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Dr Than Than Myint
Myanmar
◦ The provision of optimal quality of health care to everyone in the country that is accessible, efficient, equitably distributed, adequately funded, fairly financed, and appropriately used by an informed and empowered public. (Strategic Direction for UHC,
MOH 2014)
Vision
Enhancing health, social cohesion and sustainable human and economic development through UHC
Mission and Goals
Strengthen the health system towards the provision of equitable universal coverage through
- Improve health status of population
- consumers’ satisfaction
- financial risk protection
• Health status:
• Unfinished MDG agenda
• Shifting BOD towards NCDs
• Health systems (next slide)
• Health context:
• Multi-sector influence on health (NCDs)
• New economic and political context
• limited coverage and access to quality health services
• Inadequate availability of reliable and timely statistical information
• health infrastructure development biased towards secondary and tertiary care
• shortage and inequitable distribution of health care providers, as well as regulatory, oversight and supervisory provisions
• limited availability of essential medicines and supplies of acceptable quality and quantity
• low health expenditure
National medicine policy and essential medicine list with standard treatment guideline in place
Health budget relatively increased
People centered and people become more articulated through parliaments and media
Decision making become more inclusive and participatory
CBOs and NGOs more active
1. Burden of disease/ epidemiological relevance
2. Cost-effectiveness of services/ interventions
3. Societal values/ priorities 4. Affordability/ fiscal space 5. Feasibility and supply side readiness 6. Equity – (include services which
disproportionately affects the poor and vulnerable)
Consultative, inclusive process: The series of workshop for identification and costing
of essential minimum package in Myanmar was conducted during February and May 2015
The workshops were attended by officials from the
MOH and related ministries and representatives of the development partners, NGOs
Fifteen Thematic areas were identified at the end of
the workshop
Maternal and newborn health
Child health and immunization
Infant and young child nutrition
School and adolescent health
Communicable disease control
Non-communicable diseases
Other health conditions of local priority among states and regions
Eye, ENT conditions
Oral health
Essential drugs
Emergency care
Environmental health
Health education
Geriatric care
Referral
After developing the thematic areas of the essential health package, the third workshop was conducted in September 2015 where health policy makers (Deputy Minister of Health) and development partners also participated.
Basic Package
by 2020
Intermediate
Package
by 2025
Comprehensive
Package
by 2030
Basic 2020 Intermediate 2025 Comprehensive 2030
RMNCH RMNCH + RMNCH +
Nutrition Nutrition + Nutrition +
Communicable diseases
Communicable diseases +
Communicable diseases +
Non-communicable diseases
Non-communicable diseases +
Non-communicable diseases +
Eye, ENT, Oral Eye, ENT, Oral + Eye, ENT, Oral +
Elderly Health Elderly Health + Elderly Health +
Adolescent Health Adolescent Health +
School Health School Health +
1. Make a political commitment to EPHS as part of UHC
2. Continue technical work to get greater specificity in package content and cost estimates
3. Broaden consultations and consensus- building
4. Take policy decisions on health financing
5. Mobilize necessary resources for financing EPHS
6. Develop public-private partnerships
Thank you very much for your kind attention
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