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
- A profile of adolescent health in Myanmar
Adolescents make up a significant proportion of the population in Myanmar, but their health needs remain poorly described.
- Access Point Of Care Initiative
Increasing access to life-saving treatments for infectious diseases through point-of-care tests.
- ANCP: Improving maternal and child health outcomes in Myanmar
Addressing critical gaps in health service delivery and health care seeking behaviour.
- Collaborative Community Checklists for Immunisation (CCCI)
Adapting the WHO Immunisation Checklist to increase the uptake of immunisation in Myanmar.
- CT2 Study: Community-based Testing and Treatment for Hepatitis C
This hybrid trial is underway in Myanmar.
- Engaging the private sector to improve adolescent friendly health service delivery in Asia and the Pacific
The aim of this research is to describe current private sector engagement in adolescent health in East Asia and the Pacific, and identify opportunities for public-private partnerships for adolescent health.
- Evaluation of Malaria Case-Based Reporting using a mobile phone application in Myanmar
Evaluating the effectiveness of a mobile phone-based application to improve the reporting and surveillance of malaria in Myanmar
- Evidence and action for malaria elimination in Myanmar
Engaging public, private, military and civilian partners for targeted malaria elimination testing in Myanmar.
- Host and parasite factors that predict Artemisinin Resistance reservoirs
Understanding how population immunity seeds transmission of malaria infectious reservoirs, including drug resistant parasites
- Immunity, drug efficacy and spread of antimalarial drug resistance
Identifying immune biomarkers to predict antimalarial efficacy is essential.
- Impact of declining transmission on immunity and risk of malaria rebound
As malaria transmission falls, it is critical to understand how changing immunity affects risk of malaria.
- IMSA: Improving SRH knowledge among young people in Magwey, Myanmar
This formative study provides evidence of current knowledge and attitudes among adolescents.
- Optimal community-delivered malaria elimination models for the Greater Mekong Sub-region
Developing an elimination model that is acceptable, operational, and cost-effective across GMS countries
- Serological surveillance to identify mosquito exposure and malaria transmission
Identifying and understanding “hot spots” and “hot pops” of malaria transmission are crucial to target interventions for elimination.
- Sexual and reproductive health in Asia and the Pacific
A review of issues, policies and programmes.
- A study to improve the health and rights of Myanmar men who have sex with men
This research evaluated the effectiveness of ‘Link Up’ services, in men who have sex with men.
- Accelerating ART initiation among Infants (AAMI Study)
This project will trial the POC VISITECT® CD4 test and POC LYNX HIV p24 early infant diagnostic test.
- Adolescent reproductive health in Myanmar: Formative research to support the delivery of life-skills education and hygiene improvements through monastic schools in Magway
A study into reproductive health education through the Monastic Education System in Magway.
- ANCP: Prevention and care for drug-resistant TB in Myanmar
Implementation and evaluation of a model of drug-resistant TB care to facilitate scale-up in Myanmar.
- Document the Lessons Learnt from the Joint Initiative on Maternal Neonatal and Child Health (JIMNCH), Ayerwady Region, Myanmar. 2013
The Joint Initiative for Maternal, Neonatal and Child Health was a collaborative programme aiming to increase access to maternal and child health services in areas most affected by Cyclone Nargis
- Effectiveness of repellent on malaria incidence in SE Myanmar
A project to determine whether repellent delivered by volunteers will reduce malaria incidence.
- Enhancing education to reduce harms associated with drug use in Yangon, Myanmar
This project is supporting harm reduction and health care for people who inject drugs and who use drugs.
- Evaluation of the Joint Initiative for Maternal Newborn and Child Health in Myanmar
Burnet led the evaluation of this United Nations program for maternal newborn and child health.
- Harm reduction among People who Inject Drugs in Myanmar
Aims to prevent the transmission of HIV among young people, students, migrant and transport workers.
- HIV testing among young men who have sex with men in Myanmar
Examining factors associated with HIV testing uptake among young men who have sex with men in Myanmar.
- Ma Ma Oo - Maternal and Child Health Radio Series Myanmar
Establishing a health radio program for effective community messaging regarding maternal and child health.
- Malaria services for Myanmar's most hard to reach populations
Assessment, planning, implementation, monitoring and evaluation in isolated townships.
- Male participation in improving maternal and newborn health: A community based intervention in Myanmar
Demonstrating the feasibility of increasing male involvement in Maternal, Newborn and Children's Health and to enable men to protect and promote the health of their families.
- Maternal Neonatal and Child Health support in Magway Region, Myanmar
Improved MCH services via support to Township Health Departments and community based interventions.
- MNCH support in Myanmar's Northern Shan State
This project involves Namhsam, Namtu and Manton townships.
- National TB Research Agenda Workshop for Myanmar: 4-5 September 2014
Burnet Institute supported the National Tuberculosis Program (NTP) Myanmar to design and implement a national TB research agenda workshop to set the TB research priorities and road map for implementation for the next five years.
- Pathways to post abortion care in Myanmar
Understanding women's perspectives on accessing post-abortion care at public hospitals.
- 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 study sought to gain a deeper understanding of the socioeconomic impact of HIV in Myanmar by looking at individual and community groups.
- Strengthening Monastic School Education in Myanmar
Building capacity and improving quality of the monastic school system via community involvement.
- WASH: Interventions for monastic schools in Myanmar
Evaluating the impact of a water, sanitation and hygiene program across three states of Myanmar.
- Working with men to address HIV in Myanmar
Reducing HIV-related risk, vulnerability and impact among men who have sex with men in Myanmar.