Acitvities on Prevention and Control Measures of TB
byMYANMAR MATERNAL AND CHILD WELFARE ASSOCIATION

14-15th Mach,2016
Tokyo, Japan

Daw Thazin NwePresident
MMCWA

This presentation includes;
 Brief information about MMCWA
 MMCWA’s participation in community based TB care

activities
Self-reliance ApproachTarget areas
Methodology
 Achievements
Project Approach- CBTBC Project in collaboration

3with National TB Program(NTP) and GlobalFund(Round-9)
Target areas
Methodology

Profile of MMCWA
Myanmar Maternal and Child Welfare Association
Established since 30th April 1991
(according to law No: 21/90 – November 9th, 1990)
Non-profit Voluntary Organization

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Mission Statement
The Myanmar Maternal and Child Welfare

Association is a voluntary organization dedicatedto serve the Myanmar Society in promoting thehealth and well-being of mothers and children
with the aim to improve the quality of life of thepeople.
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Objective
To carry out activities related to development ofhealth, education, economic and social aspects ofbeneficiaries with priority to the grassroots level
residing in wards and villages.

6

MMCWA Organizational Structure
Central Council

Central Executive CommitteeState and Regional, NPT Council Area Supervisory Committees(15)District Supervisory Committees(72)Township Associations ( 330 )Branch Associations (Wards/Villages) (22063)
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Members of MMCWA- > 12millions

MMCWA activities in line with its objectives
1. Health Activities

2. Educational Activities
3. Economic Activities
4. Social Activities

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Health Activities

9

Provision of Community based health care services
Health Education

Programme for Congenital DefectPrevention and Control ofCommunicable diseases

Eye Care Activities

Programme for Chronic
Non-communicable diseases
Safe motherhood programme

Environmental Health

Anti Tobacco activities

Nutrition Progamme

Programme for TraditionalMedicine

Immuization programme

Capacity Building Programme

10Prevention and control of communicable diseases(HIV/AIDS, Malaria, TB, Leprosy, other infectious d/s..)

Health Education- IEC dissemination- Mass Media- Community health talks- Outreach round table talks
 Early Case Detection
 Referral Support for care and treatment

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Educational Activities

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Educational activities
1. Early Childhood Development Centre (ECCD)
2. Participation in mobilization for School enrollment
week
3. Stationeries, Uniforms and Financial Assistance forFormal Education
4. Adult Literacy
5. Evening classes

13

Early Childhood Care and Development (ECCD)

Activities
Establishing holistic developmentfrom transition period of the children
Creating opportunities for income
generation for mothers
Provision of parenting education
Pre-school Teacher training

In 2014,
Number of Pre-school - 730
Children (male) - 12349(female) - 15317
Number of Day Nursery 39
Children (male) ( female) -574738

Formal Education
ၤStationary Support to needy students

School Enrollment Week-Community
Mobilization

Non-formal Education

3-R Classes
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Continuous Learning Initiativefor Adult Literacy

Libraries – 12873 numbers
Community learning Centre – 3260 numbers

Provided Books to Libraries

Economic Activities

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Income Generation Programme
1.

2.
3.
4.

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Provision of vocational training courses(VCT) on sewing,
knitting, cooking etc.
Micro-credit small loan scheme
Financial assistance for small household farming,
agriculture and small scale home industries
Finding Job Opportunities

Micro-credit small loan scheme

Training on Embroidering
Tapestry

Training on Basic ComputerSkills

Social Activities

21Social activities
 Elderly Care Program ( Home based care services for physical &psychosocial well-being) Bringing social support to orphanages and vulnerable group
 Maxillofacial correction to promote self esteemed for cleft children
 Promoting and assisting civic duty and cultural heritage for future

generation
 Risk management and rapid response in time of disaster

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MMCWA participation in Elderly Care Activities
Approaches
1.

