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2018 Health SDG Profile: Myanmar

Last updated October, 2018

Public spending on health³ is determined by the capacity of the government to raise revenues and allocate it to health.

Financial protection is measured through two indicators:

(1) impoverishment, and (2) catastrophic health expenditure.

Impoverishment: Insufficient data

Catastrophic expenditure on health: Insufficient data A summary measure of essential health services coverage, a

composite service coverage index, is used:16 indicators are derived from four main areas of work: (1) reproductive, maternal, newborn and child health; (2) infectious diseases; (3) noncommunicable diseases;

(4) service capacity, access and health security.

Family planning

coverage⁵ Pregnancy care⁵ Care seeking behaviour suspected

pneumonia⁵

Child immunization coverage (DPT3)⁶ 0

50 100

Coverage (%)

75 59 58 75

Reproductive, maternal,newborn and child health

Out-of-pocket expenditure³ In most cases, high percentage of out-of-pocket expenditure out of the total health

expenditure associated with low financial protection

UHC services coverage index of essential health services

Life expectancy

Life expectancy at birth⁴ provides an indication of overall mortality of a country's population. In Myanmar, from 2000 (62.1 years) to 2016 (66.6 years), the life expectancy at birth has improved by 4.5 years.

Healthy life expectancy⁴ reflects overall health of the country's population. In Myanmar, from 2000 (54.7 years) to 2016 (58.4 years), healthy life expectancy has improved by 3.8 years.

Myanmar

Universal health coverage: At the centre of the health goal

The goal of universal health coverage (UHC) is that all people and communities receive the health care they need, without suffering financial hardship. Monitoring UHC requires measuring health service coverage and financial protection (SDG target 3.8).

Population (000s)¹

53 856

Monitoring the health SDG goal: Indicators of overall progress

Urban population² 30.3%

Poverty

Relevant data is not available

GDP per capita³

(Current US$)

1298.9

Current health expenditure as share of GDP³ 4.9%

2000 2007 2015 2016

0 50 100

Age (years)

55 58

62 67

Life expectancy at birth Healthy life expectancy

FINANCIAL PROTECTION

To provide a summary measure of coverage, an index of national service coverage is computed by averaging service coverage values across the 16 tracer indicators. The UHC coverage index ranges from 0% to 100%, with 100% implying full coverage across a range of

services. UHC services coverage Index

0 50 100

Coverage (%)

50

UHC services coverage index

Latest available data (2010-2017)

Out-of-pocket expenditure, as % of the health expenditure (2015) HIV antiretroviral therapy

coverage⁷ Insecticide-treated bednets or Indoor residual spray coverage

for malaria prevention⁸

Access to basic

sanitation⁹ (%) Tuberculosis treatment Coverage¹⁰ 0

50 100

Coverage (%)

55 53 65 72

Infectious diseases

HEALTH SERVICE COVERAGE

Prevalence of normal blood pressure level

in population⁹

Prevalence of normal

fasting glucose level⁹ Cervical cancer

screening¹⁰ Tobacco non-use¹¹ 0

50 100

Coverage (%)

75 93

46 4

Noncommunicable diseases

Health security:IHR

compliance⁹ Density of hospital beds¹², expressed as

% of global threshold, 18/10 000

Heath worker density¹³, expressed

as % of new global threshold, 44.5/10 000

Access to essential medicines¹⁴ 0

50 100

Coverage (%)

62

33 40 43

Service capacity, access and healthy security

(ppp < $1.90 a day)

This profile provides an overview of the current status of achieving better health towards the 13 targets under the Sustainable Development Goal #3 (SDG3):

Ensure healthy lives and promote well-being for all at all ages. 25 SDG3 indicators plus other selected

health-related indicators are presented where data is available.

74%

(ppp < $1.90 a day)

4.9%

GDP 2015

Estimated total government expenditure, 2015 or latest available year

Estimated government expenditure on health, 2015 or latest available year

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2018 Health SDG Profile: Myanmar

Variation by wealth

SDG 3: Health targets

Maternal and child mortality(SDG target 3.1, 3.2) Maternal mortality ratio¹⁶

2000 2005 2010 2015

0 250 500 750

MMR [100 000 live births ]

308

178

Births attended by skilled health personnel⁵

2010 2015-2016

0 50 100

Coverage (%) 71

60

2000 2005 2010 2015 2016 0

50 100 150

MR [1000 live births]

37

25 82

51

Child mortality¹⁷

Children under-five Neonatal

Equity: Leave no one behind

SDGs emphasis on equity

SDG target 17.18 emphasizes the need for disaggregated data. By 2020, enhance capacity-building support to developing countries to increase significantly the availability of high-quality, timely and reliable data disaggregated by income, gender, age, race, location and other characteristics relevant in national contexts.

