Healthcare Scenario of Myanmar ‘The Golden Land’

Healthcare Scenario of Myanmar

Are you planning to build or restructure or venture in any healthcare venture in Myanmar? Looking for information about the major healthcare players in Government, Private diagnostic centers that are available in Myanmar? Are you looking to find out which part of the of the city’s is best to venture in or what all facilities are available and what all should be planned for new setup? In this article Hospaccx Healthcare Consultancy has mapped all on major players in terms of medical facilities and healthcare scenario in Myanmar.

Below is the superficial and macro level survey if you need a refined market and financial feasibility or any other study related to healthcare is required you can contact Hospaccx Healthcare business consulting Pvt. ltd on info@hhbc.in or hospaccx.india@gmail.com Or you can visit our website on www.hhbc.in

Myanmar, officially the Republic of the Union of Myanmar and also known as Burma, is a sovereign state in Southeast Asia. It is the second largest country in Southeast Asia. Myanmar is one of the most physically diverse and beautiful countries in the region, A country of hills and valleys, mountains and beaches, temples and jungles. The country is swathed in history and culture, overflowing with old-world charm and a way of life rapidly disappearing in the rest of the world today. Whilst this is an obvious setback for the inhabitants of Myanmar, it is a fascinating insight into an ancient Asian culture and one that is sure to succumb to the sweeping tide of modernization engulfing Asia today.

Demography

Fig. 1 In Myanmar, Distribution of Religion: Buddhist are 87.9%, Christian 6.2%, Muslim 4.3%, Animist 0.8%, Hindu 0.5% & Others are 0.3%.

Economy of Myanmar

Myanmar’s economy, based on the kyat (the national currency), is one of the least developed of the region. Agriculture, forestry, and fishing together constitute the largest contributor to Myanmar’s economy. As a whole, the Agriculture sector accounts for nearly one-half of the country’s gross domestic product (GDP) and employs about two-thirds of the labor force. Myanmar also has an extensive informal economy.

Connectivity

Through Sea: The Kaladan Multi-Modal Transit Transport Project is a project that will connect the eastern Indian seaport of Kolkata with Sittwe seaport in Rakhine State, Myanmar by sea.

Roadway (Upcoming Projects):

  • India–Myanmar Zokhawthar-Rih Highway will provide second connection to the India–Myanmar–Thailand Trilateral Highway (IMT).
  • Paletwa-Cikha-India Highway Project is a INR 20 billion (USD315 million) 645 km long under construction Paletwa-Cikha road highway in Chin State of Myanmar, which will also be connected to the Indian border on two places.
  • The India–Myanmar–Thailand (IMT) Trilateral Highway (Friendship Highway) is a highway under construction that will connect Moreh, India with Mae Sot, Thailand via Myanmar.

By Air: Myanmar has 25 operating airports with commercial flights. Flights to Burma are available from major metros of India.

Major Corporates in Myanmar

THE HEALTHCARE SCENARIO

The World Health Organization (WHO) found that Burma ranked last out of 190 countries according to their “overall health system performance” in a study conducted in 2013. Myanmar’s health needs are great. The country is faced with a double burden of disease: it must address both the challenges of infectious, child, and maternal mortality as well as reduce the incidence of non-communicable diseases and injuries.

Myanmar continues to have high rates of maternal, child, and infectious deaths. WHO/UNICEF estimate that coverage of essential childhood immunizations remains well below the targets. There continues to be a high burden of HIV/AIDS, TB, malaria, and several neglected tropical diseases (NTDs) including lymphatic filariasis and intestinal worms. Most of the population in Myanmar is at risk of NTDs.

Myanmar’s life expectancy at birth of 66·6 years and infant mortality of 62·0 years are the worst in southeast Asia. Such disparities are not surprising when reliance on out-of-pocket financing is among the highest globally (51% of Myanmar’s total health expenditures) because of no reliable health insurance system and the tight fiscal space for health. Officially, one in three children suffers from malnutrition in Myanmar.

Abortion is illegal in Myanmar. Although the maternal mortality rate has decreased since 1970 in regards to pregnancy and childbirth, death due to abortion remains high due to attempts at obtaining illegal abortion.

Availability of Healthcare Resources

 

Fig. 2 According to a Survey by Ministry of Health (2012-13), For every 10,000 populations, available doctors are 4.9, Traditional Physicians 1.1, Dentists 0.5, Midwives 3.4, Nurses 4.7 & Hospital Beds are 9.

 

Fig. 3 According to the Health Ministry’s official figures (2016-17), in all states and regions there are 32 specialty hospitals, nine teaching hospitals, eleven 500-bed hospitals, three 300-bed hospitals, 27 200-bed hospitals, two 150-bed hospitals, 41 100-bed hospitals, 112 50-bed hospitals, 151 25-bed hospitals, 10 16-bed hospitals and 725 clinics totalling 1,123. All the health facilities provide a total of 54,703 beds.

