Shahriar Nafees not out 75 pole vaulter of all time, has tennis the youngster said. M. Hayden c sub (Kapali) b Rafique 29 c Hayden b Warne 49 on his mind these days. “I have a good technique though P. Jacques c Nafees b Rafique 66 Rajin Saleh c Ponting b Warne 5 The legendary athlete’s son, I need to work on my baseline game J. Gillespie not out 201 b Warne 29 named Sergei Bubka Junior, pre- and need to get comfortable with R. Ponting run out 52 Aftab Ahmed not out 1 M. Hussey c Hossain b Ahmed 182 Extras (b7, lb5, w1, nb4) 17 ferred tennis after a brief flirtation playing on grass. I have got the BANGLADESH: Australian cricketer Jason Gillespie raises his bat and hel- M. Clarke not out 23 Total (for four wickets) 195 with pole vault and is now a regular right genes and I am physically very met in celebration of his double century during the fourth day of the second Extras (b10, lb10, w5, nb3) 28 Fall of wickets: on the ATP’s second-string fit.” Test match between Bangladesh and Australia at The Chittagong Divisional Total (for four wickets decl) 581 1-25, 2-127, 3-137, 4-187 Fall of wickets: 1-67, 2-120, 3-210, 4-530 Bowling: Lee 5-1-17-1, Gillespie 4-0-14-0, Challenger circuit. The Monaco-based Bubka junior, Stadium in Chittagong, yesterday. A record innings by Jason Gillespie on The 19-year-old, now in India currently ranked 698 in the world, Bowling: Mortaza 26-3-114-0, Hossain 33-3- Warne 23-2-63-3, MacGill 15-2-60-0, Cullen his 31st birthday and a career-best one from Michael Hussey helped 143-0, Rafique 48.3-10-145-2, Razzak 30-5- 7-0-29-0. to play tournaments, says he likes said his father was not the only Australia to a huge total in the second Test against Bangladesh. - (AFP) 99-0, Saleh 8-0-32-0, Ahmed 7-1-28-1 Overs: 54 his name. “It is an interesting name sportsman in the family. and does not put any pressure on “My mother was a gymnast and me because I grew up with it and my elder brother briefly toyed with Australian tailender Jason Gillespie stunned “Someone mentioned it yesterday and I am used to it.” tennis before switching over to aca- both himself and the cricket world on Gillespie dizzy over “surreal” double century thought they were on drugs,” he said. Bubka senior set 35 world demics. Wednesday by scoring an unbeaten 201 in “I looked up at the dressing room as 54 not out. to get into three figures, easily surpassing records in pole vault - his current “I am fortunate. In my country the second Test against Bangladesh here. soon as I passed McGrath’s score, 61. “I never expected it in my wildest He came to the crease as a nightwatch- the previous record of 105 by fellow mark of 6.14 metres in 1994 remains there are so many talented players He’s been giving me grief about that for a unsurpassed - before he quit com- but they don’t have the facilities to dreams... so it’s pretty surreal, pretty bizarre man at the fall of Matthew Hayden’s wicket Australian against India in while now so I was very relieved to pass petitive sport in 2000. travel and play. Having a champion actually,” said the fast bowler, who celebrat- late on the first day’s play on Sunday and in 1977. that. “Then I had Merv (Hughes), he was The Ukranian is a member of the sportsman like my father is a big ed his 31st birthday with one of the most reached the double-century after lunch on It has been a remarkable comeback for up there and he had 70-odd and (Damien International Olympic Committee’s help.” astonishing Test knocks ever seen. the fourth day at which point Australia the South Australian after being dropped executive board and is also chair- His father’s advice to stay “Nothing’s really changed. I suppose it declared at 581-4. from the Test squad following the Ashes Fleming) Flemo 70-odd and Pistol (Paul man of the IOC’s Athletes’ determined rings in Bubka junior’s will sink in over the next couple of days but He is now one of only 14 cricketers in defeat to in September. Reiffel) so ticked them all off. I can’t believe I’m talking about my . Commission. ears all the time. Test history — a list that includes legendary On Tuesday when he had moved to “I managed to even tick off Warney too, Bubka junior says he took up “He told me that if you can beat That’s what I can’t believe.” all-rounders Garfield Sobers, Ian Botham 102 not out, Gillespie spoke of his great which was cool. pole vault as a toddler - “might yourself you can beat anyone else. Gillespie had never before scored a and Imran Khan — to have taken 200 Test delight at getting past the best scores of “The bowlers, we all love talking about have scaled around 2.5 metres” - He said that you have to do all that century in 129 first-class matches over a long-time bowling teammates Glenn our batting, and I’ve got a few bragging before deciding his career lay in ten- is possible to achieve what you dozen years. He had two fifties in 70 Tests wickets and also scored a century. McGrath (61) and (99). nis. want.” prior to the one in Chittagong with a best of Gillespie is only the fifth nightwatchman rights there now.”

