Proportion of births attended by skilled health personnel

(Myanmar)

Workshop on MDG Monitoring: 2015 and beyond, Bangkok, 9-13 July 2012

Map of The Republic of the Union of Myanmar

Definition

• The percentage of deliveries attended by skilled health personnel

Data sources

• Routine Health Management Information System

• Household surveys –FRHS, IHLCA,MICS

Data Items collect in HMIS

(Monthly report)• Home deliveries by basic health staff• Deliveries at RHC delivery room• Deliveries at public hospitals• Total livebirths• Total stillbirths

Department of Health Planning (HMIS),Department of Health

Department of Health Planning (HMIS),Department of Health

MCH/UHC/Station HU/RHCMCH/UHC/Station HU/RHC

District/Township Health DepartmentDistrict/Township Health Department

State/Regional Health DepartmentState/Regional Health Department

Sub Rural Health Center Sub Rural Health Center

Data FlowData Flow

Calculation method (HMIS)

• Numerator: Number of Births attended by skilled health personnel during one year

• Denominator: Total number of deliveries during same year

• Skilled health personnel : Doctors, nurses and midwives (Not include auxiliary midwife and traditional birth attendants)

Method of computation (Survey)

• Numerator - Number of women aged 15-49 years with a birth in a reference period preceding the survey that were attended during childbirth by skilled health personnel

• Denominator - Total number of women surveyed aged 15-49 years with a birth in the same reference period preceding the survey

Periodicity of Measurement

• HMIS – every year• Survey – every three or five years

10Source: Health Management Information System

Percentage of births attended by Percentage of births attended by skilled health personnelskilled health personnel

11

Source: HMIS Hospital Delivery(%)2000 12.9

2001 12.8

2002 13.2

2003 12.9

2004 12.9

Institutional Delivery(%)(Hospital+ RHC Delivery Room)

2005 15.4

2006 16.7

2007 17.0

2008 17.7

2009 17.2

2010 20.8

2011 23.2

12

SBA (%) Source:HMIS

Source: MICS

Source:IHLCA

Source:FRHS

2000 53.3

2001 50.1 57

2002 55.3

2003 52.6

2004 51.7 72.5 (2004-2005)

2005 57.9

2006 63.6

2007 64.1 64

2008 67

2009 64.4 77.9 (2009-2010)

2010 64.8 70.6

2011 67.1

Comments and limitations

• Standardization of the definition of skilled health personnel

• Calculation method – livebirths or total births• Completeness and coverage of routine data• Rely on answer by respondents• May not adequately capture women’s access to

good quality care