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Doctors and nurses carry out a ward round to monitor progress of Multi-drug Resistant Tuberculosis (MDR-TB) patients under their care at the Patheingyi Tuberculosis Hospital.The National Tuberculosis Programme’s “Scaling-up of Tuberculosis Control in Myanmar” programme supported by the Global Fund includes improving community awareness, detection and treatment of MDR-TB. Management of MDR-TB is provided on an ambulatory model except for patients with severe and complicated conditions.
Patheingyi Tuberculosis Hospital, Patheingyi Township, Mandalay Region.Photo: John Rae /The Global Fund
The Global Fund Programme in
Myanmar
The Global Fund supports the prevention and treatment of HIV/AIDS, tuberculosis and malaria in Myanmar, with supervision from a national coordinating body chaired by the Ministry of Health and Sports.•Reduce HIV transmission and related illnesses,mortality, disability and social and economic impacts •End the TB epidemic in Myanmar fewer than 10cases per 100,000 people by 2035•Reduce malaria morbidity and mortality by 85% and75% respectively by 2020 relative to 2015 baseline figures
Goals of the Global Fund Grants
12 (O) Pyi Thu Lane, 7 Mile Mayangone Township YangonMyanmar 10528Tel: +95 1 657 281-7 sawa@unops.orgwww.unops.orgwww.pr-myanmar.org www.raifund.org
4 Zeya Htani RoadNay Pyi TawMyanmar 10528+95 67 411 298+95 67 411 159dg-doh@moh.gov.mmwww.mohs.gov.mm
314
1.6 million+1.1 million+131,189
15,994
12,809
Key Programme Achievements (2011--2018)
people treated formalaria
people treated for tuberculosis
injecting drug users receiving
methadone maintenance therapy
MDR-TB patients began second-line treatment
people receivingantiretroviral therapy
16.9 million+needles and syringes
distributed to drug users
48.7 million+condoms
distributed
TBHIV/AIDS MALARIA
11.4 million+people tested for
malaria
8.3 million+insecticide-treated bed
nets distributed
To upgrade and strengthen the laboratory services in Myanmar for earlier and faster detection of TB and MDR-TB patients, biosafety level-3 (BSL-3) TB laboratory equipment has been installed in two laboratories in 2017, in Taunggyi and Yangon. As a result, both these laboratories now have BSL-3 TB designation. GeneXPert machines have been installed in national laboratories across the country.
To develop and strengthen the capacity of national laboratory services for HIV viral load testing, polymerase chain reaction (PCR) machines have been installed in four locations across Myanmar: the Magway General Hospital, the Mingalardon Specialist Hospital, and the Public Health Laboratory in Mandalay and the National Health Laboratory in Yangon.
Ribbon cutting ceremony for inauguration of biosafety level-3 TB lab in Taunggyi, Shan State. ©UNOPS
A PCR machine installed with Global Fund support at the Magway General Hospital. ©UNOPS.
2BIOSAFETY LEVEL-3 TB
LABORATORIES
Strengthening National
LaboratoryServices
Delivering Results to
People in Need
As Principal Recipient, UNOPS plays a crucial role in bringing lifesaving treatments to people in need, is actively supporting the strengthening of government health systems, and is responsible for delivering the targets set out in the grant agreement, in collaboration with selected sub-recipients from the national programmes, international and local non-governmental organizations (NGOs) and United Nations agencies. This arrangement is under the oversight of the Myanmar-Health Sector Coordinating Committee (M-HSCC), which comprises a partnership of local stakeholders from NGOs, multilateral and bilateral agencies, the public and private sectors and people living with, or affected by, the diseases. This enables effective and target-based aid delivery to those most in need.
Structure of the Global Fund Programme in Myanmar
$ 77.3Million
$ 77Million
HIVTB
Global Fund grants for Myanmar (2018-2020) split by disease
ProgrammeStructure
The United Nations Office for Project Services (UNOPS) is a Principal Recipient in Myanmar of the Global Fund, and assists the Ministry of Health and Sports (MOHS) in managing $154 million worth of Global Fund grants for the continuation of HIV and TB programme implementation in Myanmar over a three-year period (2018–2020). UNOPS has assisted MOHS in managing $358 million worth of Global Fund grants over a seven-year period (2011–2017). The targets set out in the grant agreement are being delivered in collaboration with a range of partners and under the supervision of the Myanmar Health Sector Coordinating Committee, chaired by the Ministry of Health and Sports.
