Teerawattananon Yot, Tantivess Sripen, Werayingyong Pitsaphun, Kingkaew Pritaporn, Tin Nilar, Aye San San, Myint Phone
Health Intervention and Technology Assessment Program, Ministry of Public Health, Nonthaburi, Thailand.
Department of Health, Ministry of Health, Nay Pyi Taw, Myanmar.
WHO South East Asia J Public Health. 2014 Jul-Dec;3(3):285-288. doi: 10.4103/2224-3151.206751.
In 2010, with financial support from the Global Alliance for Vaccine and Immunization's Health System Strengthening programme, the Government of Myanmar established a scheme to improve coverage of maternal and child health (MCH) services. Employing qualitative approaches, this article reviews the processes through which this scheme was devised, focusing on evidence generation and the use of such evidence to inform policy formulation. To address the problem of high mortality rates among mothers and infants, collaborative research was conducted by Myanmar's Ministry of Health, the World Health Organization, and a research arm of Thailand's Ministry of Public Health, between March 2010 and September 2011. In the early phase of this study, key barriers to government-provided MCH services were identified. Based on a comprehensive review of the literature, the introduction of a voucher scheme was raised for consideration by ministry of health decision-makers and respective stakeholders. Despite the successful experience of this financing strategy in low-income countries, a series of surveys, an economic evaluation, and focus group discussions were carried out to assess the feasibility and potential health and economic implications of this scheme in the Myanmar context. The research findings were then used to guide the design and adoption of the newly established initiative.
2010年，在全球疫苗免疫联盟卫生系统强化项目的资金支持下，缅甸政府制定了一项提高母婴健康（MCH）服务覆盖率的计划。本文采用定性研究方法，回顾了该计划的制定过程，重点关注证据生成以及如何利用这些证据为政策制定提供参考。为解决母婴死亡率高的问题，缅甸卫生部、世界卫生组织以及泰国公共卫生部的一个研究部门于2010年3月至2011年9月期间开展了合作研究。在该研究的早期阶段，确定了政府提供的母婴健康服务的主要障碍。在对文献进行全面综述的基础上，卫生部决策者和各利益相关者提出了引入代金券计划以供考虑。尽管这种融资策略在低收入国家有成功经验，但仍开展了一系列调查、经济评估和焦点小组讨论，以评估该计划在缅甸背景下的可行性以及潜在的健康和经济影响。研究结果随后被用于指导新设立举措的设计和采用。
