Shelton Wanasinghe and Harshitha Gunaratna (1997) Price: US$ 10 It is a truism that the approach to and the organization of the delivery of public goods and services cannot remain immutable over time, impervious to the changes in the economic, social and political contexts within which it occurs. Continuing changes in the economic, social an d political environment require that the approaches to the management, organization and financing of the delivery system should also change if it is to remain cost-effective, quality-responsive, beneficiary-friendly and efficient. Otherwise it is more than likely that the system would be irrelevant to the actual requirements of the community, at cross purposes with the realities of the policy and increasingly a captive of the more affluent sections of the community.