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Myanmar is the country with the highest economic vulnerability (EV) to climate change in the Southeast Asian region. The dry zone of Myanmar occupies two-thirds of the agricultural lands and it has higher temperatures than elsewhere in the country. Climate change has severe impacts on agricultural production in this region. Moreover, changes in the precipitation patterns increase the likelihood of crop failures in the short-run and production declines in the long run. Therefore, an assessment of the economic impacts of climate change on crop production in the dry zone of Myanmar is very relevant. This paper examines the interactions between agriculture and climate and assesses the economic impact of climate change while using a Ricardian model. A cross-sectional survey covering three regions in the central dry zone: (Magwe, Mandalay, and Sagaing regions) was conducted, yielding a sample of 425 farmers. A non-linear relationship between climate indicators (temperature and precipitation) and revenue of land was found. The marginal effects were calculated by selecting economic and socio-demographic variables. The estimated marginal impacts suggest that the projected changes in temperature will affect the crop productivity of the region. The results also show that the temperature and rainfall components of global warming are both important. Predictions from three global circulation models all confirm that temperature is predicted to increase in all seasons. A significant marginal impact of increasing temperature on the net revenue of farm households was observed in the region. These findings call for policy makers and development planners to articulate the necessary climate change adaptation measures and mitigation options for reducing the negative impacts of climate change. Improved management and conservation of the available water resources could generate water for irrigation purposes and the dissemination of climate smart agricultural practices could lessen the negative impacts of climate change effects on agriculture in the dry zone of Myanmar.

Purpose Climate change negatively affects agricultural crop production in the dry zone region of Myanmar. This paper aims to examine climate change adaptation strategies of farmers in the dry zone region. Farmers’ choice for adaptation strategies is influenced by many factors such as the practical availability and by socioeconomic conditions of the farmers. They are moreover influenced by the perception about climate change and by the specific problems prevailing in the farming systems. Design/methodology/approach This research is carried out in Magwe district in the dry zone region of Myanmar using a random selection of 212 farmers from three Townships (Magwe, Yenanchaung and Chauk). A multinomial logistic regression (MLR) was applied to assess the factors affecting the choice by farmers for adaptation strategies. Findings The study found that in the past, farmers used to apply locally available indigenous climate change adaptation strategies. However, recently, most farmers seem to have shifted to introduced adaptation strategies. The most popular adaptation strategy is to adjust the planting dates and sowing method (56.1 per cent). Furthermore, farmers identified a number of barriers that limit the adoption of adaptation methods. Risk is found to be an important driver of crop diversification. Finally, the MLR model showed that information from radio, access to seeds and extension services affect the choice of adaptation strategies. Originality/value The study shows that adoption of locally available indigenous climate change adaptation methods is gradually decreasing, and there is a shift to introduced adaptation strategies. The study can assist public and private organizations to obtain insight in the determinants of climate change adaptation in the dry zone region of Myanmar.

Summary Background Antimicrobial resistance is increasingly prevalent worldwide. The inappropriate use of antimicrobials, including in the hospital setting, is considered a major driver of antimicrobial resistance. Aim To inform improvements in antimicrobial stewardship, we undertook point prevalence surveys of antimicrobial prescribing at Yangon Children's Hospital and Yangon General Hospital in Yangon, Myanmar. Methods We conducted our surveys using the Global Point-Prevalence Survey of Antimicrobial Consumption and Resistance (Global-PPS) method. All inpatients who were prescribed an antimicrobial on the day of the survey were included in the analysis. Findings We evaluated a total of 1,980 patients admitted to two hospitals during December 2019. Of these, 1,255 (63.4%) patients were prescribed a total of 2,108 antimicrobials. Among antimicrobials prescribed, 722 (34.3%) were third-generation cephalosporins, the most commonly prescribed antimicrobial class. A total of 940 (44.6%) antimicrobials were prescribed for community-acquired infection, and 724 (34.3%) for surgical prophylaxis. Of 2,108 antimicrobials, 317 (15.0%) were prescribed for gastrointestinal tract prophylaxis, 305 (14.5%) for skin, soft tissue, bone and joint prophylaxis, and 303 (14.4%) for pneumonia treatment. A stop or review date was documented for 350 (16.6%) antimicrobial prescriptions, 673 (31.9%) antimicrobial prescriptions were guideline compliant, and 1,335 (63.3%) antimicrobials were administered via the parenteral route. Of 1,083 antimicrobials prescribed for a therapeutic use, 221 (20.4%) were targeted therapy. Conclusion Our findings underscore the need to update and expand evidence-based guidelines for antimicrobial use, promote the benefits of targeted antimicrobial therapy, and support the implementation of hospital-based antimicrobial stewardship programmes at the hospitals surveyed.

In Myanmar, the government has made a vast investment in the construction of dams to improve crop productivity and to ensure socioeconomic development. This study explores the differential impacts, in terms of socioeconomic conditions, of these investments for paddy farmers in Yedashe Township, in the Bago region in the south-central part of Myanmar. A farm survey among 95 respondents is used to compare the situation before and after the construction of a dam. It is observed that after the installation of the dam, the farmers could practice double rice cropping enabling them to gain higher income. The impact of the dam project on the employment rate, paddy yields and incomes were measured using normalized vector equations. A positive effect on all these factors was observed. The incomes of the farmers increased by benefiting from higher crop productivity, more crops per year, and more benefits over variable costs. However, the return above variable cash costs (RAVCC) and the benefit over cost (BC) ratio of head-end users was significantly higher than that of middle-reach and tail-end users. Therefore, the study additionally explored the problems of unequal water access and farmer-oriented solutions to these problems. The lack of monitoring and management of the irrigation institutions was found to be a major constraint for the development of the irrigation sector. Therefore, efficient utilisation of irrigation water by water-users, and policies as well as investments in the development of irrigation infrastructure need to be emphasised.