Myanmar: Primary Health Care

-    The project will serve a population of 422’238 beneficiaries in 666 villages in 4 conflict-affected townships in Karen State: Hlaingbwe, Myawaddy, Kawkareik, and Kyainseikkyi.

-    The primary groups include pregnant mothers, under 5 children, women of reproductive age, persons with disability, and internally displaced persons (IDPs).

-    ~150’000 women, 18’000 pregnant and lactating women, 25’000 under 5 children, and 368 Village Health Committees.

-    Equitable provision of quality basic primary health care services is improved in rural areas of target townships;

-    Communities are empowered to improve health status and local health governance; 

-    Local and Ethnic health governance as well las local and ethnic health systems in Southeast Myanmar are coordinated and strengthened.

Risultati principali attesi:  

1.1)    Provision of quality basic maternal and child health services through mobile primary care units and Community-based health workers;

1.2)    Community-based referral mechanisms established;

2.1)    Established and revitalized VHCs are capacitated to promote local health governance;

2.2)    Informed community members have the knowledge to identifyand seek physical and mental health services;

2.3)    CBHWs are engaged in promoting women’s empowerment and gender equality;

3.1)    Strengthened local community-based health care system in regime-controlled areas;

3.2)    Strengthened ethnic health systems by establishing a prioritized health system strengthening package (health information, human resource, supply chain, service delivery and health financing);

3.3)    Improved institutional capacity of EHOs to strengthen their leadership/governance, sustain their health system, and promote localization.

Risultati fasi precedenti:  

286’309 beneficiaries (23’151 mothers,16’147 under 5 children):

-    4’941 emergency referrals

-    11’391 skilled birth attended deliveries

-    21’425 women received modern family planning

-    214 functioning Village Health Committees

-    Renovation of 19 ethnic health facilities

Ethnic Health system strengthening: 14 ethnic health facilities applied standard Health Management Information System, Covid-19 vaccine pilot, cross-border routine immunization with support of Thai Public Health (twin village programme).

End-of-Phase evaluation advised to focus on EHSS, reinforce triple nexus approach, gender transformation, quality assurance system and sustainable exit strategy.

Within the Swiss portfolio, there are synergies at 3 levels:

with other Health projects (Access to Health Fund and Women and Girls First);

with other key bilateral projects (e.g. Direct Action Ethnic System Strengthening);

with other Swiss multilateral partners (ICRC, Myanmar Humanitarian Fund (MHF)).

Moreover, coordination with the USAID funded LEARN project (for local governance) and GAVI/UNICEF (on routine immunization).