Health

Health indicators in Chin State continue to be among the worst within Myanmar. The primary cause of death is from infectious diseases including pneumonia, diarrhoea and malaria – most of which are preventable and treatable. Medicines are scarce and expensive, and despite there being numerous health facilities, many are empty while all are understaffed.  Due to the remoteness between villages and towns, patients only travel to a hospital when their deteriorating health conditions are at their worst, with some arriving too late. 

OUR GOAL is to improve access to public health and primary medical care in Chin state.

Since 2008, HHM have trained 834 Community Health Workers (CHWs) and 166 Traditional Birth Attendants (TBAs) to develop a community-led response to health challenges across the region. This network of volunteer health workers is spread over 551 partner villages.

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Summary

The Community Health Financing Initiative (CHFI) aims to equip Village Health Committees (VHCs), with the ideas, skills and investment required towards developing a local source of income for meeting the cost of the Community-Led Healthcare project in the long-term. 

In order to move towards financial sustainability, each village will need to contribute an average of USD $290 towards the ongoing work of the project.  

In 2019, the CHFI aims to pilot business ideas in 15 villages where a trained Community Health Workers and trained Traditional Birth Attendants (TBAs) are working in order to develop models of best practice for scaling up the initiative in 2020. Ideas generated by the community include raising livestock, growing elephant yam, chili powder production, expansion of weaving businesses and the setting up of a market with small shops to serve the community. 

Challenge

The majority of the villages in Chin State are geographically isolated with poor infrasructure and limited access to financial capital. Poor educational opportunities also feed into a cycle of deprivation and limited skills development.

Undertaking an asset model analysis reveals a surprising level of natural and social capital within the community, with incredibly strong horizontal relationships amongst villagers including high levels of trust and reciprocity between community members. This is in part thanks to an active, caring local church and the development of cohesive community groups particularly amongst the Mara community, such as farmers and women's groups, which provide support for community-based activities and the sharing of resources at times of need.

Despite the geographic challenges, the combination of determination, hard work and community cohesiveness offers a fertile environment for a small injection of financial support and skills training, which is why we believe this project has signficant potential.

Solution

In 2019, we have invested funds in a simple community owned business initiative in ten villages focused on rearing livestock and the growing of elephant yam. These two activities build upon the natural and social assets in the village, with the majority of households contributing to the project's success. A small loan is provided to each village with the Village Health Committee providing oversight and management of the micro-loans to each villager.  Local staff provide support, mentoring and oversight of the work, including knowledge about local markets and skills training for management of the funds.