Myanmar’s healthcare sector lacks modern medical equipment and devices, which were previously unavailable due to economic sanctions. With the easing of sanctions, many foreign companies have entered Myanmar to provide medical devices and equipment to both the private and public sectors. However, hospitals in many parts of the country remain in need. Some hospitals use outdated devices and equipment while some lack them entirely.

Medical Tourism

Due to the lack of international quality healthcare services currently available in Myanmar, many affluent Myanmar citizens and foreign expatriates prefer to fly to neighboring countries, such as Thailand, Malaysia, India and Singapore, to receive medical treatment. Thailand is the preferred choice due to its proximity, similar culture, low costs, and the fact that it offers visa exemption to Myanmar nationals.

Communicable Diseases

There are 357 generic infectious diseases in the world today. 227 of these are endemic, or potentially endemic, to Myanmar. Urgently needed countermeasures for AIDS, tuberculosis and malaria are the top priority issues of Myanmar’s National Health Plan.

HIV/AIDS in Myanmar

Myanmar is facing a serious epidemic. An estimated 230,000 of the population is infected with HIV. After Thailand, Myanmar has the second highest number of people living with HIV in Southeast Asia. Myanmar is a UNAIDS country of concern, as it continues to display a high incidence of new HIV infections, despite the implementation of prevention and treatment programs.

People who inject drugs are the group most affected by HIV in Myanmar. This is largely due to drugs which are farmed, manufactured and distributed in the northern regions of the country. The country’s low financial investment in public health appears to be a major barrier to the success of HIV testing, prevention and treatment programs.

Health cost payment and Insurance

In Myanmar, health insurance was only provided for government employees by the government, and for employees of international organizations by private health insurance. Government expenditure on healthcare in Myanmar was 3.4% of general government expenditure in 2014–2015. Although financial allocation to the health sector and education sector has been increased, the percentage of out-of-pocket expenditures was still high.

Very recently, Myanmar government officially announced that the nation-wide health insurance policies would go on sale for the first time under a one-year trial as of July 1, 2015. State-owned Myanmar Insurance and 11 private domestic companies will offer identical policies, with customers able to buy between one to five units of coverage (one unit costs approximately 50 USD), with a single unit providing the most basic level of coverage.

Affordability

The Gross Domestic Product (GDP) in Myanmar was worth 67.40 billion US dollars in 2016. The GDP value of Myanmar represents 0.11 percent of the world economy. As of October 2017, less than 10% of Myanmar‘s population has a bank account & Myanmar is one of the 25 poorest countries of the world. With only 4% of Myanmar’s population considered part of the ‘consuming class’, affordability is a significant bottleneck to market growth. Today the majority of Myanmar’s citizens are poor with extremely limited access, geographic & financial to the most basic healthcare services & financially the bulk of the services are paid out of pocket, incoming countries will therefore tasked to deliberate price/volume strategy focusing the poor population.

The Healthcare Sector

Myanmar’s healthcare sector is serviced by both the private and public sectors. The Ministry of Health & Sports (MOHS) is responsible for implementing the National Comprehensive Development Plan (NCDP), and the Department of Health serves as the main regulatory body for healthcare providers as well as stakeholders in the fields of pharmaceuticals, medical devices and capital investment.

Public Sector

Fig. 4 Hierarchy of Public Sector healthcare

Public hospitals are categorized into a hierarchy of 3 levels. Primary, Secondary & Tertiary. In Primary Care, there are Rural Hospital & Sub rural health centres providing basic Primary care with a bed capacity of 0 to 16 beds. Secondary care involves District Hospitals & Town Hospitals with specialized care in General Medicine, Orthopaedic, Eye Care, Dental, Surgery, Gyn. & Obs. and Paediatric Care with bed capacity of 50-100 beds. Tertiary care provides Intensive Care & are equipped with 100 to 1000 beds.

Looking  at the distribution of health care facilities and beds across the country, inequities are evident. Although the majority of Myanmar’s population (>60 %) lives in rural areas, most health services continue to be concentrated in larger towns and cities.

The Private Sector

Private Health Statistics 2015 by the Department of Medical Services reported that there were 193 private hospitals, 201 private specialist clinics, 3,911 private general clinics, and 776 private dental clinics. In Myanmar, many charity hospitals run by private sectors are operating for the poor. There are private non-profit clinics run by community-based organizations and religion-based societies, which also provide ambulatory care.

Fig. 5 Distribution of Private Health care Sector: 80% of Private sector is limited only to 2 major cities, Yangon & Mandalay.

Medical Universities in Myanmar

The University of Medicine-1, Yangon

Formerly the Institute of Medicine-1, is the oldest of four medical institutions in Myanmar. The university offers an M.B.B.S. equivalent of the M.D. degree. Intake Capacity is 600 students per year.

