Health Service Readiness, Availability, and Utilization of Primary Health Care Facilities for Non-Communicable Diseases in Shan State, Myanmar

Background: Non-communicable diseases (NCDs) are increasing in Myanmar. There have been limited studies to assess the health service system for NCDs patients at the primary health care (PHC) level. We aimed to assess and compare the health service readiness, availability, and utilization of PHC faci...

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Vydané v:Iranian journal of public health Ročník 51; číslo 6; s. 1303 - 1312
Hlavní autori: Aung, Win Htike, Kitreerawutiwong, Nithra, Keeratisiroj, Orawan, Jariya, Wutthichai
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: Iran Tehran University of Medical Sciences 01.06.2022
Predmet:
Availability
Health care
Health care facilities
Health services
Information systems
Kruskal-Wallis test
Non-communicable diseases
Original
Patients
Primary care
Primary health care
Readiness
Respiratory diseases
Rural areas
Utilization
Variance analysis
Myanmar (Burma)
Availability
Non-communicable diseases
Utilization
Readiness
Primary health care
ISSN:2251-6085, 2251-6093, 2251-6093
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Shrnutí:Background: Non-communicable diseases (NCDs) are increasing in Myanmar. There have been limited studies to assess the health service system for NCDs patients at the primary health care (PHC) level. We aimed to assess and compare the health service readiness, availability, and utilization of PHC facilities for NCDs in districts in Myanmar. Methods: This cross-sectional study collected data by questionnaires from 242 health care providers working at PHC facilities in three districts in Shan State, Myanmar from January 2020 to January 2021. Differences were calculated with the ANOVA test for NCD capacity readiness and NCD service availability and the Kruskal-Wallis test for NCD service utilization. Results: PHC facilities had a mean score of greater than 70% for NCD capacity readiness of health workforces, health information systems, and essential medicines and equipment domains, but there were large gaps for improvement in financing and governance of health. Almost all PHC facilities had NCD services available, and the differences were not significant among the three districts. However, the mean scores of NCD services availability for chronic respiratory diseases and cancers were lower in all districts. Regarding NCD service utilization, the screening and new patient rates had significant differences among districts (P-value < 0.05). Conclusion: We revealed the situation and gaps in managing NCDs in Myanmar’s PHC facilities. These findings can inform policymakers at the state and district levels to implement programs for improving health services for NCDs, particularly in rural areas.  
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ISSN:2251-6085
2251-6093
2251-6093
DOI:10.18502/ijph.v51i6.9675