CHALLENGES AND OPPORTUNITIES

LEADING TO NATIONAL DEVELOPMENT

IN MYANMAR
Second Speaker
DR HTAY LWIN
Former Director public Health
(DOH/MOH)
Currently Medical Advisor
(Fourteen Star Network Company)

Universal Health Coverage


UHC

Population

Health service

Fee for

Service

Free of Charge (FOC)

Universal Health Coverage

Universal Health Coverage

(
)

Sustainable Development
Goal

()

UHC & SDG related issues

SDG


Sustainable Development Goals (SDG)

SDG

Millennium

development goals (MDG)

Health For all by the year 2000

MDG

UHC

Health services are Health Promotion, Prevention,

Curative and Rehabilitation
Every body could not access to every health
services according to MDG 2015, causes were
already find out reasons ; Inefficient Government,
in sufficient financial allocation for health sector
(1.7% of GDP), Geographical terrains,
Low income & Poverty, (1.54 $ ) Now (1.25 $) ,
50% of Population in poverty are in Sub Saharan
Africa and South East Asia region.

MDG

has given obvious lessons on health

administration system, Resources (HR,
Budgets, Technical, Health Information)
allocation

YEAR

Country

Total Health
Expenditure as %
GDP

2012

Lao PDR

1.9.

2012

Indonesia

3.0

2012

Bangladesh

3.5

2012

Bhutan

3.6

2012

Nepal

5.5

2012

Cambodia

7.3

2012

Myanmar

1. 8

2014-2015=
2020,
2030.

The % of GDP 2.4

% become 5% of GDP
% will be 8-10 % 0f GDP

Millennium Development Goals (MDGs) from 2000 to 2015

Growing evidence
Investing in health would contribute to social and economic growth
Ill-health and out-of-pocket spending on health can shock for
households , also to community as a whole and even up to national
Macroeconomics level.


Revitalizing Primary Health Care (Many Ways and Means)
Having access to essential health-care services without suffering
financial hardship (SDG) for 2030
At the UN Sustainable Development Summit, on 25 September 2015,
the 193 countries of the UN General Assembly adopted the 2030
Development Agenda - Transforming our world: the 2030 Agenda
for Sustainable Development.

Goal 3, Ensure healthy lives and Promote

well being for all at all age.

3.1 By 2030, reduce the global maternal mortality ratio to less than 70 per
100,000 live births (0,17)
3.2 By 2030, end preventable deaths of newborns and children under 5
years of age, with all countries aiming to reduce neonatal mortality to at
least as low as 12 per 1,000 live births and under-5 mortality to at least as
low as 25 per 1,000 live births
3.3 By 2030, end the epidemics of AIDS, tuberculosis, malaria and
neglected tropical diseases and combat hepatitis, water-borne diseases and
other communicable diseases
3.4 By 2030, reduce by one third premature mortality from noncommunicable diseases through prevention and treatment and promote
mental health and well-being
3.5 Strengthen the prevention and treatment of substance abuse, including
narcotic drug abuse and harmful use of alcohol

3.6
By 2020, halve the number of global deaths and
injuries from road traffic accidents
3.7
By 2030, ensure universal access to sexual and
reproductive health-care services, including for family
planning, information and education, and the integration of
reproductive health into national strategies and
programmes
3.8
Achieve universal health coverage, including
financial risk protection, access to quality essential healthcare services and access to safe, effective, quality and
affordable essential medicines and vaccines for all
3.9
By 2030, substantially reduce the number of deaths
and illnesses from hazardous chemicals and air, water and
soil pollution and contamination
3.a Strengthen the implementation of the World Health
Organization FCTC in all countries, as appropriate

3.c

Substantially increase health

financing and the recruitment,
development, training and retention of the
health workforce in developing countries,
especially in least developed countries and
small island developing States


GDP % Over all
expenditure . % is allocated.

 ( )
Challenging factors )
Arm conflict, Non State Government Area, Geographical
Terrain, Unfairness & Equity(Causes) These are long standing ,
rooted causes varies with areas and situation. (Shan state,
Kayin, Mon, Rakhine, Chin, Hilly regions )
Appropriate Solution ? ? ( Ample salaries, financial
Incentive, Enabling environment for professional skill use
.
Surgery, A&E, Emergency for Medical, Surgical Obstetric
Gynecology and Pediatric .
Opportunity, At Hard to reach areas Doctors from
(DHSA) are posted. For Army personal as well as community.
Now a day communication & Transportation become much
better than old days. Hand Phones, Air routes become quite
available , it make staffs secure for their families. The only
thing is Financial adequacy from government side and from
other side staffs mentality .

UHC
()

()

()

()

/ /

()

()

()

()

() (UHC)

()



()

special stretegic plan for specific
area (
)

This

is very first event for DSAM, however it is so far so

good because every movements are reflecting our collective
efforts, especially we realized that our leader teaches have
exerted greater efforts, enthusiastic efforts, energetic efforts
which will ever be in the history of DSAM formation.
We have to try again and again to have sustain association
of DSAM.
Other potential candidates are also encouraged to
participate actively in DSAM.
THANKS YOU for your attention