Journal of the National Institute of Public Health
Online ISSN : 2432-0722
Print ISSN : 1347-6459
ISSN-L : 1347-6459
Challenge to knowledge sharing on Japanese UHC experience with overseas
Munehito MachidaAtsuro Tsutsumi
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2017 Volume 66 Issue 4 Pages 373-379


Japan positioned health as cornerstone of its diplomacy, drove forward UHC (Universal Health Coverage), and declared its expected contribution to resolving universal agendas using the experience of Japanese achievements in health and longevity. Therefore, sharing the Japanese UHC experience will become more popular. This article introduced JICA ’s (Japan International Cooperation Agency) technical cooperation projects in Myanmar for strengthening the health system administration and development of human resource, both essential towards the UHC movement. Health policy in Myanmar had been lowpriority under its long-term military government. More recently, Myanmar has prioritized financially its health policy. In this respect, the Ministry of Health and Sports in Myanmar (MoHS) revised the National Health Plan (NHP) and guided townships to plan a "Basic Essential Package of Health Service" (EPHS ), which is the basic component of NHP and comprises health services for these township. As MoHS emphasizes the consolidating function of the central and regional governments in planning, the Health System Strengthening Project has provided a review of the smooth consolidation at central and region levels. The project also launched the Medical Record Technician training, which aims to improve the quality of data for monitoring and evaluating NHP, and the rapid confirmation of statistic data using computerization. Myanmar is now confronted with the lack of teaching staff and the necessity to improve teaching skill in medical education. As such, the Project for Enhancement of Medical Education has offered support for training programs in Japan for teaching staff. Staff from general medicine draw up an education plan and share their experience obtained through a PhD course. Specifically, training courses for clinical educational staff are first drafted in Myanmar, with discussions between Myanmar and Japan based on absolute needs in teaching to follow. The clinician trainees then draft teaching materials to be used in Myanmar during their short-term training in Japan. As such, they share their training experience through a seminar in Myanmar. Since the end of World War II, although Japan has rapidly achieved UHC through planning and an implementation system, it needs to shape its health system to keep up with the low birth rate and society longevity, thus requiring a self-review system to incorporate overseas challenges.

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© 2017 National Institute of Public Health, Japan
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