The document describes a Coordinated Township Health Plan (CTHP) being implemented in 20 townships in Myanmar. The CTHP focuses on system planning for maternal and child health, immunization, nutrition and environmental health. It establishes monitoring and evaluation frameworks and develops RHC plans with sub-RHC participation. Initial results from January to June 2012 show that 1585 of 2501 planned packages of services were delivered, reaching 63.4% of targets. Key challenges addressed include a lack of coordination, access to health services in hard to reach areas, and operational financing for providers. The response has been to map areas, plan package of service tours, and pilot a maternal and child health voucher scheme. Moving forward, there is