Land Access, Livelihood Diversification and Migration of Rural Youth in Sri Lanka

Samaraweera, W.G.R.L; Dharmadasa, R.A.P.I.S.; Weerahewa, Jeevika; Kumara, P.H.T.; Fernando, P.M.M.

doi:10.4038/sljer.v7i1.40

Cited by 2 publications

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“…The employed population in agriculture declined annually by an average of 1.15 percent during 2013-2019 (See Figure 6). In other words, 91,284 people yearly depart from agriculture in Sri Lanka (Samaraweera, et al, 2022). The cumulative impacts of climate change and the subsequent decline in paddy yields are expected to fall by 12 percent to 19 percent in the Maha season and 27 percent to 41 percent in the Yala season by the 2060s (World Bank Group, 2020).…”

Section: Impacts On Agriculture and Food Securitymentioning

confidence: 99%

Evidence of Climate Change Impacts in Sri Lanka - A Review of Literature

Samaraweera,

Dharmadasa,

Kumara

et al. 2024

Sri Lanka Jnl Econ. Res.

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Sri Lanka is vulnerable to the impacts of climate change due to its geographic location, size, and socio-economic conditions. The country is exposed to a range of climate hazards including floods, landslides, droughts, cyclones, and sea-level rise. Therefore, numerous studies have been conducted to assess the island’s vulnerability to climate change and its unprecedented consequences. These consequences are in a slow or rapid-onset nature. Sri Lanka also has a substantial policy context to build resilience and enhance the adaptability of vulnerable communities. Therefore, the literature plays an important role in formulating climate change policies as it provides a wealth of knowledge and insights into the impacts of climate change on human society and the environment. However, the literature is currently scattered, and no single source aggregates such scattered literature. Hence, this article reviews the climate change related literature in Sri Lanka, summarizes, and organises to assist future studies concerning the climate change context in Sri Lanka.

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Section: Impacts On Agriculture and Food Securitymentioning

confidence: 99%

Evidence of Climate Change Impacts in Sri Lanka - A Review of Literature

Samaraweera,

Dharmadasa,

Kumara

et al. 2024

Sri Lanka Jnl Econ. Res.

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“…(36,37). The economic crisis in Sri Lanka could cause rural areas to lose doctors, further limiting healthcare access (38). Within the district, the number of PCD to population ratio was reported as 3 for 20,000 population.…”

Section: (Which Was Not Certified By Peer Review)mentioning

confidence: 99%

Primary care access and feasibility of Spatial Accessibility Index (SAI) in assessing primary care in rural Sri Lanka

Abeyrathna,

Agampodi,

Weerasinghe

et al. 2024

Preprint

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Despite decades of global health efforts and policies, inequitable access to primary care in low and middle-income countries remains an ongoing challenge. This study assessed accessibility to curative sector-primary healthcare services in the Anuradhapura district of Sri Lanka in 2020 and 2021. In this study, we included both private and state-owned primary care facilities (PCF) and their corresponding primary care doctors (PCD), covering both allopathic and complementary and alternative medicine (CAM) practices. Spatial locations of private sector PCF of the entire district were collected by conducting a comprehensive road-based survey and documenting information from publicly displayed boards. Data on state PCF were collected from provincial health departments (allopathic and Ayurveda). The Spatial Accessibility Index (SAI) of 657 GND (Grama Niladhari Division: the smallest administrative division) was calculated in ARC-GIS using the 2-Steps-Floating-Catchment-Area method in 5 km and 10 km spatial-distances from a GND. The majority of the PCF were allopathic (n=318, 78%) and belonged to the private sector (n=317, 79%) whereas CAM PCD represented one-fifth of the primary care workforce. Average SAI of 4.50X 10-4 and 4.67X 10-4 were reported for both 5 km and 10 km spatial-distance. A statistically significant difference in mean SAI was measured between urban and rural populations. The highest SAI were observed from urban populations and it gradually declined towards the rural remotes. The national primary care coverage target of 1 allopathic PCD per 5000 population was achieved only in 64% of the population in a 5 km spatial-distance and it further depleted to 25% with only of state allopathic PCD. SAI was negatively associated with the poverty headcount indices and distance to main roads and the main town (Anuradhapura). While the private allopathic sector is the main primary care provider in this study setting, a significant proportion of the population reported limited primary care access due to their geographic and economic status. Health policymakers need to address primary care workforce shortages in rural for the planning of human and physical resources. SAI can be recommended as a feasible method for healthcare planning and assessing service coverage in low-facility settings.

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Land Access, Livelihood Diversification and Migration of Rural Youth in Sri Lanka

Cited by 2 publications

References 0 publications

Evidence of Climate Change Impacts in Sri Lanka - A Review of Literature

Evidence of Climate Change Impacts in Sri Lanka - A Review of Literature

Primary care access and feasibility of Spatial Accessibility Index (SAI) in assessing primary care in rural Sri Lanka

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