Doctors and nurses carry out a ward round to monitor progress of Multi-drug Resistant Tuberculosis (MDR-TB) patients under their care at the Patheingyi Tuberculosis Hospital.The National Tuberculosis Programme’s “Scaling-up of Tuberculosis Control in Myanmar” programme supported by the Global Fund includes improving community awareness, detection and treatment of MDR-TB. Management of MDR-TB is provided on an ambulatory model except for patients with severe and complicated conditions.

Patheingyi Tuberculosis Hospital, Patheingyi Township, Mandalay Region.Photo: John Rae /The Global Fund

The Global Fund Programme in

Myanmar

The Global Fund supports the prevention and treatment of HIV/AIDS, tuberculosis and malaria in Myanmar, with supervision from a national coordinating body chaired by the Ministry of Health and Sports.•Reduce HIV transmission and related illnesses,mortality, disability and social and economic impacts •End the TB epidemic in Myanmar fewer than 10cases per 100,000 people by 2035•Reduce malaria morbidity and mortality by 85% and75% respectively by 2020 relative to 2015 baseline figures

Goals of the Global Fund Grants

12 (O) Pyi Thu Lane, 7 Mile Mayangone Township YangonMyanmar 10528Tel: +95 1 657 281-7 sawa@unops.orgwww.unops.orgwww.pr-myanmar.org www.raifund.org

4 Zeya Htani RoadNay Pyi TawMyanmar 10528+95 67 411 298+95 67 411 159dg-doh@moh.gov.mmwww.mohs.gov.mm

314

1.6 million+1.1 million+131,189

15,994

12,809

Key Programme Achievements (2011--2018)

people treated formalaria

people treated for tuberculosis

injecting drug users receiving

methadone maintenance therapy

MDR-TB patients began second-line treatment

people receivingantiretroviral therapy

16.9 million+needles and syringes

distributed to drug users

48.7 million+condoms

distributed

TBHIV/AIDS MALARIA

11.4 million+people tested for

malaria

8.3 million+insecticide-treated bed

nets distributed

To upgrade and strengthen the laboratory services in Myanmar for earlier and faster detection of TB and MDR-TB patients, biosafety level-3 (BSL-3) TB laboratory equipment has been installed in two laboratories in 2017, in Taunggyi and Yangon. As a result, both these laboratories now have BSL-3 TB designation. GeneXPert machines have been installed in national laboratories across the country.

To develop and strengthen the capacity of national laboratory services for HIV viral load testing, polymerase chain reaction (PCR) machines have been installed in four locations across Myanmar: the Magway General Hospital, the Mingalardon Specialist Hospital, and the Public Health Laboratory in Mandalay and the National Health Laboratory in Yangon.

Ribbon cutting ceremony for inauguration of biosafety level-3 TB lab in Taunggyi, Shan State. ©UNOPS

A PCR machine installed with Global Fund support at the Magway General Hospital. ©UNOPS.

2BIOSAFETY LEVEL-3 TB

LABORATORIES

Strengthening National

LaboratoryServices

Delivering Results to

People in Need

As Principal Recipient, UNOPS plays a crucial role in bringing lifesaving treatments to people in need, is actively supporting the strengthening of government health systems, and is responsible for delivering the targets set out in the grant agreement, in collaboration with selected sub-recipients from the national programmes, international and local non-governmental organizations (NGOs) and United Nations agencies. This arrangement is under the oversight of the Myanmar-Health Sector Coordinating Committee (M-HSCC), which comprises a partnership of local stakeholders from NGOs, multilateral and bilateral agencies, the public and private sectors and people living with, or affected by, the diseases. This enables effective and target-based aid delivery to those most in need.

Structure of the Global Fund Programme in Myanmar

$ 77.3Million

$ 77Million

HIVTB

Global Fund grants for Myanmar (2018-2020) split by disease

ProgrammeStructure

The United Nations Office for Project Services (UNOPS) is a Principal Recipient in Myanmar of the Global Fund, and assists the Ministry of Health and Sports (MOHS) in managing $154 million worth of Global Fund grants for the continuation of HIV and TB programme implementation in Myanmar over a three-year period (2018–2020). UNOPS has assisted MOHS in managing $358 million worth of Global Fund grants over a seven-year period (2011–2017). The targets set out in the grant agreement are being delivered in collaboration with a range of partners and under the supervision of the Myanmar Health Sector Coordinating Committee, chaired by the Ministry of Health and Sports.

