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