Zora Health / Employer guide / Sri Lanka
Support employees through fertility treatment, and keep the talent you have invested in.
Fertility treatment rarely fits around a work calendar, and most employees go through it quietly, often while doing some of their best work. Zora Health helps you build practical fertility support, from policies and manager guidance to confidential care navigation and access to 128+ partner clinics in 16 countries, around your workforce and budget. Companies including Hilton, LinkedIn, Sanofi, HSBC, Mastercard, Carousell and Singapore Management University work with us.
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Five things Sri Lankan HR leaders should know
- Sri Lanka has no assisted reproduction law. Clinics follow a Ministry of Health guideline that a University of Kelaniya specialist said in 2025 had “no legal basis still”.
- Private IVF costs about LKR 2 to 3 million a cycle (January 2026). State IVF is new: a University of Kelaniya unit at Colombo North Teaching Hospital, Ragama, delivered the first state-sector IVF baby on 31 July 2025, and Kilinochchi District General Hospital was running a free service by June 2026.
- Castle Street Hospital for Women opened the country’s first sperm bank in March 2025. Its state IVF unit, due by about April 2026, had not been reported open by November 2026. It runs no egg donation programme, and surrogacy has no legal framework.
- Private sector women get 84 days’ paid maternity leave for every live birth under the 2018 amendments. There is no statutory private sector paternity or fertility leave; public sector fathers get 3 paid working days.
- Health data is a special category under the Personal Data Protection Act, No. 9 of 2022, whose core duties apply from 1 January 2027. A fixed allowance keeps a fertility budget predictable.
Why fertility is a business problem for employers
Fertility treatment does not fit around a work calendar. A clinic sets the date of a scan the day before. Egg collection happens when the body is ready, usually about 36 hours after a final trigger injection. Then comes a two-week wait, and for many couples, another cycle. Your team feels it: missed meetings, unexplained absences, a strong performer who suddenly goes quiet.
We found no Sri Lankan survey of employees in fertility treatment. Multi-country evidence suggests many hide it: in Carrot Fertility’s 2023 survey of 5,000 people in Canada, India, Mexico, the UK and the US, 79% said they were uneasy discussing fertility at work.
- Resignations. 39% of employees with fertility challenges left or considered leaving their job during treatment, in Ferring’s 2025 survey of more than 3,600 employees and employers in Australia, France, Japan, Poland and the UK.
- Lower performance. 55% said fertility challenges had hurt their work performance (Carrot, 2023).
- Out-of-pocket treatment. About 1,725 couples had registered for the planned state programme at Castle Street by October 2025 (Zira Daily, October 2025).
- Unequal leave. Female public officers can take up to 1 year of no-pay leave for subfertility treatment, under a 2018 circular (Sunday Times, December 2018). Private sector law has none.
What employers gain
Keep the people you spent the most to develop
Replacing an employee costs one-half to two times their annual salary, according to Gallup. A written policy, paid time off and a funded allowance can help address barriers that contribute to employee attrition.
Stand out in a tight labour market
73% of employees facing fertility challenges said a role offering fertility support would appeal to them (Ferring, 2025), and 65% said they would change jobs for fertility benefits (Carrot, 2023). In 2022, Unilever Sri Lanka said its Fertility Support Policy, introduced about a year earlier, gave financial support and medical leave to couples having IVF (Lanka Business News, March 2022).
Make fertility support financially predictable
An annual or lifetime allowance sets the employer’s maximum cost in advance. Aon projects Sri Lanka’s medical cost trend at 6.5% for 2026, against an Asia Pacific average of 11.3% (Aon, October 2025).
Want to see what this would look like for your Sri Lankan workforce?
