Sri Lanka

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Health Indicators

Anemia in pregnant women

22.9% 46,000 women
Year: 2023 View Source

Infant mortality

5.35/1000 live births
Year: 2023 View Source

Low birthweight newborns

18% 55,700 newborns
Year: 2020 View Source

Pre-term births

7.8%
Year: 2020 View Source

Still births

5.93/1000 total births
Year: 2023 View Source

Underweight women

11.11%
Year: 2022 View Source

Programs

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Summary: Phase 3. Scale-up delivery at the national or sub-national level  

Sri Lanka has established a robust framework for maternal healthcare, distinguishing itself through the comprehensive, nationwide implementation of Multiple Micronutrient Supplementation (MMS). Since 2023, the government has formally integrated MMS into its National Maternal Care Programme, ensuring it is a standardized component of prenatal care.

As part of the UNICEF Maternal Nutrition Acceleration Plan, Sri Lanka is prioritized to receive specialized packages of nutrition services, including MMS. To ensure the long-term success of these initiatives, various stakeholders are actively engaged in strengthening program implementation, focusing on supply chain efficiency, and capacity building.

Additional technical and financial assistance is required to fully integrate MMS into national health financing schemes and secure the program’s sustainability for the future

Source: HMHB Survey 2025

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Summary: Phase 4. Sustained scale-up & integration

Sri Lanka has been implementing BEP supplementation for pregnant and lactating women at the national level since 1973. Sri Lanka addresses maternal thinness through national guidelines requiring BMI assessments during pregnancy. Women with low BMI or poor weight gain receive targeted support, including nutrition counseling, dietary supplements like Thriposha, and regular follow-ups.The program also involves family counseling and referrals if weight gain remains inadequate.

The intervention is provided in the form of a fortified cereal/flour such as CSB Plus, known as “Thriposha.” Thriposha is produced, stored, and distributed by the local government owned company called Sri Lanka Thriposha Limited; however, it is not certified by UNICEF or WFP. All pregnant and lactating women are eligible for this intervention until six months postpartum. The supplementation is delivered through antenatal care facilities by health professionals. Last, during periods of economic crisis, other donors stepped in to facilitate the continuation of the program such as WFP or USAID.

Sources: BEP Case Studies, Sethi et al. (2021) , Maternal Care Package 

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