Abstract: Provision of sustained supply of consumables is essential for the health care delivery. Regional Director of Health Services, Matara provides consumables to eighty health care institutes which has a high turnover. This cross-sectional mixed study aimed to assess the perceptions of institutional heads on the supply of consumables by the Regional Directorate. Level of satisfaction of institutional heads was assessed with a self-administered questionnaire and a focuss group discussion among a purposive sample of institutional heads provided information on their perceptions. study revealed over 40 (54%) heads were not satisfied with all four attributes related to provision of the selected consumables.