Myanmar - Access to Health Fund


Myanmar has seen very low levels of basic health services due to seven decades long conflict. The progresses achieved during the last civilian government were reversed by the military coup in 2021, leading to a nearly collapse of the national health system and an increase of humanitarian needs. Through the Access to Health Fund, Switzerland supports the provision of equitable and critical health services to vulnerable people in conflict-affected areas through the strengthening on ethnic and community health systems.

Región/País Tema Período Presupuesto
Myanmar
Salud
Atención primaria de salud
Fortalecimiento del sistema sanitario
Educación sanitaria
01.01.2024 - 31.12.2028
CHF  10’000’000
Contexto Over the last half a century of isolation, and with limited resources, Myanmar has seen very low levels of basic health services and weakened health system with high levels of out-of-pocket payments for health. Following the 2021 coup, gaps in public health service coverage have drastically increased. The access to antenatal care has decreased by 46%. Almost 15 million women of reproductive age in Myanmar are in urgent need for health care. More than 600,000 children did not receive immunization. An estimated 2.1 million people require nutrition assistance. The unmet need for sexual and reproductive health and rights (SRHR) is high and the security risk especially for women is increased. Health service delivery has become heavily politicized, and scrutinized by the de facto authorities. The Access to Health (ACCESS) Fund, one of the major multi-donor health funds, stands as the backbone to increase health access for vulnerable people in conflict-affected areas. The Fund’s strategy was adapted to the changing context by accelerating its support on ehtnic health system strengthening, by scaling-up the community-based health system and continuing the provision of basic and essential health service packages. Switzerland has been engaged with the ACCESS Fund since 2013. Given its extensive network and trust with ethnic health actors, Switzerland brings a comparative advantage through its experience on strengthening ethnic and local actors towards the vision of a future federal health system.
Objetivos

Vision: Improve health outcomes for vulnerable people in Myanmar.

Goals:

  1. Ensure equitable access to quality health services for the most vulnerable populations of Myanmar
  2. Increase the resilience of community and health systems to respond to health needs and prevent the emergence of new threats
Grupos destinarios

~ Total 12 Mio people residing in 114 townships in 11 States and Regions including:

  • 3 Mio women of reproductive age
  • 1.5 Mio children under the age of five years, 275'000 pregnant mothers
  • 3.5 Mio youth and 1.2 Mio internally displaced person
Efectos a medio plazo

Pillar 1: (Improved service delivery for vulnerable people)

Outcome 1: Increased access of vulnerable populations in conflict affected areas to better and more relevant health services

Outcome 2: Ensuring equitable access to quality healthcare for women, young people and people with disability, as well as preventing and responding to discrimination, violence and other harms

Pillar 2: (Ethnic Health System Strengthening EHSS)

Outcome 3: Strengthened ethnic health systems and improved capacity of ethnic health providers 

Pillar 3: (Community Health System Strengthening CHSS)

Outcome 4: Strengthened community health systems to establish a resilient and decentralized health system

Resultados

Resultados previstos:  

1.1: Improved scope and quality of services
1.2: Improved scope and quality of SRHR services and information
1.3: Comprehensive harm reduction and treatment services
1.4: Increased accessibility of support and health care services for people with disabilities
1.5: Improved awareness raising, prevention, vaccination and treatment of Covid-19
1.6: Improved access of quality health services by the innovative different types of service providers
1.7: Strengthened humanitarian support as well as health-related activities

2.1: Facilitated the upholding of sexual and reproductive rights

3.1: Reduced financial barriers to access of vulnerable populations to available health services
3.2: Improved capacity of EHOs to provide services to vulnerable populations and increased accountability
3.3: Developed EHO policies, strategies and plans

4.1: Improved capacity of CSO and CBOs to provide community based services
4.2: Strengthened referral linkage in community and enhanced the community led interventions


Resultados de las fases anteriores:  

Last phase results (2019 – 2022):

  • 3’038’206 vulnerable people received essential health services
  • 217’218 of deliveries attended by skilled health providers 
  • 332’687 of children vaccinated against Penta 3 and measles
  • 1’463’660 of women of reproductive age accessed the modern method contraception
  • 114’325 of emergency mother and child referral
  • 3’551 of women in decision-making positions in village tract/ village health committees


Dirección / Officina Federal responsable COSUDE
Contrapartes del proyecto Contraparte del contrato
Organización de las Naciones Unidas (ONU)
  • United Nations Office for Project Services (UNOPS)


Coordinación con otros proyectos y actores Synergies within the Swiss portfolio: with other projects in the Health portfolio (Primary Health Care (PHC) project, Women and Girls First (WGF) programme, Providing for Health); with SDC bilateral projects working in the EAO-controlled areas (such as the Direct Action); and with other Swiss multilateral contributions (Joint Peace Fund (JPF), ICRC).
Presupuesto Fase en curso Presupuesto suizo CHF    10’000’000 Presupuesto actual suizo ya emitido CHF    2’000’000 Presupuesto inclusive contrapartes del proyecto CHF    186’295’000 Total del proyecto desde la primera fase Presupuesto suizo CHF   27’330’900 Presupuesto inclusive contrapartes del proyecto CHF   20’000’000
Fases del proyecto Fase 1 01.01.2024 - 31.12.2028   (Fase en curso)