Self reliance Approach-by MMCWA (Central)/State & Regional /Township
MCWA supervisory committees

2. Project Approach(MMCWA+DSW)(MMCWA Funding)II. Home-based care for elderly projectMMCWA+ Dept; of Social Welfare
Total -35 townships

Amayapuya
2007

Chauk

TatkoneYaynanchaungLeiwayDawbon

2011

Ayarwaddey Region
26 townships

Tanphyuzayat
MalamyaingMyeik2010

Conducting Home Based
Medical Care

Provision of eye care for elderly

Participation in relief matters at the effected area of disasters

Donation for Flooded Townships inKalay and Tamu
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Preparation Dignity Kits for Disaster-riskareas at MMCWA HQs

Collaborating Agencies of MMCWA
Government sector
1. Ministry of Health2. Ministry of Education
3. Ministry of Social Welfare

4. Ministry of Internal Affairs
International1.WHO
2.UNICEF
3. IPPF
4.UNFPA
5.UNAIDS
6.JOICFP
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7.GGA

MMCWA Community Based TB Care Activities

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Approaches
1.

Self reliance Approach-by MMCWA (Central)/State & Regional / Township
MCWA supervisory committees

2. Project Approach(MMCWA+NTP)(Global Fund Round-9 Funding)

MMCWA Self reliance TB Care Activities Target- 15 States and Regions(330 townships)

 Methodology Dissemination Health Talks on prevention of TB
 Referral of presumptive TB cases

 MMCWA volunteers’ participation on DOTs
programme30

MMCWA Self reliance TB Care Activities(Cont;)
120000100000
80000
60000
40000

20000
02010 2011 2012 2013 2014 2015
Health Education 71328 96425 72847 55928 48881 43286
Referral cases
36923 38034 43271 26783 20723 19846
DOTs Supervision 48144 32473 30292 18999 12237 11860

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Health Education
Referral cases
DOTs Supervision

32Community based TB Care (MMCWA+NTP+GF)(Townships - 69 townships)
2011
2012-2015- 37 townships- 69 townships
Mandalay Region (26 /s)
Naypyitaw (3 t/s)

Yangon Region (1 t/s)
Bago Region (27 t/s)
Kayin State (2 t/s)

Mon State (10 t/s)

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Activities(1) Central Training of trainers on Community TB Care (Naypyitaw)(x 2 days) (1 volunteer/tsp)(2) Township Multiplier Training for Community volunteer on DOTS(x 2 days) (30 volunteer/tsp)(3) TB case finding and/or treatment activities at community level(4) Community education session(5) Half yearly evaluation meeting for community volunteer at
respective township level35

(6) Central Annual Evaluation Meeting at MMCWA HQ(Yearly)(7) Refresher Training for community volunteers atMMCWA HQ (once in 3 year)Supervision(1) Supervision from Central to State/Regional level- One visit per year to the respective State/Regions(2) Supervision from Districts to Townships level- One visit per year to the respective townships
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Indicators
3500
3000
2500
2000
1500
1000
500
0
No. of community volunteer
trainedNo. TB suspected cases
referred by community
volunteers
No. of TB patients detected
and put on treatment
No. of health talks
conducted at community
lavel
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2011

2012

2013

2014

2015

1147

2139

2190

2070

2069

2357

531

2255

3177

2921

282

298

344

589

615

1606

1468

2251

29053126

MMCWA contribution to National TB Program(NTP)Supervision from Central to Mon
State42Supervision from Central to MandalayRegion

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Training of Trainers(ToT) Refresher Training

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Strengths
1

MMCWA Volunteers reach to the gross-root level2

Volunteers are enthusiastic and energetic in finding new cases andreferral

3

MCWA Volunteers participate in Home-based Care for providing DOTS

4

Community participation are active;- Interested in Health Talks on TB preventive and control measures
Challenges

1

Supervision from District to township level reports are not receiving
regularly.

2

Attrition within the ToT volunteers

3

Reporting system sometimes weak, not received in time.

4

Need patient support and transportation fees for patients

Volunteerism
Performing an act of kindness , freely giving of talent, time,effort for the simple fulfillment of community expectations.

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Thank You47