What IVF costs, and what the state pays
IVF arrived in Sri Lanka in 2002 and was available only in private hospitals until the University of Kelaniya unit began trial cycles in 2024 (The Morning, June 2025). The World Health Organization estimates that about 1 in 6 people worldwide are affected by infertility; Dr Suranga Hettipathirana of the University of Kelaniya told The Morning in 2025 that “around 10% of the population are subfertile”. We found no national study behind this figure.
| Treatment | Setting | Reported cost or status |
|---|---|---|
| IVF, one cycle | Private hospitals, January 2026 | LKR 2 to 3 million (about US$6,460 for LKR 2 million) |
| IVF, consumables and drugs | Kilinochchi District General Hospital, June 2026 | Free to patients; about LKR 250,000 per patient (LKR 130,000 for tests and consumables, LKR 120,000 for stimulation drugs), met from state allocations and donations |
| IVF | University of Kelaniya unit, Colombo North Teaching Hospital, Ragama | Free or a minimal charge; patients pay for drugs (about 40 to 50% of the cost) unless the Ministry supplies them (June 2025) |
| Egg freezing | Private clinics | Egg banking offered; no published price |
Sources: Daily Mirror, 26 January 2026; Xinhua via News Agency of Nigeria, January 2026 (USD conversion); Northern Provincial Council, 25 June 2026; The Morning, 4 June 2025; Asiri Health, August 2024 (clinic blog). Ask clinics for current quotes.
| Item | Public support (or own savings) | What the employee still carries |
|---|---|---|
| State IVF | Small programmes at Ragama (since 2024) and Kilinochchi (running by June 2026). Castle Street’s unit, due by about April 2026, had not been reported open by November 2026. | Waiting lists, possible drug costs and travel to the few state centres |
| Private IVF | Own savings. We found no tax relief or published insurance cover for IVF. | The full private price |
Sources: University of Kelaniya, June 2025; University of Kelaniya, May 2026; Zira Daily, 16 October 2025; Daily FT, 24 March 2025; The Morning, 28 October 2025.
Age is one of the strongest predictors of IVF success. Sri Lanka publishes no age-specific IVF data. The closest registry figures come from Australia and New Zealand: in 2024, live births per egg collection cycle (own eggs, fresh, excluding freeze-all cycles) were 28.7% for women aged 30 to 34, 19.0% at 35 to 39 and 6.3% at 40 to 44 (ANZARD 2024).
Older patients often need more cycles, so the size of an allowance, and when employees can use it, matter.
Give Employees Access to Fertility Specialists Across Asia
Help employees navigate fertility care with access to doctors and clinics, treatment information, and clear guidance on IVF, egg freezing and other fertility options. Employees can explore their options privately, without needing to go through HR.
Fertility support that fits your workforce and budget
You do not need to overhaul your existing health insurance to support employees through fertility treatment. Start with awareness and manager education, add confidential one-to-one support, or introduce a funded allowance across your offices. There is no minimum company size.
Where included in the employer programme, eligible employees can use talks and care navigation without paying Zora a separate fee. Care navigation allowances are set in each proposal. Treatment and other third-party costs are paid separately, either by employees or through the fertility allowance their employer provides.
Companies starting the conversation
Essentials
Expert-led talks for employees and managers, fertility and menopause policy templates, manager guides and full access to the Zora app. Up to 2 talks a year.
Employees supported one to one
Navigation
Everything in Essentials, plus confidential one-to-one care navigation and access to our partner clinic network.
Large and multi-country teams
Complete
Everything in Navigation, plus quarterly anonymised reporting, a dedicated account manager and scheduled review meetings with HR.
Optional add-ons can be added to any programme, subject to availability: hormone and fertility diagnostics and telehealth with specialists. Pricing is tailored to your headcount, your countries and the services you choose. Most companies start with a single talk.
Request a proposal See how Zora works for employers
Comparing fertility benefit providers? Use our RFP question bank
Our RFP question bank has 40 questions, with why each one matters, what a good answer looks like and a scoring sheet for three providers. Six of the questions for Sri Lanka:
- Are local-plan employees covered, or only staff on international health plans?
- Do you require an infertility diagnosis before support starts?
- Which Sri Lankan clinics do you work with in Colombo and outside it, and how do you check quality when there is no national IVF registry or published success rates?
