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Country presentation Myanmar Dr. Min Thwe Program Manager National AIDS/STD Control Programme Department of Health.

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Presentation on theme: "Country presentation Myanmar Dr. Min Thwe Program Manager National AIDS/STD Control Programme Department of Health."— Presentation transcript:

1 Country presentation Myanmar Dr. Min Thwe Program Manager National AIDS/STD Control Programme Department of Health

2 Map of Myanmar showing locations of AIDS/STD Teams and HIV Sentinel Surveillance Sites Myitkyina Bahmo Lashio Tachileik Taunggyi Monywa Haka Mandalay Meikhtila Magwe Sittwe Loikaw Pyay Bago Yangon  Pathein Mawlamyine Dawei Kawthaung Pa-an INDIA CHINA LAOS THAILAND BANGLADESH Myeik Shwebo Pakokku Ma-u-bin Hinthada   Muse              Kyaington Myawaddy AIDS/STD Teams Teams upgraded to State/Divisional Level   Myingyan        Nyaung-U

3 Dr. Min Thwe, National AIDS Program, Myanmar Trends of HIV prevalence among urban clinic-based IDUs, HIV sentinel surveillance, Myanmar, 1992 through 2005

4 Dr. Min Thwe, National AIDS Program, Myanmar Problem of drug use Different estimates exist 2004 HIV size estimation exercise: 10,000 – 60,000 IDUs UN estimate(AHRN) -30,000 – 100,000 drug users of which 30% are regular drug injectors Geographic – 20 out of 324 townships have IDU problem, located in Kachin and Shan States

5 26 major drug treatment centers (MOH ) 7 social rehabilitation centers under MOSocialwelfare 3 rehabilitation centers under CCDAC 14 Drop-In-Centers > 100 outreach workers and 60 IDU peer-educators are working with IDU 11,500 IDU reached (NGO’s) ,000 condoms have been distributed to IDU Coverage of harm reduction- ? 20% 80% return rate Dr. Min Thwe, National AIDS Program, Myanmar Some of the services provided for harm reduction in 2005

6 Dr. Min Thwe, National AIDS Program, Myanmar Problem was well addressed :HIV prevention with a range of harm reduction activities are amongst the highest priority areas in the NSP Existence of significant stakeholders- Government – MOhealth, MOHome, CCDAC, MOSocialwelfare,etc NGOs- Local & int.: MANA -7 out of 20 IDU high burden township has office AHRN,ARHP, Burnet, CARE, MDM Success stories in model township – Lashio Working at the field level –usually OK Donors (such as 3DF)have shown interest in supporting Harm reduction activities Opportunities for scale up

7 Dr. Min Thwe, National AIDS Program, Myanmar Opportunities for scale up.. continue

8 Dr. Min Thwe, National AIDS Program, Myanmar Actual Operationalization of operational plan Need further advocacy Limited services with limited coverage Capacity of stakeholders particularly local NGOs and CBOs need to be strengthen Technical and administrative issues such as supply chain management needs strengthening Human resources will be an issue Major Challenges in scaling-up

9 Dr. Min Thwe, National AIDS Program, Myanmar Next Steps IssueActionWho, whereWhen Actual Operationalization of operational plan Activation of HR group under the AIDS TSG Lead initiated by NAP,DTC, CCDAC,UNODC 3 rd to 4 th ‘07 Need further advocacy Policy visits to successful sites in other countries UNODC and other UN, possibly regional collaboration Late ‘07 documentation of success stories from the model townships CCDAC, NAP, UNODC, LNGOs s.a MANA,& INGOs s.a ARHP,AHRN 3 rd Qr ‘07 Limited services with limited coverage Active resource mobilization by NAP,UN and int. stakeholders working with multilateral, and bilateral donors All stakeholdersYear round Since only 3D fund is available which is not enough

10 Dr. Min Thwe, National AIDS Program, Myanmar Next Steps.. continue IssueActionWho, whereWhen Limited services with limited coverage. ( Continue) Expand the network of services available and linked to the HR activities VSWs under MOSocialwelfare outreach workers DICs DTCs ’07 Improve the technical Capacity of stakeholders particularly local NGOs and CBOs Technical inputs(counsults) DTCs, UNODC,WHO In-country experts ‘07 Improve the management capacity of above Same as above’07 Financial, supply chain

11 Dr. Min Thwe, National AIDS Program, Myanmar Next Steps.. continue IssueActionWho, whereWhen Human resources will be major issue Develop human resource development plan in line with NSP and its OP Harm Reduction sub group of AIDS TSG WHO, UNODC


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