Current Situation in Control Strategies and Health Systems in Myanmar, Asia by PROFESSOR DR. NE WIN, DIRECTOR (LABORATORY AND BLOOD SERVICE), MINISTRY OF HEALTH, UNION OF MYANMAR

1. CURRENT SITUATION IN CONTROL
STRATEGIES AND HEALTH SYSTEMS
IN ASIA – MYANMAR
PROFESSOR DR NE WIN
DR.
DIRECTOR (LABORATORY AND BLOOD SERVICE)
MINISTRY OF HEALTH
UNION OF MYANMAR

2. DEMOGRAPHIC DATA
• - about 57 million population
• - 135 minor ethnic groups and seven
major indigenous races
• - annual bi th rate 2 3%
l birth t 2.3%
• - 12,000,000 kyats pe yea
,000,000 yats per year
• - 1.2% of total budget on health

3. HEALTH SYSTEM
• Both private and public sector are under
y
Health ministry
• Cost sharing system; free of charge
system
• No special policies for chronic diseases
• Nor for hemoglobin disorders

4. EPIDEMIOLOGY
• ALPHA THAL CARRIER RATE 10-14%
• BETA THAL CARRIER RATE 0 4 – 1 8 %
0.4 1.8
• E-THAL CARRIER RATE 20-25%
• S-THAL CARRIER RATE – NIL
• 1300 – 6500 newborns with transfusion
dependent thalassemia (both alpha and
beta) e er year
every ear

5. PATIENT REGISTRY
• OUT-PATIENT AND IN-PATIENT
REGISTRY IN EVERY HOSPITAL
• DCR AT CHILDREN HOSPITAL
• BLOOD TRANSFUSION SERVICES AT
STATE AND DIVISIONAL HOSPITAL
• NATIONAL BLOOD CENTER

6. NATIONAL PREVENTION
PROGRAMME
• NIL AT ALL LEVEL

7. DIAGNOSTIC SERVICES
AVAILABLE
• Population screening – Nil
P l ti i
• Prenatal diagnosis – Nil
g
• Antenatal diagnosis – Nil
• Genetic counseling – Nil
• Molecular diagnostic facilities – available
only at NHL
• Primary level – Nil ; Regional – Nil
y g
• National – available

8. BLOOD AND BLOOD
COMPONENTS
• National Blood Policy founded in 2010
• National blood and blood product law 2003

9. IRON CHELATION
• All chelators available
• Easily accessible at central level hospital
• given by community cost sharing system
• DFO - about 10% of cases (according to
DCR, Children hospital data)
C , C d e osp ta

10. • Multi disciplinary teams to monitor cardiac
and endocrine complications – only at the
p y
central / tertiary level hospitals

11. • MRI facilities are available only at tertiary
p
care hospitals

12. • No Reference Expert Center