Abstract:
Observation of activities , records, returns and discussion and interviewing of key
informants using pre structured check list and forms were used to collect data for
calculation of capital, recurrent and unit cost of the provider. Pre structured pre tested self
administered questionnaire was used to calculate user cost. Non availability of primary
data at the cost centers and complexity of services provision were difficulties faced
during the study and maximum measures were taken for collection of accurate and
reliable data. Since study was limited to the Monaragala District the findings can not be
generalized to the county. This study revealed that under utilization of services and
unplanned use of resources at cost centers is lead to increase of both provider and user
costs. The findings of the study can be used to justify the provision of public health care
services to the areas like Monaragala Government expenditure was high and also to make
rational decisions for use of resources effectively and efficiently