In collaboration with the Myanmar Food and Drug Administration (FDA), a robust in-country monitoring system for pharmaceutical products was established to ensure a high quality of pharmaceutical products across Myanmar.Samples of drugs for quality testing are taken regularly from different locations across the country. The capacity of national laboratory services has been strengthened and the Myanmar FDA Laboratory received ISO accreditation in 2017, which represents an important step towards providing internationally recognized laboratory testing services with accurate and reliable results for drug quality and safety.

Yangon Food and Drug Administration Pharmacist, Thinzar Win together with UNOPS-PR Quality Assurance Associate, Ei Thu Han, with samples of pharmaceuticals procured with Global Fund support, for quality testing. ©UNOPS

Improving Food and Drug

Administration

134

54SAMPLES

35WAREHOUSES

in 2018

512

About 400 staff from the national programmes have been trained in logistics management and key procurement and supply chain processes such as warehouse and stock management and reporting,in 2018.

Store in-charge Daw M Nang Jar at Taunggyi National TB Programme is given the updated Logistics Management Information System manual. The logistics support helps ensure that standard logistics manuals are in place at every storage facility of partners implementing the Global Fund grants. ©UNOPS

400HEALTH STAFF

TRAINED IN 2018

Strengthening Logistics and Information

Management

ProgrammeStructure

UNOPS was also selected as Regional Principal Recipient for the Regional Artemisinin-resistance Initiative (RAI), which was a $124 million regional grant (2014-2017) to contain the spread of drug-resistant malaria and to contribute towards elimination of P.falciparum malaria in the Greater Mekong Subregion (GMS).

RAI has been expanded with a second phase, the RAI2-Elimination (RAI2E) programme, which is a $ 243 million regional grant to accelerate the elimination of P. falciparum malaria in the GMS region over a three-year period (2018-2020).

RAI2E supports increased malaria service coverage for remote populations in border areas and other at-risk populations, as well as case management through health volunteers and strengthening of national surveillance systems.

Supporting the

Strengthening

of Government

Health Systems

- District Health Information System

- National Survey/Mortality Survey

- Integrated Bio-behaviour Survey

- Procurement and Supply Chain Management

- Renovation

- Logistics Management Information Systems

- Capacity building in financial management

- National Capacity Building

(LNGOs and national programmes)

RAI2E –Towards Elimination of Malaria

The Global Fund in Myanmar has supported:

Oke TaRa Thi Ri

Pang Yang

Aik Chan(Ai` Chun)Lin

HawMan Man

HsengNawng Hkit

Mong Pauk

Nar Wee(Na Wi)

Hs awnf Hpa(Saun Pha)