Variation by residence Variation by education

2000 2005 2010 2015

0 50 100

Percentage

Sanitation

Rural Urban

2000 2005 2010 2015

0 50 100

Mortality rate

Under five mortality rate

2000 2005 2010 2015

0 50 100

Percentage

Antenatal care coverage

2000 2005 2010 2015

0 50 100

Percentage

Contraceptive (Modern)prevalence rate

Quintile1 (Poorest) Quintile5 (Richest)

2000 2005 2010 2015

0 50 100

Percentage

Stunting

2000 2005 2010 2015

0 50 100

Percentage

Full immunization

No education Secondary school +

Primary school

2000 2005 2010 2015

0.0 50.0 100.0

Percentage

72.4 82.9 Birth registration

2000 2005 2010 2015

0 50 100

50.0 Death registration¹⁵

2000 2005 2010 2015

0

Percentage

Cause of Death

No data

SDGs emphasis on mortality statistics

More reliable vital statistics on births, deaths and causes of death from civil registration and vital statistics (CRVS) systems are required for reporting on 14 health-related SDG mortality indicators. Understanding better what people are dying from can lead to stronger health policies and plans, and improve monitoring of the health-related SDGs.

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2018 Health SDG Profile: Myanmar Adolescent birth rate (per 1000 women

aged 15 to 19 years)¹⁸

2007 2016

0 50 100 150

Adolescent birth rate [women aged 15-19 years]

36 17

Malaria incidence⁸

2011 2012 2013 2015 2016 0

5 10 15 20

Malaria IR [1000 pop. at risk]

Total alcohol per capita (age 15+ years) consumption⁴

2003 2008 2010 2015 2016

0 3 6 9

Litres

0.3

4.8

New HIV infections among adults 15 to 49 years⁷

2012 2013 2014 2015 2016 0.0

0.2 0.4

HIV IR [100 uninfected pop.]

Indicators Year Myanmar Regional estimate Hepatitis B surface

antigen prevalance among children under 5 years (%)⁴

2015 2.03

Number of people requiring interventions against neglected tropical diseases⁴

2016 39,343,021

0.7

671,797,672 Communicable diseases (SDG target 3.3)

TB incidence¹⁰

2012 2013 2014 2015 2016 0

100 200 300 400 500

TB incidence [100 000 pop.]

376 361

Indicators SDG

target Year Myanmar Regional estimate Mortality between 30 and 70 years

of age from cardiovascular diseases, cancer, diabetes or chronic respiratory diseases⁴ (%)

3.4.1 2016 24.2 23.1

Noncommunicable diseases and injuries

Health worker density⁴

(per 10 000 population) 3.c.1 2016 17.9 -

Health workforce

Malaria incidence is calculated for confirmed malaria cases

International Health Regulations

Core Capacity Index⁴ 3.d.1 2017 62 73

National and global health risks Proportion of married or in-union women of reproductive age who have their need for family planning satisfied with modern methods⁵(%)

3.7.1 2015-2016 75

Adolescent birth rate¹⁸ (per 1000

women aged 15 to 19 years) 3.7.2 2014 36

75.1

33.0 Sexual and reproductive health

Mortality rate attributed to household and ambient air

pollution⁴ (per 100 000 population) 3.9.1 2016 156.4 Mortality rate attributed to exposure

to unsafe WASH services⁴

(per 100 000 population) 3.9.2 2016 12.6

Mortality rate attributed to unintentional poisoning⁴

(per 100 000 population) 3.9.3 2016 1.4

164.0

15.4

1.8 Mortality due to environmental pollution

Tobacco use among persons

(25-64 yrs) and older - Female¹¹ 3.a.1 2014 29.1 Tobacco use among persons

(25-64 yrs) and older - Male¹¹ 3.a.1 2014 79.8

- - Tobacco use

Proportion of the population with access to affordable medicines and

vaccines on a sustainable basis¹⁴ 3.b.1 2015 43 Total net official development

assistance to medical research and

basic health per capita⁴ 3.b.2 2016 2.78

-

- Essential medicines and vaccines

Note: A dash (-) implies relevant data are not available

0.5

0.22

11.7

3.5

Suicide mortality rate⁴

(per 100 000 population) 3.4.2 2016 7.8

Total alcohol per capita (age 15+

years) consumption⁴ 3.5.2 2016 4.8

Mortality rate from road traffic

injuries⁴ (per 100 000 population) 3.6.1 2013 20.3

13.2 4.5

17

Total NCD mortality⁹

2000 2005 2010 2015

0 250 500 750 1000

Total NCD mortality rate (per 100 000 pop.)

