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KMID : 1141620220340020051
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Health & Nursing
2022 Volume.34 No. 2 p.51 ~ p.59
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?Healthcare System of Myanmar: Resilience through Decentralization
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Li Cheng
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Abstract
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Purpose: To assess the resilience and decentralization of the healthcare system in Myanmar, especially under the recent Covid-19 and civil disobedience movement contexts.
Methods: Literature published in between 2015 to 2022 available in PubMed and GoogleScholar, reports of government and organizations, and news and social media were screened and reviewed. The WHO Six Building Blocks were adapted as a framework.
Results: Though the healthcare system of Myanmar has shown the fundamental ingredients needed for resilience, the current system failed to implement its resilience capacity under recent events. The system is highly centralized and the public healthcare system apart from the civil community healthcare system officially dominates healthcare functions both domestically and globally, while the later system plays an important role in healthcare service delivery. Unfortunately, these two systems are currently parallel and have shown little efficiency in terms of collaboration. Nursing is significantly influenced and faces difficulties in developing itself under such a healthcare system.
Conclusion: Decentralization of the healthcare system can be the main priority towards strengthening the healthcare system in Myanmar, and nursing leadership can play a part in both the conflict and collaboration of public and civil healthcare systems.
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KEYWORD
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Healthcare system, Nursing, Myanmar, Resilience, Decentralization
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