Articles

Traditional Medicine Box (TM Box) in Myanmar

Distribution of MTM Kits for Emergency Use From The Community Level To The Country Level

Country Profile

                               country profile

Area                         : 676,578 km sq

States & Regions        : 14

Districts                     : 66

Townships                  : 325

Villages                      : 64910

Population                  : 58.38 millions

Rural populations        : 70%

Urban populations       : 30%

National races             : 135

Bamar (i.e. Myanmar) :  89.4%

Religion (majority)                : Buddhists

                                     

The National Health Policy

"To reinforce the service and research activities of indigenous medicine to international level and to involve in community health care activities“.

 

Objectives for TM Kits Distribution

  • To provide easy access to common traditional medicine drugs for minor illnesses
  • To minimize the cost of treatment for minor illnesses
  • Myanmar Traditional Medicine (TM) Emergency Kits

Myanmar Traditional Medicine Emergency Kits

Myanmar Traditional Medicine (MTM) Emergency kits contain seven different TM drugs for minor illnesses such as fever, cough and cold, aches and pain, indigestion, diarrhea, together with a thermometer, bandage, cotton wool, methylated spirit etc. Each kit costs about 10,000 Myanmar kyats (@12.5$).

 

Initial Implementation

  • The kits are distributed to the villages where health care facilities are hard to reach.
  • For the first phase, 150 villages are selected from one chosen state or region (formerly called division).
  • How-to-use-the-emergency-kit training is given by a skilled TM teacher or staff to the Village Health Works (VHW) who is going to take the responsibility of the kits.

Sources of funding

  • The Government of the Union of Myanmar
  • Private donors
  • Nippon Foundation
  • Users

Kit contains

  • Nwe-cho-kei Hsay (for cough & cold)
  • Haleikda-sonna Ngan Hsay (for fever)
  • Hnalone-theechay Hsay (for palpitation)
  • Setkhu-parla Hsay (for poor vision & backache)
  • Madei-myinmo-gon Hsay (for aches & pain)
  • Akyaw-lein Hsay(liniment)
  • Zartila-wonga Has (for diarrhea & dysentery)
  • Thermometer
  • Cotton wool
  • Bandage
  • Methylated Spirit
  • Herbal antiseptic solution
  • Plaster
  • TM Handbook

Selection Criteria for VHW of this project

  • 25 to 55 years old villagers irrespective of gender
  • Literate person with positive attitude towards TM
  • Recommended by local administrative authority

Further Implementations

According to 2007 statistics, Myanmar has 64,910 villages. The project planned to cover all the villages by phase by phase distribution

  • Phase I- 50 villages at each State/Division (pilot)
  • Phase II- 200 villages at each State and Division
  • Phase III- 500 villages at each State and Division
  • Phase IV- 7,000 villages/year (2012-2014)
  • Phase V  - Remaining villages (2015-2017)

Emergency kits distributed by local donors

No.

Date

District/Region

Amount

Remarks

1

12 Aug 07

Nay Pyi Taw

150

 

2

9 Feb 08

Magway

150

 

3

17 March 08

Mon

150

 

4

26 Apr 08

Ayeyarwaddy

150

 

5

16 Aug 08

Mandalay

150

 

6

29 Aug 09

Buddhist Monasteries in Border Areas

201

 

7

30 Nov 09

Buddhist Monasteries in Border Areas

300

 

8

22 May 10

Buddhist Monasteries in Border Areas

328

 

Total

1579

 

 

Number of kits distributed by Nippon Foundation’s Project

No.

Date

State/Region

Amount

Remark

1

7 Feb 09

Yangon

500

 

2

27 Jun 09

Sagaing

500

 

3

26 Sept 09

Ayeyarwaddy

500

 

4

25 Okt 09

Bago

500

 

5

26 Jun 10

Mandalay

500

 

6

7 July 10

Mon

500

 

7

20 Sept 10

Magway

500

 

8

4 Okt 10

Shan

600

100 to border area schools

9

19 Okt 10

Kachin

500

 

Total

2600

 

TM Kits Distribution during 2011

  • 500 TM Kits each are distributed to Karen, Kayah, Chin, Taninthary and Rakhine States during 2011.
  • It’s also funded by The Nippon Foundation.
  • Up to now, we have already covered all 14 states and regions of the country.
  • Next phase is to expand the project with 21,000 TM Kits within 3 years.

Distribution of TM Kits

No.

Date

Regions/States

Quantity

1

12 Aug 2007

Nay Pyi Taw

150

2

9 Feb 2008 / 20 Sept 2010

Magway

650

3

17 March 2008 / 7 July 2010

Mon

650

4

26 Apr 2008 / 19 Sept 2009

Ayeyarwaddy

650

5

16 Aug 2008 / 26 Jun 2010

Mandalay

650

6

7 Feb 2009

Yangon

500

7

27 Jun 2009

Sagaing

500

8

29 Okt 2009

Bago

500

9

4 Okt 2010

Shan

500

10

15 Okt 2010

Kachin

500

11

9 Sept 2011

Kayin

500

12

29 Sept 2011

Kayar

500

13

11 Nov 2011

Chin

500

14

30 Nov 2011

Tanintharyi

500

15

17 Dec 2011

Rakhain

500

Total

7750

 

Monitoring & Supervision

Regular monitoring, supervision, and continuous support are done by DTM staffs at township level.

The Central Monitoring and Supervision Committee were formed and the committee members made field trips to townships and villages as indicated.

 

Future Plan

  • 7,000 kits will be distributed to remaining villages in Magway Region, Karen, Mon and Shan States during 2012.
  • 14,000 will be distributed to the rest during 2013-2014.
  • All the rest will be covered by phase IV and V of the project supported by Nippon Foundation.
  • Political and financial commitment of the Government and local donors is also obtained.
  • 100 primary schools in Rakhine State will receive the kits and necessary trainings during the year 2012 under Nippon Foundations Plan.
  • Government organizations like police force, fire brigades and some army units are also planning to get the kits and trainings on how-to-use-it.
  • Health assistants, midwives, primary health care staff and school teachers will be trained on how-to-use the TM Kit in collaboration with DOH and MOE. After that the kits will be distributed to them too.

Challenges

  • Increasing demand of Resources like man, money, materials for sustainable development of the MTM Kits Project.
  • Measures for rapid and effective transportation to supervise, support and replenish the kits regularly and efficiently.
  • How to maintain the high and good use of TM Kits in PHC.
  • Making it understandable and acceptable by all 135 ethnic groups of Myanmar.

Contact Details

  •  Director-General

     Department of Traditional Medicine (DTM)

     Ministry of Health, Myanmar

     The Republic of the Union of Myanmar