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Health care needs in Northern Rakhine

Health care needs in Northern Rakhine


 


While there is a huge demand for government services, the ban on NGOs in northern Rakhine State and the restrictions on local residents' travel will continue to fuel the community's healthcare needs. It is also a matter of ignoring Kofi Annan's advice.
Dr. Nay Lin Tun

In March this year, a pregnant woman in a village in Maungdaw, a village less than five miles away, tried to give birth to a prostitute. Two days later, when her condition worsened, her family took her to the hospital for a 40-minute drive. But it was too late to save the lives of the twins, and the two children never came into the world. Only the mother survived and stayed in the hospital for two days and returned home.

The shocking incident is just one example of the inadequate health care in northern Rakhine State due to inadequate health care. The situation in northern Rakhine State has worsened since the 2017 crisis. In addition, the fighting between the Tatmadaw and the AA has intensified since the two years of conflict.
I have been witnessing the deterioration of public health in the state of Northern Rakhine since 2017. There are many needs, especially basic healthcare. Reproductive health services; Vaccination and emergency support are needed.

According to the United Nations, there were more than 720,000 Rohingya fleeing Bangladesh while the Tatmadaw raided security camps in northern Arakan State in August 2017. After the mass exodus, around 300,000 Rohingya, about one-third of the Rohingya population, remained in northern Rakhine State. They are also looking forward to improving health care with other locals.

Maungdaw and Buthidaung Townships Most local and international NGOs have limited access to health services because of restrictions in urban areas. Access to rural areas is restricted by the difficult travel authorization system. The International Committee of the Red Cross and the UN World Food Program have been granted access to basic humanitarian assistance in rural areas, but many do not receive the life-saving assistance they need.

Local government officials in northern Rakhine state say the mobile clinics provided by the Ministry of Health and Sports and the Myanmar Red Cross are adequately providing health care in rural areas with the help of the International Committee of the Red Cross. However, there are limited staffing in these mobile clinics, but there are limitations in the supply of medicines. At least one international NGO has recently allowed an international NGO to operate mobile clinics. But life-threatening conditions remain.

Most clinics can only visit once every four months or every six months, depending on the time and work limitations of the moving clinics. This is not enough to meet the needs of the locals. Sometimes, in remote villages, it takes only three hours to return to the base.

The healthcare system in Myanmar is poor. Limitations of government health spending have created limitations. In addition, rural immunization and basic services may not be sufficient when helping people who are frequently affected by natural disasters and those affected by internal conflict.

The government's decision to block the support of international humanitarian and development organizations to reach out to needy communities further prolong their suffering.
 Contrary to the advice of the Rakhine State Advisory Committee led by the late UN Secretary-General Kofi Annan, the lack of access to health services in northern Rakhine State remains unmatched.

The Commission's latest report, released in August 2017, contained 88 recommendations, including nine points on health care and four aspects of humanitarian access.
The health recommendation states that the Union Government and the Rakhine State governments should declare equal access to health care, regardless of their gender. In addition, the proposal calls for removing administrative barriers that hinder access to health care.

In Article 27 of the Accessibility Recommendation, the Government of Myanmar receives citizenship or international staff

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