- With no assisted reproduction law, how do you set eligibility for single employees, donor sperm and egg freezing, and will you take local legal advice on surrogacy before including or excluding it?
- How does the allowance work for employees on waiting lists at state centres such as Castle Street, Ragama or Kilinochchi, for example to pay for drugs or private cycles?
- How will you handle employee health data as special category data under the Personal Data Protection Act, No. 9 of 2022, including consent and transfers outside Sri Lanka, before its duties apply on 1 January 2027?
Your download link appears here as soon as you submit. Zora Health may contact you about employee benefits; see our privacy policy.
Plan your fertility benefit budget
Fertility benefit budget planner
Model the annual claims budget for a fertility allowance. Change any number.
This is a claims budget, not a Zora quotation. Zora’s programme fees, implementation and optional services are separate.
Illustration only. Utilisation is an editable assumption, not observed Zora data. The calculation assumes each user claims their full annual allowance, and excludes programme fees and setup costs. For a tailored model, request an employer proposal.
Estimate the potential workforce impact of fertility challenges
A rough planning scenario. It applies a global infertility estimate to your headcount, so it is not a prediction for your workforce, a measured loss or a forecast of savings from any programme.
Range: LKR 13,530,000 to LKR 38,280,000 a year, depending on replacement cost.
Assumptions: infertility affects about 1 in 6 adults (World Health Organization, 2023), applied to employees aged 25 to 44. Replacing an employee costs one-half to two times their annual salary (Gallup, 2019); the headline uses the low end. Absence is valued at salary divided by 250 working days. Exit rate and days lost are your own assumptions.
This is a hypothetical cost scenario, not a prediction of actual employee departures, an estimate of Zora’s financial impact or a guaranteed saving from fertility benefits.
Already have corporate health insurance? Here is where Zora fits
Your medical plan may cover some consultations and tests, but fertility treatment is often limited or excluded, so check your policy wording. Employees still need to understand their options, the public funding they qualify for and which clinic suits them.
Zora works alongside your existing insurance and benefits. We help employees get reliable information, navigate their care options and reach suitable specialists, and we give HR manager guidance, policy templates and, on the Complete programme, anonymised reporting. You strengthen fertility support without replacing your medical plan.
How Zora works
For your employees
Employees join the Zora app with a company code, or single sign-on for larger teams. They can learn about fertility and egg freezing, understand what your benefit covers, book a confidential care navigation call and find partner clinics and specialists.



For HR
- Kick-off, week 1. Agree goals, countries and which employees are eligible.
- Policy and benefit design, weeks 2 to 4. Draft or update your fertility policy using our templates.
- Launch, typically weeks 4 to 6. A launch talk for employees and managers, plus a communications pack for HR to send.
- Live support. Employees book care navigation calls and use the Zora app.
- Reporting, every 3 months, on the Complete programme. Anonymised usage, common themes and our recommendations, reviewed with your account manager.
Privacy
Employee privacy is central to our programmes. On the Complete programme, routine employer reports contain aggregated engagement and utilisation information, with safeguards to prevent identification of individual employees. On every programme, personal health information is not included in standard HR reporting, and employees can get help without telling their manager. Where eligibility checks or claims administration need individual-level data, access is limited to authorised parties for defined purposes, as agreed in writing before launch. Employee data is handled in line with Singapore’s Personal Data Protection Act and Sri Lanka’s Personal Data Protection Act, No. 9 of 2022, which treats health data as a special category of personal data.
Clinics and doctors in Sri Lanka
Zora’s clinic and doctor directory does not list providers in Sri Lanka yet. It lists 421 clinics and 1,185 doctors across 25 countries, mostly in Asia Pacific and the Middle East (browse clinics or browse doctors). Employees in Sri Lanka can still use Zora’s education and the Zora app. Ask us how your team in Sri Lanka would use Zora before you launch. See Zora’s employer guides for every country.
