Sri Lanka Train the Trainer Programme

Objectives and Goals

The Lien Collaborative for Palliative Care (Lien Collab) efforts started in Sri Lanka when APHN and the Lien Foundation partnered Sri Lanka’s National Cancer Institute (NCI) and the Sri Lanka Ministry of Health’s National Cancer Control Programme (NCCP) to launch the 1st Module of the Training of Trainers in Palliative Care Course for medical professionals in Sri Lanka on 24 March 2014. 

The project continued to expand and LCPC worked with the local organisations to achieve the following objectives:

Meet the urgent needs for palliative care (especially for cancer patients).

Spearhead the development of palliative care expertise through education, training, and partnerships.

Sustain growth of palliative care availability through trainees and committed volunteers.

Latest Updates

The "Train the Master Trainer" programme was completed as of 2018. To date, there are 50 trainees, 29 institutions, 5 cities, and 16 faculty members that continue to support this effort.

Sri Lanka Clinical Observership in Singapore (25 to 28 Sep 2019) - 7 selected Clinicians.

Sri Lanka's MOH has funded team based palliative care training in Oct 2019 and invited Dr Cynthia and Dr Ghauri and Dr Sampath to provide guidance and training to 21 institutions (61 participants) in Sri Lanka (21 to 25 Oct 2019).

President Maithripala Sirisena has approved the release of LKR 10 million (USD$ 54,253) from the President’s Fund for Palliative Care Team of the Teaching Hospital, Karapitiya, to set up palliative care centre (Mar 2020).

Palliative Services started and expanded at:

• National Cancer Institute
• Govt hospital Ratnapura
• Govt hospital Galle
• Govt hospital Anuradhapura
• Govt hospital Nuwara Eliya

Project Milestones

Morphine Availability

When the project began, access to morphine was very restricted. Over the course of the project, more outlets began to supply morphine and the prescription period increased from 7 to 30 days’ supply. This supply of morphine is currently from imports.


The Postgraduate College of Medicine now runs a new  Graduate Diploma in Palliative Care. Also, the Palliative Care Association of Sri Lanka runs 2-day courses for family physicians. 

Sustained growth from donors and trainees

We were encouraged by an anonymous donor who supported Lien Collab training.

Recently, charitable community palliative care services were started, providing Palliative Care training in nursing colleges and for social workers.

National Strategy

Sri Lanka's MOH developed a national strategy for palliative care, and apportioned these costs in their government budget.