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นี่ do 이어 Copyright 2019 by Boston Consulting Group. All rights reserved. Myanmar Myanmar F.4 Health: Expand access to healthcare (I/II) Initiative objective Ensure that health centers have adequate personnel Expand the reach of current health personnel Actions F.4.1 Increase the number of healthcare personnel • Prioritize counterparty funding for donor support (e.g., WHO) for recruiting doctors Reserve funds at the beginning of the year for automatic recruitment of retiring doctors, nurses, mid-wives etc. F.4.2 Expand the distribution of health personnel to rural areas Create policy mandating rotation of doctors, nurses etc., to rural communities in their district e.g.,: New personnel: First 2 or 3 years of employment Create additional incentives for urban doctors, nurses etc. willing to be redeployed to rural communities outside their districts e.g., tax rebates, free housing F.4.3 Expand physical coverage of health personnel in rural areas • Launch a pilot bi-weekly antenatal mobile clinic program at selected LGAs for pregnant women Partner with donors (e.g., MTN Foundation in Niger State) and NGOs (e.g., Riders for Health) to support with transporting doctors or drugs 1. Local Government Areas Deliverables Human capital Initiative Lead F.4.1: Permanent Secretary, Ministry of Health F.4.2: Permanent Secretary, Ministry of Health F.4.3: Permanent Secretary, Ministry of Health Recommended timeline Budget prioritization for counterparty funds (see budgeting section) Defined % budget to be reserved for counterparty funding and new personnel employment Published policy on rotation of new doctors, nurses, mid-wives etc. Clear incentive structure for personnel redeployment and rotation List of urban personnel willing to be redeployed outside their districts Prioritized LGAs¹, number of doctors, days of operation etc. . Next budget cycle Next budget cycle 3 months • 6 months 6 months 6 months • Estimated costs, and likely impact of program • 6 months Potential quick-win 205
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