Low birth weight in Papua New Guinea is a killer. Help us research what is causing low birth weight in PNG so that we can stop it.
In Myanmar, high burden health problems include a high maternal mortality ratio (MMR) of 240 per 100,000 live births and a high under five mortality rate of 71 per 1,000 live births (2010, UNICEF). The leading direct causes of maternal deaths in Myanmar are post-partum haemorrhage, hypertensive diseases of pregnancy and abortion-related sepsis.
Major issues include a weak health system and lack of facilities, which undermine the capacity of the public sector to deliver basic health care services. There is poor antenatal care coverage, low skilled birth attendance rates and inadequate or absent referral mechanisms at the community level. Emergency obstetric care is mostly inadequate or unavailable and often unaffordable for poor and vulnerable women who need it. The challenge is exacerbated by inadequate or absent referral mechanisms at the community level.
There are social, financial and cultural barriers to health seeking behaviours and limited health literacy across both urban and rural populations. Pre-service training for nurses and midwives does not include full skills and knowledge to address all competencies for basic and emergency obstetric care, although steps are now being taken to address this gap.
The sector faces challenges in planning, management and organisation.
The ANCP project is aiming to improve maternal, neonatal and child health in project communities by addressing critical gaps in health service delivery and health care seeking behaviour. Health systems strengthening activities will be undertaken according to the needs and resources of each township in 2013. The focus is on the Ministry of Health’s Essential Maternal, Neonatal and Child Health (MNCH) Services Package but will also include elements of nutrition and hygiene.
Year 1 of the ANCP programme commenced in July 2011 with the implementation of a maternal and child health (MCH) project. This involved strengthening the capacity of communities to address MNCH needs and promote safe motherhood initiatives. The project is to be undertaken in three peri urban areas of Insein and Mingaladon, and two rural areas of Thanlyin townships within the Yangon Division.
In 2013, ANCP Phase 3, health systems strengthening activities were conducted in four townships across Yangon Division, Insein, Mingalardon, Thanlyin and South Dagon. Key project counterparts are local government authorities and Township Medical Officers (TMO), with non-government/local organisation partners continuing to be engaged around community mobilisation activities.
The main approach will include:
Ministry of Health
Township medical officers
Myanmar Health Assistant Association
Myanmar Maternal and Child Welfare Association
Myanmar Red Cross Association Young Women Christian Association
Australian NGO Cooperation Program (ANCP)
For any general enquiries relating to this project, please contact:
Myanmar Country Representative