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Forschungsstelle
EDA
Projektnummer
ExSt.2013.262
Projekttitel
Health Assessment in Souteast Region of Myanmar

Erfasste Texte


KategorieText
Schlüsselwörter
(Deutsch)
MNCH-Maternal , Neonatal and Child Health, PHC- Primary Health Care, NSAG- Non-State Armed Group, Myanmar
Schlüsselwörter
(Englisch)
MNCH-Maternal , Neonatal and Child Health, PHC- Primary Health Care, NSAG- Non-State Armed Group, Myanmar
Schlüsselwörter
(Französisch)
MNCH-Maternal , Neonatal and Child Health, PHC- Primary Health Care, NSAG- Non-State Armed Group, Myanmar
Schlüsselwörter
(Italienisch)
MNCH-Maternal , Neonatal and Child Health, PHC- Primary Health Care, NSAG- Non-State Armed Group, Myanmar
Kurzbeschreibung
(Deutsch)
The health assessment mission was undertaken from 19th June to 24th July, 2013 in Southeast Region of Myanmar where Swiss Agency for Development and Cooperation(SDC) in Myanmar decided to implement the programs in Myanmar. The main purpose of the mission is to provide SDC with comprehensive information on the health sector in Myanmar and recommendations on possible immediate entry points and options for longer term support for a health program according to Health , Social Services and Local Governance Domain of Swiss Cooperation Strategy in Myanmar (2013-2017). During the mission, a series of dialogue and interviews with responsible persons from Ministry of Health, health department of ethnic armed groups ,bi and Multilateral organizations, international and local organizations took place for gathering information, recommendations and suggestions that would be used as building blocks for developing SDC health program. The health situation in the southeastern region is worse as a consequence of a long history of conflict, poverty, and underdevelopment. Health systems and access to health services in the rural areas are poor. Poor accessibility is mainly due to high cost of transportation and services, and lack of knowledge; poor availability due to insufficient number of qualified staff, infrastructure and equipment; poor acceptability due to language, weak communication, and local customs and beliefs.The situation is exacerbated in the Non-State Armed Group(NSAG) controlled areas. Currently there is a parallel health care system run by health sectors/ departments of NSAGs which mainly rely on mobile clinics. Staffs operating in those areas are not trained through the government institutions but through partners/ INGOs based in Thailand. Funding for these programs are significantly reducing as the momentum of the peace process builds up. Infrastructure including roads is usually worse in those areas hence making access more difficult. During the field visits, both government and NSAGs made it clear that peace is the topmost priority for the southeast and that caution must be taken not to jeopardize the peace process in planning or implementing any health or development program. Both sides acknowledge that communicable diseases and Maternal , Neonatal and Child Health (MNCH) are priority issues.So far most of the health programs in the southeast have focused on the three diseases and there are only few new programs planned for Primary Health Care(PHC) and MNCH under 3 Millennium Development Goal Fund(3MDG Fund). 3MDG Fund currently covers approximately 10-20% of the population; therefore there will still be large populations and areas to cover.There is a substantial need to strengthen primary health care MNCH services in particular at the community level in rural, remote and impoverished areas in the southeast – in areas where the 3MDG Fund is not covering, and especially in areas where Internal Displaced person(IDP) and refugees may return to.Given these circumstances this health assessment proposes two main recommendations as follow:1) To contribute funds to the Three Millennium Development Goal Fund (3MDG), a country wide initiative focusing on MNCH; TB, Malaria & HIV; and health systems strengthening.2) To mandate a Primary Health Care project with an initial focus on Maternal Neonatal and Child Health (MNCH) through partnership with an implementing partner (or a consortium of) in both government and NSAG controlled areas of the South East. Partner/s are to be selected through an international tender process.
