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Health Services Information for Tourists Content Sr. No. Particular Health Services Information for Tourists Content Sr. No. Particular Page No. 1. Overview of Myanmar Health Care System 1 2. Hospital list by level of care and location (As of 14-6-2019) 2 3. Curative Services 3 4. Diagnosis Services 7 a. Laboratory Services 7 i. Type of Laboratory by level of hospitals 7 ii. Available Laboratory Tests by type of laboratory 7 b. Imaging Services 18 i. Hospitals with X-ray 18 ii. Hospitals with CT scan 18 iii. Hospitals with MRI 20 iv. Hospitals with PET CT 21 5. Special Facilities 21 a. Hemodialysis 21 b. Cardiac Catheterization Laboratory 22 c. Radiation Oncology 23 d. Neuro surgery 23 e. Endoscopy 23 f. Spine Surgery 24 Ministry of Health and Sports Department of Medical Services Health Services Information for Tourists 1. Overview of Myanmar Health Care System The healthcare delivery system in Myanmar is a pluralistic mix of public and private sectors both in the financing of the system and in healthcare provision. In the public sector, the Ministry of Health and Sports (MoHS) is the major organization providing comprehensive healthcare nationwide. There are other ministries that are also providing health care, mainly curative services, such as: the Ministry of Defense, the Ministry of Labour, Immigration and Population, the Ministry of Transport and Communication, the Ministry of Natural Resources and Environmental Conservation, the Ministry of Industry, and the Ministry of Home Affairs. In addition to service provision, the Ministry of Labour, Immigration and Population runs the Social Security Board (SSB) scheme in accordance with the revised Social Security Law. In addition to service provided by the government system, the private for- profit and non-profit entities are also involved in providing healthcare. Private for- profit providers give institutional care mainly in large cities. General Practitioners (GPs) are also taking the role in providing health care throughout the country by providing ambulatory care. Department of Medical Services 1 The private not-for-profit health care is provided by different types of organizations such as Civil Society Organizations (CSOs), Community-Based Organizations (CBOs), religious based/ affiliated organizations, Ethnic Health Organizations (EHOs), and Non-Governmental Organizations -national and international (NGOs & INGOs). These organizations take up some share of service provision. The MoHS recognizes the role of these for-profit, not-for-profit organizations and EHOs play and acknowledges that they can cover gaps not covered by the public sector. The existence of traditional medicine is a unique and important feature of Myanmar’s health system. There are total of 40 traditional hospitals and 210 clinics run by the government nationwide. With the guidance of the MoHS, the department of traditional medicine strengthens the activities such as scientific ways of assessing the efficacy of therapeutic agents, nurturing of famous and rare medicinal plants, exploring, sustaining and propagation of treatises and practices. 2. Hospital list by level of care and location a. Public Hospitals (As of 14-6-2020) (Attached) b. Private Hospitals (As of 3-7-2020) (Attached) Department of Medical Services 2 3. Curative Services a. Overview Curative services have been provided by primary, secondary and tertiary hospitals under Department of Medical Services (DoMS). District hospitals, township hospitals and station hospitals are providing primary care services. Secondary care services are provided at the state/regional level hospitals. Hospitals providing tertiary care services are general hospitals, specialist hospitals and teaching hospitals which are located mainly in Yangon, Mandalay, Nay Pyi Taw, Magway and Taunggyi. Township hospitals and station hospitals are providing basic essential medical services covering general medical, surgical, obstetric, pediatric and dental services with basic laboratory and imaging facilities. Township and District hospitals are acting as the first referral health institutions from station hospitals for those who require better care. Specialist services are now well accessed at district and some 50-bed township hospitals where high dependency units with life-saving facilities are available. State/regional hospitals play a key role in regional medical services as the referral hospitals of district, township and station hospitals. They are also providing training of medical professionals such as nurses, midwives, medical technicians, house surgeons and newly posted medical officers. State/regional hospitals have been upgraded both structurally and functionally since they are referral hospitals in each state and region. A state/regional hospital has at least 200-beds and some regional