StrengtheningPublicHealthCapacitytoRespondtoMyanmar’sDiseaseTransition

Yangon22November2017

TejRamJat,PhDProgramme ManagerPublicHealthHelpAgeInternational,Myanmar

Myanmar:Overview• Population- 51,486,253(Census

2014)• Ongoingepidemiological

transitionincreasingtheburdenofNCDs.

• 94%adultslivewithatleast1riskfactorofNCDs(STEPS2014).

• 68%deathsduetoNCDs(WHO-

2017).• Limitedcapacitiesforresearch,

policy,programmingforpreventionandcontrolofNCDs.

AbouttheProject• Objectives- TostrengthentheUPHandwiderhealth

stakeholdersforevidence-basedpolicydevelopmentandpolicyanalysisonNCDsandtoimproveinstitutionalcapacitiesformanagingthetransitiontowardsNCDsinMyanmar.

• 5yearproject,3.5MillionEuro- FundedbyEuropeanUnion,co-fundedbyAgeInternationalandWorldDiabetesFoundation.

• Partners:HelpAge International,UniversityofPublicHealth,UniversityofMedicine2andThammasatUniversity.

• WorkingverycloselywithNCDUnitofMinistryofHealthandSports,GovernmentofMyanmar.

ExpectedResultsResult1:Enhancedresearchandevidence-basedpolicyanalysistoinformthegovernment’sresponsetothehealthtransitioninMyanmar.Result2:Greaterknowledgeamong1,500policymakersandpublichealthimplementersacrossMyanmaronhowtoaddresstherisingburdenofNCDs.Result3:Increasedin-countrypolicydialogueandconsultationwithawiderangeofMyanmarstakeholdersontherisingchallengeofNCDs.Result4:StrongerUniversityofPublicHealthacademiccapacitytodeliverhighqualityteachingandresearch,guidedbyclearinstitutionalstrategy.Result5:EffectiveUniversityofPublicHealthoperationalcapacityincludingprojectandfinancialmanagement.Result6:ActiveprofessionallinkageswithhealthinstitutesinothercountriesandSouth-Southcollaboration.

MajorStrategicComponents

Research- Assessmentofresearchgapsanddevelopingpriorityresearchagenda- Enhancedresearchtoinformpolicyandprogrammaticresponsetoaddresshealthtransition

Policy- Increasedpolicydialogueandconsultation- Enhancedevidencebasedpolicyanalysis- DevelopingNationalStrategicActionPlanonNCDs

CapacityBuilding- Greaterknowledgeandskillsamongpolicymakersandpublichealthimplementers- CapacitybuildingforPENexpansion- StrongerUPHtodeliverhighqualityteachingandresearch

Communication- Widerdisseminationofresearchevidencethroughworkshops,publicationsanddifferentcommunicationmediaforawarenessandpolicyinitiatives

StrengtheningPublicHealthCapacityto

RespondtoMyanmar’sDiseaseTransition

ProgressandAchievementsResearchComponent

• CompletedassessmentofresearchgapsonNCDs(literaturereviewandqualitativeinterviews)

• ConductedKAPsurveyonmentalhealth(MentalHealthLiteracyinCommunity)

• FormedResearchAdvisoryCommittee,organizedtwomeetingofRACtodiscussonthefindingsofresearchgapassessmentandtodeveloppriorityresearchagendaonNCDs

• DevelopedpriorityresearchagendaonNCDs• StartedworkondevelopingstudydesignonNCDmorbidity• Startedworkondevelopingstudydesignforqualitative

studyonmentalhealth

ProgressandAchievementsPolicyComponent

• OrganizedapolicyintroductorymeetingbyTUandConsultants- Yangon,October2015

• ExperienceSharingWorkshoponHealthCareSystemandPolicyDevelopmentinNCDs,ExperiencesandLessonslearnedfromThailand- Yangon,January2016

• WorkshoponPolicyAnalysisandPolicyDevelopmentProcesswithfocusonNCDs- NayPyi Taw- October2016

• Developedandformallyreleased(MOHS)theNationalStrategicActionPlanforprevention&controlofNCDsinMyanmar:2017-21

ProgressandAchievementsPolicyComponent

• HealthpolicyworkshopforfacultyandresearchersfromUPH,otheruniversitiesandNCDunit,Yangon,25-27April2017

• HealthpolicyworkshopforfacultyandresearchersfromUPH,Yangon,6-8September2017

• Workshoponhealthpolicyandsystemsresearch,24-26October2017

• MeetingofNCDstakeholdersforestablishingnationalNCDnetworkincludingnon-healthactors

ProgressandAchievementsCapacityBuildingComponent

LearningExchangewithThammasat University:- LearningExchangeProgram(1)onPrimaryCareServicesand

CounselingonNCDs(14-18,September2015)Bangkok,Thailand

- LearningExchangeProgram(2)onPENsitehealthcenterandplanningonhealthpolicyatUPH(29-30October2015),Yangon

- LearningExchangeProgram(3)PrimaryCareServices&Servicedelivery(2-6Nov2015),Bangkok,Thailand

- LearningExchangeProgram(4) onhealthcaresystemandpolicydevelopmentinNCDs:experiencesharingfromThailand(12th Jan2016),Yangon,UnionofMyanmar

ProgressandAchievementsCapacityBuildingComponent

LearningExchangewithThammasat University:- LearningExchange(5)Monitoring&EvaluationofNCDs