In collaboration with the Myanmar Food and Drug Administration (FDA), a robust in-country monitoring system for pharmaceutical products was established to ensure a high quality of pharmaceutical products across Myanmar.Samples of drugs for quality testing are taken regularly from different locations across the country. The capacity of national laboratory services has been strengthened and the Myanmar FDA Laboratory received ISO accreditation in 2017, which represents an important step towards providing internationally recognized laboratory testing services with accurate and reliable results for drug quality and safety.
Yangon Food and Drug Administration Pharmacist, Thinzar Win together with UNOPS-PR Quality Assurance Associate, Ei Thu Han, with samples of pharmaceuticals procured with Global Fund support, for quality testing. ©UNOPS
Improving Food and Drug
Administration
134
54SAMPLES
35WAREHOUSES
in 2018
512
About 400 staff from the national programmes have been trained in logistics management and key procurement and supply chain processes such as warehouse and stock management and reporting,in 2018.
Store in-charge Daw M Nang Jar at Taunggyi National TB Programme is given the updated Logistics Management Information System manual. The logistics support helps ensure that standard logistics manuals are in place at every storage facility of partners implementing the Global Fund grants. ©UNOPS
400HEALTH STAFF
TRAINED IN 2018
Strengthening Logistics and Information
Management
ProgrammeStructure
UNOPS was also selected as Regional Principal Recipient for the Regional Artemisinin-resistance Initiative (RAI), which was a $124 million regional grant (2014-2017) to contain the spread of drug-resistant malaria and to contribute towards elimination of P.falciparum malaria in the Greater Mekong Subregion (GMS).
RAI has been expanded with a second phase, the RAI2-Elimination (RAI2E) programme, which is a $ 243 million regional grant to accelerate the elimination of P. falciparum malaria in the GMS region over a three-year period (2018-2020).
RAI2E supports increased malaria service coverage for remote populations in border areas and other at-risk populations, as well as case management through health volunteers and strengthening of national surveillance systems.
Supporting the
Strengthening
of Government
Health Systems
- District Health Information System
- National Survey/Mortality Survey
- Integrated Bio-behaviour Survey
- Procurement and Supply Chain Management
- Renovation
- Logistics Management Information Systems
- Capacity building in financial management
- National Capacity Building
(LNGOs and national programmes)
RAI2E –Towards Elimination of Malaria
The Global Fund in Myanmar has supported:
Oke TaRa Thi Ri
Pang Yang
Aik Chan(Ai` Chun)Lin
HawMan Man
HsengNawng Hkit
Mong Pauk
Nar Wee(Na Wi)
Hs awnf Hpa(Saun Pha)
