Journal of Regional Studies and Development 2023 KCI Impact Factor : 0.4
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pISSN : 1738-3846 / eISSN : 2765-4028
- https://journal.kci.go.kr/jrsd_ipaid
KJCKorea
Journal Central
Strengthening Myanmar’s Health Care System: Focusing on Development Cooperation After the COVID-19 and Coup
- Journal of Regional Studies and Development
- Abbr : JRSD
- 2021, 30(3), pp.1-47
- DOI : 10.22739/ipaid.2021.30.3.1
- Publisher : Institute for Poverty Alleviation and International Development: IPAID
- Research Area : Social Science > Area Studies > Regional Studies in general > Comparative / Statistical Regional Studies
- Received : July 30, 2021
- Accepted : December 12, 2021
- Published : December 30, 2021
Eunmi Song 1, Kwon Young Dae 2, JIN WON NOH 1
1연세대학교
2가톨릭대학교
Accredited
ABSTRACT
Recently, Myanmar is experiencing an unprecedented health care crisis as the COVID-19 pandemic and political instability due to military coup overlap. This study intends to derive development cooperation plans and implications for strengthening Myanmar's health care system through an analysis of Myanmar's political, economic, and social environment related to health care. In particular, This study suggests that there are priorities and approaches for improving the health care environment by reflecting the rapidly changing health care needs and local conditions after the COVID-19 pandemic and military coup. As a result of the study, it was found that the unstable political environment, low economic condition, and instability due to inter-regional conflicts and civil wars hindered the overall national development of Myanmar and placed a huge burden on the improvement of the health care system. Therefore, to improve the health care environment in Myanmar, it is necessary to take technical approaches to improve the health care system considering the national crisis. The policy implications derived from these analysis are as follows. First, support should be provided to transform health care system into a decentralized structure based on the local community rather than a centralized top-down structure. Second, the capacity of private sector and community-based organizations should be strengthened and actively utilized to strengthen the primary health care service system and expand universal health coverage. Third, support should be provided to establish peaceful health cooperation between conflict regions. Fourth, it is essential to prepare factors for the expansion of health infrastructure in rural and marginalized areas and the incentives for health and medical personnel. Fifth, it is necessary to actively utilize primary health care institutions for the management and prevention of major diseases that cause high disease prevalence and mortality in Myanmar.
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[journal]
Abimbola, S.
/ 2019
/ The impacts of decentralisation on health system equity, efficiency, and resilience : A realist synthesis of the evidence
/ Health Policy and Planning
34(8)
: 605~617
[other]
A00S0EAN Secretariat
/ 2020
/ Declaration of the Special ASEAN Summit on Coronavirus Disease 2019 (COVID-19)
[report]
Asian Development Bank(ADB)
/ 2019
/ Myanmar’ in Asian Development Outlook 2019: Strengthening Disaster Resilience
/ ADB
[report]
Asian Development Bank(ADB)
/ 2019
/ Foreign Investment, Policy Reforms to Boost Myanmar’s Growth in 2019 to 2020
/ ADB
[web]
BBC News
/ 2021
/ Myanmar coup: Aung San Suu Kyi detained as military seizes control
/ https://www.bbc.com/news/world-asia-55882489
[web]
BBC News
/ 2021
/ Myanmar coup: protesters face up to 20 years in prison under new law
/ https://www.bbc.co.uk/news/world-asia-56067423
[web]
BBC News
/ 2021
/ Myanmar coup: Dozens killed as army opens fire on protesters during deadliest day
/ https://www.bbc.com/news/worldasia-56546920
[journal]
Bowyer, J. J.
/ 2021
/ The crisis of health care in Myanmar
/ The Lancet
397(10280)
: 1182~
[journal]
Brennan, E.
/ 2017
/ Myanmar’s public health system and policy
/ Tea Circle
/ University of Oxford
30
[journal]
Brennan, E.
/ 2020
/ Understanding and progressing health system decentralisation in Myanmar
/ Global Security : Health, Science and Policy
5(1)
: 17~27
[journal]
Ergo, A.
