Background: Diarrhea among under-five children remains a major public health problem in developing countries, such as Myanmar. Its complications contribute to the worse health outcomes as well as increase the child mortality in Myanmar. Hlaing Thar Yar was recognized as a township with the highest incidence of diarrhea in Yangon region. Aims: This study aimed to identify the association of mother’s knowledge on diarrhea with the diarrheal disease among under-five children in Hlaing Thar Yar Township, Yangon, Myanmar. Methods: This was a cross-sectional study by collecting primary data in the Hlaing Thar Yar Township of Yangon, Myanmar from November to December 2016. About 277 records of mothers and their under-five children have been collected through multistage random sampling. A dependent variable in this study was the occurrence of diarrhea among under-five children whilst independent variables consisted of socio-demographic characteristics of parents and five domains of mother’s knowledge on diarrhea. Data were analyzed by using univariate, bivariate and multivariate analysis. Results: This study found that a half (53.43%) of under-five children suffered diarrhea within two weeks prior to the survey. Based on multivariate analysis by controlling all socio-demographic factors, two out of five domains of mother’s knowledge showed significant association. An increased one score of mother’s knowledge on causes and prevention of diarrhea contributed to decrease the likelihood of diarrheal disease by 37% (OR=0.63; 95%CI=0.44-0.90) and 27% (OR=0.73; 95%CI=0.54-0.99), respectively. Conclusions: This study confirmed that the knowledge of mothers on causes and prevention of diarrhea appears to have important effects on the occurrence of diarrhea among the under-five children. Therefore, health promotion program with an emphasis on providing information related to diarrhea causes and prevention is worth to enhance mother’s knowledge and their ability to prevent diarrhea among under-five children in Hlaing Thar Yar Township, Yangon.
There has been significant magnitude of problems of diabetes in Myanmar, according to the estimates of International Diabetes Federation (IDF) and the recent National Survey on the prevalence of diabetes. There has been a wide gap of equity between the urban and rural healthcare delivery for diabetes. Myanmar Diabetes Care Model (MMDCM) aims to deliver equitable diabetes care throughout the country, to stem the tide of rising burden of diabetes and also to facilitate to achieve the targets of the Global Action Plan for the Prevention and Control of NCDs (2013NCDs ( -2020. It is aimed to deliver standard of care for diabetes through the health system strengthening at all level. MMDCM was developed based on the available health system, resources and the country's need. Implementation for the model was also discussed.
Background Maternal mortality is a persistent public health problem worldwide. The maternal mortality ratio of Myanmar was 250 deaths per 100,000 live births in 2017 which was the second-highest among ASEAN member countries in that year. Myanmar’s infant mortality rate was twice the average of ASEAN member countries in 2020. This study examined factors influencing institutional maternity service utilization and identified the need for improved maternal health outcomes. Methods A cross-sectional study design was used to examine the experience of 3,642 women from the 2015–16 Myanmar Demographic and Health Survey by adapting Andersen’s Behavioral Model. Both descriptive and inferential statistics were applied. Adjusted odds ratios and 95% confidence interval were reported in the logistic regression results. Results The findings illustrate that the proportion of women who delivered their last child in a health/clinical care facility was 39.7%. Women live in rural areas, states/regions with a high levels of poverty, poor households, experience with financial burden and the husband’s occupation in agriculture or unskilled labor were negatively associated with institutional delivery. While a greater number of ANC visits and level of the couple’s education had a positive association with institutional delivery. Conclusion The determinants of institutional delivery utilization in this study related to the institutional facilities environment imply an improvement of the institutional availability and accessibility in rural areas, and different states/regions, particularly Chin, Kayah and Kachin States- the poorest states in Myanmar. The poverty reduction strategies are urgently implemented because problems on health care costs and household economic status played important roles in institutional delivery utilization. The ANC visits indicated a significant increase in institutional delivery. The government needs to motivate vulnerable population groups to seek ANC and institutional delivery. Moreover, education is crucial in increasing health knowledge, skills, and capabilities. Thus, improving access to quality, formal, and informal education is necessary.
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