Programmes (23rd -27th May2016),Bangkok,Thailand- LearningExchange6:NCD- SurveillanceandServices,

(17th-20thJanuary2017),Bangkok,Thailand- LearningExchange7:NCDspreventionprogramsunder

UniversalHealthCareCoverage,(11-13September2017),Bangkok,Thailand

ProgressandAchievementsCapacityBuildingComponent

• CapacitybuildingandadvocacyforPENExpansion

- MeetingonformulationofStrategicPlanforScalingUpofPENinMyanmar(18th Feb2016),Yangon

- WorkshopondevelopmentofplanforscalingupofPENinMyanmar(1st March2016),NayPyi Taw

- PENScalingupMeeting,Yangon(29th July2016)

- MeetingforinitiationofPENexpansion&DevelopmentofNationalStrategicPlanonNCDsmeeting- UM2,Yangon,28th October,2016

ProgressandAchievementsCapacityBuildingComponent

• AdvocacyWorkshopsonNCDsandPENExpansionin5StatesandRegions

State/Region Date Number ofParticipants

Yangon 09 August 2016 100Bago 12 August 2016 153Nay Pyi Taw 16 August 2016 60Mandalay 19 August 2016 120Mawlamyaing 24 August 2016 70

ProgressandAchievementsCapacityBuildingComponent

• DevelopedtwomanualsforPENScaling-uptraining• CentralteamtrainingforPENscaling-up(1st and2nd Feb2017),

Yangon(23participants)• RefreshercourseforTOTofPENManualguidelineforCentral

Team,UPH,Yangon,7th March2017• PackageofEssentialNon-communicableDiseases

Interventions(PEN)TrainingofTownshipLevelMedicalandPublicHealthOfficials(Firstbatch)- 14th-16th March2017,NayPyi Taw(50participants),(Secondbatch)- 28th-30th March2017,Yangon(41participants),(Thirdbatch- 62Participants),25-27October,NayPyi Taw

• 9supervisionvisitsconducted• Trainingontrends,prevention&controlofNCDsforUniversity

ofCommunityHealth,Magway- June2017(128participants)

ProgressandAchievementsCapacityBuildingComponent

• SupportedforpublichealthcurriculumreviewforUPHand5medicaluniversities

• Organizedtwodaynationalseminaronpublichealthcurriculumreview:3-4May2017

• Organizedstakeholderconsultativeworkshoponmentalhealth- 27June2017

• Strengthenedphysicalfacilitiesfortraining/learningat:

- UPH,UM2andPENSite(Myaungdagar RHC)

ProgressandAchievementsCapacityBuildingComponent

• TrainingonProjectCycleManagement- AdministrativeStaff:30Sept.to2Oct.2015(15participants)

- AcademicStaff- 11to13Nov.2015(20participants)

• Trainingforadministrativestaffonfinancialmanagement- 29– 30March2016(15participants)

ProgressandAchievementsCapacityBuildingComponent

• EstablishedE-libraryatUPH,2017• Participationincourseonsystematicreviews,Australia,October,2017

• ParticipationinstrategicmeetingsandconferencesonNCDsandageing

• Conductedonein-countrylearningexchangeansharingoncervicalcancerguidelines,October2017

• ArrangedonemeetingwithUniversityofHongKongfordevelopinglinkagesandsouth-southcollaboration,September2017

ProgressandAchievementsCommunicationComponent

• Knowledgeandevidencedisseminationworkshops:

- TwodisseminationworkshopsforSTEPSNCDriskfactorssurvey(NayPyi Taw- 4th February2016andYangon- 17th March2016)

- ExperienceSharingWorkshoponTobaccoControlinMyanmar(Yangon- UPH11July2016)

- DisseminationSeminaronfindingsofMentalHealthassessment(7thJuly2016)

ProgressandAchievementsCommunicationComponent

• IECMaterialDevelopedandDistributed:

- STEPSSurveyreport

- STEPSFactSheets(EnglishandMyanmarVersion)

- STEPSDataSheet

- Projectbrochures

- BookletsonoverviewofNCDsinMyanmar

- Researchgapassessmentreport

ProgressandAchievementsCommunicationComponent

IECMaterialDevelopedandDistributed:- FirstpolicybriefonoverviewofNCDs- SecondpolicybriefonPENimplementationinMyanmar

- Thirdpolicybriefonmentalhealthunderprogress

- PosteronNCDsdeveloped- PamphletonNCDspreventiondeveloped

ProgressandAchievementsCommunicationComponent

• ElectronicandSocialMedia

- Projectwebsite(2017)

www.sphcmyanmar.org

- Created(2016)andregularupdatingaFacebookpagefortheprojectforsharingnewupdatesandawarenessraising

https://www.facebook.com/SPHCMyanmar/?ref=aymt_homepage_panel

- Shortfilmontheproject(2017)

http://sphcmyanmar.org/audio-and-video-resources/

ProgressandAchievementsCommunicationComponent

- HighlightingourworkandNCDrelatedissuesinprintandelectronicmediainMyanmar

- ContributingnewsitemsregularlyforSPHIPnewsletterforlargervisibility

- ContributingnewsitemsregularlyforHelpAgeregionalnewsletterforlargervisibility

- Presentingourworkindifferentconferencesforknowledgesharing

Thanks.