/ 2019
/ A new hope:from neglect of the health sector to aspirations for Universal Health Coverage in Myanmar
/ Health policy and planning
34(Supplement_1)
: i38~i46
[web]
CLGF
/ 2021
/ Common Wealth Local Government Programme
/ Commonwealth Local Government Forum
/ https://www.clgf.org.uk/what-we-do/programmes/
[report]
EU
/ 2017
/ Budget Support: Trends and Result 2017
/ Publications Office of the European Union
[report]
Europe Aid
/ 2007
/ Supporting Decentralization and Local Governance in Third Countries
[web]
G20 Osaka Leaders’Declaration
/ 2019
/ G20 Osaka Leaders’Declaration, June 2019
/ https://www.mofa.go.jp/policy/economy/g20_summit/osaka19/en/documents/final_g20_osaka_leaders_declaration.html
[web]
Hannah Beech
/ 2021
/ Myanmar’s Leader, Daw Aung San Suu Kyi, Is Detained Amid Coup
/ The New York Times
/ https://www.nytimes.com/2021/01/31/world/asia/myanmar-coup-aung-san-suu-kyi.html
[web]
Htet Naing Zaw
/ 2020
/ USDP’s Call to Re-Run General Election Doesn’t Reflect Military View: Spokesman
/ The Irrawaddy
/ https://www.irrawaddy.com/elections/usdps-call-re-run-general-election-doesntreflect-military-view-spokesman.html
[web]
IFES(International Foundation for Electoral Systems)
/ 2020
/ Elections in Myanmar: 2020 General Elections
/ IFES
/ https://www.electionguide.org/elections/
[web]
IMF
/ 2021
/ IMF Real GDP Growth
/ IMF
/ https://www.imf.org/external/datamapper/NGDP_RPCH@WEO/OEMDC/ADVEC/WEOWORLD/MMR
[web]
Institute for Health Metrics and Evaluation(IHME)
/ 2019
/ IHME Measuring what matter : Myanmar
/ http://www.healthdata.org/myanmar
[web]
International Crisis Group(ICG)
/ 2020
/ Conflict, Health Cooperation and COVID-19 in Myanmar
/ https://www.crisisgroup.org/asia/south-east-asia/myanmar/b161-conflict-health-cooperation-and-covid-19-myanmar
[journal]
Kabir, R.
/ 2018
/ A Cross-sectional study to explore the challenges faced by Myanmar women in accessing antenatal care services
/ Epidemiology Biostatistics and Public Health
15(3)
: e12933~
[journal]
Kim, E.
/ 2021
/ Evaluation of the Prognosis of COVID-19 Patients According to the Presence of Underlying Diseases and Drug Treatment
/ International journal of environmental research and public health
18(10)
: 5342~
[web]
KOTRA
/ 2016
/ 미국, 對미얀마 경제제재 완전 해제
/ KOTRA
/ https://news.kotra.or.kr/user/globalAllBbs/kotranews/album/2/globalBbsDataAllView.do?dataIdx=155060&searchNationCd=101077
[journal]
Lancet
/ 2021
/ Myanmar’s democracy and health on life support
/ Lancet
397(10279)
: 1035~
[report]
Lanjouw, S.
/ 2013
/ SDC Health Assessment in Southeast Region of Myanmar
/ Swiss Agency for Development and Cooperation
[journal]
Latt, N. N.
/ 2016
/ Healthcare in Myanmar
/ Nagoya journal of medical science
78(2)
: 123~134
[journal]
Leslie, H. H.
/ 2017
/ Service readiness of health facilities in Bangladesh, Haiti, Kenya, Malawi, Namibia, Nepal, Rwanda, Senegal, Uganda and the United Republic of Tanzania
/ Bulletin of the WHO
95(11)
: 738~
[report]
Manor, J.
/ 1999
/ The political economy of democratic decentralization
/ World Bank
[report]
Ministry of Health and Sports(MoHS)
/ 2017
/ Review of State/Region Health Planning and Management. MoHS/JICA Health System Strengthening Project
[other]
Ministry of Health and Sports(MoHS)
/ 2017
/ Myanmar National Health Plan 2017-2021
/ MoHS
[other]
Ministry of Health and Sports(MoHS)
/ 2017
/ Highlights from the annual operational plan
/ MoHS
[other]
Ministry of Health and Sports(MoHS)
/ 2020
/ Myanmar Health Statistics 2020
/ MoHS
[report]
Ministry of Health Sports(MoHS)
/ 2016
/ Report on National Survey on Causes of Death in Myanmar Using Verbal Autopsy in 2016-2017
/ MoHS
[report]
Ministry of Health(MOH)
/ 2001
/ Myanmar Health Vision 2030
/ MOH
[other]
Ministry of Health(MOH)
/ 2014
/ Health in Myanmar
/ MOH
[other]
Ministry of National Planning and Economic Development (MNPED)
/ 2014
/ National Comprehensive Development Plan
/ MNPED
[journal]
Mugo, N. S.