The University of Medicine 2, Yangon

It is a university of medicine, located in North Okkalapa, Yangon. The university offers M.B.B.S. degrees and graduate (diploma, master’s and doctoral) degrees in medical science. Intake Capacity is 300 students per year.

The University of Medicine, Mandalay

The Institute of Medicine is operated and managed by the Ministry of Health. The Institute of Medicine, Mandalay admits approximately 600 students annually, on the basis of scores from their Basic Education High School Examination (in science). Degrees offered are M.B.B.S. (US equivalent of M.D.)

The Defence Services Medical Academy (DSMA)

Located in Mingaladon, Yangon, this is the University of Myanmar Armed Forces. One of the most selective universities in the country, the academy offers M.B.B.S. (equivalent of the M.D.) degree programs.

The University of Medicine, Magway

It is one of five universities of medicine in Myanmar. The university offers an M.B.B.S. degree program and master’s degree programs in medical science. Intake capacity is of 600 students per year.

The University of Medicine, Taunggyi

Located in Shan State, It is one of the universities of medicine in Myanmar. The university offers an M.B.B.S. degree program. The university was established in 2015.

Public Hospitals in Myanmar

Specialty Hospital, Yangon – 500 Beds

This is a new specialty hospital in Yangon, Myanmar (Burma) which was formally opened on 25 Aug 2014. Health services have been providing in the hospital since 1 January 2014 while operation theater and special departments were in place at the end of June 2014. It is also a Tertiary Care Teaching Hospital attached with University of Medicine 1, Yangon and University of Medicine 2, Yangon.

The West Yangon General Hospital – 750 Beds

This is a public hospital in Yangon, Myanmar. It consists of 8 specialty departments. It is also the Tertiary Care Teaching Hospital of University of Medicine 1, Yangon, the Yangon Institute of Nursing, and the University of Paramedical Science, Yangon.

The East Yangon General Hospital – 250 Beds

It is Tertiary Care Teaching Hospital of University of Medicine 1, Yangon, the Yangon Institute of Nursing, and the University of Paramedical Science, Yangon.

The Insein General Hospital – 300 Beds

This is a public hospital located in northern part of Yangon, with 9 in-patient wards and 6 specialty clinics. Established in 1930 as a 50 bed Hospital, it has undergone renovation for several times.

The New Yangon General Hospital – 250 Beds

This is a public hospital in Yangon, Myanmar. It is also a teaching hospital of University of Medicine 1, Yangon, University of Nursing, Yangon and the University of Medical Technology, Yangon.

Private Hospitals in Myanmar

Asia Royal hospital

It is an 11th Storey twin building which was opened on the 18th March 2000, providing multidisciplinary medical care service in * specialties with modern medical equipments.

Aung Yudana Hospital

The Aung Yadana general hospital is founded as a private general hospital established in 1998 which was started as an out-patient specialist poly-clinic by providing quality primary health care services in private sector. It is equipped with Total 50 private single rooms, one economy compound (12 beds) and one delivery compound.

Sakura Hospital – 150 Beds

Established in 1998, it is one of the most historic private hospitals in Myanmar. The hospital is equipped with modern ICU, OT & emergency care unit.

Victoria Hospital – 100 Beds

This hospital was established on May 2nd, 2011 and was registered as a general hospital by Thukha Saytana Company Limited. Hospital provides a park with green landscape for early patient recovery & rehabilitation.

OSC Hospital

A multi-specialty hospital equipped with ICU providing special care to trauma & emergency patients. The hospital has all kind of specialists & equipments essential to handle emergency patients.

Major Diagnostic Centers in Myanmar

  • SML Medical Diagnostic Center, Yangon
  • Pathlab Yangon, Myanmar
  • Myanmar molecular & diagnostic Center, Yangon
  • Biomed Myanmar
  • Ludu, Mandalay

Conclusion

The situation of healthcare in Myanmar can be improved better in both Public & Private Sector. Currently, Myanmar is struggling with all sorts of Communicable / Infectious diseases & patients are devoid of quality health care. The existing hospitals & healthcare facilities are also limited to two major cities, Yangon & Mandalay. Major hospitals in these cities already have a large pool of middle-class consumers. Yet, as the consumer class grows, they will look for more sophisticated healthcare services. The recent relaxation of laws governing foreign investment in healthcare, coupled with current lack of high-quality government healthcare facilities, may provide opportunities for foreign healthcare providers to establish health care infrastructures also in other areas of Myanmar.

If you need any support in planning and designing of a new hospital you can contact us: Hospaccx healthcare business consulting Pvt. Ltd on: hospaccx.india@gmail.com . Or you can visit our website  www.hhbc.in.

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