Hpakant
Mongmit
Waw
Paukkhaung
Mogoke
Shwegu
Kamma
Pindaya
Ywangan
Pyinoolwin
Hpasawng
Yedashe
Tanai
TaungooRamree
Nyaunglebin
Mogaung
Mindon
Pinlaung
Mabein
Phyu
Toungup
Pyinmana
Kalaw
Kyaukkyi
Kyauktan
Thandaunggyi
Mohnyin
HprusoKyaukpyu
Thanatpin
Kyauktaga
Pekon
Aunglan
Lawksawk
Daik-U
Kawa
Kyaukse
Bawlake
Nanyun
Nawnghkio
Kyaukme
Hmawbi
Labutta
Minhla
Thabaung
Pyay
Ngapudaw
Bogale
Thandwe
Myanaung
Padaung
KungyangonDedaye
Letpadan
Hlegu
Pyapon
Twantay
Gyobingauk
Munaung
Lemyethna
Maubin
Htantabin
Mawlamyinegyun
Pantanaw
Paungde
WakemaMyaungmya
Okpho
Kawhmu
Kyaunggon
Cocokyun
Kangyidaunt
Kyaiklat
Zalun
Oktwin
Kyangin
IngapuGwa
Kyonpyaw
Nyaungdon
EinmePathein
Thayarwady
Monyo
Shwedaung
Hinthada
TaikkyiDanubyu
Dala
Yegyi
Nattalin
Bago
Zigon
Thegon
Kawthoung
Kyunsu
Launglon
Bokpyin
Hpapun
Thaton
Ye
Kawkareik
Paung
Myeik
Hlaingbwe
Chaungzon
BilinKyaikto
Myawaddy
Dawei
Kyaikmaraw
Palaw
Kyainseikgyi
Yebyu
Mudon
Thayetchaung
Mawlamyine
Mese
Shwegyin
Hpa-An
Thanbyuzayat
Tanintharyi
Natmauk
Myebon
YinmarbinPale
MyaungMyaing
MyitthaTada-U
Salingyi
Ann
Pauktaw
Khin-U
SinguKani
Sittwe
Myingyan
Minbya
Hakha
Kyauktaw
Mawlaik
Buthidaung
TigyaingTonzang
Pinlebu
Kalewa
Yamethin
Madaya
Indaw
Wuntho
Mrauk-U
Ponnagyun
Paletwa
Budalin
Katha
Thabeikkyin
Saw
Kyunhla
Tamu
Falam
Kanpetlet
Thantlang
Minhla
Mingin
Rathedaung
Hkamti
Sidoktaya
Tabayin
Matupi
WetletAyadaw
Myinmu
Shwebo
Ngazun
Ye-U
Sinbaungwe
Thayet
Tatkon
Yenangyaung
Homalin
Magway
Paungbyin
Taze
Lewe
Kyaukpadaung
Wundwin
Ngape
Pauk
Chaung-U
Yesagyo
Lay Shi
Sintgaing
Monywa
Myothit
Kale
Lahe
Pyawbwe
Kanbalu
Seikphyu
Banmauk
Gangaw
SalinThazi
Sagaing
Zay YarThi Ri
Tedim
Maungdaw
Minbu
Nyaung-U
PakokkuNatogyi
Mahlaing
Tilin
Mindat
Taungdwingyi
Pwintbyu
ChaukMeiktila
Kawlin
Taungtha
Mongkhet
Hsipaw
Sumprabum
Monghsat
Khaunglanhpu
Demoso
Kawng MinHsang
Nansang
Laukkaing
Loikaw
Muse
Momauk
Laihka
Mongnai
Mawkmai
Pangsang
Chipwi
Namtu
Nawngmun
Kutkai
Myitkyina
Mongton
Injangyang
Shadaw
Monghpyak
Puta-O
Mongyai
Mongkaing
Lashio
Konkyan
Waingmaw
Mongping
Tsawlaw
Machanbaw
Hopong
Nyaungshwe
Hsihseng
Mongla
Mansi
Mongpan
Matman
Tachileik
Hseni
Yin Pang
Kunlong
Bhamo
Hopang
Namhkan
Kengtung
Langkho
Monghsu
Taunggyi
Pangwaun
Kyethi
Loilen
Manton
Mongyang
Kunhing Mongyawng
Tangyan
Namhsan
Sagaing
Dawei
Hpa-An
Mawlamyine
Myitkyina
Loikaw
Taunggyi
Bago
Nay Pyi Taw City
Yangon City
Mandalay City
Magway
Pathein
Hakha
Sittwe
AYEYARWADY
BAGO
MAGWAY
MANDALAY
SAGAING
TANINTHARYI
YANGON
CHIN
KACHIN
KAYAH
KAYIN
MON
RAKHINE
SHAN
BHUTAN
CAMBODIA
VIETNAM
CHINA
LAOS
THAILAND
BANGLADESH
INDIA
102° E
102° E
99° E
99° E
96° E
96° E
93° E
93° E
90° E
90° E
27°
N
27°
N
24°
N
24°
N
21°
N
21°
N
18°
N
18°
N
15°
N
15°
N
12°
N
12°
N
0 100 20050
Kilometers
Disclaimer: The names shown and the boundaries used on this map do not imply official endorsement or acceptance by the United Nations.
