Myanmar Diabetes Care Model: Bridging the Gap Between Urban and Rural Healthcare Delivery

Authors

  • Tint Swe Latt
  • Than Than Aye President, Myanmar Society of Endocrinology and Metabolism
  • Ko Ko Department of Medicine, University of Medicine 2, Yangon
  • Ye Myint Department of Medicine, Thingankyun Sanpya Hospital, Yangon
  • Maung Maung Thant Department of Medicine, North Okkalapa General Hospital
  • Kyar Nyo Soe Myint Department of Medicine, North Okkalapa General Hospital
  • Khin Sanda Department of Medicine, North Okkalapa General Hospital
  • Khaing Lwin No. 2 Military Hospital, Yangon
  • Htet Htet Khin Department of Medicine, North Okkalapa General Hospital
  • Tin Win Aung Department of Medicine, North Okkalapa General Hospital
  • Kyaw Myint Oo No. 2 Military Hospital, Yangon

Keywords:

diabetes care, NCDs, equity

Abstract

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 health care 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 (2013-2020). 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. 

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Author Biography

Tint Swe Latt

President, Myanmar Diabetes Association(MMDA)

References

Vinicor F, Rufo K, Murphy D. Diabetes and public health in the United States. In: International Textbook of Diabetes Mellitus, 3rd ed. Zimmer P. Chichester, West Sussex, UK: John Willey & Sons, 2004, pp. 1785-1792.

International Diabetes Federation. IDF Diabetes Atlas, sixth edition, 2013. www.idf.org/diabetesatlas, pp. 1-160.

Soe P, Latt TS, Aung PP Myint TK. Glucose intolerance and associated factors in four townships of Yangon Division: STEP Survey of Yangon Division. DMR Research Congress, 2004.

Non-communicable disease risk factors survey Myanmar 2009: http://www.who.int/chp/steps/2009-STEPS -Survey-Myanmar. pdf . Accessed on September 20, 2015.

Latt TS, Ko K, Zaw KK. National Survey on the prevalence of diabetes and risk factors for Non-Communicable diseases, 2014. (personal communications)

World Health Organization 2013. Global Action Plan for the prevention and control of NCDs 2013-2020. http://apps.who.int/iris/bitstream/10665/94384/1/9789241506236_eng.pdf?ua=1. pp. 1-103.

Political declaration of the high-level meeting of the General Assembly on the prevention and control of non-communicable diseases, 66th Session of the General Assembly, agenda item 117. A/66/L. 1, 2011.

World Health Organization. Global status report on non-communicable diseases. Tech. Rep., World Health Organization, Geneva, Switzerland, 2010.

World Health Organization. The global strategy for prevention and control of non-communicable diseases. Tech. Rep. Resolution WHA 53. 14. World Health Organization, Geneva, Switzerland, 2000.

World Health Organization. 2008-2013 action plan for the global strategy for prevention and control of non-communicable diseases. Tech. Rep. Resolution WHA61.14. World Health Organization, Geneva, Switzerland.

Abegunde DO, Shengelia B, Luyten A, et al. Can non-physician health-care workers assess and manage cardiovascular risk in primary care? Bull World Health Organ. 2007;85(6):432-440.

World Health Organization. Prevention of cardiovascular disease: Guidelines for assessment and management of cardiovascular risk. World Health Organization, Geneva, Switzerland, 2007.

World Health Organization. Scaling up action against non-communicable diseases. World Health Organization, Geneva, Switzerland, 2011.

World Health Organization. Package of Essential Non-communicable Disease Interventions for primary health care in low-resource settings, World Health Organization, Geneva, Switzerland, 2010.

World Health Organization. The World Health report, health systems financing: The path to Universal Coverage. World Health Organization, Geneva, Switzerland, 2010.

World Health Organization. Report of the Commission on Macroeconomics and Health: investing in Health for Economic Development (WHO-CMH). Tech. Rep. World Health Organization, Geneva, Switzerland, 2001.

Sein TT, Myint P, Tin N, Win H, Aye S, Sein T. The Republic of the Union of Myanmar Health system review: Health system in transaction. Asia Pacific Observatory on Health Systems and Policies. 2014;4(3).

Mendis S, Bashir IA, Dissanayake L, et al. Gaps in capacity in primary care in low-resource settings for implementation of Essential Noncommunicable Disease Interventions, International Journal of Hypertension. 2012;2012.

Aye TT, Aung MW, Oo ES. Diabetes mellitus in Myanmar: Socio-cultural challenges and strength. J Soc Health Diabetes. 2014;2(1):9-13. http://dx.doi.org/10.4103/2321-0656.120255.

Hass L, Maryniuk M, Berk I, et al. National Standard for diabetes self-management education and support. Diabetes Care. 2013;36(Suppl1):S100-8.http://dx.doi.org/10.2337/dc13-S100.

American Diabetes Association. Standards of medical care in diabetes-2015: Summary of revisions. 2015;38(Suppl 1):S4. http://dx.doi.org/10.2337/dc15-S003.

Wagner EH, Austin BT, Von Korff M. Improving outcomes in chronic illness. Manag Care Q. 1996;4(2):12-25.

Bodenheimer T, Wagner EH, Grumbach K. Improving primary care for patients with chronic illness: The chronic care model, part 2. JAMA. 2002;288(15):1775-79.

Wagner EH. The role of patient care teams in chronic disease management. BMJ. 2000;320:569-572. http://dx.doi.org/10.1136/bmj.320/7234.569.

Wagner EH. Meeting the needs of chronically ill people. BMJ. 2001;323:945-946. http://dx.doi.org/10.1136/bmj.323.7319.945.

Wagner EH, Grothaus LC, Sandhu N, Galvin MS, McGregor M, Artz K, Coleman EA. Chronic care clinics for diabetes in primary care: A system-wide randomized trial. Diabetes Care. 2001;24(4):695-700. http://dx.doi.org/10.2337/diacare.24.4.695.

Stellefson M, Dipnarine K, Stopka C. The chronic care model and diabetes management in US primary care settings: A systematic review. Prev Chronic Dis. 2013;10:120180. http://dx.doi.org/10.5888/pcd10.120180.

Wagner EH. High quality care for people with chronic disease (Editorial). BMJ. 2005;330:609-610. http://dx.doi.org/10.1136/bmj.330.7492.609.

World Health Organization. Prevention and control of non-communicable diseases: Guidelines for primary health care in low-resource settings. Geneva, WHO. 2012, pp. 9-11.

Ministry of Health, Myanmar: Pilot project for implementation of Package of Essential Noncommunicable (PEN) diseases interventions in Hlegu and Hmawbi townships, 2012-2013. (personal communications)

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Published

2015-11-30

How to Cite

Latt, T. S., Aye, T. T., Ko, K., Myint, Y., Thant, M. M., Myint, K. N. S., Sanda, K., Lwin, K., Khin, H. H., Aung, T. W., & Oo, K. M. (2015). Myanmar Diabetes Care Model: Bridging the Gap Between Urban and Rural Healthcare Delivery. Journal of the ASEAN Federation of Endocrine Societies, 30(2), 105. Retrieved from https://asean-endocrinejournal.org/index.php/JAFES/article/view/263

Issue

Vol. 30 No. 2 (2015): November Issue

Section

Feature Articles

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