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

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

3. Trends of HIV prevalence among urban clinic-based
IDUs, HIV sentinel surveillance, Myanmar, 1992 through 2005
Most of the partners have included the prevention of sexual transmission in their approach for IDU
Dr. Min Thwe, National AIDS Program, Myanmar

4. 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
Most of the partners have included the prevention of sexual transmission in their approach for IDU
Dr. Min Thwe, National AIDS Program, Myanmar

5. Some of the services provided for harm reduction in 2005
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%
Most of the partners have included the prevention of sexual transmission in their approach for IDU
80% return rate
Dr. Min Thwe, National AIDS Program, Myanmar

6. Opportunities for scale up
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
Most of the partners have included the prevention of sexual transmission in their approach for IDU
Dr. Min Thwe, National AIDS Program, Myanmar

7. Opportunities for scale up..continue
Most of the partners have included the prevention of sexual transmission in their approach for IDU
Dr. Min Thwe, National AIDS Program, Myanmar

8. Major Challenges in scaling-up
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
Most of the partners have included the prevention of sexual transmission in their approach for IDU
Dr. Min Thwe, National AIDS Program, Myanmar

9. Next Steps Need further advocacy
Issue
Action
Who, where
When
Actual Operationalization of operational plan
Activation of HR group under the AIDS TSG
Lead initiated by NAP,DTC, CCDAC,UNODC
3rd to 4th ‘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
3rd Qr ‘07
Limited services with limited coverage
Active resource mobilization by NAP,UN and int. stakeholders working with multilateral, and bilateral donors
All stakeholders
Year round
Since only 3D fund is available which is not enough
Most of the partners have included the prevention of sexual transmission in their approach for IDU
Dr. Min Thwe, National AIDS Program, Myanmar

10. Next Steps. . continue
Issue
Action
Who, where
When
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
Financial, supply chain
Most of the partners have included the prevention of sexual transmission in their approach for IDU
Dr. Min Thwe, National AIDS Program, Myanmar

11. Next Steps. . continue Human resources will be major issue Issue
Action
Who, where
When
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
Most of the partners have included the prevention of sexual transmission in their approach for IDU
Dr. Min Thwe, National AIDS Program, Myanmar