Female Male

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2018 Health SDG Profile: Myanmar

Prevalence of children under 5 years of age who are wasted⁵

2003 2009-10 2015-2016

0 25 50

Proportion (%)

Prevalence of children under 5 years of age who are stunted⁵

2003 2009-10 2015-2016

0 50 100

Proportion (%)

29.2 40.6

Other health-related SDGs

References

1. World population prospects: the 2017 revision. New York: United Nations, Department of Economic and Social Affairs, Population Division; 2017 (http://esa.un.org/wpp/, accessed 9 July 2018).

2. World urbanization prospects: the 2018 revision. New York: United Nations, Department of Economic and Social Affairs, Population Division; 2018 (https://esa.un.org/unpd/wup/DataQuery/, accessed 9 July 2018).

3. Global health expenditure database. Geneva: World Health Organization; June 2016 (http://apps.who.int/nha/database, accessed 11 July 2018).

4. World health statistics 2018: monitoring health for the SDGs. Geneva: World Health Organization; 2018.

(http://www.who.int/gho/publications/world_health_statistics/2018/en/, accessed 9 July 2018).

5. Myanmar demographic and health survey 2015-16. Nay Pyi Taw, Myanmar, and Rockville, Maryland USA: Ministry of Health and Sports and ICF; 2017 ( https://dhsprogram.com/pubs/pdf/FR324/FR324.pdf, accessed 13 July 2018).

6. World Health Organization. WHO/UNICEF estimates of national immunization coverage: DTP3. Geneva.

http://apps.who.int/immunization_monitoring/globalsummary/countries?countrycriteria%5Bcountry%5D%5B%5D=TLS&commit=OK -accessed 20 June 2018.See for DTP3 coverage: a proxy for immunization coverage.

7. UNAIDS 2016 estimates for coverage of people receiving ART. http://aidsinfo.unaids.org - accessed 20 June 2018.

8. World Health Organization. Global Malaria Report 2017. http://www.who.int/malaria/publications/world-malaria-report-2017/en/ - accessed 20 June 2018.

9. Global Health Observatory: http://www.who.int/gho/en/ - accessed 20 June 2018.

10. STEPS survey

11. Factsheet 2018: Myanmar. New Delhi: World Health Organization, Regional Office for South-East Asia; 2018 (http://apps.who.int/iris/bitstream/handle/10665/272686/wntd_2018_myanmar_fs.pdf?sequence=2, accessed 13 July 2018) 12. World Health Statistics 2013

13. Country reported (as provided by RA-HRH)

14. Nation-wide service availability and readiness assessment (SARA). Myanmar: Ministry of Health, Myanmar and World Health Organization; 2015 15. SEAR Internal Assessment 2012 - accessed 20 June 2018

16. Trends in maternal mortality: 1990 to 2015 http://www.who.int/reproductivehealth/publications/monitoring/maternal-mortality-2015/en/ - accessed 9 July 2018).

17. Levels & Trends in Child Mortality. Report 2015 Estimates Developed by the UN Inter-agency Group for Child Mortality Estimation. New York (NY), Geneva and Washington (DC) http://www.childinfo.org/-accessed 20 June 2018

18. United Nations, Department of Economic and Social Affairs, Population Division (2017). World Fertility Data 2017 http://www.un.org/en/development/desa/population/theme/fertility/index.shtml - accessed 20 June 2018

Proportion of population using improved

drinking water sources⁴ 6.1 2015 -

Proportion of population using improved

sanitation⁴ 6.2 2015 -

- - Drinking water services and sanitation

Proportion of population with primary

reliance on clean fuel⁴ 7.1 2016 18 41

Clean household energy

Air pollution level in cities⁴ (PM 2.5)

(µg/m³) 11.6.2 2016 34.6 57.3

Ambient air pollution

Number of deaths by disaster⁴ .. 13.1.2 2012-16 <0.1 0.2 Natural disasters

Mortality rate due to homicide⁴

(per 100 000 population) 16.1.1 2016 4.1

Estimated direct deaths from major

conflicts⁴ (per 100 000 population) 16.1.2 2012-16 1.9

4.1 0.1 Homicide and conflicts

Birth registration coverage⁵ 16.9.1 2015-16 81 -

Birth registration

10.7 7.0

Note: A dash (-) implies relevant data are not available

Indicators SDG

target Year Myanmar Regionalestimate General government health expenditure as

% of general government expenditure⁴ 1.a 2016 4.9 8.5

General government health expenditure

Completeness of cause-of-death data⁴

(%) 17.19.2 2005-2015 - 10

Cause-of-death data

Prevalence of children under 5 years who are overweight⁵

2003 2009-10 2015-16

0 7.5 15

Proportion (%)

2.4

1.3

Children under 5 years who are stunted⁵ 2.2.1 2015-2016 29.2 Children under 5 years who are wasted⁵ 2.2.2 2015-2016 7.0 Children under 5 years who are

overweight⁵ 2.2.3 2015-2016 1.3

33.0 15.2 3.4 Child nutrition

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