hospitals have been upgraded up to 500-beds such as in Monywa, Pathein, Bago, Loikaw, Pyay, Lashio, Sittwe, Myitkyina, Taunggyi, Mawlamyine. Department of Medical Services 3 In addition to structural coverage of hospitals, activities have been focused to get patient-centered and responsive curative services provided by hospital staff including nurses and medical technicians. Institution based health care quality is improved during last three years pertaining to significant increased health budget provided by the government, most of central and state/regional hospitals have been equipped with modern diagnostic facilities such as CT scans, MRI, Linear Accelerator, Digital X-rays etc. PET CT and SPET CT were supplied to Yangon General Hospital, Mandalay General Hospital, 1000-Bed Nay Pyi Taw General Hospital and North Okkalapa General Hospital. The hospital services have been strengthening continuously such as upgrading intensive care units, strengthening hospital recording system, and enforcement of hospital infection control, development of stroke units and development of acute coronary care units. Capacity building in-services programs such as basic endoscopy, hemodialysis, acute coronary care, neonatal intensive care, basic neurosurgery and, clinical skill trainings for Station Medical Officers have been arranged in tertiary and secondary level hospitals. As a result of improving hospitals by capacity building of key hospital staff and installation of modern diagnostic and therapeutic equipment, various sophisticated surgical and medical interventions, such as liver/ renal/ bone marrow transplant, conjoined twin surgery, open heart surgery, cardiac catheterization, angiogram and reconstructive surgery of traumatically amputated limbs have been performed in specialist hospitals. From 2016-2019, (123) Adult renal transplants, (1) paediatric renal transplant, (46) Adult liver transplants, and (2) paediatric liver transplants were performed. Emergency Medical Services with Ambulance System has been established along the Yangon-Mandalay highway since August, 2016. Based upon that Department of Medical Services 4 experience, emergency medical technicians (EMT) will be recruited after development of EMT training school. Emergency call for emergency cases along Yangon-Mandalay Highway is 192. b. Hospitals with specialties services (1) Yangon General Hospital – (Gastroenterology, Cardiology, Neurology, Cardiac Surgery, Neurosurgery, Medical Oncology, Radiation Oncology, Nuclear Medicine, Hepatology, Haematology, Endocrinology) (2) Mandalay General Hospital (Gastroenterology, Cardiology, Neurology, Cardiac Surgery, Neurosurgery, Medical Oncology, Radiation Oncology, Urology, Nephrology, Chest surgery, Chest medicine, Hepatology, Hepatobiliary Surgery, Endocrinology) (3) North Okkalarpa General Hospital (Cardiology, Neurology, Cardiac Surgery, Neurosurgery, Medical Oncology, Hepatology, Haematology, Endocrinology) Department of Medical Services 5 (4) Nay Pyi Taw General Hospital (1000-bed) (Gastroenterology, Cardiology, Neurology, Neurosurgery, Medical Oncology, Radiation Oncology, Urology, Nephrology, Hepatology) (5) Specialty Hospital (500-bed), Yangon (Urology, Nephrology, Chest surgery, Chest medicine, Hepatology, Hepatobiliary Surgery) (6) Children Hospital, Yangon (7) 550-bed Children Hospital, Yangon (8) Children Hospital, Mandalay (9) 550-bed Children Hospital, Mandalay (10) Central Women Hospital, Yangon (11) Central Women Hospital, Mandalay (12) Orthopaedic Hospital, Yangon (13) Orthopaedic Hospital, Mandalay (14) Otorhinolaryngology-Head and Neck Surgery Specialist Hospital, Yangon (15) Eye Specialty Hospital, Yangon (16) Otorhinolaryngology-Head and Neck Surgery Specialist Hospital, Mandalay Department of Medical Services 6 (17) Nay Pyi Taw Children Hospital (18) Nay Pyi Taw Obstetric and Gynaecology Hospital (19) Otorhinolaryngology-Head and Neck Surgery Specialist Hospital Hospital, Nay Pyi Taw (20) Nay Pyi Taw Orthopaedic Hospital 4. Diagnosis Services a. Laboratory Services i. Type of Laboratory by level of hospitals Sr. No. Type of Laboratory Available Hospitals 1. Type C Laboratory Primary Level Hospitals (Township Hospitals and Station Hospitals) 2. Type B Laboratory Secondary Level Hospitals (District Hospitals) 3. Type A Laboratory Secondary Level Hospitals (State/Regional Hospitals) 4. Type A (Central) Tertiary Level Hospitals ii. Available Laboratory Tests by type of laboratory Sr. Type of Available Laboratory tests No. Laboratory 1. Type A General haematology - CP (Manual) Department of Medical Services 7 Sr. Type of Available Laboratory tests No. Laboratory Laboratory - CP (Full blood count) (18 parameter) (26 parameter) - Hb % - ESR - Platelet count - Retic count - H inclusion body - BT, CT - PT/INR - APTT - LE cell - Singer’s
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