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Kurzbeschreibung
(Englisch)
The health assessment mission was undertaken from 19th June to 24th July, 2013 in Southeast Region of Myanmar where Swiss Agency for Development and Cooperation(SDC) in Myanmar decided to implement the programs in Myanmar. The main purpose of the mission is to provide SDC with comprehensive information on the health sector in Myanmar and recommendations on possible immediate entry points and options for longer term support for a health program according to Health , Social Services and Local Governance Domain of Swiss Cooperation Strategy in Myanmar (2013-2017). During the mission, a series of dialogue and interviews with responsible persons from Ministry of Health, health department of ethnic armed groups ,bi and Multilateral organizations, international and local organizations took place for gathering information, recommendations and suggestions that would be used as building blocks for developing SDC health program. The health situation in the southeastern region is worse as a consequence of a long history of conflict, poverty, and underdevelopment. Health systems and access to health services in the rural areas are poor. Poor accessibility is mainly due to high cost of transportation and services, and lack of knowledge; poor availability due to insufficient number of qualified staff, infrastructure and equipment; poor acceptability due to language, weak communication, and local customs and beliefs.The situation is exacerbated in the Non-State Armed Group(NSAG) controlled areas. Currently there is a parallel health care system run by health sectors/ departments of NSAGs which mainly rely on mobile clinics. Staffs operating in those areas are not trained through the government institutions but through partners/ INGOs based in Thailand. Funding for these programs are significantly reducing as the momentum of the peace process builds up. Infrastructure including roads is usually worse in those areas hence making access more difficult. During the field visits, both government and NSAGs made it clear that peace is the topmost priority for the southeast and that caution must be taken not to jeopardize the peace process in planning or implementing any health or development program. Both sides acknowledge that communicable diseases and Maternal , Neonatal and Child Health (MNCH) are priority issues.So far most of the health programs in the southeast have focused on the three diseases and there are only few new programs planned for Primary Health Care(PHC) and MNCH under 3 Millennium Development Goal Fund(3MDG Fund). 3MDG Fund currently covers approximately 10-20% of the population; therefore there will still be large populations and areas to cover.There is a substantial need to strengthen primary health care MNCH services in particular at the community level in rural, remote and impoverished areas in the southeast – in areas where the 3MDG Fund is not covering, and especially in areas where Internal Displaced person(IDP) and refugees may return to.Given these circumstances this health assessment proposes two main recommendations as follow:1) To contribute funds to the Three Millennium Development Goal Fund (3MDG), a country wide initiative focusing on MNCH; TB, Malaria & HIV; and health systems strengthening.2) To mandate a Primary Health Care project with an initial focus on Maternal Neonatal and Child Health (MNCH) through partnership with an implementing partner (or a consortium of) in both government and NSAG controlled areas of the South East. Partner/s are to be selected through an international tender process.
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Kurzbeschreibung
(Französisch)
The health assessment mission was undertaken from 19th June to 24th July, 2013 in Southeast Region of Myanmar where Swiss Agency for Development and Cooperation(SDC) in Myanmar decided to implement the programs in Myanmar. The main purpose of the mission is to provide SDC with comprehensive information on the health sector in Myanmar and recommendations on possible immediate entry points and options for longer term support for a health program according to Health , Social Services and Local Governance Domain of Swiss Cooperation Strategy in Myanmar (2013-2017). During the mission, a series of dialogue and interviews with responsible persons from Ministry of Health, health department of ethnic armed groups ,bi and Multilateral organizations, international and local organizations took place for gathering information, recommendations and suggestions that would be used as building blocks for developing SDC health program. The health situation in the southeastern region is worse as a consequence of a long history of conflict, poverty, and underdevelopment. Health systems and access to health services in the rural areas are poor. Poor accessibility is mainly due to high cost of transportation and services, and lack of knowledge; poor availability due to insufficient number of qualified staff, infrastructure and equipment; poor acceptability due to language, weak communication, and local customs and beliefs.The situation is exacerbated in the Non-State Armed Group(NSAG) controlled areas. Currently there is a parallel health care system run by health sectors/ departments of NSAGs which mainly rely on mobile clinics. Staffs operating in those areas are not trained through the government institutions but through partners/ INGOs based in Thailand. Funding for these programs are significantly reducing as the momentum of the peace process builds up. Infrastructure including roads is usually worse in those areas hence making access more difficult. During the field visits, both government and NSAGs made it clear that peace is the topmost priority for the southeast and that caution must be taken not to jeopardize the peace process in planning or implementing any health or development program. Both sides acknowledge that communicable diseases and Maternal , Neonatal and Child Health (MNCH) are priority issues.So far most of the health programs in the southeast have focused on the three diseases and there are only few new programs planned for Primary Health Care(PHC) and MNCH under 3 Millennium Development Goal Fund(3MDG Fund). 3MDG Fund currently covers approximately 10-20% of the population; therefore there will still be large populations and areas to cover.There is a substantial need to strengthen primary health care MNCH services in particular at the community level in rural, remote and impoverished areas in the southeast – in areas where the 3MDG Fund is not covering, and especially in areas where Internal Displaced person(IDP) and refugees may return to.Given these circumstances this health assessment proposes two main recommendations as follow:1) To contribute funds to the Three Millennium Development Goal Fund (3MDG), a country wide initiative focusing on MNCH; TB, Malaria & HIV; and health systems strengthening.2) To mandate a Primary Health Care project with an initial focus on Maternal Neonatal and Child Health (MNCH) through partnership with an implementing partner (or a consortium of) in both government and NSAG controlled areas of the South East. Partner/s are to be selected through an international tender process.
