Three dimensions to consider when moving towards universal The National Health Plan 2017-2021 and Universal Health

ersal Health Coverage

health coverage.

a. Population coverage
b. Service delivery
c. Financial protection

- As national consultant of WHO Myanmar, consultant with

the national disease control team, implementation of
infodemic management for P&C of pandemic outbreak
- Disease control for main disease (TB, HIV, Malaria, other
zoonotic disease)
- Capacity building support to government staffs, gap
Steps towards universal coverage analysis
- Risk communication, community engagement, and
1. Absence of financial protection (OOP expand: dominate in
infodemic, management (Global COVID-19 strategy pillar
health financing)
2)
a. Only less than 1% of population covered under
social security scheme HEALTH SYSTEM DEVELOPMENT IN THE FIVE POLTICAL PERIODS
b. Community donation as social assistance
c. CCS
2. Intermediate stages of coverage (Mixes of prepayment,
social assistance, and safety net schemes developed)
a. Trust fund
b. Increase tax based financing
c. Social assistance and social safety nets scheme
d. Community-based health insurance
e. Expansion of social health insurance under SSS
f. Health equity find and health care fund for the
poor
3. Universal coverage
a. Increased tax-based financing
b. Expansion of SSS
c. Other prepayment options
Leadership and Governance

75 Years of Improving Public Health World Health Day 2023

- UHC means health for H4A, means that all people will have
access to the full range of quality health services they
need, when and where they need them, without financial
hardship. It covers the full continuum of essential health
services, from health promotion, treatment, rehabilitation,
and palliative care.
- Sustainable Development Goals (SDG): 3.8
- Range of evidence-informed approaches, towards the
progressive realization of UHC and health for all.

Myanmar National Health Plan

- Main goal is to extend access to a basic EPHS to the entire

population by 2020-2021 while increasing financial
protection.
- Intermediate EPHS by 2026 (BEPHS+ more secondary care
services/specialist care services)
- Comprehensive EPHS 2030 (IEPHS+ more secondary and
tertiary care services)
- COVID-19 pandemic started in 2019 December and MOHS
is applying new normal lifestyles and considering post
COVID-19 plans of action for health service delivery.
 - The percentage of population over the age of 60
accounted for 8.9% of total population in 2014 and is
expected to rise to 12.2% in 2030
- According to WHO, Myanmar has the highest out of pocket
payment (OPP) rates of healthcare spending in ASEAN as
of 2015.
- Myanmar is committed to strengthening the health
financing systems, so the people have equal access to the
services.
- Health financing is an important part of broader efforts to
ensure social protection in health. A total of 425,000
deaths were recorded in 2018, 67% of which is accounted
for by non-communicable diseases
- Non-communicable diseases and this has increased to
more than 60% in 2018. The burden of disease is now
shifting towards non-communicable-diseases – an emerge
challenge for future health planning and actions in
Myannmar.

Human Resources: Total Number of Licensed doctors, nursesm and

midwives

- Pluralistic mix of public and private system in both

financing and provision

Annual Operation Plan and Key Achievement (2019-2021)

- The ministry of health and sports (MOHS), the major

organization responsible for raising the health status of the
people and accomplishes this through provision of
comprehensive health services, namely promotive,
preventive, curative, and rehabilitative.
- The MOHS is responsible for planning, financing,
administrating, regulating, and providing healthcare.
- It is a pluralistic mix of public and private systems both in
Health Information Systems
the financing and provision.
- After the structural change of MOHS in 2015, the - Staff for information management is not enough. There
Department of Health Planning (DHP) at the central was are a lot of vacancies.
abolished and Department of Health was reformed into - Reporting is oftentimes delayed due to the shortage of
DPH and DMS to be more specific and clearer. technical staff for data entry
- Each department works independently according to their - ICT infrastructure is not well-established and the medical
own objectives, mandates, and strategies through which it health record systems are still manual.
contributes to the realization of the ultimate (ministry) - A data culture will be promoted for evidence based
objectives. decision making
- Although coordination and direction are provided at the
Ministry level, the ways the activities are carried out by the Human Resources for Health’
individual departments are more vertical in nature.
- Health workforce in Myanmar has increased over the past
- The mechanism is needed to ensure that the individual
10 years.
departments fit well together rather than simply
- Rural human resources for health have higher rates if
performing well individually.
instability and turnover compared to urban.
- The National Health Plan aims to strengthen Myanmar’s
- Production of doctors is far in the excess
health system and improve equitable access to quality
essential health services and interventions for the entire
population.
- NHP will be all inclusive and key stakeholders of the health
sector will be involved.
- The NHP will foster collaboration within MOHS as well as
between MOHS and key partners.
- Successful implementation of the program faces numerous
challenges, including shortage of medical staff, lack of
proper medical equipment, weak healthcare
infrastructure, and insufficient government funding.
- The private and public sector support required to address
the rising trend of non-communicable diseases remains
crucial.
- The crude birth rate is 17.55 live births per 1,000
inhabitants giving the annual population growth rate of
0.89%