This document summarizes the sources of financing for township health systems in 20 townships in Myanmar in 2012. It finds that the main sources of overall financing were government contributions (67%), projects (5%), and community trust funds (29%). However, when only considering operational financing, government contributions made up 79% while projects and community sources each contributed less than 2%. It also notes that while most townships had mechanisms to exempt the poor from costs, not all mechanisms covered all poor residents.

1. Financial Management and Health
Financing in Township Health System in
(20) Townships, 2012
Dr. San San Aye
Director (Planning)
email: dr.san2aye@gmail.com
Dissemination on Implementation of Health Systems Strengthening in (20) Townships
MOH Meeting Room, Nay Pyi Taw, Myanmar, 6 th August 2012

2. Scope of Presentation
1.Overall Sources of Financing in Township Health System
2.Operational Sources of Financing in Township Health
System
3.Comparison between Overall Sources and Operational
Financing
4.Government as Financing Agent and Community as
Financing Source
5.External source of financing (Project)
6.Protection for the poor

3. 1. Overall Sources of Financing in
Township
Health System: 20
Townships

4. Township
Government
Project
Community
CCS
Trust Fund
RDF
Total
Donation
201464723
2098000
0
3583025
38678014
1243000
247066762
65289000
2590000
254000
3263920
8827000
1457000
81680920
186143900
0
2753017.71
3981336
20611620
12210100
225699974
4. Hlaing Bwe
80310290
9441000
672587
2704859
425700
144940
93699376
5. Thipaw
88221891
2891000
10723178.57
1468909
15174913
860500 119340391.6
6. Htilin
50053612
0
0 384787319.7
3894947
0 438735879.2
7. Kawmhu
63047220
3389000
22051711.35
110850
3562745
0 92161526.06
76273148.65
0
0
268710
2035800
220300 78797958.65
9. Leway
76805250
0
31626827
4789484.55
6461598
645000
120328159
10. Maung Taw
83208413
0
2735789
2887559
6100000
17820000
112751761
11. Mudon
82492900
1925000
4091513.25
1078783
9141762.97
5550650 104280609.2
12. Myeik
179984570
11800000
0
8530350
34776319.2
0 235091239.2
13. Naung Shwe
76805250
386000
31626827.15
4789484.55
6461597.65
1231500 121300659.4
14. Ngaputaw
59835900
20250000
8532280
87450
4618850
0
93324480
15. Pyinmanar
252088850
0
1513068
7835018
20791220
5143400
287371556
55864210
2360000
2856000
113000
8029232
5200000
74422442
17. Tharyar Waddy
155090260
2006500
0
223139
15500000
486000
173305899
18. Thahton
120992678
4732000
29625333
1863890
15798444
14487700
187500045
84168659
0
6700962
1615637
16848507
0
109333765
140502690
0
0
1. Bamaw
2. Yaetarshae
3. Hakha
8. Demawso
16. Shwe Gu
19. Ye Oo
20. Kyaing Tone
640012 50024619.29
0 191167321.3

6. 2. Operational Sources of Financing in
Township Health System: 20 Townships

7. Township
Government
Project
Operational
RDF
Community
Operational
CCS
Trust Fund
Total
Donation
201464723
2098000
0
3583025
969950
1243000
209358698
65289000
2590000
597000
3263920
0
1457000
73196920
186143900
0
0
3981336
2590500
12210100
204925836
4. Hlaing Bwe
80310290
9441000
0
2704859
22000
144940
92623089
5. Thipaw
88221891
2891000
0
1468909
49000
860500
93491300
6. Htilin
50053612
0
0
384787319.7
206000
0
435046931.7
7. Kawmhu
63047220
3389000
270000
110850
0
0
66817070
76273148.65
0
0
268710
0
220300
76762158.65
9. Leway
76805250
0
49746.78
4789484.55
0
645000
82289481
10. Maung Taw
83208413
0
1674680
2887559
862110
17820000
106452762
11. Mudon
82492900
1925000
0
1078783
74000
5550650
91121333
12. Myeik
179984570
11800000
0
8530350
2477540
0
202792460
13. Naung Shwe
76805250
386000
49746.78
4789484.55
24000
1231500
83285981.33
14. Ngaputaw
59835900
20250000
675981
87450
0
0
80849331
15. Pyinmanar
252088850
0
188165
7835018
1517222
5143400
266772655
55864210
2360000
0
113000
2207750
5200000
65744960
17. Tharyar Waddy
155090260
2006500
0
223139
0
486000
157805899
18. Thahton
120992678
4732000
340000
1863890
184000
14487700
142600268
84168659
0
399766
1615637
106354
0
86290416
140502690
0
0
640012
4338450
0
145481152
1. Bamaw
2. Yaetarshae
3. Hakha
8. Demawso
16. Shwe Gu
19. Ye Oo
20. Kyaing Tone

8. Operational Sources of Financing in Township Health System
in 20 townships and Government Health Expenditure

10. 3. Comparison between Overall Sources
and Operational Financing

11. Comparison between Overall and Operational Financing in
Township Health System
Overall
Township
Government
Community
Project
RDF
20 Townships
CCS
2,178,643,415 63,868,500 155,763,094.2 434,622,736
Trust Fund
287,762,888.9
Total
Donation
66,700,090 3,187,360,724
3,187 million
2.7 %
5.4 %
Operational
Township
20 Townships
Government
Project
Operational
RDF
Community
Operational
CCS
Trust Fund
2,178,643,415 63,868,500 4,245,085.56 434,622,736
15,628,876
Donation
Total
66,700,090 2,763,708,702
2,763 million

13. Comparison between Overall and Operational Financing in
Township Health System

14. Comparison between Overall and Operational Financing in
Township Health System

15. 4. Government as Financing Agent and
Community as Financing Source

16. Government as Financing Agent and Community as
Financing Source
Community Sources of Financing
(Financing not spent yet)
Community Sources of Financing
(Operating)

17. 5. External source of financing (Project)

19. 6. Protection for the poor

20. Township
Are there any exemption mechanisms for If yes, does the mechanism cover
protection of poor?
ALL the poor?
Bamaw
Yes
Yes
Yaetarshae
No
No
Hakha
No
No
Hlaing Bwe
Yes
No
Thipaw
Yes
Yes
Htilin
Yes
No
Kawmhu
Yes
No
Demawso
Yes
No
Leway
Yes
No
Maung Taw
Yes
No
Mudon
Yes
Yes
Myeik
No
No
Naung Shwe
Yes
No
Ngaputaw
Yes
Yes
Pyinmanar
Yes
Yes
Shwe Gu
Yes
Yes
Tharyar Waddy
Yes
No
Thahton
Yes
No
Ye Oo
Kyaing Tone
Yes
Yes
No
No

21. Thank you for your kind attention