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2017 Health Facility Assessment for Reproductive Health Commodities and Services

Govt. Myanmar
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The Ministry of Health and Sports has been tracking to enhance equitable health coverage according to Universal Health Coverage, which meets the needs and rights of all, particular of key and vulnerable populations. Moreover, The Ministry of Health and Sports has made efforts as per Sustainable Development goals, to ensure healthy lives and promote well-being for all at all ages through reducing the maternal mortality ratio and ending preventable deaths of newborns to reduce neonatal mortality. These concerted efforts in Myanmar by the Government, the United Nations, NGOs and other actors, 50% of married women in Myanmar are now able to practice family planning. However, one in six women has an unmet need for contraception. This leads to unintended pregnancies, unsafe abortions, and maternal and neonatal death. Access to family planning is fundamental human right and is crucial to empowering women and girls to realize their full potentials. It is also one of the most cost-effective investments a country can make towards sustainable development. Although Myanmar gave priority to maternal and child health services and considerable inputs have been invested to improve these services, inadequate health resources at different levels and over workload of staff are still challenging for targeted achievements.

In line with National Health Plan, the Ministry of Health and Sports has been planning and implementing the interventions to improve the health status of mothers, newborns and children. In the area of maternal and reproductive health, progress was made for maternal and newborn health and birth spacing with a reduction in maternal mortality and increase in contraceptive prevalence rate. Although services for family planning and reproductive medicine at different level heaJth facility are made effectively both by public and private sector, customer's satisfaction is key factor for efficient utilization. Nation-wide Health Facility Assessment for Reproductive Health Commodities and Services was strenuous effort of Department of Medical Research (Pyin Oo Lwin Branch) in collaboration with Maternal & Reproductive Health Division, Department of Public Health and Department of Medical Services. Well-organized and trained teams actively participated in data collection over the country during May and September 2017. As the assessment is a continuation of 2014, 2015 and 2016 assessment activities, this report is a result of successful forth mission. We aim to provide the information and understanding needed for the country's Reproductive Health Security. The current situation on availability of birth spacing services, life-saving reproductive health medicines, stock-out situation, and logistic management system, availability of skilled staff for reproductive health care services, information & communication facilities, cold chain facilities, and clients' satisfaction are provided in this report. Comparisons of some important parameters in four years are also included. As a difference from previous reports, qualitative finding regarding feeling and satisfaction of clients on family planning and reproductive health care services are included in this report.

We would like to thank all concerned persons without whose relentless efforts and dedication this undertaking would not have been successful. In particular, we would like to express our heartfelt thanks to Ms. Janet E. Jackson, UNFPA Representative for Myanmar for her keen interest and support for this undertaking. Thanks are also due to Dr. Hla Hla Aye (UNFPA, Assistant Representative, Retired), Dr. Yin Yin Htun Ngwe(UNFPA, Assistant Representative), Dr. Aung Thu Tun (UNFPA, Project Specialist) and other concerned staff of UNFPA for their continuous support along the implementation process.

Professor Dr. Zaw Wai Soe, Acting Director General, Department of Medical Research