Health in Myanmar
The general state of healthcare in Myanmar (also known as Burma) is poor. The military government of 1962-2011 spent anywhere from 0.5% to 3% of the country's GDP on healthcare. Healthcare in Myanmar is consistently ranked among the lowest in the world. In 2015, in congruence with a new democratic government, a series of healthcare reforms were enacted. In 2017, the reformed government spent 5.2% of GDP on healthcare expenditures. Health indicators have begun to improve as spending continues to increase. Patients continue to pay the majority of healthcare costs out of pocket. Although, out of pocket costs were reduced from 85% to 62% from 2014 to 2015. They continue to drop annually. The global average of healthcare costs paid out of pocket is 32%. Both public and private hospitals are understaffed due to a national shortage of doctors and nurses. Public hospitals lack many of the basic facilities and equipment. WHO consistently ranks Myanmar among the worst nations in healthcare.
Burma has 6 medical universities: 5 civilian and one military. All are operated by the government and recognised by the Myanmar Medical Council. They are:
- University of Medicine-1, Yangon
- University of Medicine-2, Yangon
- Defence Services Medical Academy
- University of Medicine, Mandalay
- University of Medicine, Magway
- University of Medicine, Taunggyi
- University of Community Health, Magway
In March 2012, Okayama University announced it was planning to build a medical academy in the country, tentatively named the Rinsho Academy, which would be the first foreign-run medical school in the country.
Maternal and child healthcare
The 2015 maternal mortality rate was 178 deaths per 100,000 live births. This is compared with 240 in 2010, 219.3 in 2008, and 662 in 1990. The under 5 mortality rate, per 1,000 births is 73 and the neonatal mortality as a percentage of under 5's mortality is 47. In Myanmar the number of midwives per 1,000 live births is 9 and the lifetime risk of death for pregnant women 1 in 180.
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.
HIV/AIDS recognised as a disease of concern by the Burmese Ministry of Health, is most prevalent among sex workers and intravenous drug users. In 2005, the estimated adult HIV prevalence rate in Burma was 1.3% (200,000 - 570,000 people), according to UNAIDS, and early indicators show that the epidemic may be waning in the country, although the epidemic continues to expand. The National AIDS Programme Burma found that 32% of sex workers and 43% of intravenous drug users in Burma have HIV.
The national government spent US$137,120 (K150,831,600) in 2005 on HIV, while international donors (the governments of Norway, the Netherlands, United Kingdom, and Sweden) donated US$27,711,813 towards HIV programmes in Burma. Burma (ranked 51 out of 166 countries) has one of Asia's highest adult HIV prevalence rates, following Cambodia and Thailand. An estimated 20,000 (range of 11,000 to 35,000) die from HIV/AIDS annually.
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