/ 2020
/ Country compliance with WHO-recommended antenatal care guidelines: equity analysis of the 2015–2016 Demography and Health Survey in Myanmar
/ BMJ global health
5(12)
: e002169~
[journal]
Munoz, D. C.
/ 2017
/ Decentralization of health systems in low and middle income countries : A systematic review
/ International Journal of Public Health
62(2)
: 219~229
[web]
Myanmar Information Management Unit(MIMU)
/ 2020
/ Number of Health Facilities by Township and type of Health Facilities in Myanmar
/ MIMU
/ https://themimu.info/sector/health
[web]
Myanmar Information Management Unit(MIMU)
/ 2021
/ MIMU Baseline Data Health Countrywide. UNION Data Indicators By Year of Data Collection
/ MIMU
/ https://themimu.info/sector/health
[other]
Myint, P.
/ 2015
/ Myanmar health systems in transition policy notes series, policy notes# 1; what are the challenges facing Myanmar in progressing towards universal health coverage
/ WHO
[web]
NPR. Archived
/ 2021
/ Myanmar Coup: With Aung San Suu Kyi Detained, Military Takes Over Government
/ https://www.npr.org/2021/02/01/962758188/myanmar-coup-military-detains-aung-san-suu-kyi-plans-new-election-in-2022
[web]
Nwet Kay Khine
/ 2020
/ Hitting where It Hurts: Impacts of COVID-19Measures on Myanmar Poor
/ Transnational Institute
/ https://www.tni.org/en/article/hitting-where-it-hurts-impacts-of-covid-19-measures-on-myanmar-poor
[journal]
O'Neill, K.
/ 2013
/ Monitoring service delivery for universal health coverage : the Service Availability and Readiness Assessment
/ Bulletin of the World Health Organization
91
: 923~931
[report]
Orth, M.
/ 2018
/ The Future of Integrated Policy-Based Development Cooperation: Lessons from the Exit from General Budget Support in Malawi, Rwanda, Uganda and Zambia
/ DEU
: 23~160
[journal]
Piva, P.
/ 2009
/ Where did all the aid go? An in-depth analysis of increased health aid flows over the past 10 years
/ Bulletin of the WHO
87
: 930~939
[web]
Radio Free Asia(RFA)
/ 2021
/ Myanmar Shadow Government Forms Militia to Oppose Military Junta
/ https://www.rfa.org/english/news/myanmar/pdf-05052021221913.html
[web]
Rueters
/ 2021
/ Myanmar activists deride ASEAN-junta consensus, vow to continue protests
/ https://www.reuters.com/world/asia-pacific/myanmar-people-slamasean-junta-consensus-end-violence-no-immediate-protests-2021-04-25/
[web]
Reuters
/ 2021
/ Myanmar forces seize arms cache near Mandalay –state media
/ https://www.reuters.com/world/asia-pacific/myanmar-security-forces-seize-arms-cache-near-mandalay-state-media-2021-06-25/
[journal]
Saw, Y. M.
/ 2013
/ Taking stock of Myanmar’s progress toward the health-related Millennium Development Goals : current roadblocks, paths ahead
/ International Journal for Equity in Health
12
: 78~78
[journal]
Soe, Z. W.
/ 2021
/ Myanmar's health leaders stand against military rule
/ The Lancet
397(10277)
: 875~
[journal]
Sommanustweechai, A.
/ 2016
/ Community health worker in hard-to-reach rural areas of Myanmar : filling primary health care service gaps
/ Human resources for health
14(1)
: 64~
[report]
Stover, E.
/ 2007
/ The gathering storm: infectious diseases and human rights in Burma
/ Human Rights Center, University of California
[web]
Stubley P.
/ 2021
/ Myanmar coup: troops seen on streets and internet cut as protests continue
/ https://www.independent.co.uk/news/world/asia/myanmar-coup-protest-troops-internet-aung-san-suu-kyi-b1802235.html
[journal]
T. Bashford
/ 2018
/ Mapping the Provision of Intensive Care in Myanmar
/ Journal of the Intensive Care Society
19(2_spp)
: 1~162
[web]
The Government of the Republic of the Union of Myanmar
/ 2016
/ Economic Policy of the Union of Myanmar
/ https://themimu.info/sites/themimu.info/files/documents/Statement_Economic_Policy_Aug2016.pdf
[web]
The Government of the Republic of the Union of Myanmar
/ 2018
/ Myanmar Sustainable Development Plan (2018-2030)
/ https://themimu.info/sites/themimu.info/files/documents/Core_Doc_Myanmar_Sustainable_Development_Plan_2018_-_2030_Aug2018.pdf
[web]
Tsoi G.
