Post on 20-Mar-2018
Ministry of Health
Minister for Health
TEXTTEXT
Deputy Minister
Dept ofMedical
ResearchLM
Dept ofMedical
ResearchCM
Dept ofMedical
ResearchUM
Dept ofMedicalScience
Dept ofTraditionalMedicine
� National Health Policy� National Health Committee� Health Legislation� National Health Plan� Myanmar Health Vision 2030� Millennium Development Goals� Rural Health Development Plan� ASEAN /Regional/ Global
Deputy Minister
Deptof
Health
Dept ofHealth
Planning
UN Agencies, Bilateral, INGOs, …
Other MinistriesNational NGOs, Private Sector,
CBOs…..
Department of Health
Director General
TEXT TEXTTEXT TEXT
DDG (Med Care) DDG (D/S Control) DDG (Pub Health)
Disease Control
MedicalCare
PublicHealth
Planning AdminFDA
Nursing EpidemiologyBudgetLaw/Regulations)
OccupationalHealth
Department of Traditional Medicine
Department of Medical Research (Central)
Department of Medical Research (Upper)
Department of Medical Research (Lower)
Department of Medical Science
THE REPUBLIC OF THE UNION OF MYANMAR
NHP M & E
Committee
Ministry of Health
Department of Health
Department of Health Planning
State/Regional Government 1. Ministries
2. MWAF3. MMCWA4. MRCS5. MMA6. MDA7. MNMA8. MHAA9. Traditional Medicine
Practitioners Association10. Religious Organization
CABINET
District Authority
Township Authority
Ward/ VillageAuthority
State/Region Health Committee
DistrictHealth Committee
TownshipHealth Committee
Ward/ Village TractHealth Committee
State/Region Health Department
DistrictHealth Department
TownshipHealth Department
Station Hospital
Rural Health Center
Village Volunteers
National Health Committee
Township Health System Township Medical Officer
Curative Public Health Disease Control
Administration Cooperation
T/S & Station Hospital
Inpatients/ Outpatients
wardsOT/
Labor room
Lab/Radiology
Medical Store
Urban Health Center
Malaria Team
OfficeLocal
Authority/Other DeptsMCH
Leprosy team Dispensary
NGO- INGONational NGO
School Health TB team
RHCs/ Sub-RHCs
VHWs
HIV/STD
COMMUNITY
THC
Health Care Service Delivery
Immunization
Examination for Leprosy
Antenatal Care
RDT for MalariaMedical Care 943Hosp
DOTS treatment
Provisionof safeblood
Preventive & Promotive Health Interventions
Health Education on HIV/AIDS
Nutrition GMP by MCWA
ITN demonstrationSchool Nutrition
Referral of patient H5N1 Prevention
Supportive Health Care Services
Capacity Building at all levels
Environmental Health
FDA
Laboratory Services
Occupational Health
Department of Health Planning
Director General
TEXT TEXTTEXT TEXT
DDG
Information R&D E-HealthPlanning Admin
� Formulation of National Health Plan�Health Financing and National Health Accounts�Health Management Information System�Health Policy and Research�Networking and E-Health ( including GIS mapping for the whole country)
Health Indicators
s/n Indicators Source/year
1 Life expectancy at birth65.1 (male)
70.5 (female)
(Statistical Year Book 2009) 2008
2 Infant Mortality Rate
(per 1000 live births)
37.5 Multiple Indicator Cluster Survey
2009-2010
3 Under 5 Mortality Rate
(per 1000 live births)
46.1 Multiple Indicator Cluster Survey
2009-2010
4 Maternal Mortality Ratio
(per 100,000 live births)
240 UN Interagency 2010
5Delivery by Skilled Birth Attendants 64.8 HMIS
6HIV/AIDS prevalence rate
0.61 Estimated by NAP and partners, 2010
7 TB Prevalence
(per 100,000 population)525 Nationwide TB Prevalence survey
2010
8Malaria Prevalence
(per 1000 population) 11.7 VBDC Report , 2010
Myanmar Health Care Situation
Health Care Priorities• National Health Plan (2006-2011) identified and ranked 42 priority
diseases and health conditions: 2/3 classified under communicable,
maternal, perinatal and nutritional conditions. HIV/AIDS, malaria and
tuberculosis topped the list.
• NCDs: cardiovascular diseases, cancer, diabetes mellitus and mental
illness were also included in the priority list.
• Accidents and injuries are also included in the list.
NHP (2011-2016) have been prepared in multi-disciplinary, multi-sector approach and become a part of national, social and economic group
• Issues on importance of Human Resource for Health, health financing
and systems development came up as priority areas apart from CDs
and NCDs
7
14 15
36
51
32
48
85 85
20 22 24 24
42
68 68
86
95 97 99
0
10
20
30
40
50
60
70
80
90
100
Nepal Bangladesh Bhutan Timor-Leste India Myanmar Indonesia Maldives Thailand Sri LankaDPR Korea
Pe
rce
nta
ge
1990 2005
WHERE ARE WE IN SEAR? Proportion of births attended by skilled health personnel
Source : Country reports on MDG
Reference year of data vary f rom 2000 to 2005
281
380
225
660
301
380
307
72
47
97
14
20
30
32
32
54
68
72
87
97
98
98
Nepal
Bangladesh
Bhutan
Timor-Leste
India
Myanmar
Indonesia
Maldives
Sri Lanka
DPR Korea
Thailand
(Countries with higher level of coverage of deliveries by skilled birth attendants tend to have lower maternal mortality )*
Deliveries attended byskilled health personnel
MMR (maternal deaths per 100,000 live births)
Relationship between Coverage of deliveries by SBA&MMR 2005
Notes : Reference year of data vary f rom 2000 to 2005
* Not a univariate relation as there are other determinants of it
Where are we in relation to this population norm?
0 . 0 0 0
1 . 0 0 0
2 . 0 0 0
3 . 0 0 0
4 . 0 0 0
5 . 0 0 0
6 . 0 0 0
7 . 0 0 0
8 . 0 0 0
B A N B H U D P R K I N D I N O M A V M M R N E P S R L T H A T L S
T h r e s h h o l d 2 . 2 8
Number of (Doctors + Nurses + Midwives) per 1,000 population
Health Systems Strengthening-Service Delivery Identifying Gaps- and Measures to counter
Hard to ReachAreas
Retention ofHWF
Medicines & equipment
Information& Mgmt
-Mapping for• Physical HTR
-Package of service/ in group of providers - TA & DA for performance-Support fuel cost/ vehicles-Check list for supervision & monitoring -CTHP
HealthFinancing
• Evidence based research - consideration for infrastructure -happy working environment - welfare- Incentives and motivation - Recognition
• Insufficient Supplies & equipment
-Increase GE for health-Logistics and supply management-support from organizations
• Economic HTR
Protection of the Poor-Health Equity Fund-TBHP scheme- CBOsDSF- Maternal Voucher Scheme-Hardship allowance ? P4P
• existing HMIS
- DQA -Adequate forms/records- Improve reporting system
-Capacity building for L&M x TMOs
Future Thinking
Health Systems
Strengthening
Service Delivery
HRH
HF
HIS Meds &Equipment
Leadership& Governance
Objectives of MOH1.To enable every citizen to attain full life expectancy and enjoy longevity of life.2.To ensure that every citizen is free from diseases.