4.83M Referrals 17% CURRENT PROJECTS FUNDED by 3MDG • Children • People Tested in KAYAH STATE Immunized with and Treated at AUGUST 2014 Penta 3 for Malaria

Home , Bawlakhe, Demoso, Hpasawng, Hpruso, Loikaw, Shadaw

3MDG BRIEFING NOTE / KAYAH STATE

Sept. 2014

The Three Millennium Development Goal Fund (3MDG) supports the provision of health services in Myanmar and will contribute towards the country’s efforts to achieve the three health related Millennium Development Goals. 41% IRC and partners SUPPORTING MATERNAL, selected by a joint NEWBORN AND CHILD HEALTH Proposal Evaluation Committee IN KAYAH STATE In Kayah State, The Three Millen- 3. Deliver essential servic- In June 2014, a joint Proposal Eval- nium Development Goal Fund es with a focus on maternal and uation Committee comprising the (3MDG) is working with the Ministry child health, strengthened in target MoH and 3MDG has selected the In- of Health, Kayah State Officials and townships across all of Kayah State; ternational Rescue Committee (IRC) to partner NGOs to: support the Ministry of Health, the 4. Strengthen systems for de- State Health Department, the Town- 1. Improve maternal, newborn livery of essential MNCH services in ship Health Departments and other and child health (MNCH) across all the seven townships of Kayah State. relevant stakeholders in delivery of of Kayah State; an essential package of MNCH ser- 5. Enhance health services vices across all seven townships of 2. Increase access to and accountability and responsiveness Kayah state. This work will strength- availability of essential maternal through capacity development of en health care provision for total cov- and child health services for the target communities, civil society or- poorest and most vulnerable across ganizations and the public sector. erage population of approximately MNCH all of Kayah State; 270,000 people. MALARIA TB-ACF HSS ACTIVITIES COVERED • Births attended • People treated 41% by a skilled health for Tuberculosis professional as part of active case • Maternal finding emergency $4.83M referrals 17% CURRENT PROJECTS FUNDED BY 3MDG • Children • People tested IN KAYAH STATE immunized with and treated AT AUGUST 2014 Penta 3 for malaria

• Children treated for as part of MARC 42% childhood diseases (diarrhea, pneumonia)

• Training of doctors, • Distribution of nee- Maternal, Newborn and Child Health nurses, midwives and dles and Malaria (as part of MARC) other Basic Health syringes TB Active Case Finding Staff

• Support to Volunteer Health Workers TOWNSHIP HEALTH ASSESSMENT In October 2013, The Three Mil- The Township Health Assessments lennium Development Goal Fund were elaborated with support from (3MDG) supported Township Health the Ministry of Health and conduct- Assessments in each Township of ed with the assistance of Township Kayah State. Health Officers, Township Health Nurses and Public Health Supervi- The assessment aims: sors, and Health System Strength- • to prepare the provision of a pack- ening Officers of the World Health age of essential health services to Organization (WHO). be funded by 3MDG; The assessment tools are adapted • to develop health capacity at the GAVI HSS tools, and the activity was township and community level, conducted in partnership with var- notably with planning tools; ious health organizations already working in Kayah State at the time. • to ensure that all interventions are targeted to fill current needs, this approach is building on efforts to develop health capacity at the Township and community level.

KEY RECOMMENDATIONS Key recommendations from the Township Health Assessments included: • to support construction of health facilities (especially RHCs and Sub RHCs) in all seven Townships of Kayah State; • to deliver refresher training for midwives (post-partum hemorrhage management, newborn care);

Photos: Courtesy from IRC and www.irrawaddy.org • to train more Auxiliary Midwives and Community Health Workers to cover hard to reach areas; • to provide patient emergency referral assistance to overcome THE HEALTH RELATED MDGs physical and financial barriers;

MDG 4 - REDUCE CHILD MORTALITY • Reduce by two-thirds, between 1990 and • to strengthen partnerships with local CBOs in order to increase 2015, the under-five mortality rate. health service coverage;