Hpakant

Mongmit

Waw

Paukkhaung

Mogoke

Shwegu

Kamma

Pindaya

Ywangan

Pyinoolwin

Hpasawng

Yedashe

Tanai

TaungooRamree

Nyaunglebin

Mogaung

Mindon

Pinlaung

Mabein

Phyu

Toungup

Pyinmana

Kalaw

Kyaukkyi

Kyauktan

Thandaunggyi

Mohnyin

HprusoKyaukpyu

Thanatpin

Kyauktaga

Pekon

Aunglan

Lawksawk

Daik-U

Kawa

Kyaukse

Bawlake

Nanyun

Nawnghkio

Kyaukme

Hmawbi

Labutta

Minhla

Thabaung

Pyay

Ngapudaw

Bogale

Thandwe

Myanaung

Padaung

KungyangonDedaye

Letpadan

Hlegu

Pyapon

Twantay

Gyobingauk

Munaung

Lemyethna

Maubin

Htantabin

Mawlamyinegyun

Pantanaw

Paungde

WakemaMyaungmya

Okpho

Kawhmu

Kyaunggon

Cocokyun

Kangyidaunt

Kyaiklat

Zalun

Oktwin

Kyangin

IngapuGwa

Kyonpyaw

Nyaungdon

EinmePathein

Thayarwady

Monyo

Shwedaung

Hinthada

TaikkyiDanubyu

Dala

Yegyi

Nattalin

Bago

Zigon

Thegon

Kawthoung

Kyunsu

Launglon

Bokpyin

Hpapun

Thaton

Ye

Kawkareik

Paung

Myeik

Hlaingbwe

Chaungzon

BilinKyaikto

Myawaddy

Dawei

Kyaikmaraw

Palaw

Kyainseikgyi

Yebyu

Mudon

Thayetchaung

Mawlamyine

Mese

Shwegyin

Hpa-An

Thanbyuzayat

Tanintharyi

Natmauk

Myebon

YinmarbinPale

MyaungMyaing

MyitthaTada-U

Salingyi

Ann

Pauktaw

Khin-U

SinguKani

Sittwe

Myingyan

Minbya

Hakha

Kyauktaw

Mawlaik

Buthidaung

TigyaingTonzang

Pinlebu

Kalewa

Yamethin

Madaya

Indaw

Wuntho

Mrauk-U

Ponnagyun

Paletwa

Budalin

Katha

Thabeikkyin

Saw

Kyunhla

Tamu

Falam

Kanpetlet

Thantlang

Minhla

Mingin

Rathedaung

Hkamti

Sidoktaya

Tabayin

Matupi

WetletAyadaw

Myinmu

Shwebo

Ngazun

Ye-U

Sinbaungwe

Thayet

Tatkon

Yenangyaung

Homalin

Magway

Paungbyin

Taze

Lewe

Kyaukpadaung

Wundwin

Ngape

Pauk

Chaung-U

Yesagyo

Lay Shi

Sintgaing

Monywa

Myothit

Kale

Lahe

Pyawbwe

Kanbalu

Seikphyu

Banmauk

Gangaw

SalinThazi

Sagaing

Zay YarThi Ri

Tedim

Maungdaw

Minbu

Nyaung-U

PakokkuNatogyi

Mahlaing

Tilin

Mindat

Taungdwingyi

Pwintbyu

ChaukMeiktila

Kawlin

Taungtha

Mongkhet

Hsipaw

Sumprabum

Monghsat

Khaunglanhpu

Demoso

Kawng MinHsang

Nansang

Laukkaing

Loikaw

Muse

Momauk

Laihka

Mongnai

Mawkmai

Pangsang

Chipwi

Namtu

Nawngmun

Kutkai

Myitkyina

Mongton

Injangyang

Shadaw

Monghpyak

Puta-O

Mongyai

Mongkaing

Lashio

Konkyan

Waingmaw

Mongping

Tsawlaw

Machanbaw

Hopong

Nyaungshwe

Hsihseng

Mongla

Mansi

Mongpan

Matman

Tachileik

Hseni

Yin Pang

Kunlong

Bhamo

Hopang

Namhkan

Kengtung

Langkho

Monghsu

Taunggyi

Pangwaun

Kyethi

Loilen

Manton

Mongyang

Kunhing Mongyawng

Tangyan

Namhsan

Sagaing

Dawei

Hpa-An

Mawlamyine

Myitkyina

Loikaw

Taunggyi

Bago

Nay Pyi Taw City

Yangon City

Mandalay City

Magway

Pathein

Hakha

Sittwe

AYEYARWADY

BAGO

MAGWAY

MANDALAY

SAGAING

TANINTHARYI

YANGON

CHIN

KACHIN

KAYAH

KAYIN

MON

RAKHINE

SHAN

BHUTAN

CAMBODIA

VIETNAM

CHINA

LAOS

THAILAND

BANGLADESH

INDIA

102° E

102° E

99° E

99° E

96° E

96° E

93° E

93° E

90° E

90° E

27°

N

27°

N

24°

N

24°

N

21°

N

21°

N

18°

N

18°

N

15°

N

15°

N

12°

N

12°

N

0 100 20050

Kilometers

Disclaimer: The names shown and the boundaries used on this map do not imply official endorsement or acceptance by the United Nations.