Rules and eligibility in Sri Lanka
Who can use assisted reproduction
No statute governs assisted reproduction. Clinics follow a Ministry of Health guideline based on a Sri Lanka College of Obstetricians and Gynaecologists concept paper, which a University of Kelaniya specialist said in 2025 had “no legal basis still” (The Morning, June 2025; Abeyrathna, University of Colombo, 2025). Same-sex couples are not legally recognised, and the Kelaniya unit said it would serve heterosexual couples first. Castle Street’s sperm bank supplies anonymous donor sperm for insemination and IVF (Daily FT, March 2025).
Gaps in the rules
Castle Street confirmed in October 2025 that it has no egg donation programme (The Morning). In January 2026, Supreme Court Justice Yasantha Kodagoda told the College that the country has no specialised regulatory framework for fertility treatment and that the validity and enforceability of surrogacy agreements are in doubt. He also raised open questions on donor limits and unused embryos (Sunday Times, 18 January 2026). Private clinics offer egg banking (Asiri Health, 2024); we found no statutory age or storage limit.
Maternity, paternity and fertility leave
The Maternity Benefits (Amendment) Act, No. 15 of 2018, with a matching bill for shop and office staff, gave 84 days (12 weeks) for every live birth, replacing 42 days for women who already had 2 children (Daily FT, May 2018). Shop and office staff get 84 working days at full pay (D. L. & F. De Saram, 2026). Public sector fathers get 3 paid working days; private sector law has no paternity leave (Daily Mirror, June 2026).
Pregnancy protection and flexible work
Dismissing a woman because of pregnancy or confinement is prohibited under the Maternity Benefits Ordinance and the Shop and Office Employees Act. The World Bank found no law prohibiting gender discrimination in employment and no right to request flexible work (Women, Business and the Law 2024). We found no protection based on marital status. A Cabinet-appointed expert committee has been reviewing labour law since 2025 (Daily Mirror, March 2026).
Data protection duties start
The Personal Data Protection Act, No. 9 of 2022 lists data concerning health as a special category; processing it needs an extra condition, such as the employee’s consent (DLA Piper). After the Personal Data Protection (Amendment) Act, No. 22 of 2025, Extraordinary Gazette No. 2498/16 of 22 July 2026 set 1 January 2027 for the core processing rules and controller duties (Daily FT, August 2026). The regulator has run since 2023 (Data Protection Authority).
Why employers choose Zora
Companies including Hilton, LinkedIn, Sanofi, HSBC, Mastercard, Carousell and Singapore Management University work with Zora Health. We work alongside your existing insurance, helping employees use the cover they already have and find suitable specialists based on their needs.
Trying to conceive with a heavy workload took a toll on my husband and me. It helped us understand our options.
Questions HR teams ask us
Is fertility leave mandatory in Sri Lanka?
Not for private employers. Private sector law has no fertility, IVF or paternity leave; women get 84 days’ paid maternity leave for each live birth. Female public officers can take up to 1 year of no-pay leave for subfertility treatment recommended by a consultant obstetrician and gynaecologist, under a 2018 circular.
Does the state pay for IVF in Sri Lanka?
Only in a few small programmes. A University of Kelaniya unit at Colombo North Teaching Hospital, Ragama, began trial IVF cycles in 2024 and delivered its first baby in July 2025, and Kilinochchi District General Hospital was running a free service by June 2026. Castle Street Hospital for Women said in January 2026 its unit would open within 3 months; we found no report that it had by November 2026. Most couples pay LKR 2 to 3 million a cycle privately.
Can employees freeze their eggs in Sri Lanka?
Private clinics such as Asiri offer egg banking. There is no assisted reproduction law setting age or storage limits, and we found no published rules on freezing for non-medical reasons, so terms depend on the clinic. Agree eligibility rules with local legal counsel.
Does Zora replace our health insurance?
No. Zora works alongside your insurance. We help employees understand their options, find suitable specialists and use the cover they already have.
How much does a fertility benefit cost an employer?
It depends on the allowance, eligibility and expected uptake. Use the budget planner on this page for a first estimate, then ask us for a tailored proposal based on your headcount and countries.
How quickly can we launch?
Typically 4 to 6 weeks from contract to launch, depending on scope and countries. Most companies start with a single talk.
