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Historical development." }, "material_id": "material:d893d6410f483347ceedbb79", "notes": [], "origin": "candidate-analytical-mappings", "period": "Review published 2014; evidence retains its stated historical periods", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "review_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "a60d6c77249ebcd72f031eb76028d3907b2c292765a30b33041ecd266acce955", "page_count": 238 }, "statement": "The 2014 WHO review describes the Ministry as a governing agency and comprehensive-care provider, but it is not treated as a current authority or ownership map.", "tags": [], "territory": "Myanmar", "title": "WHO review separates governance and provider roles only for its period", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://iris.who.int/server/api/core/bitstreams/6251c615-98e6-4af3-a99f-81fbbb6b5e67/content" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Bank. Analysis of Access to Essential Health Services in Myanmar 2021-2023. 2024. https://documents.worldbank.org/curated/en/099040524035028779/pdf/P180073-8b279cd6-8cd1-4047-b869-b0990b874f62.pdf", "country_ids": [ "MMR" ], "coverage_domains": [ "authoritative_review", "facility_data", "governance", "hospital_organization", "market_structure", "ownership", "patient_flows", "primary_care", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "TOTAL NUMBER OF HEALTH FACILITIES BY LEVEL", "institution": "World Bank", "locator": { "locator_type": "pdf_page_and_table", "source_word_anchor": "TOTAL NUMBER OF HEAL TH FACILITIES BY LEVEL", "source_word_count": 8 }, "material_id": "material:8a579be8db40f99285bfa03a", "notes": [ "The facility counts retain the 2020 source table's categories. They are not current market shares, ownership verification for each facility, care volumes, or referral-flow measures." ], "origin": "country-evidence-improvement-sources", "period": "Underlying facility table 2020; access analysis 2021-2023; report published 2024", "publication_date": null, "publication_year": 2024, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "grey_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "b0f293b7ef448dbf4a9f9a05985ae8d30a4e149fdda96acebfb16e4dac576939", "page_count": 33 }, "statement": "The analysis reproduces a 2020 Ministry of Health and Sports facility table with public and private counts by level, including hospitals, health stations and maternal and child health units or primary clinics.", "tags": [], "territory": "Myanmar; facility table reported for 2020 and access analysis for 2021-2023", "title": "Analysis of Access to Essential Health Services in Myanmar 2021-2023", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://documents.worldbank.org/curated/en/099040524035028779/pdf/P180073-8b279cd6-8cd1-4047-b869-b0990b874f62.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Bank. World Development Indicators, Hospital beds per 1,000 people, Myanmar. Retrieved 2026-08-22. https://api.worldbank.org/v2/country/MMR/indicator/SH.MED.BEDS.ZS?format=json", "country_ids": [ "MMR" ], "coverage_domains": [ "facility_data", "hospital_organization", "market_structure", "patient_flows", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "Hospital beds (per 1,000 people)", "institution": "World Bank", "locator": { "locator_type": "api_resource", "source_word_anchor": "Hospital beds (per 1,000 people)", "source_word_count": 5 }, "material_id": "material:6d81ee0d4cde461bfa3f256d", "notes": [ "National bed density does not identify ownership, service level, provider autonomy, service volumes, network membership, or referral completion." ], "origin": "country-evidence-improvement-sources", "period": "World Bank indicator API retrieved 2026-08-22; observations retain their returned year labels", "publication_date": null, "publication_year": 2026, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "grey_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/json", "response_sha256": "025f710b922382e7bbd014440a0618ea3ca8febc87c54b995b0bb642dc02e027" }, "statement": "The World Bank API returns Myanmar's dated national hospital-bed-density series.", "tags": [], "territory": "Myanmar", "title": "Hospital beds per 1,000 people, Myanmar", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://api.worldbank.org/v2/country/MMR/indicator/SH.MED.BEDS.ZS?format=json" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Bank. Improving Health Services in Myanmar through Public Financial Management Reform. 2021. https://documents.worldbank.org/curated/en/312131627970434126/pdf/Improving-Health-Services-in-Myanmar-through-Public-Financial-Management-Reform.pdf", "country_ids": [ "MMR" ], "coverage_domains": [ "autonomy", "decision_rights", "governance", "hospital_organization", "primary_care", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "frontline providers are the township hospitals", "institution": "World Bank", "locator": { "locator_type": "pdf_page_and_heading", "source_word_anchor": "frontline providers are the township hospitals", "source_word_count": 6 }, "material_id": "material:9149b8723179dee777330f5b", "notes": [ "The brief supports a bounded fiscal-accountability reading. It does not demonstrate that every provider had the same budget discretion or establish post-2021 institutional arrangements." ], "origin": "country-evidence-improvement-sources", "period": "Brief published 2021; describes arrangements before and during the then-current crisis", "publication_date": null, "publication_year": 2021, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "grey_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "ba3d17d63aea3c41830d97a6766ac5b86bef98b318d5a7a0ac0158e7b3e4efdf", "page_count": 8 }, "statement": "The brief reports that township hospitals and health departments implemented their own budgets while departments and facilities were part of a centralized structure, and that important fiscal responsibilities were retained at Union level.", "tags": [], "territory": "Myanmar; Union-level budget process and township delivery providers", "title": "Improving Health Services in Myanmar through Public Financial Management Reform", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://documents.worldbank.org/curated/en/312131627970434126/pdf/Improving-Health-Services-in-Myanmar-through-Public-Financial-Management-Reform.