/ 2021
/ Covid and a coup: The double crisis pushing Myanmar to the brink
/ BBC News
/ https://www.bbc.com/news/world-asia-57993930
[web]
U Thaung Tun
/ 2020
/ The Measure of a Nation: Myanmar’s “Whole-of-Nation Approach” to Combatting COVID-19
/ https://www.gnlm.com.mm/the-measure-of-a-nation-myanmars-whole-of-nation-approach-to-combatting-covid-19/
[report]
UNDP
/ 2020
/ Human Development Report 2020–the Next Frontier: Human Development and the Anthropocene
[web]
UNDP
/ 2021
/ COVID-19, Coup d'Etat and Poverty: Compounding Negative Shocks and Their Impact on Human Development in Myanmar
/ UNDP
/ https://www.asia-pacific.undp.org/content/rbap/en/home/library/democratic_governance/covid-19-coup-d-etat-and-poverty-impacton-myanmar.html
[web]
UNDP
/ 2021
/ Poverty: Compounding Negative Shocks and Their Impact on Human Development in Myanmar
/ UNDP
/ https://www.asia-pacific.undp.org/content/rbap/en/home/library/democratic_governance/covid-19-coup-d-etat-and-poverty-impact-on-myanmar.html
[journal]
Van Rooijen, M.
/ 2018
/ Health insurance in Myanmar : the views and perception of healthcare consumers and health system informants on the establishment of a nationwide health insurance system
/ Risks
6(3)
: 81~
[report]
WHO
/ 2003
/ The world health report 2003: shaping the future
/ WHO
[book]
WHO
/ 2009
/ World Health Statistics 2009
/ WHO
[journal]
WHO
/ 2014
/ The republic of the union of Myanmar health system review
/ Health Systems in Transition
/ Asia Pacific Observatory on Health Systems and Policies: WHO
4(3)
[report]
WHO
/ 2014
/ WHO Country Cooperation Strategy: 2014-2018
/ WHO
[report]
WHO
/ 2015
/ Tracking universal health coverage: first global monitoring report
/ WHO
[web]
WHO
/ 2016
/ SEA/RC69/4 - Ministerial Roundtable: Sustainable Development Goals ( SDGs) and Universal Health Coverage (UHC)
/ WHO Regional Office for South-East Asia
/ https://apps.who.int/iris/handle/10665/246265
[web]
WHO
/ 2021
/ WHO coronavirus disease (COVID-19) dashboard, 2021
/ https://covid19.who.int/
[report]
WHO
/ 2021
/ World health statistics 2021: monitoring health for the SDGs, sustainable development goals
/ WHO
[report]
WHO
/ 2021
/ WHO presence in countries, territories and areas: 2021 report
/ WHO
[web]
World Bank
/ 2015
/ World Bank Open Data. Poverty Headcount ratio at national poverty lines(% of population-Myanmar
/ https://data.worldbank.org/indicator/SI.POV.NAHC?end=2015&locations=MM&start=1981&view=chart
[web]
World Bank
/ 2020
/ World Bank Open Data
/ https://data.worldbank.org
[web]
World Bank
/ 2021
/ World Bank; Data
/ https://data.worldbank.org/country/myanmar
[web]
World Bank
/ 2021
/ Population estimates and projection
/ DataBank. The World Bank
/ https://databank.worldbank.org/indicator/SP.DYN.TFRT.IN?Id=fdaa1724&Report_Name=Population&populartype=series
[journal]
Zaw, P. P. T.