Is health a right or commodity? – Part III Why Sri Lanka needs a National Health Policy! by Dr Ruvaiz Haniffa The time for change is upon us and it Lecturer, Dept. Community and Family Medicine, should not be missed. A study on health Table 2. Affiliation of respondents in health sector reforms study 2002 Faculty of Medicine, University of Kelaniyaand sector reform carried out in 2002 among a Category No. included in survey No. responding % responding Convenor, National Health Policy Committee, group of key informants (Table 2) echoed Ministry of Health (Line Ministry) 40 36 48.4 Sri Lanka Medical Association. this thinking (Table 3). This study pro- Provincial health ministries 10 8 10.8 vides the evidence that the environment Other ministries 5 3 4.1 n Sri Lanka, the mechanism to formu- for reform is right. As 81.1% key respon- University/ academic institutions 10 8 10.8 late a health policy framework seems dents have identified professional associa- Private sector institutions 5 3 4.1 Inot to exist. There appears to be a little tions as key stakeholders and 85.1% have Non-governmental organisations 5 2 2.7 or no connection between health informa- identified them as those who should carry Consumer/patient groups 5 3 4.1 tion, policy formulation and implementa- out reform (Table 3), the proposal for the Expert advisory panels 5 3 4.1 tion in the heath sector. The health poli- SLMA to play a role in creating a forum International organisations 5 3 4.1 cies formulated in 1992, 1996, 2001 and the for policy formulation has a more than Research organisations 2 1 1.4 Health Master Plan Study in 2002 all have fair chance of success, and should be pur- Retired government health sector officials 3 2 2.7 failed due to the fact that the radical sued. changes proposed in them were not Conclusion accepted by the Ministry of Health It has become traditional in a discus- because of sub-optimal involvement of sion of the Sri Lankan health sector to glow in our past success in achieving com- Table 3. Selected results from study on health sector reforms in Sri Lanka 2002 the Ministry of Health in the formulation Category % of respondents process. The other reason being that, any mendable health statistics and status. It is indeed a fact to be proud of, but it must be Factors that have forced ministry of health to embark on reforms policy formulated by a previous govern- - Increased health demands 70.3 ment has a tendency to be ignored by a remembered that it was an achievement of the past, due to circumstances quite differ- - Financial constrains 63.5 new regime. - Pressure from donors 63.5 ent to the ones Sri Lanka is projected to Therefore, the first step in formulation - Political reasons 59.5 face. Thus a new thinking is required if we of a NHP would be to ensure bureaucratic - Equity issues 44.6 and political continuity of the intended are to move on. This new thinking should Important elements of reform in Sri Lanka policy. If we are to look forwards to a be reflected in a comprehensive national - Decentralisation and/or reoraganisation of provincial ministries 56.6 healthy future this reality cannot be health policy which should retain the fun- - Reorganisation of ministry of health 44.6 ignored any longer. It is proposed through damental strengths around which the Sri - Development of human resources for health 43.2 this paper that an apex professional med- Lankan health sector revolves, which are - Increased responsiveness to local issues 36.5 ical body (e.g. Sri Lanka Medical equity, protection of the poor, cost effec- - Improving equity 31.1 Association- SLMA) take leadership in tiveness and efficiency. In the interest of Key stakeholders in policy development convening a forum of all interested politi- equity,traditional socialists advocate state - Ministry of health 93.2 cal parties and other government and provision of health services to all, free of - Provincial governments 82.4 non-governmental stakeholders and reach charge. Free marketers argue that the - Professional associations 81.1 a consensus on key policy issues pertain- interest of society are best served when all - Private health sector 79.7 ing to NHP. A possible list of key issues are made to pay for their own medical - Health related ministries 79.7 could be health care ,health facili- care, except the abjectly poor, who should - Trade unions 56.8 ty infrastructure, manpower, supply man- be provided with a safety net at the lowest Who should carry out reforms - Ministry of Health 95.9 agement, financing, information systems possible cost to the state. Experience sug- - Professional associations 85.1 and national health research. If bureau- gests that neither solution worked well in practice. It has been said as far back as - Provincial governments 82.4 cratic and political continuity can be - Health related ministries 70.3 assured, health and economic planners 1991, that the Sri Lankan health system is crying for reform. Reform therefore is long - Private health sector 70.3 could concentrate on broad and specific Reasons for non-availability of plans for reforms in ministry of Health programmes for health issues, been overdue. For Sri Lanka the ideal policy option would be to target a situation in - Inefficiency of ministry of health higher officials 24.3 brought up by the epidemiological and - Political reasons 18.9 which health would be a commodity over demographic transition we are currently - Lack of insight for policy and planning 17.6 going through. which people should have a right.