An inquiry into the regulation of pharmaceuticals and medical practice in Sri Lanka

The study brings out several organizational, social, cultural and political constraints, which hinder effective implementation of regulations. Lack of human resources and skills, poor allocations, delays at the centre, lack of incentives, team approach and supportive services, legal restrictions and lack of support from consumers are common in the regulation of pharmaceuticals. A limited role played by regulators at the national level, lack of legislative power at central and peripheral levels, lack of organizational/management capacity of regulators, and social, cultural and political influences are common in the regulation of medical practice. A set of policy options and measures addressing these issues was identified to make the enforcement and monitoring of regulations more effective and efficient.[HEFP WP NO 05/03]