Principal Recipient for GFATM, UNOPS-MyanmarMyanmar Information Management Unit

LegendCapital

State/Region Capital

Coastal Line

Township Boundary

State/Region Boundary

International Boundary

Project TownshipHIV

Malaria

HIV-Malaria

Malaria-TB

HIV-Malaria-TB

Mahaaungmyay

Aungmyaythazan

PyigyitagonAmarapura

Chanmyathazi

Chanayethazan

Madaya

Sagaing

Patheingyi

A n d a m a n S e a

Hlaing

Pazundaung

Dagon Myothit(East)

Mayangone

DagonMyothit

(Seikkan)

DagonMyothit(South)

Tamwe

Thingangyun

Yankin

Twantay

Seikgyikanaungto

Thaketa

Lanmadaw

Dala

Sanchaung

Dagon

Kyauktada

KyeemyindaingDawbon

DagonMyothit(North)

Seikkan

SouthOkkalapa

Mingalartaungnyunt

Thanlyin

NorthOkkalapa

Hlaingtharya

Ahlone

Botahtaung

Bahan

Kamaryut

Insein

B a y o f B e n g a l

Project Townships in 2018

Map ID: MIMU951v03Creation Date: 15 May 2018

Copyright © Myanmar Information Management Unit 2018.May be used free of charge with attribution.

info.mimu@undp.orgwww.themimu.info

Data Sources: UNOPS

Base Map: MIMU, WFP, Ministry of HomeAffairs (GAD)Paper Size: A3Projection/Datum: Geographic/WGS84

MANDALAY

YANGON

HIV/AIDS programme: 330 townshipsTuberculosis programme: 321 townshipsMalaria programme: 330 townships

Reach of Programme

To ensure high quality management of medical supplies, two major warehouses were renovated in Yangon, as well as in 35 other locations including stores/ warehouses and anti-retroviral therapy clinics in other areas of the country. The UNOPS Procurement and Supply Managment unit regularly visits regional and state level warehouses and storage facilities of national programmes and other partners for monitoring purposes and to check compliance with WHO good distribution and storage practices.

Central TB Medical Store is well organized for easy access for issuing drugs procured with Global Fund support, Aung San, Insein, Yangon. ©UNOPS

Improving National Storage

Practices

116

97FIELD VISITS

in 2018

HIVMalariaHIV-MalariaMalaria-TBHIV-Malaria-TB

$6 MILLIONOF PHARMACEUTICALS

PROCUREDIN 2018

About $6 million worth of pharmaceuticals were procured sustainably using grants from the Global Fund. These included anti-tuberculosis, anti-malaria and anti-retroviral medicines, in 2018. A further $17 million was spent on condoms, long lasting insecticidal nets, rapid diagnostic test kits and other equipment.

To identify drugs procured with Global Fund support, stock and bin cards are filled correctly with up-to-date information and properly displayed at National AIDS Programme drug store, Magway. ©UNOPS

Procuring Essential

Pharmaceuticals & Health Products

Partnerships

The national response to HIV/AIDS, Tuberculosis and Malaria is being led by three national programmes—the National AIDS Programme, the National Tuberculosis Programme and the National Malaria Control Programme—under the guidance and leadership of the Ministry of Health and Sports, supported by local and international non-governmental organizations and United Nations agencies.

Union Minister for Health and Sports H.E. Dr Myint Htwe arrives to open the third batch of the financial management training for Government Health Staff in Nay Pyi Taw. ©UNOPS

710

Partners Who Support the Implementation of the GrantsThe Global Fund grants in Myanmar is being implememted through a network of partners –Six national NGOs: Myanmar Medical Association, Myanmar Red Cross Society, Myanmar Anti-Narcotics Association, Myanmar Health Assistant Association, Pyi Gyi Khin and Myanmar Council of Churches

Three international NGOs: International Union against Tuberculosis and Lung Disease, Medical Action Myanmar, and Shoklo Malaria Research Unit

United Nations organizations: UNOPS (Principal Recipient of the Global Fund), World Health Organization, United Nations Children’s Fund, United Nations Population Fund, World Food Programme and the Joint United Nations Programme on HIV/AIDS

More than 1,200 health system managers, representing more than 300 townships across 17 states and regions were trained in planning, budgeting, implementation and management, in 2018.

A Township Health Nurse carefully reads Managed Cash Flow forms displayed in a training room, during the group-work practice of the financial management training in Nay Pyi Taw. ©UNOPS.

Developing Management

Capacity

1,200+HEALTH SYSTEM MANAGERS

IN 2018

46FIELD VISITS

IN 2018

UNOPS-PR has developed monitoring and evaluation guidelines and manuals , and conducted trainings to help improve the quality of data collected. Regular visits help ensure that reliable and accurate information is gathered from various health facilities across Myanmar.

Programmatic and data quality assurance at a malaria microscopy site in Rakhine. ©UNOPS

Strengthening Monitoring and

Evaluation

98