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Country presentation on NCDs (Myanmar)

Country presentation on NCDs (Myanmar). Dr. Than Win National Focal Person. 7-12 March - 2011. INDIA. KACHIN. BANGLA DESH. CHINA. SAGAING. SHAN. CHIN. MANDALAY. RAKHINE. MAGWE. LAOS. KAYAH. BAGO. KAYIN. AYARWADDY. YANGON. THAILAND. MON. TANINTHARYI. Myanmar.

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Country presentation on NCDs (Myanmar)

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  1. Country presentation on NCDs (Myanmar) Dr. Than Win National Focal Person 7-12 March - 2011

  2. INDIA KACHIN BANGLA DESH CHINA SAGAING SHAN CHIN MANDALAY RAKHINE MAGWE LAOS KAYAH BAGO KAYIN AYARWADDY YANGON THAILAND MON TANINTHARYI Myanmar • Area - 676578 sq.km • States / Division - 14 • Districts - 68 • Townships - 330 • Sub Townships - 66 • Wards - 2781 • Village tracts - 13714 • Villages - 64910 • Population - 58 millions • Growth rate - 2.02% • Urban - 30% • Rural - 70%

  3. Myanmar Health Care System

  4. District/Township Health Unit Public Health Unit Medical Care District/Township Hospital Disease Control Unit Urban Health Centre Station Hospital Leprosy Malaria TB STI, etc; Rural Health Centre Sub Rural Health Centre • Disease ControlActivities • Disease Surveillance • Leprosy • Malaria • TB • HIV/AIDS/STI • Immunization • Public Health Activities • Primary Health Care • MCH • Nutrition • Water& Sanitation • School Health

  5. Risk factors of non-communicable diseases STEPS - Myanmar, (2009) (Total 7429 respondents)

  6. Prevalence of diabetes in Myanmar (11.8%) WHO STEPwise Approach to NCD Surveillance Myanmar Standard Report (Level 1) 2003-2004

  7. (I)NCD Situation, Structure & Organization and Resource available • One of the projects ( Prevention and Control of 3 major NCDs – CVD, DM and Cancer) under Hospital Care Programs in NHP ( National Health Plan 2006-2011) • No established division/program/center, led by clinicians concerned under DOH, Ministry of Health • Very limited budget, from Government (mostly for salary) and WHO (Regular Budget) • Before 2011, No NCD Policy/Strategic Plan, • Limited activities - IEC, Training of health staff, Curative services, Research activities, • Data available only from Inpatient Hospital Statistics, Department of Health Planning, MOH • Few involvement of other sectors, International NGOs, local NGOs and community

  8. (II) Main Achievements • One of the Strategic Areas (total 11 strategic areas) in NHP 2011-2016, including 5 Programs 1. Chronic Diseases (4 major NCDs - Cardiovascular Diseases, Diabetes Mellitus, Cancer and Chronic Respiratory Diseases, • 2. Accidents and Injuries, • 3. Disabling conditions (Blindness, Deafness, CBR - community based rehabilitation), • 4. Mental health and Substance abuse, • 5. Snake bite • National focal person assigned • NCD Policy (draft) and Framework of Action Plan for Prevention and Control of NCDs in Myanmar (draft) in 2011 • 2 STEPS surveys - Chronic Disease Risk Factors Survey (2003-4 and 2009)

  9. (III) Main Challenges • Political commitment • Resource limitation (Funding, Human, Technical) • Health system reorientation and strengthening

  10. (IV) Main Lessons • Political commitment is critical. • Individual to community approach (Primary health care approach/community based program) is highly important. • Partnership building/ Integrated approach is essential. • Provision of Comprehensive Health care (Promotive, Preventive, Curative and Rehabilitative, Primordial, Primary, Secondary Prevention)

  11. V Future Plan • Development of NHP 2011-16 addressing NCDs • Development of NCD Policy and 5 years Strategic Plan for Prevention and Control of NCDs in Myanmar • Establishment of NCD Division/Program/Center under DOH Department of Health, Ministry of Health • Capacity building • Strengthening surveillance system (integrated into HMIS - Health Management Information System) • Resource mobilization/Fund raising • Strengthening partnership approach

  12. Thank You

  13. Risk factors of non-communicable diseases Data from Yangon, Myanmar, (2003-2004)

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