Principal Recipient for GFATM, UNOPS-MyanmarMyanmar Information Management Unit
LegendCapital
State/Region Capital
Coastal Line
Township Boundary
State/Region Boundary
International Boundary
Project TownshipHIV
Malaria
HIV-Malaria
Malaria-TB
HIV-Malaria-TB
Mahaaungmyay
Aungmyaythazan
PyigyitagonAmarapura
Chanmyathazi
Chanayethazan
Madaya
Sagaing
Patheingyi
A n d a m a n S e a
Hlaing
Pazundaung
Dagon Myothit(East)
Mayangone
DagonMyothit
(Seikkan)
DagonMyothit(South)
Tamwe
Thingangyun
Yankin
Twantay
Seikgyikanaungto
Thaketa
Lanmadaw
Dala
Sanchaung
Dagon
Kyauktada
KyeemyindaingDawbon
DagonMyothit(North)
Seikkan
SouthOkkalapa
Mingalartaungnyunt
Thanlyin
NorthOkkalapa
Hlaingtharya
Ahlone
Botahtaung
Bahan
Kamaryut
Insein
B a y o f B e n g a l
Project Townships in 2018
Map ID: MIMU951v03Creation Date: 15 May 2018
Copyright © Myanmar Information Management Unit 2018.May be used free of charge with attribution.
info.mimu@undp.orgwww.themimu.info
Data Sources: UNOPS
Base Map: MIMU, WFP, Ministry of HomeAffairs (GAD)Paper Size: A3Projection/Datum: Geographic/WGS84
MANDALAY
YANGON
HIV/AIDS programme: 330 townshipsTuberculosis programme: 321 townshipsMalaria programme: 330 townships
Reach of Programme
To ensure high quality management of medical supplies, two major warehouses were renovated in Yangon, as well as in 35 other locations including stores/ warehouses and anti-retroviral therapy clinics in other areas of the country. The UNOPS Procurement and Supply Managment unit regularly visits regional and state level warehouses and storage facilities of national programmes and other partners for monitoring purposes and to check compliance with WHO good distribution and storage practices.
Central TB Medical Store is well organized for easy access for issuing drugs procured with Global Fund support, Aung San, Insein, Yangon. ©UNOPS
Improving National Storage
Practices
116
97FIELD VISITS
in 2018
HIVMalariaHIV-MalariaMalaria-TBHIV-Malaria-TB
$6 MILLIONOF PHARMACEUTICALS
PROCUREDIN 2018
About $6 million worth of pharmaceuticals were procured sustainably using grants from the Global Fund. These included anti-tuberculosis, anti-malaria and anti-retroviral medicines, in 2018. A further $17 million was spent on condoms, long lasting insecticidal nets, rapid diagnostic test kits and other equipment.
To identify drugs procured with Global Fund support, stock and bin cards are filled correctly with up-to-date information and properly displayed at National AIDS Programme drug store, Magway. ©UNOPS
Procuring Essential
Pharmaceuticals & Health Products
Partnerships
The national response to HIV/AIDS, Tuberculosis and Malaria is being led by three national programmes—the National AIDS Programme, the National Tuberculosis Programme and the National Malaria Control Programme—under the guidance and leadership of the Ministry of Health and Sports, supported by local and international non-governmental organizations and United Nations agencies.
Union Minister for Health and Sports H.E. Dr Myint Htwe arrives to open the third batch of the financial management training for Government Health Staff in Nay Pyi Taw. ©UNOPS
710
Partners Who Support the Implementation of the GrantsThe Global Fund grants in Myanmar is being implememted through a network of partners –Six national NGOs: Myanmar Medical Association, Myanmar Red Cross Society, Myanmar Anti-Narcotics Association, Myanmar Health Assistant Association, Pyi Gyi Khin and Myanmar Council of Churches
Three international NGOs: International Union against Tuberculosis and Lung Disease, Medical Action Myanmar, and Shoklo Malaria Research Unit
United Nations organizations: UNOPS (Principal Recipient of the Global Fund), World Health Organization, United Nations Children’s Fund, United Nations Population Fund, World Food Programme and the Joint United Nations Programme on HIV/AIDS
More than 1,200 health system managers, representing more than 300 townships across 17 states and regions were trained in planning, budgeting, implementation and management, in 2018.
A Township Health Nurse carefully reads Managed Cash Flow forms displayed in a training room, during the group-work practice of the financial management training in Nay Pyi Taw. ©UNOPS.
Developing Management
Capacity
1,200+HEALTH SYSTEM MANAGERS
IN 2018
46FIELD VISITS
IN 2018
UNOPS-PR has developed monitoring and evaluation guidelines and manuals , and conducted trainings to help improve the quality of data collected. Regular visits help ensure that reliable and accurate information is gathered from various health facilities across Myanmar.
Programmatic and data quality assurance at a malaria microscopy site in Rakhine. ©UNOPS
Strengthening Monitoring and
Evaluation
98
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