IDEAS home Printed from https://ideas.repec.org/a/eee/hepoli/v95y2010i2-3p95-102.html
   My bibliography  Save this article

An approach to health system strengthening in the Union of Myanmar

Author

Listed:
  • Tin, Nilar
  • Lwin, Saw
  • Kyaing, Nyo Nyo
  • Htay, Thein Thein
  • Grundy, John
  • Skold, Margareta
  • O'Connell, Thomas
  • Nirupam, Siddharth

Abstract

Objectives In 2007 and 2008, Myanmar developed a health system strengthening (HSS) strategy and proposal through funding support from the Global Alliance for Vaccines and Immunization (GAVI). The aim of this paper is to identify critical success factors in the development of the HSS strategy in Myanmar.Methods The main source of information for this review includes international and national literature, and participant observation by the authors in the health systems analysis and HSS strategy development in Myanmar between 2007 and 2009.Results Critical success factors in the development of the HSS strategy included evidence-based development of the strategy through a sector analysis, and a long-term approach to strategy development with wide stakeholder participation. This contributed to important strategy breakthroughs in the areas of health planning, health financing, human resource management and civil society partnerships.Conclusion Implementation of the HSS strategy in Myanmar should position the MOH and partners well to implement challenging system reforms in the areas of health planning, financing and human resource management in the coming years, as well as support more coordinated efforts for relief and recovery effort following the Nargis natural disaster in 2008. These innovations in Myanmar, with evidence of similar breakthroughs in other countries of the Asian region including North Korea, Cambodia, Nepal and Sri Lanka, provides promising evidence of the potential of the HSS approach as an emerging health development paradigm, particularly in relation to responding to the issue of "within country" inequities in access to health care.

Suggested Citation

  • Tin, Nilar & Lwin, Saw & Kyaing, Nyo Nyo & Htay, Thein Thein & Grundy, John & Skold, Margareta & O'Connell, Thomas & Nirupam, Siddharth, 2010. "An approach to health system strengthening in the Union of Myanmar," Health Policy, Elsevier, vol. 95(2-3), pages 95-102, May.
    • Handle: RePEc:eee:hepoli:v:95:y:2010:i:2-3:p:95-102
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0168-8510(09)00298-X
    Download Restriction: Full text for ScienceDirect subscribers only
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Kristiansen, Stein & Santoso, Purwo, 2006. "Surviving decentralisation?: Impacts of regional autonomy on health service provision in Indonesia," Health Policy, Elsevier, vol. 77(3), pages 247-259, August.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Grundy, John & Annear, Peter & Ahmed, Shakil & Biggs, Beverley-Ann, 2014. "Adapting to social and political transitions – The influence of history on health policy formation in the Republic of the Union of Myanmar (Burma)," Social Science & Medicine, Elsevier, vol. 107(C), pages 179-188.
    2. Grundy, John & Hoban, Elizabeth & Allender, Steve & Annear, Peter, 2014. "The inter-section of political history and health policy in Asia – The historical foundations for health policy analysis," Social Science & Medicine, Elsevier, vol. 117(C), pages 150-159.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Makokha, Racheal Omukhulu, 2017. "Does Decentralization Improve Provision of Health Services? Evidence from Kisumu and Makueni Counties in Kenya," Thesis Commons xef7a, Center for Open Science.
    2. Jinsong Geng & Hao Yu & Yingyao Chen, 2016. "Preparing for the introduction of hospital autonomy in Laos: an assessment of current situation and suggestions for policy-making," International Journal of Health Planning and Management, Wiley Blackwell, vol. 31(2), pages 148-166, April.
    3. Si Ying Tan & Jiwei Qian, 2019. "An unintended consequence of provider payment reform: The case of capitation grants in the National Health Insurance reform of Indonesia," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(4), pages 1688-1710, October.
    4. D'Ambruoso, Lucia & Byass, Peter & Qomariyah, Siti Nurul & Ouédraogo, Moctar, 2010. "A lost cause? Extending verbal autopsy to investigate biomedical and socio-cultural causes of maternal death in Burkina Faso and Indonesia," Social Science & Medicine, Elsevier, vol. 71(10), pages 1728-1738, November.
    5. Farah C. Noya & Sandra E. Carr & Sandra C. Thompson, 2022. "Commitments, Conditions and Corruption: An Interpretative Phenomenological Analysis of Physician Recruitment and Retention Experiences in Indonesia," IJERPH, MDPI, vol. 19(9), pages 1-20, May.
    6. Andrew Hodge & Sonja Firth & Tiara Marthias & Eliana Jimenez-Soto, 2014. "Location Matters: Trends in Inequalities in Child Mortality in Indonesia. Evidence from Repeated Cross-Sectional Surveys," PLOS ONE, Public Library of Science, vol. 9(7), pages 1-10, July.
    7. Farah C. Noya & Sandra E. Carr & Sandra C. Thompson, 2023. "Attracting, Recruiting, and Retaining Medical Workforce: A Case Study in a Remote Province of Indonesia," IJERPH, MDPI, vol. 20(2), pages 1-18, January.
    8. Noto, Guido & Belardi, Paolo & Vainieri, Milena, 2020. "Unintended consequences of expenditure targets on resource allocation in health systems," Health Policy, Elsevier, vol. 124(4), pages 462-469.
    9. Vargas Bustamante, Arturo, 2010. "The tradeoff between centralized and decentralized health services: Evidence from rural areas in Mexico," Social Science & Medicine, Elsevier, vol. 71(5), pages 925-934, September.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:hepoli:v:95:y:2010:i:2-3:p:95-102. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu or the person in charge (email available below). General contact details of provider: http://www.elsevier.com/locate/healthpol .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.