/ 2015
/ Disparities in health and health care in Myanmar
/ The Lancet
386(10008)
: 2053~
[report]
강인수
/ 2015
/ 미얀마 국가협력전략(CPS)수립을 위한 개발협력방안 연구
/ KIEP
[journal]
고요한
/ 2018
/ 예산지원(Budget Support)의 최신 동향과 과제
/ Journal of International Development Cooperation
13(4)
: 107~124
[web]
국무조정실
/ 2021
/ 대한민국 ODA 지원현황 – 심층분석: 미얀마
/ 대한민국 ODA 통합정보포털
/ https://www.kodaportal.go.kr/portal/detail?basYyyy=2020&amtSel=grntEqvlnt2&amtUnit=UsdAmt2
[journal]
김명준
/ 2020
/
A Study on Strengthening Primary Health Care in the Community
/ 한국지방자치연구
/ 대한지방자치학회
22(3)
: 1~20
[report]
관계부처합동
/ 2016
/ 미얀마 국가협력전략
/ 관계부처합동
[web]
국무조정실
/ 2021
/ 대한민국 ODA 지원현황
/ https://www.kodaportal.go.kr/portal/main
[report]
권순만
/ 2014
/ 미얀마의 보건분야 개발협력 방안(International Cooperation for Health Sector Development in Myanmar)
/ KIEP
[journal]
김인아
/ 2020
/
A Study on the Effect of the COVID19 of Myanmar:in terms of political, economic and social threats
/ 동남아연구
/ 동남아연구소
30(2)
: 141~166
[report]
김태윤
/ 2018
/ 미얀마의 농림업분야 개발협력방안
/ KIEP
[journal]
김희숙
/ 2020
/
Crisis and Opportunities: Characteristics of Myanmar’s COVID-19 Response Strategy and Its Political Implications
/ 동남아시아연구
/ 한국동남아학회
30(4)
: 105~144
[report]
외교부
/ 2019
/ 미얀마 개황
/ 외교부
[web]
외교부
/ 2020
/ 미얀마 약황
/ 외교부
/ https://www.mofa.go.kr/www/nation/m_3458/view.do?seq=16
[web]
외교부
/ 2021
/ 미얀마 정세 관련 우리 정부 대응조치
/ 외교부
/ https://www.mofa.go.kr/www/brd/m_4080/view.do?seq=371001
[journal]
원순구
/ 2014
/
A Study on the Needs and Possibilities of Economic Cooperation between Korea and Myanmar
/ 동남아연구
/ 동남아연구소
24(2)
: 1~29
[journal]
윤강재
/ 2020
/ 코로나바이러스감염증-19 대응을 통해 살펴본 감염병과 공공보건의료
/ 보건･복지 Issue & Focus
377
: 1~11
[journal]
이은정
/ 2017
/
An ‘Anthropological Development’ and the Unevaluated Outcome: A Case Study on an International Development Cooperation Project in Myanmar
/ 한국문화인류학
/ 한국문화인류학회
50(3)
: 209~238
[journal]
이호생
/ 2011
/ 미얀마의 사회경제개발과 한국의 개발협력 구상
/ KIEP 전략지역심층연구
11(10)
[journal]
임부영
/ 2017
/
Implementation on Strategies for ODA in Early Childhood Education between Korea and Myanmar
/ 유아교육연구
/ 한국유아교육학회
37(5)
: 565~585
[journal]
임소진
/ 2017
/
Development Cooperation Decentralization by Local Government: A Comparative Study of Aid Policy in the United Kingdom and Germany
/ 유럽연구
/ 한국유럽학회
35(4)
: 35~64
[journal]
장준영
/ 2020
/ 미얀마의 코로나19 확산과 정부 대응
/ 국제사회보장리뷰
2020(겨울)
: 73~87
[confproc]
장준철
/ 2020
/ 한국의 지역사회개발분야 국제개발협력의 성과와 과제: 미얀마 2개 마을 사례를 중심으로
/ 한국지역개발학회 학술대회
: 642~653
[journal]
조병희
/ 2015
/ 미얀마 농촌지역 보건서비스 개발을 위한 수요조사 실행과 3 대 지체요인의 분석
/ 보건학논집
52(1)
: 1~9
[web]
통계청
/ 2020
/ 국가별빈곤선기준 빈곤율
/ 통계청
/ https://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_2AQ257&vw_cd=&list_id=&seqNo=&lang_mode=ko&language=kor&obj_var_id=&itm_id=&conn_path=
[journal]
채수미
/ 2020
/ 코로나바이러스감염증-19 와 미래 질병 대응을 위한 과제
/ 보건･복지 Issue & Focus
374
: 1~8
[web]
최현준
/ 2021
/ 의사도, 병원도, 약도 없다…“미얀마 쿠데타로 의료체계붕괴”
/ 한겨레
/ https://www.hani.co.kr/arti/international/international_general/999373.html#csidxa0302a8fe68539abb7338e78098f1e0
[journal]
홍문숙
/ 2021
/
Myanmar 2020:Examining the Unsettling Dynamics of Peace, Democracy and Development since the NLD’s Electoral Victory
/ 동남아시아연구
/ 한국동남아학회
31(1)
: 113~153