MDG 5 - IMPROVE MATERNAL HEALTH • to support Township Health Department and Basic Health Staff • Reduce by three quarters, between 1990 with training on: data management, financial management and and 2015, the maternal mortality ratio. • Achieve, by 2015, universal access to monitoring of health projects; reproductive health. • to integrate Behavior Change Communication strategy within MDG 6 - COMBAT HIV/AIDS, MALARIA health provision, to help overcome social barriers; AND OTHER DISEASES • Have halted by 2015 and begun to reverse the spread of HIV/AIDS. • to ensure that health projects are designed and implemented in a • Achieve, by 2010, universal access to gender sensitive manner; treatment for HIV/AIDS for all those who need it. • Have halted by 2015 and begun to reverse • to provide essential equipment to health facilities and Basic the incidence of malaria and other major Health Staff. diseases. LEADING IMPLEMENTING PARTNERS OF 3MDG-FUNDED PROJECTS IN KAYAH STATE (AT AUGUST 2014)

IRC, PSI WHO IRC, PSI NTP, PSI WHO NTP LOIKAW IRC, PSI BI-MM, CPI, WHO MAM, NTP, PSI DEMOSO SHADAW

IRC, PSI HPRUSO BI-MM, CPI, MHAA, WHO IRC, PSI MAM, NTP, PSI BAWLAKHE CPI, WHO NTP

IRC, PSI HPASAWNG CPI, WHO IRC, PSI MAM, NTP BI-MM, CPI, WHO MESE NTP

Date: 11/09/2014 ABREVIATIONS IRC International Rescue Committee PSI Population Services International WHO World Health Organization LEGEND NTP National TB Programme Maternal, Newborn and Child Health BI-MM Burnet Institute Myanmar Malaria (as part of MARC) CPI Community Partners International TB Active Case Finding MAM Medical Action Myanmar MHAA Myanmar Health Assistant Association Implementing Partners Project Title Start End Townships Covered Community-based malaria Myanmar Health Assistant prevention, control and MARC 01/01/13 31/03/14 Hpruso Association (MHAA) Project National Malaria Control Programme Bawlakhe, Hpasawng, Mese, World Health Organisation including Artemisinin Resistance 01/01/13 30/06/14 Demoso, Hpruso, Loikaw, (WHO) Containment Shadaw

Bawlakhe, Hpasawng, Mese, World Health Organisation 3 MDG Fund Flow Mechanism 01/06/13 31/08/14 Demoso, Hpruso, Loikaw, (WHO) Shadaw

Community Partners Containment of Artemisinin Bawlakhe, Hpasawng, Mese, 16/09/13 15/09/14 International (CPI) Resistance in Eastern Myanmar Demoso, Hpruso Malaria services for most hard to Burnet Institute Myanmar 01/04/14 31/12/16 Mese, Demoso, Hpruso reach populations Community-based malaria Myanmar Health Assistant prevention, control and MARC 01/04/14 31/12/16 Hpruso Association (MHAA) MATERNAL, projectNEWBORN AND CHILD HEALTH Implementing Partners Project Title Start End Townships Covered Supporting implementing Maternal Bawlakhe, Hpasawng, Mese, International Rescue Newborn and Child Health services 01/07/14 31/12/16 Demoso, Hpruso, Loikaw, Committee (IRC) (MNCH) in Kayah State Shadaw

