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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
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
1. Overall Sources of Financing in
Township
Health System: 20
Townships
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
2. Operational Sources of Financing in
Township Health System: 20 Townships
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
Operational Sources of Financing in Township Health System
in 20 townships and Government Health Expenditure
3. Comparison between Overall Sources
and Operational Financing
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
Comparison between Overall and Operational Financing in
Township Health System
Comparison between Overall and Operational Financing in
Township Health System
4. Government as Financing Agent and
Community as Financing Source
Government as Financing Agent and Community as
Financing Source

Community Sources of Financing
(Financing not spent yet)

Community Sources of Financing
(Operating)
5. External source of financing (Project)
6. Protection for the poor
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
Thank you for your kind attention

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6 gavi 20 townships financing

  • 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
  • 5.
  • 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
  • 9.
  • 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
  • 12.
  • 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)
  • 18.
  • 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