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ministry of Health and Sports, Myanmar. Myanmar National Health Plan 2017-2021. 2017. https://p4h.world/app/uploads/2023/02/NHP_full_final_ENG.x38507.pdf", "country_ids": [ "MMR" ], "coverage_domains": [ "actors", "decision_rights", "governance", "government_responsibilities", "networks", "primary_care", "referral_design", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "primary health care delivered at township level and below", "institution": "Ministry of Health and Sports, Myanmar", "locator": { "locator_type": "pdf_page_and_heading", "source_word_anchor": "primary health care delivered at township level and below", "source_word_count": 9 }, "material_id": "material:8743d5046021584f5212b63a", "notes": [ "This is a time-bounded formal plan. It does not establish implementation after 2021, a facility-level authority matrix, provider ownership shares, or observed referral completion." ], "origin": "country-evidence-improvement-sources", "period": "National Health Plan period 2017-2021", "publication_date": null, "publication_year": 2017, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "bbf65370ba4737f35a029d5753395ab94e64b33409233f83bd516b6b6e375e80", "page_count": 46 }, "statement": "The plan states a focus on primary health care at township level and below, considers providers outside the Ministry of Health and Sports, and describes a shift from top-down to more inclusive bottom-up planning.", "tags": [], "territory": "Myanmar; national plan, with stated focus at township level and below", "title": "Myanmar National Health Plan 2017-2021", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://p4h.world/app/uploads/2023/02/NHP_full_final_ENG.x38507.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Bank Independent Evaluation Group. Myanmar: Essential Health Services Access Project (P149960), Implementation Completion and Results Report Review. 2025. https://documents.worldbank.org/curated/en/099091625105516776/pdf/P149960-41e18c2b-4f21-4711-986f-17488c008917.pdf", "country_ids": [ "MMR" ], "coverage_domains": [ "actors", "authoritative_review", "facility_data", "governance", "government_responsibilities", "hospital_organization", "market_structure", "networks", "patient_flows", "primary_care", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "health facility grants were to be provided", "institution": "World Bank Independent Evaluation Group", "locator": { "locator_type": "pdf_page_and_heading", "source_word_anchor": "health facility grants were to be provided", "source_word_count": 7 }, "material_id": "material:2a950595761cf308b8f9d7cb", "notes": [ "This is project-specific design and review evidence. It does not establish a national, current, or complete delivery-network map, a causal effect, or a patient-level route." ], "origin": "country-evidence-improvement-sources", "period": "Project implementation through cancellation after February 2021; review published 2025", "publication_date": null, "publication_year": 2025, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "grey_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "d6ba0c4dcf742b10fa3776215b327fba53d586afe879bac3ef9da34db773b60f", "page_count": 18 }, "statement": "The review reports that project design provided facility grants to township hospitals, station hospitals, rural health centres and maternal and child health clinics, and supported state and regional health departments' coordination, supervision and communication functions.", "tags": [], "territory": "Myanmar; project-supported township hospitals, station hospitals, rural health centres and maternal and child health clinics", "title": "Myanmar: Essential Health Services Access Project", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://documents.worldbank.org/curated/en/099091625105516776/pdf/P149960-41e18c2b-4f21-4711-986f-17488c008917.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Bank. Myanmar: Essential Health Services Access Project Additional Financing, Implementation Completion and Results Report. 