Bawlakhe, Hpasawng, Mese, Population Services PSI private sector MNCH project 01/01/14 31/12/16 Demoso, Hpruso, Loikaw, InternationalImplementing (PSI) Partners Project Title Start End Townships Covered Shadaw Community-based malaria Myanmar Health Assistant prevention, control and MARC 01/01/13 31/03/14 Hpruso Association (MHAA) Implementing Partners ProjectProject Title Start End Townships Covered Medical Action Myanmar MALARIA (ASTBNational PARTACF in Malaria Hard to ControlOF Reach MARC) Programmeareas 01/04/14 31/12/16 Hpasawng,Bawlakhe, Hpasawng,Demoso, Hpruso Mese, (MAM)World Health Organisation including Artemisinin Resistance 01/01/13 30/06/14 Demoso, Hpruso, Loikaw, (WHO)Implementing Partners Project Title Start End Townships Covered Containment Bawlakhe,Shadaw Hpasawng, Mese, ScalingCommunity-based up of active malaria case finding NationalMyanmar TB Health Program Assistant (NTP) 01/04/14 31/12/16 Demoso, Hpruso, Loikaw, activitiesprevention, control and MARC 01/01/13 31/03/14 Hpruso Association (MHAA) ShadawBawlakhe, Hpasawng, Mese, World Health Organisation Project 3 MDG Fund Flow Mechanism 01/06/13 31/08/14 Demoso, Hpruso, Loikaw, (WHO) AcceleratedNational Malaria TB active Control case Programme finding ShadawBawlakhe, Hpasawng, Mese, PopulationWorld Health Services Organisation amongincluding urban Artemisinin slum dewellers Resistance and 01/04/1401/01/13 31/12/1630/06/14 Demoso,Demoso, Hpruso,Hpruso, LoikawLoikaw, International(WHO) (PSI) Community Partners clientsContainment of MNCH of Artemisininservices Bawlakhe,Shadaw Hpasawng, Mese, 16/09/13 15/09/14 International (CPI) Resistance in Eastern Myanmar Demoso, Hpruso Bawlakhe, Hpasawng, Mese, World Health Organisation 3Malaria MDG Fundservices Flow for Mechanism most hard to 01/06/13 31/08/14 Demoso, Hpruso, Loikaw, Burnet(WHO) Institute Myanmar 01/04/14 31/12/16 Mese, Demoso, Hpruso reach populations Shadaw Community-based malaria Myanmar Health Assistant Community Partners Containmentprevention, control of Artemisinin and MARC 01/04/14 31/12/16 Bawlakhe,Hpruso Hpasawng, Mese, Association (MHAA) 16/09/13 15/09/14 International (CPI) Resistanceproject in Eastern Myanmar Demoso, Hpruso Malaria services for most hard to ImplementingBurnet Institute Partners Myanmar Project Title 01/04/14Start 31/12/16End Mese,Townships Demoso, Covered Hpruso reach populations Community-basedSupporting implementing malaria Maternal Bawlakhe, Hpasawng, Mese, MyanmarInternational Health Rescue Assistant prevention,Newborn and control Child andHealth MARC services 01/04/1401/07/14 31/12/16 HprusoDemoso, Hpruso, Loikaw, AssociationCommittee (IRC) (MHAA) project(MNCH) in Kayah State Shadaw

Bawlakhe, Hpasawng, Mese, PopulationImplementing Services Partners Project Title Start End Townships Covered PSI private sector MNCH project 01/01/14 31/12/16 Demoso, Hpruso, Loikaw, International (PSI) Supporting implementing Maternal Bawlakhe, Hpasawng, Mese, International Rescue Shadaw Newborn and Child Health services 01/07/14 31/12/16 Demoso, Hpruso, Loikaw, TUBERCULOSISCommittee (IRC) (ACTIVE CASE FINDING) (MNCH) in Kayah State Shadaw Implementing Partners Project Title Start End Townships Covered Medical Action Myanmar Bawlakhe, Hpasawng, Mese, Population Services TB ACF in Hard to Reach areas 01/04/14 31/12/16 Hpasawng, Demoso, Hpruso (MAM) PSI private sector MNCH project 01/01/14 31/12/16 Demoso, Hpruso, Loikaw, International (PSI) Bawlakhe,Shadaw Hpasawng, Mese, Scaling up of active case finding National TB Program (NTP) 01/04/14 31/12/16 Demoso, Hpruso, Loikaw, activities Implementing Partners Project Title Start End ShadawTownships Covered Medical Action Myanmar AcceleratedTB ACF in Hard TB activeto Reach case areas finding 01/04/14 31/12/16 Hpasawng, Demoso, Hpruso (MAM)Population Services among urban slum dewellers and 01/04/14 31/12/16 Demoso, Hpruso, Loikaw International (PSI) Bawlakhe, Hpasawng, Mese, clientsScaling of up MNCH of active services case finding National TB Program (NTP) 01/04/14 31/12/16 Demoso, Hpruso, Loikaw, activities Shadaw

Accelerated TB active case finding Population Services among urban slum dewellers and 01/04/14 31/12/16 Demoso, Hpruso, Loikaw International (PSI) clients of MNCH services

The Three Millennium Development Goal Fund | UNOPS No. 12(O), Pyithu Lane, 7 Mile, Mayangone Township, Yangon, Myanmar 3mdg.org T +95 1 657 278, 657 280-7, 657 703-4