Department of Community and Global Health, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-0033, Japan.
Int J Equity Health. 2013 Sep 11;12:78. doi: 10.1186/1475-9276-12-78.
Myanmar is a developing country with considerable humanitarian needs, rendering its pursuit of the Millennium Development Goals (MDGs) an especially high priority. Yet progress to date remains under-examined on key fronts. Particularly within the three health-related MDGs (MDGs 4, 5, and 6), the limited data reported point to patchy levels of achievement. This study was undertaken to provide an overview and assessment of Myanmar's progress toward the health-related MDGs, along with possible solutions for accelerating health-related development into 2015 and beyond. The review highlights off-track progress in the spheres of maternal and child health (MDGs 4 and 5). It also shows Myanmar's achievements toward MDG 6 targets--in the areas of HIV/AIDS, malaria, and tuberculosis. Such achievements are especially notable in that Myanmar has been receiving the lowest level of official development assistance among all of the least developed countries in Asia. However, to make similar progress in MDGs 4 and 5, Myanmar needs increased investment and commitment in health. Toward moving forward with the post-2015 development agenda, Myanmar's government also needs to take the lead in calling for attention from the World Health Organization and its global development partners to address the stagnation in health-related development progress within the country. In particular, Myanmar's government should invest greater efforts into health system strengthening to pave the road to universal health coverage.
缅甸是一个发展中国家，有相当大的人道主义需求，因此追求千年发展目标（MDGs）成为当务之急。然而，迄今为止，在关键领域的进展仍然缺乏审查。特别是在与卫生相关的三个千年发展目标（千年发展目标 4、5 和 6）中，报告的有限数据表明，实现程度参差不齐。本研究旨在提供缅甸在实现与卫生相关的千年发展目标方面的进展概述和评估，以及在 2015 年及以后加快与卫生相关发展的可能解决方案。该审查强调了母婴健康领域（千年发展目标 4 和 5）的脱轨进展。它还展示了缅甸在艾滋病毒/艾滋病、疟疾和结核病等千年发展目标 6 目标方面取得的成就。这些成就尤其值得注意，因为缅甸是亚洲所有最不发达国家中接受官方发展援助水平最低的国家之一。然而，要在千年发展目标 4 和 5 方面取得类似的进展，缅甸需要在卫生方面增加投资和承诺。为了推进 2015 年后的发展议程，缅甸政府还需要带头呼吁世界卫生组织及其全球发展伙伴关注该国与卫生相关的发展进展停滞不前的问题。特别是，缅甸政府应加大力度加强卫生系统，为普及卫生覆盖铺平道路。
