Frontmatter -- FOREWORD -- Emerging Political Configurations in the Run-up to the 2020 Myanmar Elections: EXECUTIVE SUMMARY / Aung, Aung -- Emerging Political Configurations in the Run-up to the 2020 Myanmar Elections: INTRODUCTION / Aung, Aung -- A BRIEF HISTORY OF MYANMAR'S GENERAL ELECTIONS -- THE CURRENT POLITICAL PARTY LANDSCAPE -- THE CURRENT POLITICAL LANDSCAPE -- VIEWS ON SOCIAL MEDIA THAT REFLECT ON CURRENT POLITICS -- EMERGING POLITICAL CONFIGURATIONS -- CONCLUSION
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Background: This is the first survey to use the World Health Organization (WHO) methodology to document the magnitude and main drivers of tuberculosis (TB) patient costs in order to guide policies on cost mitigation and to produce a baseline measure for the percentage of TB-affected households experiencing catastrophic costs in Myanmar. Methods: A nationally representative cross-sectional survey was administered to 1000 TB patients in health facilities from December 2015 to February 2016, focusing on costs of TB treatment (direct and indirect), household income, and coping strategies. A total cost was estimated for each household by extrapolating reported costs and comparing them to household income. If the proportion of total costs exceeded 20% of the annual household income, a TB-affected household was deemed to have faced catastrophic costs. Results: 60% of TB-affected households faced catastrophic costs in Myanmar. On average, total costs were USD 759, and the largest proportion of this total was accounted for by patient time (USD 365), followed by food costs (USD 200), and medical expenses (USD 130). Low household wealth quintile and undergoing MDR-TB treatment were both significant predictors for households facing catastrophic costs. Conclusions: The high proportion of TB-affected households experiencing catastrophic costs suggests the need for TB-specific social protection programs in patient-centered healthcare. The survey findings have led the government and donors to increase support for MDR-TB patients. The significant proportion of total spending attributable to lost income and food or nutritional supplements suggests that income replacement programs and/or food packages may ameliorate the burdensome costs.
The Socio-Economic Atlas of Myanmar focuses on the analysis and evaluation of regional differences in geographical conditions, natural resources, infrastructure and, in particular, the socio-economic development in the states and regions of the country in the current transformation process of Myanmar. The Atlas is based on international literature, statistical data, qualitative research and spatial information in a Geographic Information System on Myanmar. The spatial analyses aim to increase the state of knowledge about Myanmar both within the country and abroad, and to support decision-making on spatial development policy.