2025. https://documents.worldbank.org/curated/en/099052225070533563/pdf/BOSIB-2ce2a9e6-79bf-44a6-b78a-03ae71bcff06.pdf", "country_ids": [ "MMR" ], "coverage_domains": [ "actors", "governance", "government_responsibilities", "networks", "primary_care", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "inclusive planning mechanisms at state and township levels", "institution": "World Bank", "locator": { "locator_type": "pdf_page_and_heading", "source_word_anchor": "inclusive planning mechanisms at state and township levels", "source_word_count": 8 }, "material_id": "material:fde55668472fd14a7e0281df", "notes": [ "An additional-financing design does not establish a nationally operating network, membership continuity, authority delegation, or service performance after the project period." ], "origin": "country-evidence-improvement-sources", "period": "Additional-financing design and implementation record, published 2025", "publication_date": null, "publication_year": 2025, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "grey_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "a4a7c3e258dd8ed15b64ac2daf9159146c23ccab6acdd315287477879d41a05e", "page_count": 55 }, "statement": "The report describes an additional-financing design that introduced inclusive state- and township-level planning with non-governmental organizations, ethnic health providers and community-based organizations in conflict-affected regions.", "tags": [], "territory": "Myanmar; project additional-financing design in conflict-affected regions", "title": "Myanmar: Essential Health Services Access Project Additional Financing", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://documents.worldbank.org/curated/en/099052225070533563/pdf/BOSIB-2ce2a9e6-79bf-44a6-b78a-03ae71bcff06.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Bank. Myanmar: Improving Public Financial Management for Health Services: Challenges and Opportunities for Improving Service Delivery in the Wake of COVID-19. 2020. https://documents.worldbank.org/curated/en/439921613542231195/pdf/PFM-in-Health-assessment.pdf", "country_ids": [ "MMR" ], "coverage_domains": [ "actors", "autonomy", "decision_rights", "governance", "government_responsibilities", "hospital_organization", "primary_care", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "frontline providers are the township hospitals", "institution": "World Bank", "locator": { "locator_type": "pdf_page_and_heading", "source_word_anchor": "frontline providers are the township hospitals", "source_word_count": 6 }, "material_id": "material:72441d4cef3e2be4187281d3", "notes": [ "Reported budget-control arrangements do not establish full finance, procurement, workforce, capital, operations, or service-mix autonomy for every provider, and are not current post-2021 implementation evidence." ], "origin": "country-evidence-improvement-sources", "period": "Assessment prepared during the COVID-19 period and published 2020", "publication_date": null, "publication_year": 2020, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "grey_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "5aeaed6743a0e24df453725470a78721ef9e4e595546cc19cede074150e4988c", "page_count": 128 }, "statement": "The assessment reports township hospitals and township health departments as frontline providers that control their own budgets, rural and sub-rural health centres as financed from township health departments, and all as part of a deconcentrated Union Ministry structure.", "tags": [], "territory": "Myanmar; Union Ministry of Health and Sports deconcentrated delivery structure", "title": "Myanmar: Improving Public Financial Management for Health Services", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://documents.worldbank.org/curated/en/439921613542231195/pdf/PFM-in-Health-assessment.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Bank. World Development Indicators, Physicians per 1,000 people, Myanmar. Retrieved 2026-08-22. https://api.worldbank.org/v2/country/MMR/indicator/SH.MED.PHYS.ZS?format=json", "country_ids": [ "MMR" ], "coverage_domains": [ "facility_data", "hospital_organization", "patient_flows", "primary_care", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "Physicians (per 1,000 people)", "institution": "World Bank", "locator": { "locator_type": "api_resource", "source_word_anchor": "Physicians (per 1,000 people)", "source_word_count": 4 }, "material_id": "material:ca0a4bcee9fd1b07e064255b", "notes": [ "National physician density is not an allocation of staffing authority, a public-private workforce share, a facility-level staffing measure, or a proxy for observed referral flows." ], "origin": "country-evidence-improvement-sources", "period": "World Bank indicator API retrieved 2026-08-22; observations retain their returned year labels", "publication_date": null, "publication_year": 2026, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "grey_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/json", "response_sha256": "0cb4d3bcffa002521da6c1649f1408f0051a88d3ec1a6b9526f6f4135655313a" }, "statement": "The World Bank API returns Myanmar's dated national physician-density series.", "tags": [], "territory": "Myanmar", "title": "Physicians per 1,000 people, Myanmar", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://api.worldbank.org/v2/country/MMR/indicator/SH.MED.PHYS.ZS?format=json" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Aung ST, et al. Public-private mix for tuberculosis care and control in Myanmar: a strategy to scale up? BMC Public Health. 2017;17:15. https://europepmc.org/api/getPdf?pmcid=PMC5526479", "country_ids": [ "MMR" ], "coverage_domains": [ "market_structure", "networks", "observed_referral", "ownership", "patient_flows", "primary_care", "referral_design", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": "Scheme I (SI) involves the referral of presumptive TB patients", "institution": "BMC Public Health", "locator": { "locator_type": "pdf_page_and_heading", "source_word_anchor": "Scheme I (SI) involves the referral of presumptive TB patients", "source_word_count": 10 }, "material_id": "material:5d386af83f1486c51a02719d", "notes": [ "This is a condition-specific project cohort from 2013. 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