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Kurzbeschreibung
(Italienisch)
The health assessment mission was undertaken from 19th June to 24th July, 2013 in Southeast Region of Myanmar where Swiss Agency for Development and Cooperation(SDC) in Myanmar decided to implement the programs in Myanmar. The main purpose of the mission is to provide SDC with comprehensive information on the health sector in Myanmar and recommendations on possible immediate entry points and options for longer term support for a health program according to Health , Social Services and Local Governance Domain of Swiss Cooperation Strategy in Myanmar (2013-2017). During the mission, a series of dialogue and interviews with responsible persons from Ministry of Health, health department of ethnic armed groups ,bi and Multilateral organizations, international and local organizations took place for gathering information, recommendations and suggestions that would be used as building blocks for developing SDC health program. The health situation in the southeastern region is worse as a consequence of a long history of conflict, poverty, and underdevelopment. Health systems and access to health services in the rural areas are poor. Poor accessibility is mainly due to high cost of transportation and services, and lack of knowledge; poor availability due to insufficient number of qualified staff, infrastructure and equipment; poor acceptability due to language, weak communication, and local customs and beliefs.The situation is exacerbated in the Non-State Armed Group(NSAG) controlled areas. Currently there is a parallel health care system run by health sectors/ departments of NSAGs which mainly rely on mobile clinics. Staffs operating in those areas are not trained through the government institutions but through partners/ INGOs based in Thailand. Funding for these programs are significantly reducing as the momentum of the peace process builds up. Infrastructure including roads is usually worse in those areas hence making access more difficult. During the field visits, both government and NSAGs made it clear that peace is the topmost priority for the southeast and that caution must be taken not to jeopardize the peace process in planning or implementing any health or development program. Both sides acknowledge that communicable diseases and Maternal , Neonatal and Child Health (MNCH) are priority issues.So far most of the health programs in the southeast have focused on the three diseases and there are only few new programs planned for Primary Health Care(PHC) and MNCH under 3 Millennium Development Goal Fund(3MDG Fund). 3MDG Fund currently covers approximately 10-20% of the population; therefore there will still be large populations and areas to cover.There is a substantial need to strengthen primary health care MNCH services in particular at the community level in rural, remote and impoverished areas in the southeast – in areas where the 3MDG Fund is not covering, and especially in areas where Internal Displaced person(IDP) and refugees may return to.Given these circumstances this health assessment proposes two main recommendations as follow:1) To contribute funds to the Three Millennium Development Goal Fund (3MDG), a country wide initiative focusing on MNCH; TB, Malaria & HIV; and health systems strengthening.2) To mandate a Primary Health Care project with an initial focus on Maternal Neonatal and Child Health (MNCH) through partnership with an implementing partner (or a consortium of) in both government and NSAG controlled areas of the South East. Partner/s are to be selected through an international tender process.
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Auftragnehmer
(Englisch)
Steven Lanjouw / Dr. Nwe Nwe Aye
Belastetes Budget
(Englisch)
SDC / DEZA / DDC / DSC / COSUDE
Gesetzliche Grundlage
(Englisch)
Art. 57 Abs. 1 RVOG Art. 57 al. 1 LOGA Art. 57 cpv. 1 LOGA
Impressum
(Englisch)
Copyright, Bundesbehörden der Schweizerischen Eidgenossenschaft | Droits d'auteur: autorités de la Confédération suisse | Diritti d'autore: autorità della Confederazione Svizzera | Dretgs d'autur: autoritads da la Confederaziun svizra | Copyright, Swiss federal authorities
Auskunft
(Englisch)
Swiss Cooperation Office Yangon, Myanmar