Process of Development of Five Year Strategic Plan for Child Health Development Dr Myint Myint Than Deputy Director (WCHD) Department of Health

Five year strategic plan for child health development ( ) was formulated and implemented since Five year strategic plan for child health development ( ) was formulated and implemented since 2005 as a guidance for achieving MDG 4 in Myanmar. Mid term review and annual review meeting were held annually for future planning, based on the challenges, weakness and strength and lessons learned. Mid term review and annual review meeting were held annually for future planning, based on the challenges, weakness and strength and lessons learned.

Child health development strategy ( ) document was prepared as a guidance to attain better quality of life for people in Myanmar by improving child health through contribution to achievement of MDG 4, reducing U5MR by two thirds of the level in 1990 by the end of 2015 in Myanmar. Child health development strategy ( ) document was prepared as a guidance to attain better quality of life for people in Myanmar by improving child health through contribution to achievement of MDG 4, reducing U5MR by two thirds of the level in 1990 by the end of 2015 in Myanmar.

The strategy was prepared through a consultative process using a process comprising of several steps: The strategy was prepared through a consultative process using a process comprising of several steps: (a) short program review by 60 participants from national, and other levels including townships, INGOs, national NGOs and UN in September INGOs, national NGOs and UN in September o to aassess progress towards programme goals and objectives.

o to assess how well the programme has implemented activities to deliver child health interventions. o to identify the problems the programme has faced and suggest solutions. o to develop recommendations about what the programme needs to do and to decide on next steps for incorporating recommendations into the work plan (b) Bilateral discussions of WHO and UNICEF with concerned counterparts in Department of Health (DOH) and key partners (national and international) was made (b) Bilateral discussions of WHO and UNICEF with concerned counterparts in Department of Health (DOH) and key partners (national and international) was made for consensus building for report on short program review on child health development in October 2009.

(c) Based on the findings from SPR, workshop on reviewing five year strategic plan ( ) for child health development and revising and development of child health development plan ( ) was developed and formulated with the joint effort by DOH, WHO, UNICEF and NGOs in October (d) Draft strategic plan was then developed by Ministry of Health (MOH), WHO and UNICEF with technical assistance from WHO/HQ, SEAR and UNICEF.

(e) Peer review of the draft with revisions (f) Workshop to get consensus for draft plan into action (g) Submission of report to MOH to get approval. (h) Final Five-year Strategic Plan for Child Health Development disseminated

Background Topography and administrative divisions of Myanmar Demographic situation Socioeconomic development Health Care System in Myanmar Information related to Department of Health Health legislation Policies relating to child health Partnerships in child health Health Financing Human Resources for Child Health Programs and projects for child health development

Situation analysis Trends and mortality rates in neonatal period, infancy and under-five children Cause specific mortality in children under five years of age Morbidity in children under five years of age Malnutrition in children under five years of age

Status of coverage Newborn services Nutrition Expanded Program for Immunization Treatment of diarrhoea and pneumonia HIV/AIDs Tuberculosis Malaria Dengue Haemorrhagic Fever

Strengths and Weaknesses Policy Human resource development Health systems Behavior change communication - family and community practices Monitoring and evaluation

Guiding principles for child health strategy Goals Objectives Targets for achieving the objectives Priority interventions/intervention packages for child health development Delivery mechanisms for interventions/intervention packages Scenario based approach for achieving national coverage Key indicators for child health to reach MDG 4

Policy and program for child health development – – Effective and sustained coordination – – Define common standards for uniform application by all partners – – Address diversity and inequity – – Develop a case for investment on child health development – – Single uniform system for monitoring and evaluation – – Technical shift in policy on access to treatment of priority diseases and Essential Newborn Care

Health system strengthening Training and capacity development in human resources Procurement and logistics Referral system to manage severe and complicated problems

Implementation plan for child health development ( )

Develop within the framework of Child Health Development Strategic Plan ( ) Develop within the framework of Child Health Development Strategic Plan ( ) Consider recommendation of a dissemination workshop on Five-year Strategic Plan Consider recommendation of a dissemination workshop on Five-year Strategic Plan Review of all relevant strategy, policy documents and key documents of DOH, WHO and UNICEF that cover implementation planning Review of all relevant strategy, policy documents and key documents of DOH, WHO and UNICEF that cover implementation planning Consultation with key partners in DOH, WHO and UNICEF Consultation with key partners in DOH, WHO and UNICEF

Developed IP ( ) Developed IP ( ) Implement by WCHD Implement by WCHD  in collaboration with other relevant units in MOH  in partnership with NGOs, INGOs and UN organizations

Dissemination of IP

Contents Goals and objectives Goals and objectives Targets for achieving the objective Targets for achieving the objective Continuum of care as the key to child health development Continuum of care as the key to child health development Coordination with other units/sections/programs for implementation Coordination with other units/sections/programs for implementation Description of key child health development interventions according to thrust areas Description of key child health development interventions according to thrust areas

Contents Who will deliver the intervention package Implementation plans according to scenario based approach Who will deliver the intervention package Implementation plans according to scenario based approach Expected results, activities, and monitoring indicators for key coverage targets Expected results, activities, and monitoring indicators for key coverage targets Supplies, medicines and equipment required for implementation Supplies, medicines and equipment required for implementation Costing of the implementation plan Costing of the implementation plan Suggestion innovation Suggestion innovation

Future plan Annual review meeting Annual review meeting To review strategic plan after 3 years of implementation for mid-course correction To review strategic plan after 3 years of implementation for mid-course correction Review and refine implementation plan after 2 years Review and refine implementation plan after 2 years