Family Planning in Myanmar
Myanmar has achieved high modern contraceptive prevalence rate at 51%1 but there is still unmet need for many women and adolescent girls. Reproductive health (RH) services are often available but inaccessible for adolescents in Myanmar. One of the barriers to access reproductive health services was reported to be financial aspects in sub-urban areas of major cities2. PSI/Myanmar has launched a strategic purchasing pilot to improve access to voluntary family planning (FP) services in selected townships while reducing the financial barrier.
PSI/Myanmar’s Strategic Purchasing Pilot
Due to chronic under-investment in health, private sector plays an important role in Myanmar. Out-of-pocket expenditure (OOPE) on health is high (over 70%). The Government of Myanmar is currently on its way to achieve Universal Health Coverage as determined by National Health Plan (2017 – 2021) 3. To support the Government of Myanmar, PSI/Myanmar’s pilot aims at providing primary health care services through 5 private GPs partnered with PSI/Myanmar by introducing a new financing mechanism in 2 townships of Yangon through a capitation payment system.
Capitation payment is a fixed sum of money pre-paid by the project to the provider to manage the health care needs for all individuals registered with that provider for an agreed package of services over a period of time. The package include FP, communicable and non-communicable diseases, services targeting children under five and general illness.