Bordered by China, Thailand, India, Laos PDR and Bangladesh, Myanmar’s uninterrupted coastline extends more than 1900 kilometres along the Bay of Bengal and the Andaman Sea. Home to more than 51 million people, Myanmar is undergoing significant economic, social and political change since the easing of international trade and economic sanctions. In 2000, the World Health Organization ranked the Myanmar (Burma) among the lowest of 190 countries for their health systems. The relatively poor health infrastructure in Myanmar coupled with a very low GDP spend on health care (below 3%), basic road infrastructure and rural services, there are significant challenges to effective health services delivery.
Major health challenges facing the country according to the World Health Organization include:
- Low life expectancy rates - 64 years for a male and 68 years for a female
- High mortality for children under five years (51 per 1,000 live births)
- High maternal mortality ratio (200 per 100,000 live births)
- Deaths due to malaria (per 100,000 population) is 5.4
- 60 percent of the population lives in malaria Transmission areas
- High TB burden - incidence rate was estimated at 373 per 100,000 population while prevalence was 473 per 100,000 population and mortality was 49 per 100,000 population. MDR-TB rate was 5% in new cases of Tuberculosis and 27.1% among previously treated cases of Tuberculosis
- High HIV burden – 190,000 [170,000-220,000] cases with an estimated 10 percent co-infection of HIV/tuberculosis
- Widespread poverty, lack of proper sanitation and water supply, malnutrition and poor health awareness
Since its inception in 2003, the Burnet Institute Myanmar (BI-MM) program has grown steadily.
Effective partnerships have been forged with a large number of local organisations in the areas of HIV prevention, treatment, care and support, Malaria prevention and treatment, MDR-TB care and support, and maternal and child health with a philosophy of civil society capacity building to enable community based solutions to health care delivery.
In 2005, BI-MM entered into a Memorandum of Understanding (MoU) with the Ministry of Health to formalise our presence. In 2015, we expanded our MoU to enable operation in all 14 states/regions.
We continue to be a leader in developing creative local solutions to complex development issues. Building on our technical and management expertise and financial resources BI-MM is well recognised in the donor community for its effective financial, management and reporting systems.
BI has a strong reputation in monitoring and evaluation (M&E) and organisation development providing training to the UN and other non Government Organisations.
The focus is also on continuing to develop the capacity of local partners to respond to health issues within the context of broader development challenges in 48 townships in all eight regions and states.
BI-MM is expanding its research portfolio and research staff to undertake more operational and primary research activities in collaboration with the Government and other local as well as international organisations.
Research will be conducted in collaboration with the Myanmar Department of Medical Research, National Programs (of disease control, MNCH and School health), the Public Health University, Department of Public Health mainly with the National Programs (of disease control, MNCH and School health), Department of Medical Services and other government approved research agencies and local partners.
Burnet will also expand its implementation approach from capacity building of local organisations to direct service provision to communities, and support to the Myanmar Department of Public Health.
ANCP Maternal and Child Health program underway in peri-urban Yangon Division
- Accelerating ART initiation among Mothers and Infants (AAMI Study)
This project will trial the effectiveness, feasibility and acceptability of the novel POC VISITECT® CD4 test and POC LYNX HIV p24 early infant diagnostic (EID) test.
- Access Point Of Care
Increase access to lifesaving treatments for infectious diseases in hard-to-reach populations in resource-poor countries, by demonstrating the accuracy and feasibility of existing and novel point-of-care tests and enabling their implementation.
- Adolescent reproductive health in Myanmar: Formative research to support the delivery of life-skills education and hygiene improvements through monastic schools in Magway
The aim of this study is to understand the quality and implementation of reproductive health life-skills education (LSE) through the Monastic Education System in Magway.
- Collaborative Community Checklists for Immunization (CCCI): A feasibility and acceptability study in a rural area of Myanmar
The aim of this study is to explore the feasibility of using a community-oriented version of the new WHO Immunization Checklist to increase the uptake of immunization in hard to reach communities in Myanmar.
- Comprehensive community-based prevention and care for drug-resistant tuberculosis
Implementation and evaluation of a model of community-based drug-resistant TB care to facilitate scale-up in Myanmar.
- Effectiveness of repellent delivered through village health volunteers on malaria incidence in artemisinin resistance containment programs in South-East Myanmar
This project will determine whether delivery of mosquito repellent by village volunteers will reduce malaria incidence in Myanmar where drug resistance is highly prevalent.
- Enhancing education and health services to reduce harms associated with drug use
The project will support sustainable and comprehensive harm reduction and primary health care services from fixed sites and outreach programs for people who inject drugs and people who use drugs.
- HIV mitigation for people who inject drugs
Aims to prevent the transmission of HIV among young people, students, migrant and transport workers. Priority areas include the prevention of the transmission of HIV through unsafe behaviour in sexual contacts and injecting drug use.
- Improving maternal and child health outcomes through increasing health seeking behaviours and access to quality services.
The ANCP project aims to improve maternal, neonatal and child health in communities by addressing critical gaps in health service delivery and health care seeking behaviour.
- Malaria services for the most hard to reach populations
This project will undertake a malaria needs assessment, planning, implementation, monitoring and evaluation in priority townships that are geographically and socially isolated.
- Maternal Neonatal and Child Health support in Gangaw and Ngaphae townships in Magway Region – Myanmar
This project aims to increase availability and accessibility of essential services for maternal, newborn and child health through supporting Township Health Departments and community based interventions.
- MNCH support in Namhsam, Namtu and Manton townships in Northern Shan State – Myanmar
This project aims to increase availability and accessibility of essential services in conflict affected areas for maternal, newborn and child health through supporting Township Health Departments and community based interventions.
- New surveillance tool for malaria elimination in Myanmar
This project will seek to gain a deeper understanding of the new surveillance tools for the malaria elimination of Myanmar.
- Pathways to post abortion care
Our aim is to provide cost-effective, high-quality post-abortion care to women and to reduce the incidence of unsafe induced abortion in Myanmar.
- Perspectives of an inhaled oxytocin intervention for the prevention of postpartum haemorrhage
This study will guide the development and facilitate the future implementation of inhaled oxytocin in three diverse country settings.
- Socioeconomic impact of HIV at household level in Myanmar
This project will seek to gain a deeper understanding of the socio-economic impact of HIV in Myanmar by looking at individual and community groups.
- Working with men to address HIV
Ensuring high quality HIV prevention services for hard to reach men who have sex with men (MSM). The project aims to reduce HIV-related risk, vulnerability and impact among MSM and their sexual partners.