Related guides for Sri Lankan employers
Build a fertility benefit for your team
Whether you are introducing fertility benefits for the first time or improving an existing programme, tell us your headcount, countries and priorities. We will come back within two working days with suitable services, an indicative budget and a practical rollout plan for your Sri Lankan team. No obligation.
Not ready to talk yet? Explore how Zora works
Sources
- World Bank via FRED, Fertility rate, total for Sri Lanka, 2024
- Daily FT, Demographic shift deepens as ageing, low fertility and inactivity reshape economy: Census 2024, 25 April 2026
- Daily Mirror, Sri Lanka’s fertility shock: is the crisis real?, Lakshman Dissanayake, 9 May 2026
- Department of Census and Statistics, Sri Lanka Labour Force Statistics Quarterly Bulletin, Q1 2026
- Daily Mirror, Test tube baby treatment to begin in Govt. hospitals, 26 January 2026
- Xinhua via News Agency of Nigeria, Sri Lankan public hospital to offer IVF treatment for first time, January 2026
- Zira Daily, Castle Street hospital to launch Sri Lanka’s first state-run IVF service, 16 October 2025
- Foundation stone laid for assisted reproductive treatment centre at Castle Street Hospital for Women, March 2020
- University of Kelaniya, first government-sector IVF pregnancy, June 2025
- University of Kelaniya, first IVF baby delivery at Colombo North Teaching Hospital, Ragama, May 2026
- The Morning, Sri Lanka records first state-sector IVF birth at Ragama hospital, 1 August 2025
- The Morning, SL’s 1st Govt. IVF Centre: IVF is a costly process, 4 June 2025
- Northern Provincial Council, Free IVF service launched at Kilinochchi District General Hospital, 25 June 2026
- Daily FT, Castle Street Hospital launches country’s first-ever sperm bank, 24 March 2025
- The Morning, No egg donation programme at Castle Street hospital, confirms Director, 28 October 2025
- Abeyrathna, D., Ethical and legal implications of Sri Lanka’s guideline-based approach to assisted reproductive technologies, University of Colombo, 2025
- Sunday Times, Spotlight on the surrogate mother, 18 January 2026
- Asiri Health, Sperm, egg and embryo banking in Sri Lanka, August 2024 (clinic blog)
- Daily FT, Lanka Hospital welcomes 500th IVF baby, July 2013
- Maternity Benefits (Amendment) Act, No. 15 of 2018
- Daily FT, Bills to provide equal maternity leave for all women presented, May 2018
- D. L. & F. De Saram, Maternity benefits in Sri Lanka, 2026
- Daily Mirror, Are Sri Lanka’s maternity laws opening doors for working women?, June 2026
- Daily Mirror, Outdated laws hamper women workers in Sri Lanka, 18 March 2026
- Sunday Times, No-pay leave for female public officers to have a baby, 2 December 2018
- World Bank, Women, Business and the Law 2024, Sri Lanka
- Data Protection Authority of Sri Lanka, PDPA dates of operation
- DLA Piper, Data protection laws of the world: Sri Lanka
- Daily FT, Data protection compliance regime takes effect on 1 Jan. 2027, 10 August 2026
- Lanka Business News, Unilever raises the bar to create an equitable workplace, March 2022
- Aon, APAC employee medical plan costs to stabilise in 2026, October 2025
- ANZARD, Assisted reproductive technology in Australia and New Zealand 2024, UNSW, 2026
- Ferring Pharmaceuticals, Fertility Matters at Work and This Can Happen, workplace fertility survey, November 2025
- Carrot Fertility, Global Fertility at Work report, 2023
- Gallup, This fixable problem costs US businesses $1 trillion, 2019
- World Health Organization, 1 in 6 people globally affected by infertility, April 2023
Information on this page is correct as of 5 November 2026. Laws, public funding, insurance rules and treatment costs change often, so check current rules with the relevant authority, insurer or a qualified adviser before making decisions. This page is general information, not legal, financial, tax or medical advice.
